Diabetic Retinopathy

What It Is

Diabetic retinopathy is caused by long-term high blood sugar damaging retinal blood vessels. It ranges from mild changes to severe vision-threatening complications.

Symptoms

  • No symptoms early on
  • Blurred or fluctuating vision
  • Floaters or dark spots

Findings

  • Microaneurysms and hemorrhages
  • Retinal ischemia or neovascularization
  • Macular edema or tractional changes

Treatments

Treatment options may include anti-VEGF injections or steroid therapy, while panretinal photocoagulation (PRP) laser is used for proliferative disease. In more advanced cases involving bleeding or retinal traction, a vitrectomy may be necessary.

Outcomes

With appropriate treatment, vision can often be stabilized or even improved, but it requires regular monitoring and strict systemic control. Early detection remains crucial in preventing potential blindness.