Skip to main content

Sweet Eye

Hi .
Back again with a pile of some weird stuff. Diabetes .did you know? Shit I didn't . 

Diabetes. The name is enough. Everybody knows what it is . How to control it. 
I have a dozen blood relations suffering from diabetes mellitus.
Every time they see a doctor , he tells them that the *sugar* has gone high . They give him a *sweet smile* ( Due to hyperglycaemia , I believe) stating , oh doctor , you know how it is ... I just can't refrain from rice , I have eaten it twice everyday throughout my life . Changing habits is difficult. (So is changing diapers, but people do!)

They don't realise and mostly don't know what diabetes can cause . Harmful they know . But how much? The doctors thus don't take enough time to explain. Who cares? There are millions with the same disease . 

Honestly , I knew about generalised lesions diabetes can cause like candidiasis et al but ocular lesions in specific is what I never knew.
So did you? If you did , the blog ends here. The rest , I know you have a dear one suffering, yet gulping that ice cream.

Here they are:
Changes in refraction :
Hypermetropia ( in hypoglycaemia)
myopic shift ( in hyperglycaemia)
Decreased accommodation 

Eyelids :
 Stye 
internal hordeolum  
recurrent Stye 
 
Conjunctiva :
Telengectasia
Sub conjunctival haemorrhage 

Cornea :
-Delayed healing due to basement membrane abnormality
-Corneal sensations are decreased due to trigeminal neuropathy
-Infective corneal ulcers
-Punctate keratopathy
-Descements folds

Iris :
Rubeosis iridis

Lens:
Snow flaked cataract
Posterior subcapsular cataract
Early maturation of senile cataract

Vitreous:
Vitreous haemorrhage 
 
Retina :
Diabetic retinopathy 
Lipeamia retinalis

Intraocular pressure :
Increased incidence of POAG (glaucoma)

Optic nerve :
Optic neuritis

Extra ocular muscles :
Opthalmoplegia
 
This is tiring 
Good night people!






Comments

Post a Comment

Popular posts from this blog

Experience Based Co Design : BCT Series XXIX

  "Experience-Based Co-Design" we have all witnessed its essence unknowingly . My family home is the example I can reflect on .Growing up I didn't like how my house was designed. We (the whole extended family) wanted my dad to sell the house . Dad let his architect friend design our house and would not sell his house (for obvious reasons!). Mum had to balance out the situation so she decided to make small changes. So, it was one change idea each year .She would talk to us individually and listen to our perspective and review her sphere of influence and the impact /utility the idea had.For my siblings the colors were not welcoming while I pointed the flooring. Mum wanted the stairs to be personalised. My grandparents wanted certain conveniences around the toilets. It took her about 4-5 years to make the house a home that was acceptable . From color preferences to spatial arrangements, each family member contributed insights. The lovely thing about it was , the keystakehold...
6 comments
Read more

Parallel Universe : BCT Series XXX

  Two moments in the ED this week made me realize that I come from a parallel universe. One involved a teenage patient who had applied bronzer that I found while cleaning her skin for a IV cannula which left me surprised as I come from a part of the world where teenagers paint their skin with whitening agents to look more attractive. The second moment was during my teaching session on Organophosphorous poisoning, where I wondered if my accent was causing disengagement . However, I learned that it was simply a rare presentation of organophosphorous poisoning in this part of the world. It felt like I was narrating my adventures from a tropical trek! Have you ever had a moment where your cultural background clashed with your environment ?
Post a Comment
Read more

" Consulting a psychiatrist would be a question mark on my spirituality " Said the patient.

Hello everybody  I hope everybody is safe and healthy. it's been a while that I've been receiving lot of patients in the emergency with mental illness ,thought of sharing an incident of its kind. Not sure if its the awareness of mental health these days or the pandemic, I am developing keen interest in patients with mental illness .I try to take an extra effort to make them feel comfortable and try to create an insight of what is happening and offer them options of what all can be done.  Since this it seems like a step towards patient care , I thought I'd share it here as well. This would probably not be the best approach but I welcome any type of constructive criticism , additions or subtraction to my approach because end of the day we are here for best patient care. A 50 years plus old gentleman ,presented to the emergency with the complaints of chest pain radiating to left arm , breathing difficulty, choking sensation in the throat, inability to open his ey...
28 comments
Read more