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Diabetic Retinopathy: Causes, Symptoms, and Treatment

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Baumrind Eye @baumrindeye · Mar 3, 2025

Diabetic retinopathy is a common eye condition that affects people with diabetes. It occurs when high blood sugar damages the blood vessels in the retina, leading to vision problems. If left untreated, it can cause blindness.

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Causes and Risk Factors

The main cause of diabetic retinopathy is prolonged high blood sugar. This weakens the tiny blood vessels in the retina, making them leak or become blocked. Factors that increase the risk include:

  • Having diabetes for a long time

  • Poor blood sugar control

  • High blood pressure and cholesterol

  • Smoking

Symptoms of Diabetic Retinopathy

In the early stages, there may be no noticeable symptoms. As the condition progresses, people may experience:

  • Blurred or fluctuating vision

  • Dark spots or floaters

  • Difficulty seeing at night

  • Vision loss in severe cases

Stages of Diabetic Retinopathy

  1. Mild Stage – Small blood vessel damage with minimal leakage.

  2. Moderate Stage – Some blood vessels get blocked, affecting vision.

  3. Severe Stage – More blockages occur, triggering abnormal blood vessel growth.

  4. Advanced Stage – New weak blood vessels form, which can bleed and cause vision loss.

Diagnosis and Treatment

Doctors diagnose diabetic retinopathy through eye exams, including dilation and imaging tests. Treatment depends on the stage of the disease and may include:

  • Laser Therapy – Helps seal leaking blood vessels.

  • Injections – Reduce swelling and prevent abnormal vessel growth.

  • Surgery (Vitrectomy) – Removes blood and scar tissue from the eye.

Prevention and Management

The best way to prevent diabetic retinopathy is by managing diabetes properly. This includes maintaining stable blood sugar levels, controlling blood pressure, and having regular eye checkups. Early detection and timely treatment can help protect vision.

 

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