{"id":438,"date":"2016-11-18T14:57:22","date_gmt":"2016-11-18T14:57:22","guid":{"rendered":"https:\/\/pokotycka.com\/new\/?p=438"},"modified":"2022-01-25T23:11:18","modified_gmt":"2022-01-25T22:11:18","slug":"cukrzyca","status":"publish","type":"post","link":"https:\/\/pokotycka.com\/index.php\/dla-pacjenta\/o-chorobach\/cukrzyca\/","title":{"rendered":"Cukrzyca"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container fusion-parallax-none nonhundred-percent-fullwidth non-hundred-percent-height-scrolling lazyload\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:150px;--awb-padding-bottom:90px;--awb-padding-top-medium:80px;--awb-background-size:cover;--awb-flex-wrap:wrap;\" data-bg=\"https:\/\/pokotycka.com\/new\/wp-content\/uploads\/2016\/11\/avada-science-home.jpg\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-padding-top:50px;--awb-padding-right:50px;--awb-padding-bottom:30px;--awb-padding-left:50px;--awb-bg-color:#ffffff;--awb-bg-color-hover:#ffffff;--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:2.88%;--awb-width-medium:75%;--awb-spacing-right-medium:2.56%;--awb-spacing-left-medium:2.56%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-one\" style=\"--awb-margin-bottom:20px;--awb-font-size:35px;\"><h1 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;font-size:1em;--fontSize:35;line-height:1.1;\">Cukrzyca<\/h1><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-blend:overlay;--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:2.88%;--awb-width-medium:75%;--awb-spacing-right-medium:2.56%;--awb-spacing-left-medium:2.56%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-image-element \" style=\"--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-zoomin\"><a href=\"https:\/\/pokotycka.com\/new\/wp-content\/uploads\/2022\/01\/cukrzycaobr.jpg\" class=\"fusion-lightbox\" data-rel=\"iLightbox[5b522297b60c1a3f29f]\" data-title=\"cukrzycaobr\" title=\"cukrzycaobr\"><img decoding=\"async\" width=\"1366\" height=\"911\" src=\"https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzycaobr.jpg\" data-orig-src=\"https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzycaobr.jpg\" alt class=\"lazyload img-responsive wp-image-1017\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271366%27%20height%3D%27911%27%20viewBox%3D%270%200%201366%20911%27%3E%3Crect%20width%3D%271366%27%20height%3D%27911%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzycaobr-200x133.jpg 200w, https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzycaobr-400x267.jpg 400w, https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzycaobr-600x400.jpg 600w, https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzycaobr-800x534.jpg 800w, https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzycaobr-1200x800.jpg 1200w, https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzycaobr.jpg 1366w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 1024px) 100vw, (max-width: 640px) 100vw, 800px\" \/><\/a><\/span><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-padding-top:50px;--awb-padding-right:50px;--awb-padding-bottom:50px;--awb-padding-left:50px;--awb-bg-color:#ffffff;--awb-bg-color-hover:#ffffff;--awb-bg-size:cover;--awb-border-color:#25afb4;--awb-border-bottom:8px;--awb-border-style:solid;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:2.88%;--awb-width-medium:75%;--awb-spacing-right-medium:2.56%;--awb-spacing-left-medium:2.56%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><p style=\"text-align: justify;\">Retinopatia cukrzycowa jest cz\u0119stym powik\u0142aniem d\u0142ugotrwaj\u0105cej cukrzycy. Obecnie jest na pierwszym miejscu w statystykach przyczyn nieodwracalnej \u015blepoty w krajach rozwini\u0119tych.