Case study ( 1928 views as of October 16, 2018 )
Jim is a 31-year-old accountant who is in good general health and does not take any medication currently. Jim wears eyeglasses, however feels his vision has recently worsened. His last eye exam was 8 months ago, when he was living in another province.
Jim decides to visit a local optometrist to have his vision changes assessed. Upon examination, it is noted that his current eyeglass prescription provides 20/40 acuity and is improved to 20/20 with an increase in the myopic correction (to correct nearsightedness). The optometrist also notices numerous hemorrhages in the outside edges of both eyes. This is likely a result of fluid leaking from the blood vessels in the eye which causes changes in vision.
Jim is referred to a retinal specialist who confirms the diagnosis of diabetic retinopathy. As fluctuations in blood sugar which are common in uncontrolled diabetes can cause the retinopathy, Jim should also be working with his family doctor to ensure his blood sugar and suspected diabetes are well managed. Jim would also benefit from seeing a registered dietitian to learn more about blood sugar control through his diet, and a consult with an exercise specialist could be helpful in controlling his new diagnosis. A pharmacist can also help Jim understand any new medications he may be prescribed, and could provide him with further education around blood sugar testing at home.Author: Dr. David Mitchell