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DIABETIC RETINOPATHY

What Is Diabetic Retinopathy?

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Diabetic retinopathy is a condition that occurs when high blood sugar levels damage the blood vessels in the retina—the light-sensitive tissue at the back of your eye. It can lead to vision problems and even blindness if not treated.

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Who Is at Risk?

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Anyone with diabetes (type 1 or type 2) can develop diabetic retinopathy. Your risk increases if you:

  • Have had diabetes for a long time

  • Have poorly controlled blood sugar

  • Have high blood pressure or high cholesterol

  • Are pregnant

  • Smoke

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Stages of Diabetic Retinopathy

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  1. Mild Nonproliferative Retinopathy: Small areas of swelling in blood vessels.

  2. Moderate Nonproliferative Retinopathy: Blood vessels become more damaged and may leak.

  3. Severe Nonproliferative Retinopathy: More blood vessels are blocked, reducing blood flow to the retina.

  4. Proliferative Diabetic Retinopathy: New, abnormal blood vessels grow, which can bleed or form scar tissue, leading to serious vision problems.

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Symptoms

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Early stages often have no symptoms. As it progresses, you might notice:

  • Blurry vision

  • Spots or floaters

  • Dark or empty areas in your vision

  • Difficulty seeing at night

  • Sudden vision loss (in advanced cases)

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Diagnosis

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Diabetic retinopathy is diagnosed with a comprehensive eye exam, including:

  • Dilated eye exam (to check retina and blood vessels)

  • Fluorescein angiography (to see blood flow)

  • Optical coherence tomography (OCT) (to detect swelling)

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Treatment

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Treatment depends on the stage and severity:

  • Early stages: Better blood sugar, blood pressure, and cholesterol control

  • Advanced stages:

    • Laser therapy (photocoagulation) to seal leaking blood vessels

    • Injections (like anti-VEGF medication) to reduce swelling

    • Vitrectomy surgery to remove blood or scar tissue in the eye

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Prevention and Eye Health Tips

  • Control blood sugar, blood pressure, and cholesterol

  • Get a dilated eye exam at least once a year

  • Quit smoking

  • Exercise regularly

  • Follow your diabetes care plan

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