Eye care guide

Diabetes and your eyes

Medical reviewer Mr Mohamed Mohyudin· Last recorded site review

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This page inherits the site’s previous review record. A separate, current article sign-off has not yet been recorded.

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Why eye screening matters

High blood sugar can weaken retinal blood vessels, causing them to leak or grow abnormally. This is diabetic retinopathy. It is a leading cause of sight loss in working-age adults, yet early changes are treatable if caught in time. Screening uses photographs of the retina to spot changes before symptoms appear.

How often to attend

WHO and NHS guidance emphasise annual screening for most people with diabetes once they reach the eligible age.

  • Type 1 diabetes: from age 12 (or earlier if advised), then yearly
  • Type 2 diabetes: from diagnosis, then yearly
  • More frequent review if changes are found or pregnancy is planned
  • Keep diabetes and blood pressure well controlled between appointments

What happens at screening

Screening is not the same as a glasses test. Drops may dilate your pupils so cameras can photograph the retina. Results are graded and you are told if referral to a hospital eye clinic is needed. Treatment may include laser, injections or closer monitoring.

Warning signs between screens

Attend screening even when vision feels normal, but seek urgent advice for sudden vision loss, many new floaters, or a curtain across vision. These are not typical screening findings and need immediate assessment.

Frequently asked questions

Can I drive after diabetic eye screening?

Dilating drops blur near vision for a few hours. Bring sunglasses and avoid driving until your vision has cleared if you are unsure.

Does good blood sugar mean I can skip screening?

No. Good control lowers risk but does not remove it. Regular screening is still essential.

Is diabetic eye disease treatable?

Yes, especially when found early. Laser, injections and good diabetes control can protect vision, which is why screening programmes exist.

Your next step

Take this to your appointment

Write down what has changed, when it started, your current medicines and the questions you want answered. Take these to your eye-care appointment.

Sudden loss of sight, severe eye pain or a dark curtain across vision needs immediate assessment. Do not wait to complete a worksheet.

Sources for this information

These references support the information on this page. Follow the linked source for its full context.