Diabetes Related Eye Problems

Patients with diabetes are more likely to develop eye problems such as cataracts and glaucoma, but the disease's effect on the retina is the main threat to vision. Over time, diabetes affects the circulatory system of the retina, and this effect is called diabetic retinopathy.

In its earliest phase, blood vessels in the retina become weakened and leak. These leaking vessels often lead to swelling (or edema) in the retina and cause decreased vision. As the condition worsens, circulation problems cause areas of the retina to become oxygen-deprived (or ischemic). New, fragile vessels (neovascularization) develop in an attempt to maintain adequate oxygen levels within the retina. These delicate vessels hemorrhage easily, causing blood to leak into the vitreous. The result causes symptoms of floaters or decreased vision. In the later phases of the disease, continued abnormal vessel growth and scar tissue may cause serious problems, such as retinal detachment.

Diabetic patients should have routine eye examinations so related eye problems can be detected and treated as early as possible. Retinal specialists rely on several tests to monitor the disease's progression and make treatment decisions. The most common cause of vision loss associated with diabetic retinopathy is diabetic macular edema. Laser treatment applied to the leaky blood vessels (focal photocoagulation) is helpful in preventing further vision loss. Two common procedures used in the treatment of proliferative diabetic retinopathy are pan retinal photocoagulation (PRP) and vitrectomy.

Pan retinal photocoagulation (PRP) is a type of laser surgery used to destroy oxygen-deprived retinal tissues outside of the patient's central vision. This treatment does create blind spots in the peripheral vision, but PRP prevents the continued growth of fragile vessels and seals the ones that leak.

Vitrectomy is used to remove the blood clots that occur in the gel-like substance that fills the center of the eye, called the vitreous. During a vitrectomy, the retina surgeon removes the blood and vitreous from the eye and replaces it with clear saline solution. The surgeon may also cut strands of vitreous attached to the retina that create traction, which may lead to retinal detachments if not removed.

Diabetic patients who are able to maintain appropriate blood sugar levels have fewer eye problems than those with poor control. Diabetic patients can also reduce the possibilities of eye complications by scheduling yearly dilated eye examinations with an eye doctor.

Our Location

Find us on the map

Office Hours

Monday:

9:00 am-5:00 pm

Tuesday:

9:00 am-5:00 pm

Wednesday:

9:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

8:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed

Testimonials

  • "Cannot recommend Dr Coad & his lasik coordinator Nicole enough. They are wonderfully supportive and gentle that even if you are nervous it will be difficult to stay that way around this supportive duo! Without a doubt recommend going to see them, they are worth the additional care and cost for a full-service experience that are there just to help you & give you the best vision possible. Thank you Dr Coad & Nicole."
    Yasmin L.
  • "Dr. Coad and his staff made the experience of having a cataract removed the best it could possibly be, from evaluation to discussing options to being reassuring when the surgery began, to follow-up. The evaluation process was efficient, yet at no time did I feel as if it was anything but personal. His staff at all times were both professional and welcoming. Vace, the surgical coordinator, did everything to make sure the surgical process went smoothly.
    As to Dr. Coad himself, I can't say enough. His skill is absolutely top-notch, but it was the concern that he took in making sure that I understood all of my options, and his reassuring manner before, during and after the surgery which makes it easy to recommend him to the fullest to anyone who needs ophthalmic care."
    Ed W.
  • "Had a five star experience at Chelsea Eye! I went to Dr Yoon for an eye exam and she was extremely friendly, helpful and down to earth! I have met all the staff and they are very friendly and easy to talk to. Hugo in particular was wonderful to work with during the exam. It was a breathe of fresh air coming to this practice and I highly recommend going here for an Optometry appointment or Opthalmology appointment with Dr Coad."
    Devon T.
  • "Can I please take a moment and talk about how awesome Dr. Jay Yoon is?!

    I would be friends with this woman! I went in freaked out about a blood vessel on my eye and in total hypochondriac mode (is it a stroke? Is this connected to my brain? Is it gonna spread?). She laughed and calmly said "looks like you've always had this and it's fine and here are some drops cause your eyes are dry and here's my great primary doctor who I recommend since you don't have one."

    She was very funny and relatable and cool - she didn't try to rush me away and she was honest about everything too and so helpful.

    I've already started recommending her and now I'll do it on here: book an appt and be treated so warmly."
    Bonnie G.
  • "Dr Coad and Nicole were both absolutely wonderful. After my brother had LASIK surgery, I decided to go ahead and do the same.

    Both Nicole and Dr. Coad are very proficient in their work. They answered any and all questions that I had, and calmed every nervous feeling that arose from the start, up until the surgery.

    Going through the surgery I was EXTREMELY nervous and Dr. Coad walked me through the entire procedure (before and during) and made my whole LASIK experience a breeze.

    I can not recommend them enough. If you are interested in LASIK Dr. Coad is the only doctor I would trust."
    Christina V.
  • "This team is the absolute best. Christine is a gift from the gods and makes you feel comfortable supported and amazing. She really got me through my anxieties about my recent lasik surgery - which went great! Dr Coad is the best. A fantastic team, a simple process - I highly recommend this team - if you've ever considered lasik (like I have for the last 20 years) make an appt with this great group. You'll be happy you did."
    Mark P.
Schedule an Appointment with ZocDoc