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Diabetes and your eyes

Diabetic Eye Exam

Diabetes can damage the small blood vessels in the retina long before you notice a change in your sight. A yearly dilated eye exam is how problems get caught while treatment works best.

Once a year, even if you see fine.

Diabetic retinopathy usually has no early symptoms. The National Eye Institute advises people with diabetes to get a dilated eye exam at least once a year. Your doctor may ask you to come more often if changes are found.

What the exam looks for.

The visit focuses on the retina and the blood vessels that feed it.

Leaky vessels

Damaged vessels can leak fluid or blood into the retina.

Macular swelling

Fluid in the center of the retina can blur reading vision.

New vessels

Fragile new vessels can bleed and need prompt treatment.

Retina photos

Images record the retina so changes are easy to track.

Eye pressure

Diabetes raises the risk of glaucoma, so pressure is checked.

Lens clarity

Cataracts are more common and can form earlier.

No symptoms

Good vision does not rule it out.

Many people with diabetic retinopathy see well until the disease is advanced. The exam is how it gets found early.

Results go to your doctor

Ask your eye doctor to send the exam results to the clinician who manages your diabetes.

Your part between visits.

Blood sugar

Steady control lowers the chance of eye damage.

Blood pressure

Keeping it in range helps protect the retina too.

Report changes

Floaters, blur or dark areas need a call right away.

Three habits that protect your sight.

Yearly dilated examOr sooner if your doctor asks.
Manage the numbersBlood sugar, pressure and cholesterol.
Act on changesSudden floaters or blur need a same-day call.

A clear look at the retina.

Dilating drops and retina imaging give your eye doctor a full view of the blood vessels that diabetes can affect.

Patient using eye exam equipment during a diabetic eye exam

Fast answers.

How often do I need a diabetic eye exam?

The National Eye Institute recommends a dilated eye exam at least once a year for people with diabetes.

Will my eyes be dilated?

Usually yes. Dilation lets the doctor see the whole retina. Bring sunglasses and plan for blurry near vision for a few hours.

Can diabetic eye damage be treated?

Yes. Injections, laser and surgery can help, and treatment works best when problems are found early.

Does type 1 or type 2 matter?

Both types can damage the retina, so everyone with diabetes needs regular eye exams.

Is pregnancy a concern?

Yes. The National Eye Institute says pregnancy raises the risk of diabetic retinopathy and advises a dilated exam as soon as possible.

Book your yearly diabetic eye exam.

Find an eye doctor near you who can check your retina and share results with your care team.

Sources and notes

This page is for general education and is not medical advice. Only an eye care professional who has examined you can recommend what is right for your eyes.