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But the most important cause of visual impairment in people with diabetes is diabetic retinopathy, a condition in which changes occur in the tiny blood vessels that nourish the retina. In the early stages of diabetic retinopathy, small blood vessels weaken and leak fluid or tiny amounts of blood, which distort the retina slightly. This Is called background diabetic retinopathy. The key is whether the disease progresses past this stage – although 25 percent of people with diabetes have some degree of retinopathy, the condition does not progress to more severe problems in most. The chances of having some form of diabetic retinopathy increase the longer a person has had diabetes. Retinopathy is present in 90 percent of those who have had the disease for more than 20 years. Research has shown that severe visual loss from diabetic retinopathy can be prevented or delayed by laser treatment, but only if the retinopathy is diagnosed early enough. Annual eye exams are a must for diabetics. A diabetic can significantly reduce the risk of developing diabetic retinopathy by using common sense and taking good care of him or herself:
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