Treatment Options

Treatment for Diabetic Retinopathy: Laser treatments

Overall, vision loss from diabetes may occur from several causes. Elevated blood sugar overtime will damage cells that line the blood vessels in the retina. This creates tiny aneurysms that leak fluid into the retina causing retinal edema. If the swelling involves the area in the retina where we focus to read, called the macula, (Diabetic Macular Edema), the vision may get very blurry

Laser treatment to shut down leaky aneurysms has been the mainstay of treatment. This is called Focal or Grid Laser treatment. Large studies have shown a lower incidence of vision loss with laser treatments. If diabetic macular edema is suspected, special testing of the macula may be done to look for leaking blood vessels. A fluorescein angiogram is a series of photos taken after a special vegetable dye is injected into your arm. Other medical therapies for diabetic macular edema are evolving specifically targeting the blood vessels leaking at the cellular level.

Diabetes may also cause abnormal blood vessels to grow on the surface of the retina. This is called Proliferative Diabetic Retinopathy or PDR. These new blood vessels can cause vision loss by bleeding into the center of the eye (the vitreous) or by scarring the retina. These abnormal blood vessels are treated with a pattern of hundreds of laser burns in the peripheral retina. This is called pan-retinal photocoagulation or PRP. PRP allows the abnormal blood vessels to shrink, and then the body can reabsorb any blood that has leaked. Studies have shown PRP laser treatment reduced severe vision loss by 50%.

A vitrectomy is sometimes required if the blood does not reabsorb on its own or if scar tissue threatens the vision following PRP. The vitreous is a jelly-like material in the central cavity of the eye. Comparatively, a vitrectomy removes the vitreous and the non-clearing blood and replaces it with a clear salt solution. Scar tissue on the retina may also be removed at the time of vitrectomy.

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Our Locations

Aloha
18345 SW Alexander St,
Suite A
Aloha, OR 97003
(503) 642-2505 see more
Glisan
6701 NE Glisan Street
Portland, OR 97213
(503) 255-2291 see more
Gresham
24601 SE Stark St.
Suite 245
Troutdale, OR 97060
(503) 255-2291 see more
Hillsboro
6111 NE Cornell Rd
Hillsboro, OR 97124
(503) 846-9400 see more
Lake Oswego
9 Monroe Parkway, Suite 160
Lake Oswego, OR 97035
(503) 636-2551 see more
Milwaukie
11086 SE Oak St
Milwaukie, OR 97222
(503) 656-4221 see more
Mt. Tabor
5935 SE Division St.
Portland, OR 97206
503 777-5546 see more
Newberg
2318 Portland Rd, Suite 300
Newberg, OR 97132
(503) 538-1341 see more
North Portland
3246 N. Lombard St.
Portland, OR 97217
(503) 285-1671 see more
Northwest Portland
1955 NW Northrup St
Portland, OR 97209
(503) 227-2020 see more
Oregon City
1306 Division St
Oregon City, OR 97045
(503) 656-4221 see more
Peterkort
9555 SW Barnes Rd.
#100 (1rst floor)
Portland, OR 97225
(503) 227-2020 see more
Providence Portland
5050 NE Hoyt St., Suite 445
Portland, OR 97213
(503) 231-0166 see more
Providence St. Vincent
9135 SW Barnes Rd., Suite 961
Portland, OR 97225
(503) 292-0848 see more
Southeast Portland
10819 SE Stark St,
Portland, OR 97216
(503) 255-2291 see more
Sunnyside
12050 SE Stevens Rd, Suite 100
Happy Valley, OR 97086
(503) 783-3300 see more
Tigard
15298 SW Royalty Parkway
Tigard OR 97224
(503) 227-2020 see more
Wilsonville
29250 SW Town Center Loop W
Wilsonville, OR 97070
(503) 582-0000 see more
Westside Surgery Center
13240 SW Pacific Hwy
Portland, OR 97223
(503) 639-6571 see more
EyeHealth Eastside Surgery and Laser Center
12050 SE Stevens Rd.
Happy Valley, OR 97086
(971) 206-6100 see more

Our Locations

Aloha
18345 SW Alexander St,
Suite A
Aloha, OR 97003
(503) 642-2505 see more
Glisan
6701 NE Glisan Street
Portland, OR 97213
(503) 255-2291 see more
Gresham
24601 SE Stark St.
Suite 245
Troutdale, OR 97060
(503) 255-2291 see more
Hillsboro
6111 NE Cornell Rd
Hillsboro, OR 97124
(503) 846-9400 see more
Lake Oswego
9 Monroe Parkway, Suite 160
Lake Oswego, OR 97035
(503) 636-2551 see more
Milwaukie
11086 SE Oak St
Milwaukie, OR 97222
(503) 656-4221 see more
Mt. Tabor
5935 SE Division St.
Portland, OR 97206
503 777-5546 see more
Newberg
2318 Portland Rd, Suite 300
Newberg, OR 97132
(503) 538-1341 see more
North Portland
3246 N. Lombard St.
Portland, OR 97217
(503) 285-1671 see more
Northwest Portland
1955 NW Northrup St
Portland, OR 97209
(503) 227-2020 see more
Oregon City
1306 Division St
Oregon City, OR 97045
(503) 656-4221 see more
Peterkort
9555 SW Barnes Rd.
#100 (1rst floor)
Portland, OR 97225
(503) 227-2020 see more
Providence Portland
5050 NE Hoyt St., Suite 445
Portland, OR 97213
(503) 231-0166 see more
Providence St. Vincent
9135 SW Barnes Rd., Suite 961
Portland, OR 97225
(503) 292-0848 see more
Southeast Portland
10819 SE Stark St,
Portland, OR 97216
(503) 255-2291 see more
Sunnyside
12050 SE Stevens Rd, Suite 100
Happy Valley, OR 97086
(503) 783-3300 see more
Tigard
15298 SW Royalty Parkway
Tigard OR 97224
(503) 227-2020 see more
Wilsonville
29250 SW Town Center Loop W
Wilsonville, OR 97070
(503) 582-0000 see more
Surgery Centers

Westside Surgery Center

13240 SW Pacific Hwy
Portland, OR 97223
(503) 639-6571 see more

EyeHealth Eastside Surgery and Laser Center

12050 SE Stevens Rd.
Happy Valley, OR 97086
(971) 206-6100 see more