By Dr Au Eong Kah Guan, IECRC

Diabetes mellitus, or diabetes in short, is the leading cause of blindness in working-age adults. The Diabetic Eye Disease Awareness Month aims to increase awareness of this potentially preventable cause of blindness and to encourage diabetic patients to screen and seek treatment for vision problems related to diabetes.

Diabetes affects about 1 in 12 Singapore residents aged 18-69 years. The prevalence of diabetes increases with age. Among elderly Singapore residents, diabetes affects 32.4% of those aged 60-69 years.

Diabetic eye disease is a group of eye problems that affects individuals with diabetes. It includes diabetic retinopathy, cataract and glaucoma. The most common of these is diabetic retinopathy.

Early diabetic eye disease may not produce visual symptoms and is often unnoticed. In fact, vision may not be affected until the disease is relatively severe and less easily treated.

Diabetic retinopathy is a potentially blinding condition in which blood vessels in the retina, the light-sensitive layer lining the inside of the eye, become damaged from the high blood sugar levels associated with diabetes. This leads to leakage of fluid into the retina and obstruction of blood flow within the blood vessels. Both of these effects may cause severe vision loss.

Among Singapore Malays with diabetes, the prevalence of diabetic retinopathy is about 35%.

Thankfully, recent medical advances in treatment including ranibizumab and aflibercept injections have greatly improved the treatment outcomes of diabetic retinopathy. Laser therapy and surgery may be necessary in some cases to save vision.

If you have diabetes, schedule a comprehensive dilated eye examination with your eye care professional at least once a year. Make an appointment promptly if you experience blurred vision, floaters or any other visual symptom.

Diabetes can also affect your vision by causing cataract and glaucoma. If you have diabetes, you may get cataract at a younger age and your chances of developing glaucoma are doubled.

Early diagnosis of diabetes and, most importantly, maintaining strict control of blood sugar and hypertension through diet, exercise and medication, can help reduce your risk of developing eye disease associated with diabetes.