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Vision conditions

Diabetic Retinopathy

Diabetic retinopathy is a diabetes‑related eye condition that damages blood vessels in the retina. It often develops without early symptoms but can lead to vision loss if not detected in time. Regular eye examinations are essential for anyone living with diabetes.
Ophthalmology technician operating advanced eye exam equipment, which displays a magnified, detailed view of a brown iris on the monitor.
  • 33.9%

    prevalence in Singapore diabetics.

  • 8.9%

    vision-threatening DR in diabetics.

  • 28.2%

    any DR among diabetics.

How diabetes affects the retina

Understanding diabetes‑related eye damage

High blood sugar levels over time can weaken or block the tiny blood vessels that nourish the retina, causing leakage, swelling, or abnormal vessel growth. Without timely care, this may lead to vision loss. Early detection allows management before changes become significant.

Adults with diabetes — About 1 in 3

Roughly one‑third of people with diabetes develop some degree of diabetic retinopathy.

Vision‑threatening stage — 1 in 10

Up to 10% of individuals with diabetes experience the more severe, sight‑threatening form that requires active treatment.

Comparison diagram of a healthy eye versus an eye with retinopathy, showing the retina affected by hemorrhages, exudates, aneurysms, and abnormal blood vessels.

Often silent at first

When to get your eyes checked

Recognizing the Symptoms of Diabetic Retinopathy

    Optometrist conducting an eye exam on a woman using specialized equipment; her eye is illuminated by a bright orange light.
    In early stages, diabetic retinopathy may not cause symptoms. As it progresses, you may notice:
    • Blurred or fluctuating vision
    • Dark spots, shadows, or missing areas in sight
    • Difficulty seeing at night
    • Sudden vision loss (in advanced cases)
    If you’re experiencing these symptoms, we recommend scheduling an eye examination.

Managing diabetes‑related retinal changes

Ways to preserve vision

The aim of treatment is to stabilise the retina and prevent further vision loss. Depending on the stage, your ophthalmologist may recommend:

Strict blood sugar and blood pressure control

Keeping diabetes and blood pressure well controlled helps slow retinal damage and supports long-term eye health.

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Laser therapy

Laser treatment helps seal leaking blood vessels and reduce further damage to the retina.

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Anti-VEGF injections

These injections help reduce retinal swelling and control abnormal blood vessel growth that can affect vision.

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Vitrectomy surgery

Surgery may be recommended to clear bleeding or scar tissue in more advanced retinal disease.

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Clarifying Your Concerns

Frequently Asked Questions

We understand that vision-related issues can be quite overwhelming. Here are honest, transparent answers to the questions we hear most often from our patients.

Diabetic retinopathy is an eye condition caused by long-term high blood sugar levels damaging the small blood vessels in the retina. Over time, this can affect your vision due to retina damage.

Not always. In the early stages, many people have no noticeable symptoms. This is why regular eye screening is important, even if your vision seems fine.

Symptoms may include blurred vision, dark spots or floaters, fluctuating vision. If you notice sudden changes, you should seek eye care promptly.

Diagnosis is made through a comprehensive eye examination, which may include pupil dilation, retinal examination and imaging. These tests allow detailed assessment of the retina.

Yes. While existing damage cannot be reversed, treatment can help slow or stop progression. Options may include laser treatment, anti-VEGF injections, or surgery for more advanced cases.

Most people with diabetes are advised to have regular retinal examinations, usually at least once a year. Your ophthalmologist may recommend different intervals based on your individual findings.

Maintaining good control of blood sugar, blood pressure, and cholesterol is important. Attending regular eye reviews and following medical advice also helps support long-term eye health.