title: Eye Conditions in Older Adults: Diabetic Retinopathy.
abstract: Diabetic retinopathy is related to neovascularization of the retina stimulated by an elevated blood glucose level. This can lead to macular edema, vascular hemorrhage, retinal detachment, and neovascular glaucoma. Diabetic retinopathy is a leading cause of blindness in the United States, and is estimated to affect between 28% and 40% of patients older than 40 years. Significant visual deficit from diabetic retinopathy can lead to social isolation of older individuals by limiting driving, the ability to leave the home or remain in the home safely, and the ability to watch television or read. Primary and secondary prevention includes adequate control of A1c levels. Screening is important for early detection of ocular damage and intervention. Retinal benefits of therapy may predict cardiovascular benefits over a longer period.
authors.affiliation: Department of Family Medicine Hofstra North Shore LIJ School of Medicine Southside Hospital, 301 East Main Street Bay Shore, NY 11706.
authors.forename: Scott
authors.initials: S
authors.lastname: Kirsch
authors.affiliation: Department of Family Medicine Hofstra North Shore LIJ School of Medicine Southside Hospital, 301 East Main Street Bay Shore, NY 11706.
authors.forename: Tochi
authors.initials: T
authors.lastname: Iroku-Malize
mesh_terms: D000368:Aged; D003930:Diabetic Retinopathy / Q000175:diagnosis / Q000503:physiopathology* / Q000628:therapy*; D005260:Female; D006801:Humans; D008875:Middle Aged