By Dr. Vishali Gupta


World Diabetes Day 2023: Diabetes, a prominent health concern, is marked by persistently elevated blood sugar levels, stemming from the body's insufficient production of insulin or its inefficient utilisation. It is a prevalent, long-term condition that affects over 101 million people worldwide, with predictions indicating a rise to nearly 124 million by 2045. The prevalence reflected by these numbers is indeed a cause for alarm, underscoring the urgency of addressing the issue.


While many are familiar with the more commonly discussed complications of diabetes, such as heart disease, kidney failure, stroke and nerve diseases, there is an aspect of this condition that often goes unnoticed but poses a substantial and potentially devastating threat to eyesight: diabetic eye complications. Elevated blood sugar levels are directly linked to impaired vision, highlighting the intricate interplay between blood glucose levels and the health of our eyes. These complications can lead to severe vision impairment such as diabetic retinopathy, cataract, glaucoma, and even blindness if left untreated.


India is currently contending with a widespread diabetes epidemic, characterised by a substantial population of over 74 million individuals afflicted by this metabolic disorder. One of the most severe complications associated with diabetes is the loss of vision, and diabetic retinopathy stands out as the most prevalent ocular complication. In its early stages, symptoms may not exhibit prominently. As the condition progresses, characteristic indicators include seeing floaters which are small dark shapes that float across your vision, blurring of vision, the development of dark spots in vision, diminished night vision etc.


Diabetic Macular Edema (DME) is another significant contributor to vision impairment within the realm of diabetic eye complications. This condition is characterized by the buildup of fluid in the macula, situated at the central area of the retina. It results from damaged blood vessels, leading to vision impairment, distortion, and potential blindness if left untreated. Its symptoms encompass blurry vision, distorted lines, dark spots, altered colour perception, and reading difficulties. Recognizing these signs is crucial for early intervention and effective management of diabetic eye complications.


As diabetes continues to become more prevalent on a global scale, it becomes increasingly crucial to comprehend and address its complications, such as diabetic retinopathy and diabetic macular edema. Effective diabetes management, timely medical treatments, and consistent eye examinations play a pivotal role in safeguarding one's vision and enhancing the overall quality of life for individuals managing diabetes.


The significance of such proactive measures cannot be emphasised enough, and the following points state why this is crucial.


5 Crucial Points To Save Eyes  


Early Detection and Intervention: Regular eye exams can detect diabetic eye complications in their early stages when treatment is most effective. Timely and prompt action can prevent or slow down the progression of these conditions.


Personalised Treatment Plans: Eyecare professionals can develop personalised treatment plans based on the specific type and stage of diabetic eye complications, maximizing the chances of preserving vision.


Monitoring Progress: Regular eye check-ups allow healthcare providers to monitor the progress of the eye conditions and make necessary adjustments to the treatment plan.


Reducing the Risk of Other Complications: Diabetic eye complications are often linked to overall diabetes management. By managing eye health, individuals can also reduce the risk of other diabetes-related complications.


Maintaining Quality of Life: Early intervention and effective management can help individuals with diabetes maintain their vision and quality of life.


Diabetes brings with it the potential for significant, yet often concealed, threats to eye health. These hidden dangers can escalate into severe and sight-threatening complications if left unattended. It is imperative for individuals with diabetes to make regular eye examinations at least annually a top priority, ensuring comprehensive evaluations that can detect and address issues in their early stages. By effectively managing their diabetes through prudent control measures, adopting a health-conscious lifestyle, and maintaining rigorous eye care practices, they have the power to substantially lower the risks associated with severe eye complications. This proactive approach allows them to safeguard their vision and overall well-being.


The author is Professor & Chief Of Retina & Uvea Services, Advanced Eye Centre, Post Graduate Institute of Medical Education & Research, Chandigarh.