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Home » Eye Care Services » Your Eye Health » Eye Diseases » Diabetes and Eyesight

Diabetes and Eyesight

Diabetes is a disease that affects the way we process food for energy and growth. With all forms of diabetes—type 1, type 2 and gestational diabetes—the body has trouble converting sugar in the blood into energy, resulting in a host of potential health problems.

Diabetes increases the likelihood that common diabetes-related vision problems or diseases might occur:

  • Diabetics are prone to developing cataracts (a clouding of the eye’s lens) at an earlier age.
  • People with diabetes are almost 50% more likely to develop glaucoma, an eye disorder that damages the optic nerve often marked by an increase of internal eye pressure.
  • Macular edema (and macular degeneration) are more common in diabetics due to malfunctioning blood vessels in the middle region of the retina responsible for central, sharp vision.
  • Most notably, diabetes can result in diabetic retinopathy; an eye disease that affects the blood vessels in the all-important retina. Nearly 45 percent of Americans diagnosed with diabetes have some stage of diabetic retinopathy.

That’s why there’s no separating diabetes and vision. If you have diabetes, then you should understand vision problems that increase in likelihood as a result of the disease.

Diabetes Statistics

Over 21 million people in the United States have diabetes, with an estimated additional 6 million people unaware they have a form of the disease. What’s more, an estimated 54 million Americans ages 40 to 74 have prediabetes, a condition that puts them at risk for developing type 2 diabetes. According to a recent American Optometric Association survey, diabetes is the leading cause of new cases of blindness among adults ages 20 to 74.

  • Since the retina is the light-sensitive region of the back of the eye responsible for processing visual images, diabetic retinopathy can affect your vision in mild, moderate or even severe ways.
  • If you have diabetes, you probably know that your body can't use or store sugar properly. When your blood sugar gets too high, it can damage the blood vessels in your eyes. This damage may lead to diabetic retinopathy. In fact, the longer someone has diabetes, the more likely they are to have retinopathy (damage to the retina) from the disease.
  • Changes in blood-sugar levels increase your risk of diabetic retinopathy, as does long-term diabetes.
  • According to the American Academy of Ophthalmology, 95% of those with diabetic retinopathy can avoid substantial vision loss if they are treated in time.
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Most people between the ages of 40-45 start to have difficulty seeing up close. This is called Presbyopia and slowly progresses until about the age of 65. This is a normal change due to the lens in the eye hardening and losing flexibility.

Vuity is 1.25% pilocarpine. This is not a new drug. It has been on the market for decades and is used to temporarily shrink the pupil size. It is now being rebranded as a drop that can help improve near vision. How does this work? By shrinking the pupil size, physics tells us this can increase our depth of focus. This drop will not CURE presbyopia. It can improve it while the drop is active and the near blur will return when the dose wears off after approximately 4-6 hours. This drop is recommended for individuals ages 40-55.

Dosage: one drop in each eye once per day. Side effects: possible brown ache or a mild headache. The cost at this time is about $80-90 per month at most pharmacies and insurance does not apply.