It is not me very supportive of the classifications, which served in the 60s of the last century, to calculate the years of vision that the sick remained.It was a time when nothing could be done, apart from the control of glycemia, before a diabetic retinopathy (RD) painting.On the other hand, they are tremendously subjective and quite inaccurate when they are based exclusively on an eye fund.Less doubts exist when that diagnosis rests in an angiography with fluorescein (AFG).There are studies in which the valuation of RD's degree based on the background or retinography reached up to 40%.
In any case, the really important thing is that it is very clear that the RD is a more or less serious problem (in your case, it does not seem too important), and that it is necessary to face it by laser treatment, before it reaches advanced degrees, so regarding your question of whether you should treat yourself with laser before you continue getting worse: of course!No one would consider an option, have diagnosed a lung cancer in microscopic state, and wait to treat it to give rise to metastasis.
As for your personal case in which the RD has progressed in 1 year despite having maintained the HB at 6.1, you have to think that, apart from that it might not be given the inaccuracy of a non -angiographic diagnosis, there areTo keep in mind that in 27 years, you will have had periods of important lack of control, and the final result, the entire disease period influences.You already know that the drop that overflows the glass, does not have to be the last one, but the first.This is like a pension fund: the pension you charge in the end is determined by all years of contribution.
In any case, a moderate RD, it is not a big problem, and correctly treated, it has to have a magnificent result.It is about keeping the good vision that you say you have, based on not allowing the RD to evolve.
On the problem of pregnancy, I have never had patients in whom the RD has decompensated, except in proliferating RDs (the highest level of gravity), with hemoglobins greater than 10 and 12%.On the other hand, it is the only case in which the injuries that appear during pregnancy are reversible once the pregnancy is over.I do not see problems in a pregnancy with 6%HB, but existing lesions must be previously treated.
I hope I have helped you.Anyway, if you want me to expand any particular point, I am at your disposal
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