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Why Diabetic Eye Exams Matter Even When Your Vision Is Clear

Oct 15
2 min read

If you have diabetes and can see clearly, it may be tempting to wait until your vision changes before booking an eye exam. However, diabetic retinopathy can develop without noticeable symptoms in its early stages. Regular eye care creates an opportunity to find changes before they affect daily activities. [1, 2]


Retinal imaging equipment at Asgarpour Optometry's Square One clinic.

What diabetes can do to the eyes


Over time, high blood sugar can damage small blood vessels in the retina, the light-sensitive tissue at the back of the eye. These changes can cause leaking, bleeding, or swelling. Diabetes also increases the risk of other eye problems, including cataracts and glaucoma. [1]


Seeing the eye chart clearly is encouraging, but it does not tell the whole story about retinal health. Your optometrist assesses the eyes as well as your prescription and vision needs. Finding a concern early can help guide monitoring, referral, and timely treatment. [1, 2]


What to expect at the appointment


Your optometrist reviews your health history and examines your eyes. Dilating drops may be used to provide a better view of the retina. Retinal photographs and OCT imaging can provide additional information when appropriate, but imaging does not replace the full examination or automatically remove the need for dilation. [1, 4]


How often to have your eyes checked


The Canadian Association of Optometrists recommends at least yearly eye examinations for adults with diabetes. Your optometrist may recommend a different follow-up interval based on the findings and your clinical needs. If you are newly diagnosed, contact your eye care team to establish when your first assessment should take place. [3]


Preparing for a useful visit


Bring your glasses, medication list, and any relevant information from your diabetes care team. If available, bring your latest A1C result and the date it was measured. Tell the clinic when you were diagnosed, whether your vision has changed, and when your last eye examination took place.


Ask whether dilation is expected and how it may affect your journey home. Dilating drops can temporarily blur near vision and increase light sensitivity. Bring sunglasses and arrange transportation if you may not be able to drive safely. [4]


Book before symptoms become your reminder


Continue working with your diabetes care team to manage blood sugar, blood pressure, and cholesterol. These measures support eye health alongside regular eye examinations. Sudden vision changes or new dark spots need prompt assessment rather than waiting for the next routine visit. [1]


Asgarpour Optometry offers diabetic eye care. Contact your nearest clinic to arrange an appointment and ask about provincial coverage and any applicable fees.


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