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 Diabetes, Retina Diseases

Diabetic retinopathy

Diabetic retinopathy

Slit-lamp exam
Slit-lamp exam

Definition:

Diabetic retinopathy is progressive damage to the eye's retina caused by long-term diabetes. It can cause blindness.

Alternative Names:

Retinopathy - diabetic

Causes, incidence, and risk factors:

Diabetic retinopathy is caused by damage to blood vessels of the retina, the light-sensitive outer layer of the eye.

It is classified as non-proliferative or proliferative.

  • Non-proliferative diabetic retinopathy is the early stage of the disease and is less severe. The existing blood vessels in the eye start to leak fluid into the retina, which leads to blurred vision.
  • Proliferative retinopathy is the more advanced form of the disease, and more severe. New blood vessels start to grown within the eye. These new vessels are fragile and can bleed (hemorrhage), which may cause vision loss and retinal scarring.

Diabetic retinopathy is the leading cause of blindness in working-age Americans. People with both type 1 diabetes and type 2 diabetes are at risk for this condition.

The likelihood and severity of retinopathy increase the longer you have diabetes, and is likely to occur earlier and be more severe if your diabetes is poorly controlled. Almost everyone who has had diabetes for more than 30 years will show signs of diabetic retinopathy.

Symptoms:

One of the first symptoms of diabetic retinopathy is poor night vision. Other symptoms include:

However, many people have no symptoms before major bleeding occurs in the eye. This is why everyone with diabetes should have regular eye exams.

Signs and tests:
In nearly all cases, diabetic retinopathy can be diagnosed with an eye exam. A retinal photography test may also be used.

Review Date: 8/17/2007
Reviewed By: Manju Subramanian, MD, Assistant Professor in Ophthalmology, Vitreoretinal Disease and Surgery, Boston University Eye Associates, Boston, MA. Review provided by VeriMed Healthcare Network.

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