Diabetic retinopathy is a complication of diabetes is a leading
cause of blindness. Diabetic retinopathy occurs when blood
vessels inside the retina are damaged due to diabetes.
There are four stages of diabetic retinopathy, including mild
nonproliferative retinopathy (small areas of swelling in the
retina's blood vessels), moderate nonproliferative
retinopathy (some blocking of the retina's blood vessels), severe
nonproliferative retinopathy (severe blocking of blood vessels, depriving areas
of retina of blood supply) and proliferative
retinopathy (abnormal
growth of new blood vessels in retina along with leaking).
There are no early symptoms or warning signs for diabetic
retinopathy. All people with Type 1 and Type 2 diabetes are
at risk for this condition. It is extremely important for individuals
with diabetes to receive a comprehensive dilated eye exam at
least once a year.
Diabetic retinopathy is detected during a comprehensive eye
exam which includes a visual acuity test (measures how well
you see at various distances), a dilated
eye exam (widening
the pupil in order to examine the retina), and a tonometry
test (measures the pressure inside the eye). Your retinas will
also be checked for leaking blood vessels, macular edema (swelling
of the retina), deposits on the retina, damaged nerve tissue,
and any changes to the blood vessels themselves.
Diabetic retinopathy is generally not
treated in the first
three stages. However, progression should be monitored closely.
Patients with diabetes should monitor and control their blood
sugar levels, blood pressure, and cholesterol.
The fourth stage of diabetic retinopathy (proliferative retinopathy)
is commonly treated with laser surgery, which is done to shrink
the abnormal blood vessels.
If you are 60 years or older, you
should have a comprehensive dilated eye exam at least once
every two years. Early treatment
for many eye diseases may protect your vision. To ask questions
or to schedule an exam, please call our office at 218.759.1290
or 1.800.745.1291.