<\/p>\n<p style=\"text-align: justify;\">Przeci\u0119tnie po oko\u0142o 10 latach trwania cukrzycy u 50%, a po 25-30 latach u 90% chorych stwierdza si\u0119 objawy retinopatii cukrzycowej r\u00f3\u017cnego stopnia.<\/p>\n<p style=\"text-align: justify;\">W patogenezie retinopatii cukrzycowej najwi\u0119ksz\u0105 rol\u0119 odgrywa mikroangiopatia, co prowadzi do zaburze\u0144 kr\u0105\u017cenia i niedokrwienia w obr\u0119bie siatk\u00f3wki. Najpierw pojawiaj\u0105 si\u0119 mikrot\u0119tniaki, krwotoczki \u015br\u00f3dsiatk\u00f3wkowe, wysi\u0119ki twarde spowodowane nieszczelno\u015bci\u0105 naczy\u0144 i mikrot\u0119tniak\u00f3w.<\/p>\n<\/div><div class=\"fusion-image-element \" style=\"--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-2 hover-type-none\"><img decoding=\"async\" width=\"796\" height=\"148\" title=\"cukrzyca1\" src=\"https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzyca1.jpg\" data-orig-src=\"https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzyca1.jpg\" alt class=\"lazyload img-responsive wp-image-1013\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27796%27%20height%3D%27148%27%20viewBox%3D%270%200%20796%20148%27%3E%3Crect%20width%3D%27796%27%20height%3D%27148%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzyca1-200x37.jpg 200w, https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzyca1-400x74.jpg 400w, https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzyca1-600x112.jpg 600w, https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzyca1.jpg 796w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 1024px) 100vw, (max-width: 640px) 100vw, 796px\" \/><\/span><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:40px;width:100%;\"><\/div><div class=\"fusion-text fusion-text-2\"><p style=\"text-align: justify;\">Przy takim obrazie dna oka stwierdzamy retinopati\u0119 cukrzycow\u0105 nieproliferacyjn\u0105.<\/p>\n<p style=\"text-align: justify;\">Takie objawy na dnie oka, jak nieprawid\u0142owo\u015bci naczyniowe typu IRMA (\u015br\u00f3dsiatk\u00f3wkowe nieprawid\u0142owo\u015bci naczyniowe), obszary braku przep\u0142ywu (dobrze widoczne w angiografii fluoresceinowej), ogniska typu \u201dk\u0142\u0119bk\u00f3w waty\u201d, krwotoki siatk\u00f3wkowe, liczne mikrot\u0119tniaki r\u00f3wnie\u017c odnosz\u0105 si\u0119 do retinopatii nieproliferacyjnej, ale \u015bwiadcz\u0105 o bardziej zaawansowanej chorobie.<\/p>\n<\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:40px;width:100%;\"><\/div><div class=\"fusion-image-element \" style=\"--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-3 hover-type-none\"><img decoding=\"async\" width=\"797\" height=\"148\" title=\"cukrzyca2\" src=\"https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzyca2.jpg\" data-orig-src=\"https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzyca2.jpg\" alt class=\"lazyload img-responsive wp-image-1014\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27797%27%20height%3D%27148%27%20viewBox%3D%270%200%20797%20148%27%3E%3Crect%20width%3D%27797%27%20height%3D%27148%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzyca2-200x37.jpg 200w, https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzyca2-400x74.jpg 400w, https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzyca2-600x111.jpg 600w, https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzyca2.jpg 797w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 1024px) 100vw, (max-width: 640px) 100vw, 797px\" \/><\/span><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:40px;width:100%;\"><\/div><div class=\"fusion-text fusion-text-3\"><p style=\"text-align: justify;\">Je\u017celi opr\u00f3cz wy\u017cej opisanych zmian na dnie oka widoczny jest r\u00f3wnie\u017c rozrost patologicznych naczy\u0144 siatk\u00f3wki (nowotw\u00f3rstwo naczyniowe), rozrost tkanki w\u0142\u00f3knistej (ci\u0105gi proliferacyjne szklistkowo-siatk\u00f3wkowe) stwierdzamy retinopati\u0119 cukrzycow\u0105 proliferacyjn\u0105.