Understanding Diabetic Retinopathy

A common complication of diabetes, diabetic retinopathy is a leading cause of vision loss among working-age adults. With early detection and treatment, vision can often be preserved.

What Is Diabetic Retinopathy?

Diabetic retinopathy occurs when high blood sugar levels damage the small blood vessels in the retina. Over time, these vessels can leak fluid, swell, or close off completely, leading to vision problems. In advanced stages, abnormal new blood vessels may grow, which can cause bleeding and scarring inside the eye.

There are two main stages:

Non-Proliferative Diabetic Retinopathy (NPDR):

Early stage with weakened, leaky blood vessels.

Proliferative Diabetic Retinopathy (PDR):

Advanced stage where new, abnormal blood vessels grow, increasing the risk of retinal detachment or severe vision loss.

Symptoms

Because symptoms may appear late, regular eye exams are critical for anyone with diabetes.

In the early stages, diabetic retinopathy may not cause noticeable symptoms. As it progresses, patients may experience:

01. Blurred or fluctuating vision

02. Dark spots or floaters

03. Impaired color vision

04. Empty or dark areas in vision

05. Sudden vision loss (in advanced cases)

Risk Factors

Several factors increase the likelihood of developing diabetic retinopathy:

Diagnosis & Testing

Comprehensive eye exams are essential for early detection. Tests may include:

Dilated Eye Exam:

A key test to spot hidden eye health issues early

Allows doctors to see inside the eye and detect blood vessel changes.

Optical Coherence Tomography (OCT):

Detailed imaging to detect early signs of retinal damage

High-resolution images to check for swelling in the retina.

Fluorescein Angiography:

A dye-based test to reveal blood flow problems in the eye

Identifies leaking or blocked blood vessels.

Treatment Options

While diabetic retinopathy cannot always be prevented, treatments can slow progression and reduce vision loss:

Blood Sugar, Blood Pressure, and Cholesterol Control:

The foundation of care.

Anti-VEGF Injections:

Reduce abnormal blood vessel growth and swelling.

Laser Therapy (Photocoagulation):

Seals off leaking vessels or shrinks abnormal ones.

Vitrectomy Surgery:

Removes blood and scar tissue from advanced cases.

Living with Diabetic Retinopathy

Living with diabetic retinopathy requires both medical care and lifestyle management:

Keep blood sugar, blood pressure, and cholesterol under control.

Have regular comprehensive eye exams.

Quit smoking to improve eye and overall health.

Use low-vision aids if needed to support daily activities.

At Retina Consultants of Hawaii, our specialists provide advanced care and support to help patients manage diabetic retinopathy effectively and maintain their quality of life.

Next Steps in Your Care

If you’re living with diabetes, it’s important to work closely with your eye care provider to monitor for signs of diabetic retinopathy. If a retinal condition is suspected, your provider can coordinate specialized care with our team.

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