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Understanding Diabetic Retinopathy: Causes, Symptoms & Treatment


Date :24-Nov-2025

 

Diabetes can have far-reaching effects on the body, & the eyes are often among the most  vulnerable. One of the most serious complications is diabetic retinopathy, a condition in which  high blood sugar levels slowly damage the tiny blood vessels in the retina — the light-sensitive  layer at the back of the eye that allows us to see clearly. Over time, these blood vessels may  become weak, swell, leak fluid, or even close entirely, reducing oxygen supply to the retina & gradually affecting vision. In advanced stages, new, abnormal blood vessels may form, which are  fragile & prone to bleeding, further increasing the risk of vision loss. Many people may not  notice any changes in their eyesight during the early stages, making regular eye examinations & early detection essential. Without timely treatment, diabetic retinopathy can progress silently,  ultimately leading to blurred vision, severe vision impairment, or permanent blindness.  Fortunately, with proper monitoring, lifestyle management, & modern eye care treatments, it is  possible to protect your vision & manage the risks effectively. 

What Is Diabetic Retinopathy? 

Diabetic retinopathy is a complication of diabetes that occurs when long-term high blood sugar  levels damage the delicate blood vessels in the retina, the light-sensitive tissue at the back of  the eye responsible for capturing images. Initially, the damage may cause the vessels to swell or  leak small amounts of fluid, which usually does not produce noticeable symptoms. As the  condition advances, some blood vessels may close, reducing blood flow to the retina & depriving it of essential oxygen & nutrients. In response, the eye may form new, abnormal blood  vessels, which are fragile & prone to bleeding. This can lead to vision disturbances, floaters, or  even severe vision loss if left untreated. Because diabetic retinopathy often develops silently in  its early stages, regular eye screenings are essential for all people with diabetes. Early detection  allows for timely treatment, which can slow disease progression & protect long-term vision. 

Who Is at Risk? 

Anyone with diabetes — Type 1, Type 2, or gestational — can develop diabetic retinopathy. The  risk increases if you:

  • Have had diabetes for many years 
  • Have fluctuating or poorly controlled blood sugar levels 
  • Have high blood pressure or cholesterol 
  • Smoke or consume excessive alcohol 
  • Skip regular eye check-ups 

Even well-controlled diabetes can cause early retinal changes, so routine screening is  recommended. 

Early Signs & Symptoms 

While diabetic retinopathy may not show symptoms initially, advanced stages can cause: Blurry or fluctuating vision 

  • Trouble seeing at night 
  • Sudden vision loss 
  • Floaters or streaks in vision 
  • Dark spots or empty areas in your vision 

Immediate evaluation by a retina specialist is recommended if any of these signs appear.

Treatments for Advanced Diabetic Retinopathy 

At Dr Tony Fernandez Eye Hospital, advanced diabetic retinopathy is treated with state-of-the art therapies aimed at preserving vision: 

  • Laser Photocoagulation: Seals leaking blood vessels & prevents the growth of abnormal  vessels. 
  • Intravitreal Injections: Anti-VEGF or steroid medications are injected into the eye to  reduce swelling & inhibit abnormal vessel growth.
  • Vitrectomy Surgery: Removes blood or scar tissue from the vitreous & corrects retinal  traction, helping restore clarity in advanced cases. 

These treatments are supported by advanced diagnostic tools & expert retina specialists,  ensuring personalized care & effective management of diabetic eye disease. 

Tips to Protect Your Eyes 

  • Keep blood sugar, blood pressure, & cholesterol under control 
  • Follow a healthy, balanced diet & exercise regularly 
  • Avoid smoking & alcohol 
  • Schedule annual retina screenings or more frequent exams if recommended Follow the treatment plan prescribed by your retina specialist 

Comprehensive Care for Diabetic Eye Health 

Diabetic retinopathy is a serious but manageable complication of diabetes. At Dr Tony  Fernandez Eye Hospital, patients benefit from advanced treatments including laser  photocoagulation, intravitreal injections, & vitrectomy surgery, all delivered by expert retina  specialists with access to cutting-edge diagnostic technology. Timely intervention & personalized care help preserve vision, slow disease progression, & maintain long-term eye  health for diabetic patients.

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