<\/p>\n<\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:40px;width:100%;\"><\/div><div class=\"fusion-image-element \" style=\"--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-4 hover-type-none\"><img decoding=\"async\" width=\"803\" height=\"299\" title=\"cukrzyca3\" src=\"https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzyca3.jpg\" data-orig-src=\"https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzyca3.jpg\" alt class=\"lazyload img-responsive wp-image-1015\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27803%27%20height%3D%27299%27%20viewBox%3D%270%200%20803%20299%27%3E%3Crect%20width%3D%27803%27%20height%3D%27299%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzyca3-200x74.jpg 200w, https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzyca3-400x149.jpg 400w, https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzyca3-600x223.jpg 600w, https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzyca3-800x298.jpg 800w, https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzyca3.jpg 803w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 1024px) 100vw, (max-width: 640px) 100vw, 800px\" \/><\/span><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:40px;width:100%;\"><\/div><div class=\"fusion-text fusion-text-4\"><p style=\"text-align: justify;\">W ka\u017cdym stadium retinopatii cukrzycowej mo\u017ce doj\u015b\u0107 do obrz\u0119ku plamki. Jest to powik\u0142anie, kt\u00f3re prowadzi do znacznego pogorszenia widzenia centralnego.<\/p>\n<\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:40px;width:100%;\"><\/div><div class=\"fusion-image-element \" style=\"--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-5 hover-type-none\"><img decoding=\"async\" width=\"795\" height=\"147\" title=\"cukrzyca4\" src=\"https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzyca4.jpg\" data-orig-src=\"https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzyca4.jpg\" alt class=\"lazyload img-responsive wp-image-1016\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27795%27%20height%3D%27147%27%20viewBox%3D%270%200%20795%20147%27%3E%3Crect%20width%3D%27795%27%20height%3D%27147%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzyca4-200x37.jpg 200w, https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzyca4-400x74.jpg 400w, https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzyca4-600x111.jpg 600w, https:\/\/pokotycka.com\/wp-content\/uploads\/2022\/01\/cukrzyca4.jpg 795w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 1024px) 100vw, (max-width: 640px) 100vw, 795px\" \/><\/span><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:40px;width:100%;\"><\/div><div class=\"fusion-text fusion-text-5\"><p style=\"text-align: justify;\">Najgro\u017aniejsze powik\u0142ania retinopatii cukrzycowej, kt\u00f3re prowadz\u0105 do znacznego pogorszenia lub ca\u0142kowitej utraty widzenia to: obrz\u0119k plamki, krwotoki dosiatk\u00f3wkowe i doszklistkowe, trakcyjne odwarstwienie siatk\u00f3wki, wt\u00f3rna jaskra neowaskularna.<\/p>\n<p style=\"text-align: justify;\">W diagnostyce retinopatii cukrzycowej bardzo wa\u017cne jest szczeg\u00f3\u0142owe badanie okulistyczne z dok\u0142adn\u0105 ocen\u0105 dna oka, angiografia fluoresceinowa, OCT (tomografia optyczna z u\u017cyciem \u015bwiat\u0142a cz\u0119\u015bciowo sp\u00f3jnego).<\/p>\n<p style=\"text-align: justify;\">Cz\u0119sto zdarza si\u0119 tak, \u017ce pacjent nie zg\u0142asza \u017cadnych dolegliwo\u015bci ze strony oczu, nawet w stadiach zaawansowanych choroby. Mog\u0105 wyst\u0119powa\u0107 mroczki zwi\u0105zane z pojawieniem si\u0119 krwotoczk\u00f3w, pogorszenie widzenia centralnego (obrz\u0119k plamek), nag\u0142e, znacznego stopnia pogorszenie widzenia w wyniku krwotoku do cia\u0142a szklistego.