Retina Specialists

What Is Diabetic Retinopathy?

Diabetic retinopathy is a diabetic condition that affects the eyes. It is caused by damage to the blood vessels in the retina, which is the light-sensitive tissue that is present at the back of the eye. This damage to the blood vessels can lead to vision loss and blindness if it is left untreated. Early detection and treatment of diabetic retinopathy can help prevent vision loss.

What Are The Causes of Diabetic Retinopathy?

Diabetic retinopathy is caused when high blood sugar levels damage the blood vessels in the retina. This damage can cause the blood vessels to bleed, leak or become blocked over time, which can lead to temporary vision loss or permanent  blindness. Other factors that may increase the risk of diabetic retinopathy include high blood pressure, high cholesterol, and smoking. People with type 1 or type 2 diabetes are at risk of developing diabetic retinopathy, especially if their diabetes is poorly controlled or has been poor controlled in the past. Maintaining good blood sugar control, in addition to having regular eye exams, can help reduce the risk of blindness from diabetic retinopathy. 

What Are The Signs And Symptoms of Diabetic Retinopathy?

Some of the signs and symptoms of diabetic retinopathy include blurred or distorted vision, floaters or spots in your field of vision, difficulty seeing at night, and dark or empty areas in your vision. In the early stages of diabetic retinopathy, and sometimes even in the late stages, there may be no noticeable symptoms, which is why it is important for people with diabetes to have regular eye exams. If you experience any of these symptoms – it is important to consult with your provider. 

What Are The Risk Factors of Diabetic Retinopathy?

There are several risk factors that increase the likelihood of developing diabetic retinopathy. These include poor blood sugar control, high blood pressure, high cholesterol, smoking, and a history of diabetes in the family. 

How Is Diabetic Retinopathy Diagnosed?

Diagnosing diabetic retinopathy involves a comprehensive eye exam by a qualified eye doctor who specializes in diabetic eye care. During your exam at NYC Retina, the doctor will dilate your pupils to better examine the retina in both eyes. They may also perform imaging tests such as optical coherence tomography (OCT) or fluorescein angiography to evaluate the retina. These tests can help detect any abnormalities or damage caused by diabetic retinopathy that might not be seen on exam and that might not be causing symptoms yet. If picked up early enough, this might help prevent blindness. 

What Are Possible Treatments For Diabetic Retinopathy?

There are several treatment options available for diabetic retinopathy, depending on the severity of the condition. In the early stages of diabetic retinopathy, treatment may involve managing other health conditions such as high blood pressure and high cholesterol, as well as maintaining good blood sugar control through diet and exercise. In more advanced cases, treatment may involve laser therapy to reduce swelling in the retina. Other treatment options include injections of medication to reduce swelling and prevent the growth of abnormal blood vessels, and vitrectomy surgery to remove scar tissue and blood from the eye. The goal of treatment is to prevent further damage to the retina, decrease risk of blindness and preserve vision. 

Are There Preventative Steps or Measures To Avoid Diabetic Retinopathy?

While there is no guaranteed way to prevent diabetic retinopathy, there are several steps you can take to help reduce your risk of developing this condition. Managing your blood sugar levels through diet, exercise, and medication is one of the most important ways to prevent diabetic retinopathy. It is also important to control other health conditions that can increase the risk of developing diabetic retinopathy, such as high blood pressure and high cholesterol. Regular eye exams are also essential for early detection and treatment of diabetic retinopathy. If you have diabetes, it is recommended to have a comprehensive eye exam at least once a year, or more frequently if recommended by your eye doctor. Other preventive measures include maintaining a healthy lifestyle, not smoking, and avoiding alcohol. By taking these steps, you can help reduce your risk of developing diabetic retinopathy and other diabetes-related complications.

What Are The Risks If Diabetic Retinopathy Is Left Untreated?

If diabetic retinopathy is not managed properly, it can cause damage to the retina, leading to swelling, bleeding, and scarring. This can result in blurred vision, distorted vision, and blindness. People with diabetic retinopathy may also be at an increased risk for other eye conditions such as glaucoma and cataracts. In addition to vision loss, untreated diabetic retinopathy can also increase the risk of other health problems, such as kidney failure, heart disease and stroke.

Are There Other Related Conditions To Diabetic Retinopathy?

There are several other eye conditions that are related to diabetic retinopathy, including diabetic macular edema, glaucoma, and cataracts. Diabetic macular edema occurs when fluid accumulates in the macula, which is the central part of the retina that is responsible for sharp, detailed vision. 

Key Takeaways About Diabetic Retinopathy

  • Diabetic retinopathy is a serious complication of diabetes that can cause vision loss and blindness if it is left untreated.

  • Early detection and treatment can help prevent further damage to the retina and preserve vision.

  • People with diabetes are also at an increased risk for other eye conditions, including diabetic macular edema, glaucoma, and cataracts. It is important to be aware of these conditions and have regular eye exams to check for them.

Recommended Next Steps For Treating Diabetic Retinopathy

If you think you are experiencing symptoms of diabetic retinopathy, request an appointment at NYC Retina today. 

Meet NYC Retina

Jonathan Feistmann, MD is a board-certified ophthalmologist and retina specialist. Dr. Feistmann completed his residency in ophthalmology at the University of Florida and completed his retina fellowship training at New York Eye and Ear Infirmary in Manhattan. Dr. Feistmann has served as assistant professor of... Learn More »