40 Innovative healthcare & specialist clinics


13 FEBRUARY 2021 • THE GOOD LIFE DISTRIBUTED WITH THE SATURDAY DAILY MAIL


MENODELIGHT SLEEP SUPPORT Are you suffering from a lack of sleep? Menodelight’s sleep well trial pack has products that help to promote a restful night’s sleep. The kit focuses on creating an evening ritual that starts with a cup of night tea, continuing with Himalayan bath salts, cooling cream and a pillow spray. The sleep well trial pack contains trial size products to help you work out which products benefit your sleep routine most, without spending lots on full-size products while you figure things out. The kit is £17.50 from menodelight.co.uk


MISFITMASKS ANTI-STEAM MASK MisfitMasks are facemasks specifically designed to stop your glasses steaming, fogging or misting up. Their unique structure, highly technical fabric and adjustable fit means you can go shopping, get on public transport and get around without worrying about banging into that lamp post. More than 70% of us wear glasses at some point in the day, and misty spectacles just make life more difficult. MistMasks currently has a Trustpilot rating of Excellent. misfitmasks.com


MR MAHI MUQIT MENODELIGHT


MR MAHI MUQIT EYE SURGEON Mr Mahi Muqit is a leading consultant eye surgeon specialising in vision restoration. He’s now the only UK surgeon to perform life-changing ‘bionic eye’ implant surgery, helping patients regain sight. Mr Muqit works at world-renowned Moorfields Eye Hospital (NHS) and runs a busy private practice in Harley Street and Moorfields Private, providing emergency services for sight-threatening conditions such as retinal disorders, macular degeneration and cataracts. retinasurgeon.uk.com


IMEDICARE PELVIC HEALTH iMEDicare Ltd is a dynamic and rapidly growing medical device distributor offering an exciting range of unique and market- leading home patient devices for the management and treatment of sexual dysfunction and incontinence-related issues. Its motto is ‘pelvic health naturally’, premised on the ability of living tissues to react positively to clinically approved therapeutic measures. Call 01923 237795 or visit mypelvichealth.co.uk


DR TANJA PHILLIPS AESTHETICS CLINIC Dr Tanja Phillips Medical Aesthetic Clinic, based 45 minutes from London, should be your go to for non-invasive laser treatments. Dr Tanja is a key opinion leader in Fotona treatments and combines the science of laser energy with the art of tailoring treatments to the individual’s needs. Call 07495 125247 or visit tanjaphillips.com


DR TANJA PHILLIPS MISFITMASKS


What you need to know about diabetic retinopathy


Mr Maan Kasmiya is a consultant ophthalmologist surgeon at King's College Hospital and honorary clinical lecturer at Imperial College London


MR MAAN KASMIYA


or more; however, 90% of new cases could be reduced with proper treatment and monitoring of the eyes.


THERE ARE TWO MAIN STAGES FOR DR 1. Non-proliferative


diabetic


Diabetic retinopathy (DR) is a complication of diabetes that affects the delicate part


retinopathy (NPDR) usually has no symptoms. Te only way to detect NPDR is by fundus exam- ination. Small bleeding, microa- neurysms, accumulation of lipo- proteins and changes in retinal vessels can be seen. 2. Proliferative diabetic retinop- athy (PDR); abnormal new blood vessels


(neovascularisation) in the


back of our eyes (retina), mainly due to uncontrolled blood sugar causing damage to the retinal vessels, which can lead to loss of vision if untreated. It’s also the leading cause of blindness world- wide in people aged 20 to 64 years. DR affects up to 80% of those who’ve had diabetes for 20 years


form at the back of the eye as part of these can burst and bleed (vitreous haemorrhage, traction retinal detachment). Macular oedema (swelling)


is part of diabetic maculopathy, in which blood vessels leak their contents into the central vision and can cause blurry vision in early stages and can happen in any stage.


MECHANISM Vascular endothelial growth factor (VEGF) is secreted by the ischemic (diseased) retina, causing retinal swelling/edema and new blood vessel formation.


DIAGNOSIS Fluorescein angiography is used to determine the degree of ischemia in the retina; also OCT ocular coherence tomography can determine the size and location of swelling in macula area.


MANAGEMENT Tis is done by systemic control and addressing the risk factors: blood sugar, hypertension, kidney problems,


dyslipidaemia Treatment include: laser,


injections inside the eye (IVT) and surgery in advanced cases. Several studies (DRCR, RIDE


and RISE, DAVINCI and PLACID) indicated that anti-VEGF/ steroid injections are very effec- tive in treating central macular edema MO , furthermore large studies,


(DRCR protocol S and and


smoking, uncontrolled glucose or blood pressure levels are asso- ciated with increased risk of DR (UKDPS, WESDR studies).


CLARITY) demonstrated that anti-VEGF injections was non-in- ferior to PRP laser (which is the current


gold standard in the treatment of PDR).


E: london-eyeclinic@outlook.com maankasmiya.co.uk


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