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Diabetic Retinopathy

Diabetes is a condition that affects all parts of the body. The eye, and particularly the retina, is at significant risk for problems.

Retina doctors talk about 3 common ways that diabetes affects the retina:

Background or (Non-proliferative) Retinopathy
 
In this condition, the small blood vessels of the retina are damaged from diabetes. Diabetes usually has to have been present at least 5 years for this to occur. Small spots of bleeding and areas of lack of blood supply appear.

This does not usually cause any visual problems. It is important to recognize because it means the other 2 conditions are more likely to occur.

Proliferative Diabetic Retinopathy
 
In this condition, large numbers of blood vessels in the retina stop carrying blood properly. The retina becomes deprived of enough oxygen and sends signals (hormones) to the retina to create new blood vessels. Unfortunately, the eye loses the ability to create proper blood vessels early in life and only makes weak vessels that tend to BLEED and SCAR. This can cause severe and abrupt visual loss.

Scan of Eye

Macular Swelling
 
The blood vessels in the center part of the retina are very susceptible to damage from diabetes. They ooze fluid and cholesterol into the central retina and cause it to become swollen. This swelling makes objects and images appear WASHED OUT or FUZZY.