Tag Archives: vision

Protect Your Vision: Understanding and Managing Diabetic Retinopathy

What is Diabetic Retinopathy?

Diabetic retinopathy is a serious eye condition that can lead to vision loss and blindness in people with diabetes. It damages blood vessels in the retina, the light-sensitive layer of tissue at the back of the eye. As high blood sugar levels cause these blood vessels to swell, leak, or become blocked, vision may be disrupted, often without noticeable symptoms until significant damage has occurred.

Why Annual Eye Screenings Are Crucial

Diabetic retinopathy often shows no symptoms in its early stages. By the time vision changes occur, the disease may be advanced. Comprehensive, yearly dilated eye exams are essential for early detection and treatment, helping to prevent or slow disease progression​.

The Stages of Diabetic Retinopathy

Stage 1: Non-Proliferative Diabetic Retinopathy (NPDR)

  • Early Stage: Many people with diabetes experience this stage, which occurs when tiny blood vessels in the retina leak and cause swelling.
  • Macular Edema: If the macula (the part of the retina responsible for central vision) swells, it can lead to vision loss. This is the most common cause of vision problems in diabetic patients​.

Stage 2: Proliferative Diabetic Retinopathy (PDR)

    • Advanced Stage: The retina starts to grow new, fragile blood vessels.
    • Vision Risks: These new vessels often bleed into the vitreous (gel-like center of the eye), leading to floaters or even total vision obstruction​.

Risk Factors for Diabetic Retinopathy

Anyone with diabetes—Type 1, Type 2, or gestational—can develop diabetic retinopathy. Risk factors include:

  • Duration of Diabetes: The longer you have diabetes, the greater your risk
  • Uncontrolled Blood Sugar: High levels over time increase complications
  • High Blood Pressure & Cholesterol: These can exacerbate the damage to blood vessels
  • Pregnancy: Gestational diabetes increases risk
  • Tobacco Use: Smoking accelerates disease progression​

Manage Your Diabetes to Lower Risk

Effective diabetes management can reduce your risk of developing or worsening retinopathy:

  • Stay Active: Regular exercise can help control blood sugar
  • Eat a Balanced Diet: Focus on fruits, vegetables, whole grains, and lean proteins
  • Take Prescribed Medications: Follow your doctor’s guidance for insulin or other treatments​

Take Charge of Your Vision Health

Annual diabetic retinopathy screenings are a key component of diabetes care, offering early detection of eye changes before symptoms arise. This simple, painless process includes administering eye drops to dilate your pupils and allowing your doctor to examine the retina for signs of leaking or abnormal blood vessels. Routine screenings can prevent vision loss through timely intervention, making them a vital part of managing your diabetes.

Convenient Screenings at MPCP

Maryland Primary Care Physicians (MPCP) offers in-office diabetic retinopathy screenings, making it easier to integrate proactive eye care into your diabetes management. Our approach provides:

  • Convenience: No need for separate appointments at external clinics.
  • Comprehensive Care: Screenings are seamlessly incorporated into our patient-centered diabetes care plan.
  • Proactive Health Monitoring: Detecting potential complications early allows for personalized care tailored to your needs.

Take control of your eye health today. Visit your patient portal to schedule your diabetic retinopathy screening at MPCP and protect your vision with compassionate, coordinated care designed to support your overall wellness. 

 

Importance of Screening Eye Exams in People With Diabetes

Diabetes is now the leading cause of new onset blindness in adults in the US. Diabetic retinopathy is the condition where damage is caused to the retina (back part of the eye) by high blood sugar over extended periods of time. A recent study, conducted by the CDC, found almost one-third of adults over age 40 years with diabetes were affected by retinopathy. The early stages of diabetic retinopathy typical occur without symptoms, and can only be detected with a dilated eye exam by an eye doctor or with retinal photography. If left untreated, diabetic retinopathy can lead to permanent blindness. However, there is hope. Early identification of this problem can allow effective treatment before it causes vision loss, and working with your primary care provider to help keep blood sugar and blood pressure under good control can lower your risk of complications like retinopathy as well as decrease progression from early stages to more advanced vision-threatening stages of this disease. A screening eye exam to check for retinopathy is recommended annually in adults with diabetes, and we are making every effort to help enable our patients to access screening by offering the option of retinal photographs in our office. Retinal photography only takes a few minutes, and the images are reviewed by board-certified ophthalmologists. If you have diabetes, regular follow-up visits with your primary care provider are an important way to help you stay up to date with screenings and prevent diabetes-related conditions from getting in the way of living your best life.

By Matthew Adler, MD