Diabetic Retinopathy — Everything You Should Know

Baptist Eye Surgeons • August 10, 2022

Diabetes can have far-reaching effects on your health including your vision. One common issue is diabetic retinopathy, a disease that attacks your central vision and gradually steals your sight. If you have diabetes then it’s important to know what exactly diabetic retinopathy is, how it can affect your vision, and what you can do about it.what is the first sign of diabetic retinopathy

Diabetic retinopathy is an eye disease caused by high blood sugar. Common symptoms include blurred vision, dark spots in your vision, and vision loss. While not always preventable, there are steps you can take to manage diabetic retinopathy. It is diagnosed with a comprehensive eye exam and treated with medication or laser surgery.

What Is Diabetic Retinopathy?

Diabetic retinopathy is a diabetic eye disease caused by high blood sugar. For people who have diabetes, high blood sugar can damage blood vessels and cause them to swell in the retina, eventually resulting in them becoming blocked. This causes your body to grow new blood vessels in your eye to compensate for those that have been damaged.

When healthy, the blood vessels in your eyes play an important role in helping keep them healthy. Unfortunately, the new blood vessels that form aren’t nearly as helpful. These blood vessels are abnormal and don’t function correctly, but leak, leading to other complications such as diabetic macular edema ( DME ).

Diabetic retinopathy comes in two stages:

  • Early diabetic retinopathy
  • Advanced diabetic retinopathy 

Early diabetic retinopathy is the most common form of the condition. It causes the smaller blood vessels to become weak due to bulging, resulting in blood and other fluids leaking into your retina which can obscure your central vision. Larger blood vessels, nerve fibers, and the macula can also swell, causing an increased risk of blindness or vision loss.

If early diabetic retinopathy is left untreated then it can develop into advanced diabetic retinopathy . At this stage, the condition has progressed to the point that damaged blood vessels have been closed off. This causes your body to grow abnormal blood vessels that are weaker than the old ones and leak into the center of your eye.

These new blood vessels can eventually lead to:

  • Scar tissue
  • Retinal detachment
  • Increased eye pressure

Increased eye pressure is especially dangerous for your eye health. It can damage your optic nerve and eventually lead to glaucoma, which can result in vision loss. 

Click here to learn more about the effects of diabetic retinopathy on your eyesight!

Symptoms & Risk Factorsdiabetic retinopathy diagnosis

It’s possible that you may not experience any symptoms of diabetic retinopathy in the early stages. However, they will become more prevalent as your condition progresses. 

Symptoms of advanced diabetic retinopathy include:

  • Blurry vision
  • Eye floaters
  • Empty or dark areas in your vision
  • Changes in the clarity of your vision
  • Vision loss

Anyone who has diabetes can develop diabetic retinopathy. With that said, some are at a higher risk than others due to certain risk factors.

Common risk factors for diabetic retinopathy include:

  • Living with diabetes for a long period of time
  • Not controlling your blood sugar
  • High cholesterol
  • High blood pressure
  • Tobacco use
  • Pregnancy
  • Ethnicity

Prevention

Diabetic retinopathy isn’t always preventable. Fortunately, making positive lifestyle changes based on the above risk factors reduces the risk and puts you in a much better position to keep it under control. 

Key factors for preventing or managing diabetic retinopathy include:

  • Eating a healthy diet
  • Getting plenty of exercise
  • Taking your diabetes medication as directed
  • Monitoring your blood sugar levels
  • Lowering your blood pressure
  • Lowering your cholesterol
  • Quitting smoking
  • Paying attention to changes in your vision

The important thing to remember is that diabetes doesn’t have to result in vision loss. By taking active steps to control your blood sugar, you can manage your diabetes as well as conditions such as diabetic retinopathy. This will help preserve your vision and overall health for years to come.

To learn more about preventing diabetic retinopathy, click here !

Diagnosis

The best way to diagnose diabetic retinopathy is with a comprehensive eye exam. Unlike the vision screenings you may remember from school, these exams involve dilating your eyes. This allows your Knoxville eye doctor to view the structures of your eyes and better evaluate their health. 

Your evaluation may include optical coherence tomography (OCT). With OCT, our eye surgeons can evaluate the thickness of your retina to see how much fluid has leaked and may require some form of treatment.

Diabetic Retinopathy Treatment in Knoxville, TN

Once you have been diagnosed, your eye doctor at Baptist Eye Surgeons can develop an eye care treatment plan to help protect your vision. Treatment for diabetic retinopathy can vary depending on what stage you have. 

