You have almost certainly heard of diabetes, which is one of the most common chronic health conditions in the United States with an estimated 100 million adults currently living with diabetes or pre-diabetes. This metabolic disorder occurs when the body is no longer able to regulate its own blood sugar levels and requires intervention to keep them stable. Most people are aware that diabetes can have serious consequences for our health. However, you may be surprised to learn that it can also influence our vision. This is because patients who are diabetic can go on to develop a complication that is known as diabetic retinopathy. Without prompt treatment, diabetic retinopathy can cause permanent vision loss. It is for this reason that patients who suffer from diabetes are asked to attend regular diabetic-related eye exams.
For us to be able to see clearly, our eyes need to be healthy and functioning perfectly. The most important component of our eyes are the retina. Found at the very back of the eye, the retina is a patch of light-sensitive cells that have the job of converting the light that passes into the eye into messages that are passed up the optic nerve and into our brain. Our brain then receives them and tells us what we can see and how clearly we can see it.
The retina relies on a continuous supply of blood, which is delivered using a network of tiny blood vessels. Over time, having continuously high blood vessels can damage these blood vessels causing a leak of blood and other fluids onto the retina. If this happens, scarring may occur which could compromise the quality of your vision.
Technically, anyone who suffers from diabetes, whether it be Type 1 or Type 2, could be at risk of developing diabetic retinopathy. However, the condition is more likely in certain situations. These include if:
your blood sugar levels are uncontrolled or poorly controlled
you have a long history of diabetes
you have high blood pressure (hypertension)
you suffer from high cholesterol
you are pregnant
Regular diabetic-related eye exams will enable your eye doctor to monitor your condition and ensure that any signs of diabetic retinopathy are detected and acted upon immediately.
The process of a diabetic eye exam is very simple and straightforward. During this visit, your pupils will need to be dilated so that the doctor can best assess for retinal changes due to diabetes, like bleeding or leakage of fluid in the back of the eye. Non-invasive retinal imaging and scans may be done to visualize the layers of your retina.
The information obtained during the examination will allow your eye doctor to tell if diabetes is affecting your eyes. Your doctor will discuss ways to help get your condition under control to preserve your vision. A report can be provided to your primary eye care doctor or endocrinologist.
If you have further questions about diabetic-related eye exams, please contact our knowledgeable eye care team.