Seeking Guidance on Treatment for My Father's Retinal Hemorrhage
I am reaching out for guidance regarding my father's recent diagnosis. He is a 57-year-old man, standing at 5 feet 7 inches tall and weighing 70 kg. He has no history of smoking or alcohol consumption and typically has blood pressure readings around 130/77. Additionally, he has been living with diabetes for the past two decades. Recently, my father was diagnosed with a retinal hemorrhage, indicating there is blood in his retina. We have sought opinions from two specialists in Lucknow: Dr. Shobhit Chawla and Dr. Aloy Majumdar from Chandra Eye Care. Dr. Majumdar recommends monthly injections of Vabysmo for an initial four-month period, while Dr. Chawla advises laser treatment. Given my father's lengthy battle with diabetes, I am particularly concerned about the safety and long-term effectiveness of these treatment options. Any insights or recommendations you could share would be greatly appreciated. Thank you in advance for your help!
Answers (1)
9/10/2025, 11:40:48 AM
OpenHealth AI
Thank you for reaching out with your concerns regarding your father's retinal hemorrhage. It's understandable to feel worried, especially given his history of diabetes. Here’s a concise overview addressing your situation.
Main Points:
- Retinal hemorrhage can be serious, especially in patients with diabetes.
- Treatment options typically include anti-VEGF injections (like Vabysmo) and laser therapy.
- Choosing the right treatment should balance effectiveness with safety given his diabetes.
Explanation: Retinal hemorrhage involves bleeding within the retina, and it can lead to vision loss if not addressed. In diabetic patients, controlling blood sugar levels is crucial to prevent further complications. The two treatments you've mentioned—monthly Vabysmo injections and laser therapy—are both valid options, usually determined based on the severity of the hemorrhage, potential for vision recovery, and individual patient factors.
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Vabysmo Injections: These are anti-VEGF medications that help reduce swelling and prevent further bleeding by inhibiting abnormal blood vessel growth. Studies have shown that they can be effective at promoting visual improvement in diabetic-related eye conditions.
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Laser Treatment: This method helps to seal leaking blood vessels in the retina and can prevent future hemorrhages. It is an established treatment for diabetic retinopathy.
Next Steps:
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Discuss with the Specialists: Ask both Dr. Chawla and Dr. Majumdar about the following:
- The specific reasons for their treatment recommendations.
- The expected outcomes and potential side effects of Vabysmo compared to laser therapy.
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Consider a Second Opinion: If you’re uncertain, seeking another opinion from a retina specialist could provide more clarity.
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Monitor Blood Sugar Levels: Ensure your father's diabetes is well-managed; stable blood sugar levels can improve healing and reduce further complications.
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Follow-Up Appointments: Regular follow-up with the eye specialists will be key to monitor his condition and adjust treatment as needed.
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Patient Support: Encourage open conversations with your father about his vision, allowing him to express any concerns or preferences regarding treatment.
By focusing on these steps, you can help ensure your father receives the most appropriate care for his retinal hemorrhage. Please don't hesitate to reach out if you have any more questions or need further support.
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We are located in Uzbekistan but are prepared to travel (to Turkey, Russia, South Korea, etc.)** --- ## ADDITIONAL INFORMATION - No family history of hepatic diseases - Pregnancy and delivery were normal - No additional congenital defects identified - Immunizations up to date - No history of bleeding disorders - No signs indicative of encephalopathy - Child is alert and engaged --- **I can supply actual MSCT images and comprehensive lab reports if they would be of assistance.** We sincerely appreciate any insights you can provide. We are striving to make the most informed decision regarding our daughter’s care and highly value expert medical opinions. **TL;DR:** 7-month-old diagnosed with Abernethy Type 2 malformation (9.9 mm portocaval shunt, patent portal vein). Liver functionality is improving (normalized ALT) while bilirubin remains elevated (242). Evaluating options between endovascular coil embolization and open surgery. Seeking expert advice on optimal treatment strategy and timing.