Understanding Diabetic Retinopathy

A Comprehensive Guide to Diabetes-Related Eye Disease

Endocrinology

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Last updated: Mar 24, 2025

What is Diabetic Retinopathy?

Diabetic retinopathy is a diabetes complication affecting the eyes. It occurs when high blood sugar levels damage the blood vessels in the retina - the light-sensitive tissue at the back of the eye.

Types of Diabetic Retinopathy

Non-proliferative Diabetic Retinopathy (NPDR)

  • Early stage of the disease
  • Blood vessels in the retina weaken
  • Small bulges (microaneurysms) may develop
  • May experience mild vision problems

Proliferative Diabetic Retinopathy (PDR)

  • Advanced stage of the disease
  • New, abnormal blood vessels grow
  • Can lead to serious vision problems
  • Higher risk of retinal detachment

Symptoms

  • Blurred vision
  • Fluctuating vision
  • Dark or empty areas in your vision
  • Difficulty seeing at night
  • Colors appearing faded
  • Vision loss

Risk Factors

  • Duration of diabetes
  • Poor blood sugar control
  • High blood pressure
  • High cholesterol
  • Pregnancy
  • Tobacco use

Diagnosis

  • Comprehensive dilated eye exam
  • Visual acuity test
  • Optical coherence tomography (OCT)
  • Fluorescein angiography

Treatment Options

Medical Treatments

  • Laser treatment (photocoagulation)
  • Anti-VEGF injections
  • Vitrectomy surgery

Prevention and Management

  • Regular blood sugar monitoring
  • Blood pressure control
  • Regular eye examinations
  • Healthy lifestyle choices

Complications

  • Vitreous hemorrhage
  • Retinal detachment
  • Glaucoma
  • Vision loss or blindness

Living with Diabetic Retinopathy

  • Regular medical follow-up
  • Diabetes management
  • Vision rehabilitation if needed
  • Support groups and resources

When to Seek Medical Attention

  • Sudden vision changes
  • Eye pain or redness
  • Large number of floaters
  • Dark spots in vision

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