Some cases of early diabetic retinopathy may not even require immediate treatment. However, your eye doctor will want to monitor your condition in case anything changes. Diabetes management is the best form of treatment at this stage, so work with your primary care provider or endocrinologist and create a plan to keep your blood sugar levels under control.

Advanced cases and those with macular edema will require more immediate treatment. This may include:

  • Medications injected into the eye
  • Laser surgery
  • Vitrectomy

It’s important to note that these treatments are not a cure for diabetic retinopathy. Diabetes is a lifelong condition, meaning the threat of vision loss still exists. To protect your sight, you will need regular eye exams and possibly more treatment to preserve your vision.

Do you need treatment for diabetic retinopathy in Knoxville, TN? Contact us today to schedule your appointment!

High blood sugar can lead to diabetic eye diseases such as diabetic retinopathy. Signs in the advanced stage include blurry vision, eye floaters, and vision loss. Diabetic retinopathy can’t always be prevented, but it can be controlled with treatment. A comprehensive eye exam is required for diagnosis and it can be treated with medication or laser eye surgery.

Baptist Eye Surgeons is an ophthalmological practice in Knoxville, TN, and Morristown, TN. Give us a call at 865-579-3920 for more information or to schedule an appointment .

June 30, 2026
Night vision problems can make everyday activities like driving at dusk, walking in poorly lit places, or adjusting to indoor lighting harder and sometimes unsafe. Trouble seeing in low light, called nyctalopia, is not a disease itself but a sign that something else may be affecting your eyes. Learning what causes night vision problems and when to get help is important for keeping your vision healthy. What Are Night Vision Problems? Night vision problems mean it is hard to see clearly in low light or darkness. Some people notice their eyes take longer to adjust when going from bright to dim places. Others may have trouble with glare from headlights, seeing less contrast, or things just looking dimmer at night. Mild changes in night vision can happen as you get older, but if your symptoms keep getting worse or do not go away, you should pay attention to them. Common Causes of Night Vision Difficulties There are several potential causes of night vision problems. Night vision problems can have many causes, from getting older to certain eye conditions, such as lens problems, leading to blurred vision and increased sensitivity to glare. They are one of the most common causes of poor night vision, especially in older adults. 1. Cataracts Cataracts cause clouding of the eye’s natural lens, leading to blurred vision and increased sensitivity to glare. They are one of the most common causes of poor night vision, especially in older adults. 2. Vitamin A Deficiency Vitamin A is important for keeping your retina healthy. If you do not get enough vitamin A, your eyes may have trouble adjusting to darkness, which can lead to night blindness. 3. Glaucoma Some types of glaucoma can affect your side vision and make it harder to see differences between light and dark. As the optic nerve gets damaged, seeing in low light can become more difficult. 4. Retinitis Pigmentosa This inherited eye condition slowly affects your ability to see at night and to the sides. Early signs often include trouble seeing in the dark. 5. Diabetes-Related Eye Disease Diabetic retinopathy can harm the blood vessels in your retina, which may cause blurry vision and make it harder to see at night. 6. Aging and Pupil Changes As people get older, their pupils do not react to light changes as quickly, and the retina becomes less sensitive. This naturally makes night vision worse over time. Symptoms to Watch For Night vision problems often develop slowly. Some common signs are: Difficulty seeing in low light or darkness Trouble driving at night due to glare from headlights Longer adjustment time when moving between light and dark environments Reduced contrast or clarity in dim settings Frequent squinting or eye strain in low light If these symptoms start to affect your daily life, it is a good idea to get a full eye check-up. When to See an Eye Doctor You should see an eye doctor if you notice new night vision problems, if they are getting worse, or if you have other changes in your vision. The doctor can run tests to find out what is causing the problem and suggest the right treatment. A full eye exam might include checking your retina, testing your field of vision, and taking images to look at your eye health. Finding problems early is very important for conditions like glaucoma, diabetic eye disease, and retinal disorders, because early treatment can help protect your vision. Protecting Your Night Vision Not all causes of night vision loss can be prevented, but taking care of your eyes can lower your risk and help you see better. Some helpful steps are: Scheduling regular eye exams Handling chronic health conditions like diabetes Eating a diet rich in vitamin A and antioxidants Wearing proper corrective lenses if prescribed Avoiding driving with untreated vision changes Prioritizing Your Eye Health Night vision problems can be an early sign of eye disease. Since many eye problems develop slowly, having regular eye exams is one of the best ways to catch changes early and keep your vision healthy for the long term. If you have trouble seeing at night or notice any changes in your vision, making an appointment for an eye exam can help keep your eyes healthy and your vision clear in all types of light.
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