VALENTINA STAVROU, MD VISION CARE • FACIAL AESTHETICS • DRY EYE OPHTHALMOLOGIST | ΧΕΙΡΟΥΡΓΟΣ ΟΦΘΑΛΜΙΑΤΡΟΣ

VISION CARE IN PAPHOS

Diabetic Eye Disease & Retinopathy in Paphos

Diabetes can cause changes in the blood vessels of the retina that affect vision — often without any obvious early symptoms. Regular eye screening is an important part of diabetes management. For diabetic eye disease in Paphos, Dr Valentina Stavrou provides structured retinal assessment, OCT imaging, and management of diabetic retinopathy and macular oedema, including intravitreal injection treatment where indicated.

Retinal screening OCT imaging Injection treatment

How diabetes affects the eyes

Chronically elevated blood sugar damages the small blood vessels throughout the body, including those that supply the retina. Over time, this can cause the vessels to leak, become blocked, or stimulate abnormal new vessel growth — each of which can affect retinal function and vision.

Because these changes can develop silently over years, people with diabetes are at risk of significant retinal damage before they notice any change in their vision.

What is diabetic retinopathy?

Diabetic retinopathy is the term for diabetes-related changes in the retinal blood vessels. It is classified in stages based on severity.

  • Background retinopathy — early changes including microaneurysms and small haemorrhages. Vision is usually unaffected at this stage but monitoring is important.
  • Moderate to severe non-proliferative retinopathy — more widespread changes with reduced blood flow and increasing risk of progression.
  • Proliferative retinopathy — abnormal new blood vessels grow on the retinal surface. These vessels are fragile and can bleed, causing significant vision loss if untreated.

Diabetic macular oedema

Diabetic macular oedema (DMO) occurs when fluid leaks into the macula — the central part of the retina responsible for detailed vision. It is the most common cause of vision loss in people with diabetes and can occur at any stage of retinopathy.

DMO may cause blurred or distorted central vision, difficulty reading, and reduced contrast. OCT imaging is essential for detecting and monitoring oedema, including cases where vision still feels relatively good.

Who needs diabetic eye screening?

All people with Type 1 or Type 2 diabetes should have regular dilated retinal examinations. The risk of retinopathy increases with duration of diabetes and with less well-controlled blood sugar or blood pressure.

  • annual examination recommended for most people with diabetes
  • more frequent review for those with existing retinopathy or macular oedema
  • pregnancy in people with diabetes warrants specific ophthalmology review
  • newly diagnosed Type 2 diabetes may already have retinal changes at diagnosis

What a diabetic eye assessment includes

A thorough diabetic eye assessment typically involves:

  • visual acuity measurement
  • dilated retinal examination
  • OCT imaging to assess the macula for oedema and retinal thickness
  • review of previous retinal findings and comparison over time
  • discussion of systemic risk factors including HbA1c, blood pressure, and lipids

Findings are documented and compared at each visit. Progression over time is one of the most important factors in deciding when and how to treat.

Treatment options

Treatment depends on the type and severity of diabetic eye disease.

  • Intravitreal injections — the primary treatment for diabetic macular oedema and in some cases proliferative retinopathy. Anti-VEGF injections reduce fluid and can improve or stabilise vision in many patients. More detail is available on the retinal care and injections page.
  • Laser treatment — focal or panretinal laser photocoagulation may be used in selected cases of proliferative retinopathy or persistent macular oedema.
  • Referral for vitreoretinal surgery — when advanced proliferative retinopathy involves vitreous haemorrhage or tractional retinal changes requiring surgical intervention.

The role of systemic control

Alongside ophthalmic treatment, managing blood sugar, blood pressure, and cholesterol remains one of the most effective ways to slow the progression of diabetic eye disease. Ophthalmology findings are often discussed in the context of overall diabetes management, and coordination with the patient's GP or endocrinologist is sometimes relevant.

Diabetic eye care

Next steps and related care

When to seek earlier assessment

People with diabetes who notice sudden changes in vision, new floaters, a dark area or curtain in their vision, or rapidly worsening blur should seek prompt assessment rather than waiting for a scheduled review.

Frequently Asked Questions about diabetic eye disease

Does diabetic eye disease always cause symptoms?

Not always. Diabetic retinopathy and macular oedema can be present and progressing without any noticeable change in vision, particularly in the early stages. This is one of the main reasons why regular eye screening is recommended for all people with diabetes, regardless of how their vision feels.

How often should someone with diabetes have an eye examination?

People with Type 1 or Type 2 diabetes are generally recommended to have a dilated retinal examination at least once a year. Those with no diabetic eye changes and stable systemic control may be able to extend intervals, while those with active retinopathy or macular oedema require more frequent follow-up. The right schedule depends on individual findings.

Can diabetic retinopathy be treated?

Treatment depends on the type and severity of retinopathy. Diabetic macular oedema is treated with intravitreal injections, which are effective at improving or stabilising vision in many patients. More advanced proliferative retinopathy may require laser treatment or surgery. Good systemic control of blood sugar, blood pressure, and cholesterol also plays a significant role in slowing progression.

What is the difference between diabetic retinopathy and diabetic macular oedema?

Diabetic retinopathy refers to changes in the blood vessels of the retina caused by diabetes. Diabetic macular oedema is a specific complication where fluid accumulates in the macula — the central part of the retina — and is the most common cause of vision loss from diabetes. Both conditions can occur together and are assessed as part of the same evaluation.