Diabetic retinopathy

A complication of diabetes that affects the blood vessels in the retina, potentially leading to vision loss.

Diabetic retinopathy is an eye condition that can happen to anyone living with diabetes. It affects the tiny blood vessels in the retina, the area at the back of your eye that helps you see clearly. If these blood vessels become damaged, your vision can change over time.

The condition usually develops slowly, and many people don’t notice symptoms at first. That’s why regular eye examinations are so important if you have diabetes. Spotting changes early means treatment can begin sooner, helping to protect your eyesight.

Book your eye examination today.

What causes diabetic retinopathy?

High blood sugar levels over long periods can damage the small blood vessels that supply your retina. When this happens, the vessels can weaken or leak, affecting how well your retina works. This can lead to blurry or distorted vision.

Sometimes the retina tries to grow new blood vessels to make up for the damage. These new vessels are fragile and can bleed or cause scarring, which increases the risk of more serious sight problems.

The risk increases the longer you’ve had diabetes, especially if your blood sugar isn’t well controlled. High blood pressure and cholesterol can also make the condition more likely to develop.

Recognising the symptoms

In the early stages, diabetic retinopathy usually has no noticeable symptoms. As it develops, you may start to notice:

  • Blurred or fluctuating vision
  • Floaters (little shapes that drift across your sight)
  • Dark patches in your vision
  • Difficulty seeing in low light or at night

Because symptoms can be easy to miss at the beginning, regular eye tests are essential. People with diabetes should also attend their diabetic screening programme, which is usually every year or every two years. Regular check-ups with your optometrist are just as important, as they help make sure you’re seeing clearly and allow us to spot any early diabetic changes before they affect your vision.

Stages of diabetic retinopathy

Diabetic retinopathy develops gradually. The main stages are:

Mild Non-Proliferative Retinopathy: Small changes appear in the retinal blood vessels. Vision is usually not affected.

Moderate Non-Proliferative Retinopathy: More vessels become damaged and may start to leak small amounts of blood or fluid. Some people may notice mild vision changes.

Severe Non-Proliferative Retinopathy: Many vessels become blocked, reducing the retina’s blood supply. When this happens, the retina tries to grow new, fragile vessels. This is the point where the condition starts to move into a more serious stage, and the risk of vision loss increases.

Proliferative Retinopathy: The most advanced stage. New abnormal vessels grow on the retina, which can bleed into the eye or cause scar tissue. This can lead to retinal detachment, glaucoma or permanent sight loss.

A related condition called diabetic macular oedema occurs when fluid builds up in the central, most sensitive part of the retina.

Diagnosis

Your optometrist can detect diabetic retinopathy during a comprehensive eye examination. This often includes detailed retinal imaging, such as digital photography and OCT scans, which show tiny changes in the back of your eye.

These tests are quick, painless and can spot early signs of diabetic retinopathy long before symptoms appear.

Book your comprehensive eye examination at Leightons today. OCT imaging is included in our Enhanced Eye Test and Ultimate Eye Examination.

Treatment options

Treatment depends on how advanced the condition is.

In the early stages, lifestyle changes can be very effective. Keeping your blood sugar, blood pressure and cholesterol under control, eating a balanced diet, staying active and avoiding smoking all help protect your vision.

If diabetic retinopathy has progressed, your eye care specialist may recommend:

  • Laser treatment: Helps stop or shrink damaged blood vessels to prevent further sight loss.
  • Eye injections: Medication is used to reduce swelling and stop abnormal blood vessels from growing. These injections can help stabilise or improve vision.
  • Steroid implants: A tiny device that slowly releases medication to reduce swelling. It may raise the risk of cataracts or increased eye pressure.
  • Surgery: In more advanced cases, surgery is used to remove blood or scar tissue from the eye. This helps clear the vision and can protect or sometimes improve your sight if the condition has caused significant changes.

Managing your diabetes and keeping up with regular eye exams are two of the best ways to slow down diabetic retinopathy and protect your eyesight for the future.

Preventing diabetic retinopathy

You can reduce your risk or slow the progression of diabetic retinopathy by:

  • Control your blood sugar: Keeping your levels steady helps protect the tiny blood vessels in your eyes. Checking your levels regularly and following your treatment plan makes a big difference.
  • Manage blood pressure and cholesterol: These can make eye problems worse, so take any prescribed medication and have your levels checked often.
  • Maintain a healthy lifestyle: Eat well, stay active and avoid smoking. These simple habits can help control your diabetes and support your eye health.
  • Take your diabetes medicine as prescribed: This helps keep your diabetes stable and lowers the risk of complications.
  • Attend regular eye check-ups: Have a diabetic eye exam every year, or more often if recommended. If you notice any changes in your vision, get advice straight away.

If you notice any changes to your vision, don’t wait for your next appointment and get advice straight away.

How Leightons Can Help

At Leightons, we understand how important it is to protect your vision when you have diabetes. Our expert optometrists use advanced technology, including retinal imaging and OCT scans, to detect early signs of diabetic retinopathy before you even notice any symptoms.

With regular eye examinations, you can feel confident your vision is being monitored by professionals who genuinely care. If diabetic retinopathy or any other eye condition is detected, we’ll guide you through your treatment options and support you every step of the way.

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FAQs

Yes, diabetic retinopathy can cause blindness if it is left undiagnosed and untreated. However, it usually takes several years for diabetic retinopathy to reach a stage where it threatens your sight, and early detection through regular eye screening can help prevent serious complications.

Anyone with diabetes - whether type 1, type 2, or gestational diabetes (diabetes during pregnancy) - is at risk of developing diabetic retinopathy. The risk increases the longer you have diabetes and if your blood sugar is not well controlled. Other factors that increase risk include high blood pressure, high cholesterol, pregnancy, and tobacco use.

If you have diabetes, you should have a diabetic eye screening at least once a year. However, if your last two screenings showed no signs of diabetic retinopathy, you may be invited for screening every two years. People at higher risk or those with signs of retinopathy may need more frequent checks. If you notice any changes in your vision, contact your eye care professional immediately, don’t wait for your next scheduled screening.

Glasses or contact lenses cannot correct vision loss caused by diabetic retinopathy. While they can help with other vision problems like short-sightedness or long-sightedness, they do not treat the underlying damage to the retina.

Treatment for diabetic retinopathy may include laser therapy, injections, or surgery, depending on the severity of the condition.

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