<\/p>\n<p style=\"text-align: justify;\">Przy bardzo wysokim poziomie glikemii mog\u0105 nast\u0105pi\u0107 zmiany w uk\u0142adzie optycznym oka i powstaje przej\u015bciowa kr\u00f3tkowzroczno\u015b\u0107. U chorego nagle pogarsza si\u0119 ostro\u015b\u0107 wzroku do dali.<\/p>\n<p style=\"text-align: justify;\">Ka\u017cdy pacjent z rozpoznan\u0105 cukrzyc\u0105 co najmniej raz w roku powinien zosta\u0107 zbadany przez okulist\u0119. Je\u017celi w momencie badania zostanie stwierdzona retinopatia cukrzycowa w stadium pocz\u0105tkowym, \u0142agodnym &#8211; kontrola okulistyczna powinna odbywa\u0107 si\u0119 dwa razy w roku. W stadiach bardziej zaawansowanych \u2013 raz na kwarta\u0142. Pacjent w tym przypadku cz\u0119sto ma wskazania do szczeg\u00f3\u0142owej oceny dna oka przy pomocy angiografii fluoresceinowej, poniewa\u017c mo\u017ce pojawi\u0107 si\u0119 konieczno\u015b\u0107 laseroterapii siatk\u00f3wki.<\/p>\n<p style=\"text-align: justify;\">Laseroterapia siatk\u00f3wki w zale\u017cno\u015bci od rozleg\u0142o\u015bci zmian mo\u017ce by\u0107:<br \/>\n<span style=\"color: var(--body_typography-color); font-family: var(--body_typography-font-family); font-size: var(--body_typography-font-size); font-style: var(--body_typography-font-style,normal); font-weight: var(--body_typography-font-weight); letter-spacing: var(--body_typography-letter-spacing);\">&#8211; zlokalizowana (fotokoagulacja ogniskowa),<br \/>\n<\/span><span style=\"color: var(--body_typography-color); font-family: var(--body_typography-font-family); font-size: var(--body_typography-font-size); font-style: var(--body_typography-font-style,normal); font-weight: var(--body_typography-font-weight); letter-spacing: var(--body_typography-letter-spacing);\">&#8211; ca\u0142kowita (panfotokoagulacja) obejmuj\u0105ca ca\u0142\u0105 powierzchni\u0119 siatk\u00f3wki z wyj\u0105tkiem bieguna tylnego.<\/span><\/p>\n<p style=\"text-align: justify;\">Fotokoagulacja ogniskowa wykonuje si\u0119 w stadium nieproliferacyjnym, panfotokoagulacja w stadium proliferacyjnym. W przypadku obrz\u0119ku plamki wykonuje si\u0119 laseroterapi\u0119 typu grid (szachownica) w biegunie tylnym z pomini\u0119ciem okolicy do\u0142ka. Zabieg laseroterapii wykonywany jest w trybie ambulatoryjnym, jest zabiegiem bezbolesnym. W przypadku prowadzonej laseroterapii terminy wizyt kontrolnych s\u0105 ustalane indywidualnie.<\/p>\n<p style=\"text-align: justify;\">Kobieta chora na cukrzyc\u0119 planuj\u0105ca ci\u0105\u017c\u0119 musi by\u0107 pod kontrol\u0105 okulisty jeszcze przed tym faktem, i co miesi\u0105c wizyty w czasie ci\u0105\u017cy i w po\u0142ogu.<\/p>\n<p style=\"text-align: justify;\">W makulopatii cukrzycowej r\u00f3wnie\u017c znalaz\u0142y zastosowanie injekcje doszklistkowe steroid\u00f3w (triamcynolon), injekcje preparat\u00f3w anty-VEGF.<\/p>\n<p style=\"text-align: justify;\">W takich powik\u0142aniach retinopatii cukrzycowej, jak krwotoki do cia\u0142a szklistego, zaszklistkowe, trakcyjne odwarstwienie siatk\u00f3wki, nieprzezierne b\u0142ony w\u0142\u00f3kniste przedsiatk\u00f3wkowe, wykonuje si\u0119 witrektomi\u0119 (chirurgiczne usuni\u0119cie patologicznie zmienionego cia\u0142a szklistego).<\/p>\n<\/div><div class=\"fusion-sharing-box fusion-sharing-box-1 boxed-icons has-taglines layout-floated layout-medium-floated layout-small-floated\" style=\"background-color:#f6f6f6;--awb-layout:row;--awb-alignment-small:space-between;\" data-title=\"Cukrzyca\" data-description=\"Your Content Goes Here  \r\nRetinopatia cukrzycowa jest cz\u0119stym powik\u0142aniem d\u0142ugotrwaj\u0105cej cukrzycy. 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