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Diabetic Eye Care

Diabetes and the Eyes

January 24, 2018·4 min read·By Dr. Jana Murakami, OD

Research links diabetic retinal changes to serious health risks — underscoring why annual diabetic eye exams are essential.

Diabetes can affect the tiny blood vessels of the retina long before you notice vision changes. That is why annual diabetic eye exams are a cornerstone of care for patients with diabetes or pre-diabetes.

Retinal Changes and Overall Health

Researchers from the University of Wisconsin and the Singapore Eye Research Institute found a correlation between narrowing of retinal blood vessels in diabetic patients and the need for lower extremity amputation. Patients who exhibited narrowing secondary to diabetes were three times more likely to undergo amputation than those whose retinal vasculature remained normal. (Archives of Internal Medicine, November 2003)

This research reinforces a key message: the retina offers a direct view of vascular health. What we see during your exam can inform coordination with your primary care physician and diabetes team.

Monitoring Blood Sugar

Indian researchers from the Regional Institute of Ophthalmology in Kolkata found that glucose levels in tears are proportional to blood glucose levels — suggesting future less-invasive monitoring methods may be possible. (Journal of Association of Physicians of India, August 2003)

Today, consistent blood sugar control and regular eye exams remain the standard of care.

Diabetic Eye Exams at Clear Sight Hawaii

Dr. Jana Murakami has extensive experience with diabetic eye disease, including training at a high-prevalence diabetes site during her internship. We provide thorough retinal evaluation — with Optos widefield imaging when appropriate — and clear follow-up plans if diabetic retinopathy or other changes are found.

If you have diabetes, schedule your annual diabetic eye exam — don't wait for symptoms.