Why Diabetic Eye Disease Often Goes Undiagnosed — and How to Catch It Early

Jie Sun, M.D.

Diabetic Eye DiseaseMany people assume they’d notice if something were wrong with their eyes. But retinal conditions like diabetic retinopathy often develop silently, without obvious symptoms in the early stages. By the time vision changes are noticeable, irreversible damage may have already occurred. That’s why regular diabetic eye exams are so important — even if your vision seems perfectly fine.

Why You May Not Know You Have Diabetic Eye Disease
Diabetic retinopathy, the most common form of diabetic eye disease, usually doesn’t cause pain or noticeable vision loss early on. When symptoms do appear, they can be subtle — like slightly blurry vision or occasional floaters — that are easy to dismiss or mistake for normal changes.

Additionally, many people with Type 2 diabetes don’t know they have it, which means they may not realize they’re even at risk for diabetic eye disease until an eye exam reveals underlying damage.

Diabetic Eye Screening vs. Regular Eye Test
A standard eye exam is designed to check your vision and screen for common eye issues. A diabetic eye exam goes deeper — it’s specifically focused on identifying early signs of diabetic eye diseases such as diabetic retinopathy, macular edema, and more.

According to the American Diabetes Association (ADA):
. Type 1 diabetes: Have a dilated eye exam within five years of diagnosis, then annually.
. Type 2 diabetes: Have a dilated exam shortly after diagnosis. Depending on the results, your doctor may recommend exams every one to two years.
. Pregnancy and diabetes: Pregnant individuals with diabetes should be examined in the first trimester and again in the last trimester.

A diabetic eye exam typically includes:
. Pupil dilation: Drops are used to widen the pupils, giving your eye doctor a better view of the retina.
. Ophthalmoscopy/Fundus photography: Ophthalmoscopy (funduscopy) is a physical examination of the eye’s interior using an ophthalmoscope, while fundus photography is a diagnostic imaging technique that uses a special camera to capture detailed images of the retina.
. Optical coherence tomography (OCT): This noninvasive medical imaging technique provides detailed, high-resolution images of the retina and other eye structures.
. Additional tests: Retina specialists may check visual acuity and measure eye pressure to assess for cataracts and signs of glaucoma.

The Importance of Early Detection
Diabetic eye disease is one of the leading causes of blindness in U.S. adults, but it doesn’t have to be. According to the CDC, 90% of diabetes-related blindness is preventable with early detection and treatment. Yet in 2023, only two-thirds of adults with diagnosed diabetes received an annual eye exam.

That gap puts millions of people at risk for avoidable vision loss. The problem? Diabetic eye disease often progresses silently, without noticeable symptoms, until the damage is done. The only reliable way to detect it early is through a comprehensive, dilated eye exam before symptoms appear, not after.

Schedule a Diabetic Eye Disease Screening
If you have diabetes, seeing a retina specialist regularly can help protect your vision long-term. The earlier we detect diabetic eye disease, the more treatment options are available — and the better your outcomes.

At Retina Group of Florida, our experienced retina specialists provide expert care for patients across the state. Contact us today to schedule your exam at one of our retina centers in Charlotte, Sarasota, Cape Coral, Naples, and Fort Myers.

Jie Sun, M.D.

Dr. Jie Sun is an ophthalmologist and accomplished medical retina and uveitis specialist with more than two decades of experience in clinical care, academic research, and healthcare administra

tion. She brings a rich background in medical retina, uveitis, and global ophthalmic leadership to Retina Group of Florida.

Dr. Sun earned her M.D. in Clinical Medicine from Shandong Medical College, graduating with top honors, and completed a Ph.D. in Ophthalmology at Qingdao University Medical College. She also holds a Master of Public Health from Harvard University, with a concentration in Health Care Management and Policy.

She completed a Clinical Fellowship in Uveitis at the Massachusetts Eye and Ear Infirmary, Harvard Medical School, and a Clinical Fellowship in Medical Retina at Duke Eye Center, Duke University. Her previous roles include serving as an Attending Physician at the prestigious Beijing TongRen Hospital and holding clinical research leadership positions at the University of Illinois at Chicago.

Dr. Sun is a member of numerous professional organizations including the American Society of Retina Specialists (ASRS) and the American Uveitis Society (AUS). Passionate about community service, she has contributed to public health initiatives and international relief efforts. In her free time, she enjoys spending time with family, hiking, and reading.

Retina Group of Florida
If you are experiencing any changes in your eye health, whether it is blurry vision, pain, impaired vision, or any other visual irregularities, you should see an ophthalmologist right away. The earlier a disease is detected, the better the outcome and treatment options are for you. You will find a friendly and warm environment at Retina Group of Florida.

Please call (941) 743-3937 today to schedule your eye exam. When necessary same day appointments can often be accommodated.

Retina Group of Florida

Jie Sun, M.D.
2525 Harbor Blvd. Suite 302
Port Charlotte, FL  33952
941-743-3937
www.retinagroupflorida.com