Published: 4 March 2025 | Updated: 27 September 2026 | Author: Smart Vision Optometry
Protecting Vision Through Early Detection
Diabetes affects more than blood sugar levels—it poses significant risks to eye health. For those living with diabetes, regular eye exams should be a non-negotiable part of their health routine. “Diabetes can lead to serious complications, including vision loss, but timely screenings and treatment make a world of difference,” says Gary Rodney, Master of Optometry, Behavioural Optometrist, and Fellow of the International Academy of Orthokeratology and Myopia Control (FIAOMC).
Jacqueline Gattegno, Master in Behavioural Optometry, Orthokeratologist and Principal Optometrist at Eyes InDesign Smart Vision Optometry Bondi, adds: “Diabetic eye screenings are essential for detecting issues early. They allow us to intervene before complications escalate, preserving vision and quality of life.”
Diabetic Retinopathy: The Leading Threat
One of the most severe vision-related complications of diabetes is diabetic retinopathy, a condition where elevated blood sugar damages the blood vessels in the retina. Left untreated, it can cause scarring and eventually lead to blindness.
“The good news is that even when diabetic retinopathy is diagnosed, there are effective ways to slow or halt its progression,” explains Rodney. “The key is catching it early before significant damage occurs.”
In addition to retinopathy, diabetics are also at increased risk for other eye conditions such as cataracts and glaucoma. “Not everyone with diabetes will develop these complications,” says Gattegno, “but early detection significantly improves treatment outcomes for those who do.”
When and How Often Should Diabetics Schedule Eye Exams?
People with diabetes should discuss when to begin eye screening with their diabetes and eye-care team; the timing depends on diabetes type and duration. “If diabetes has been present for some time without a diagnosis, retinal damage may already be underway,” explains Rodney.
The NDSS recommends checks every one to two years for most people with diabetes, with more frequent review when advised, including for an existing eye condition or pregnancy. New blurred vision, floaters or other changes warrant prompt assessment; sudden vision loss needs urgent care.
“With timely care, we can often halt the damage caused by diabetic retinopathy,” says Rodney. “The sooner we begin, the better the outcomes.”
Why Some Diabetics Delay Screenings
Despite the importance of eye screenings, many diabetics delay their appointments. “Fear is a big factor,” explains Rodney. “Patients are often overwhelmed by warnings about potential complications, and this can make them afraid of bad news. Unfortunately, this fear leads to avoidance, which only increases the risk of problems down the line.”
Practical challenges also play a role. “Eye screenings often involve dilating drops, which make it unsafe to drive afterward,” Gattegno notes. “Some people don’t want to inconvenience family or friends for transportation, especially if they’re not experiencing noticeable symptoms. However, these small barriers shouldn’t deter anyone from prioritising their vision.”
Eye Screenings Are About Prevention and Peace of Mind
Regular eye screenings are as much about reassurance as they are about prevention. “Eye screenings are not something to fear,” says Rodney. “If everything looks healthy, it’s fantastic news. If an issue is detected, addressing it early is always better than waiting for symptoms to worsen. Either way, it’s a win.”
Gattegno agrees, adding: “Our goal is to support patients with diabetes, helping them protect their vision and maintain their quality of life. Optometrists are a key part of the healthcare team for diabetics, and we’re here to make the process as easy and reassuring as possible.”
Contact Smart Vision Optometry for Comprehensive Diabetic Eye Care
If you’re living with diabetes, don’t wait to schedule your next eye exam. Early detection of complications like diabetic retinopathy can preserve your vision and protect your quality of life.
For more information about diabetic eye care, vision screening, visit Smart Vision Optometry’s website. For specific information about myopia prevention, visit Myopia Prevention, or explore Orthokeratology in Sydney.
Book an online appointment today, or call the Bondi clinic on (02) 9365 5047 or the Mosman clinic on (02) 9969 1600.Take control of your eye health today—regular screenings can make all the difference. Contact Smart Vision Optometry for expert diabetic eye care.
Editorial update and related reading
Gary’s and Jacqueline’s original interview comments remain intact. Early detection and treatment can reduce risk, but do not guarantee that retinopathy will stop progressing or that sight will be preserved. Your examination findings guide monitoring, referral and treatment.
If dilating drops are planned, ask about transport in advance and follow the clinician’s advice about when driving is safe. Drops can temporarily blur vision and increase light sensitivity.
Read the NDSS eye-health guidance and our related article on routine eye care and Medicare. Work with your treating team on blood glucose, blood pressure and other individual health targets.
Frequently asked questions
Do I need eye checks if I can see clearly?
Yes. Diabetes-related retinal changes can be present before noticeable symptoms. Follow the screening plan recommended by your care team.
Does everyone with diabetes need the same screening interval?
No. NDSS recommends one- to two-yearly checks for most people, with timing tailored to diabetes type, duration, eye findings and circumstances such as pregnancy.
Can I drive after my eye check?
Ask the practice before your visit. Dilating drops can temporarily affect vision, so transport and the timing of driving should be discussed with your clinician.
Arrange your next eye check
Read about our eye health testing, or contact the Bondi Beach practice or Mosman practice. Tell us you have diabetes so the appropriate assessment can be discussed.
