Preventing Diabetes Through Optomaps

How An Optomap Helped Ms P In Preventing Diabetes

Optomap retinal imaging allows us as eye care professionals to work closely with our patients and other healthcare professionals in managing a patient’s general health. As some of the smallest blood vessels in the body are found at the back of the eye, they are often the first to be affected by systemic conditions such as Diabetes/ Hypertension. Optomap ultra-wide retinal imaging allows us to screen for any retinal changes which may potentially indicate general health abnormalities, often before any signs or symptoms are experienced. Below is an example of how Optomap imaging helped to manage a patient’s general health.

A fifty four year old lady came to see Mr Lakhani at our Ryley & Evans branch for a routine eye examination in June 2016, she had no major complaints with her vision and to her knowledge her general health was ‘very good’. A change was found in her prescription and new spectacles were advised. Upon Optomap imaging, a small isolated haemorrhage was spotted at the back of her right eye. Mr Lakhani did not deem this to be sight threatening but it raised suspicions as to the patient’s general health. The scan was compared to those from previous years and never had such changes been present. Mr Lakhani explained to the patient that this change is not sight threatening but does warrant further investigation with her GP. Subsequently, the patient was referred to her GP for a systemic work up. To the patient’s surprise, she was found to be borderline diabetic but surprisingly wasn’t advised diet/ lifestyle changes but a follow up review was scheduled. A few weeks later she returned to collect her spectacles and for a contact lens aftercare with Mr Glass. The patient was obviously concerned about the state of her eyes and general health, hence Mr Glass took the time perform another Optomap scan. Encouragingly, the haemorrhage had resolved over the course of a few weeks. Mr Glass explained the potential effects Diabetes can have on the back of the eyes and stressed the importance of maintaining a healthy lifestyle to prevent visual loss. He even recommended a book specialising in diet advice suitable for diabetics! In January 2017, the patient returned for her six monthly contact lens check with Mr Glass and she had made very positive lifestyle changes and was feeling much better in herself. She had managed to lose nearly two stones and was told by her GP she did not need to start medication as her sugar levels were no longer borderline! The patient remains ever grateful to Mr Lakhani and Mr Glass for picking up and helping to manage what could have been if left undetected a serious eye/ general health issue. The patient remarked ‘I’m glad this was picked up early, before it had the chance to become serious, I would recommend all patients to have an Optomap scan when having their eyes tested’. She will return in June 2017 for her annual eye examination and Optomap scan, hopefully with no abnormalities.

The case study above is one of many examples of how every day we as eye care professionals at Culver & Glass and Ryley & Evans are utilising our clinical expertise and state of the art equipment to best manage our patient’s eye and general health. We believe patient education is of utmost importance; hence every patient will have their Optomap scans reviewed with one of our experienced Optometrists and eye health recommendations are made accordingly.