Diabetes and the eye: the relationship explored

Written by: Dr Rupal Morjaria
Published:
Edited by: Sarah Sherlock

Most complications well-known to be associated with diabetes are commonly related to blood sugar and weight. There are, of course, other effects of diabetes that are lesser known, including various conditions of the eye.

 

Blurry vision, or problems with vision, is a main symptom of diabetes, but how exactly does this happen? In this article, highly experienced consultant ophthalmologist, Dr Rupal Morjaria, succinctly describes three eye-related conditions in detail, including how they are caused by diabetes, and how they are treated.

What is diabetic retinopathy?

Being the fifth common cause of blindness in the world, diabetic retinopathy is also a major cause of blindness amongst working populations in developed countries. It is treatable, and preventing vision loss is also preventable (or can be delayed) if treated early.

 

Complications of diabetes can occur in the eye due to poor blood sugar control in combination with high blood pressure, high cholesterol, smoking, and other risk factors. These complications may result in mild diabetic changes that do not require treatment, only monitoring, such as a few haemorrhages. However, with more severe disease, it may cause bleeding, new blood vessels in the eye, or fluid build-up in the camera film of the eye that will require treatment.

 

Diabetes and glaucoma

Developing glaucoma is a higher risk for those suffering with diabetes. Glaucoma causes the pressure in the eye to be too high, and it can cause damage to the nerve which sends messages to the brain. This can ultimately cause changes in the field of vision if not detected early. It is important that the pressure and the nerve at the back of the eye are checked by the doctor monitoring your eyes for diabetes.

 

Diabetes and cataracts

When the lens is cloudy, it is called a cataract. Our lens helps to focus external images outside in the world onto the fovea, which is a small part of the camera film. As people age, the lens thickens and gets “yellower”. This process can be expedited by fluctuating blood sugar, so people with diabetes may require cataract surgery earlier than those without diabetes.

 

More about Dr Morjaria

Before all her patients undergo surgery, Dr Morjaria does a full assessment of the eye for risks of post-operative macular oedema. Additional treatments during or after surgery may be required for people with diabetes to help achieve the best outcome.

 

If you have diabetes and think you may have an eye condition or would like more information, you can schedule a consultation with Dr Rupal Morjaria on her Top Doctors profile.

By Dr Rupal Morjaria
Ophthalmology

Dr Rupal Morjaria is a leading consultant ophthalmologist. She is experienced in all aspects of ophthalmology with a specific interest in medical retina diseases, including macular degeneration, diabetes, uveitis and retinal genetics. To date, she has performed over 2,000 cataract surgeries. Dr Morjaria has also carried out over 2,000 retinal and YAG laser procedures and over 5,000 injections into and around the eye.

Dr Morjaria often uses steroids and VEGF treatments such as Eylea, Lucentis, and Avastin for retinal conditions. She is the retinal genetics lead in her department, and she oversees and triages patients with all eye conditions from the second biggest eye casualty department in the UK.

After her Bachelor of Medicine and Surgery at Birmingham University, Dr Morjaria carried out ophthalmology training at the West Midlands Deanery. She completed a 3-year specialist fellowship and PhD at the Oxford Deanery based at the John Radcliffe Hospital. She studied the impact of eye disease on sleep/awake patterns for her PhD which was awarded to her by the University College London and Oxford University in 2018. Dr Morjaria was previously a locum medical retina and uveitis consultant at Queen Elizabeth, University Hospitals Birmingham.

She has completed all the core medical and surgical training required by the Royal College of Ophthalmologists and has obtained the level of competency required in each subspecialty. She is a clinical supervisor to ophthalmology trainees and nurses. She has published over 20 peer-reviewed research articles, has lectured nationally and internationally and taught extensively in her field. 

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