Diabetic Retinopathy FAQ with Knoxville Ophthalmologist, Dr. Erik Sweet

Baptist Eye Surgeons • February 8, 2023

Diabetic retinopathy is one of the main eye diseases associated with diabetic eye disease. Its prevalence in the United States is expected to double between 2010 to 2050 , jumping from 7.7 million to an estimated 14.6 million. With these projections, it’s more important than ever to stay on top of your annual comprehensive eye exams so you can get treatment as soon as possible.

To answer your frequently asked questions about diabetic retinopathy, we’ll look at:

  • What is diabetic retinopathy
  • What causes diabetic retinopathy
  • Are there different types of diabetic retinopathy
  • How can diabetic retinopathy affect vision
  • Is diabetic retinopathy the same as macular degeneration
  • What is the first sign of diabetic retinopathy
  • Can diabetic retinopathy be cured

For the full diabetic retinopathy FAQ, watch our video with Dr. Erik Sweet below!

What Is Diabetic Retinopathy?

Diabetic retinopathy is damage to the retina, which is where the word “retinopathy” comes from, and it’s damage that is due to diabetes or elevated blood sugar. The retina is the innermost layer of the eye and it can only be seen by looking through the pupil with a special lens. It’s a highly vascular tissue meaning that there are a lot of blood vessels there that are damaged due to high blood sugar. 

Click here to learn more about diabetic eye disease!

What Causes Diabetic Retinopathy?

Essentially high blood sugar is the problem. High levels of sugar in the blood are damaging to your blood vessels, your arteries, and your veins — especially the small ones known as the capillaries . The small blood vessels in the body are especially prone to this. Damage to these vessels causes leaking as well as makes them unable to bring the blood supply to the organ they’re supplying it to, which in this case is the eye, as well as they normally would.

This is the same problem that causes diabetics to have neuropathy , which is nerve damage often seen in the feet, as well as kidney disease. These are all vessel damage to the small vessels from diabetes.

Are There Different Types of Diabetic Retinopathy?diabetic retinopathy faq

Yes, there are actually two main types or categories of diabetic retinopathy. The earliest form is called non-proliferative diabetic retinopathy (NPDR) and this is associated with spots of blood across the retina. There are also three main stages of this. 

This may also be associated with macular edema — the macula being the most important part of the retina where your central vision is handled. In addition, there can be something called macular ischemia . Ischemia is a lack of blood supply or damage due to low blood flow to the area. Both of these can be associated with this non-proliferative diabetic retinopathy.

What’s considered the more severe form of diabetic retinopathy is proliferative diabetic retinopathy . What distinguishes the two is the presence of abnormal blood vessels. In the proliferative form, the tissues of the eye are starved for oxygen and they send out signals to ask for help, and in response, the body grows abnormal blood vessels.

Unfortunately, rather than helping, those vessels can lead to significant problems. These problems can lead to:

  • Retinal detachments
  • Severe pooling of blood inside the gel of the eye
  • Sudden onset of glaucoma leading to permanent vision loss

The complications of proliferative diabetic retinopathy can be quite profound and even irreversible.

How Can Diabetic Retinopathy Affect Vision?

This goes back to the different stages of diabetic retinopathy. Whether there are vision changes depends on the stage. Early diabetic retinopathy often doesn’t have any symptoms so even mild to moderate and even severe cases can be detected and seen when a patient really has no vision complaints. 

In some cases the vision complaints are vague. People will say that their vision is blurry, that they don’t see as well as they used to, or that their glasses aren’t working well anymore. Other times symptoms are more specific. You can have certain spots in your vision or sudden vision loss from glaucoma or a really bad bleed inside the eye.

This is part of the importance of getting an annual dilated eye exam with an ophthalmologist. A lot of times there are signs inside the eye before there are profound symptoms and these exams help us find them.

To read our complete guide to comprehensive eye exams, click here !

Is Diabetic Retinopathy the Same as Macular Degeneration?diabetic retinopathy: causes

The answer is “no.” Both of these diseases affect the retina with macular degeneration affecting the macula and it’s a degeneration of the macula. Diabetes can be seen as damage to the macula but it’s different. Macular degeneration often refers to age-related macular degeneration, which is unrelated to diabetes. 

Diabetes is not a risk factor for age-related macular degeneration. On the other hand, risk factors include:

  • Aging
  • Genetics 
  • Environmental exposure

Macular degeneration is seen in diabetics and non-diabetics alike. Similarly, you can have both diabetic retinopathy and macular degeneration but they are not the same thing. They can occur together or separately due to having different processes and risk factors.

Click here to watch our video with Dr. Adam Carrera as he answers your questions about age-related macular degeneration!

What Is the First Sign of Diabetic Retinopathy?

The first sign would be small spots of blood inside the retina. They can actually be difficult to see since they can be well under a millimeter in size that is seen in the back of the eye. They are the first major warning sign that diabetes is starting to affect your vision. You want a competent ophthalmologist evaluating you who can see them. 

Our eye surgeons are the best in Knoxville and the surrounding East Tennessee area. Click here to book your appointment!

Can Diabetic Retinopathy Be Cured?

In many cases, damage from diabetic retinopathy to the eyes can be reversed or halted. Unfortunately, it’s not generally cured. Diabetes that has progressed enough to reach the eyes is rarely cured. 

There are circumstances where somebody may have really poorly controlled diabetes for a long period of time that is left untreated and is brought under aggressive control. After that, the diabetic changes can go away and never be seen again.

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

Diabetic retinopathy damages the retina, the innermost layer of the eye. It’s caused by elevated blood sugar and comes in two forms. Symptoms can be vague and even go undetected in the severe stages. While they can occur together, diabetic retinopathy should not be confused with macular degeneration. The first sign of the condition is blood inside the retina. While rarely curable, diabetic retinopathy can be halted or even reversed with early treatment.

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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