6. Fluctuating Vision: A Confusing Consequence of Diabetic Macular Edema
Fluctuating vision is another symptom of diabetic macular edema that can be confusing and distressing. One of the most confusing consequences of DME is fluctuating vision.
Patients with DME often experience episodes of blurry or hazy vision that come and go, making it difficult to perform everyday tasks such as reading or driving. This fluctuation in vision can be particularly frustrating because it can occur suddenly and without warning, making it difficult to plan activities or manage daily responsibilities.
There are several factors that can contribute to the fluctuation of vision in DME. One of the most common causes is changes in blood sugar levels. High blood sugar levels can cause fluid to leak into the macula, leading to swelling and vision distortion. As blood sugar levels fluctuate, so does the amount of fluid in the macula, leading to fluctuations in vision.
Another factor that can contribute to fluctuating vision in DME is the progression of the disease itself. As DME progresses, it can cause more fluid to accumulate in the macula, leading to increased swelling and vision distortion. This can result in vision that fluctuates from day to day, or even hour to hour.
In addition to these physical causes, there are also psychological factors that can contribute to fluctuating vision in DME. People with DME often experience anxiety and stress as a result of their vision loss, and these emotions can make their vision seem to fluctuate even more. This is because stress and anxiety can cause the eyes to move more, leading to a greater perception of vision fluctuation.
Treatment for DME typically involves laser therapy or injections of anti-VEGF (vascular endothelial growth factor) medication. Laser therapy works by sealing the leaky blood vessels that are causing fluid to accumulate in the macula. Anti-VEGF medication works by blocking the growth of new blood vessels, which can reduce fluid accumulation and swelling in the macula.
In some cases, fluctuating vision in DME can be managed with lifestyle changes such as maintaining good blood sugar control and managing stress levels. However, in many cases, treatment with laser therapy or anti-VEGF medication is necessary to reduce fluid accumulation and improve vision.
It is crucial to consult with an eye care professional if you experience fluctuations in your vision. They can help determine if DME is the cause and recommend appropriate treatment options to manage the condition. (6)
