after my recent deep photograph of my eyes I have been told

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Diabetic retinopathy changes are not reversible but further damage can be prevented by keeping strict control of blood sugars, regular eye exam to moniter the changes , timely treatment when advised. Depending on the blood sugar level over a long period of time, the retinopathy progresses. If there is minimal fluctuation and good control, then the retinopathy may not progress further. In case there is poor control of blood sugar levels with too much fluctuations, then it may progress rapidly. Vision does not get affected until late in the disease or until the macula, central part of retina, is involved. Thus vision cannot be considered as an indicator of disease progress. The changes which develop in the eye are usually symptomless and are detected only during the dilated eye exam. In early stages, annual eye exam is enough to moniter the progress. If there are signs of progress then laser treatment is advised. In severe cases injections are advised into the eye to prevent further damage. Thus prevention is the most important thing in diabetic retinopathy.
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