Why Diabetic Eye Exams Are Essential Diabetes can damage the delicate blood vessels in the retina, often without early symptoms. Regular exams are one of the best ways to prevent vision loss from diabetic eye disease. Screen for diabetic retinopathy and macular edema Monitor changes in retinal blood vessels over time Coordinate care with your primary doctor or endocrinologist Document eye health for diabetes management and reporting Discuss lifestyle and blood sugar control as they relate to eye health Doctor reviewing retinal images during a diabetic eye exam Who Needs a Diabetic Eye Exam? All patients with type 1 or type 2 diabetes People with prediabetes or a history of gestational diabetes, as recommended Patients with long-standing diabetes or fluctuating blood sugar levels Anyone with blurred vision, floating spots, or changes in vision quality Most patients with diabetes need at least one comprehensive dilated eye exam every year, or more often if changes are found. What Happens During a Diabetic Eye Exam? Review of medical and diabetes history: We discuss your blood sugar control, medications, and any vision changes. Vision and prescription testing: We check how clearly you see at distance and near. Dilated retinal evaluation: Using drops and special lenses, we examine the back of the eye for leaking vessels, swelling, or bleeding. Retinal imaging or photos (when appropriate): Detailed images help document and monitor changes over time. Report and care plan: We explain your results and, if needed, share a report with your diabetes care team. Follow-Up & Ongoing Monitoring Annual or more frequent exams based on your findings and diabetes control Referral to a retinal specialist if advanced changes are present Guidance on blood sugar, blood pressure, and cholesterol as they relate to eye health Clear communication with your primary care physician or endocrinologist Insurance & Medical Coverage Diabetic eye exams are typically billed to medical insurance, not vision plans. Visit our Insurance & Vision Plans page and bring your medical insurance information—our team will help you understand coverage and any expected copays. Take Care of Your Eyes if You Have Diabetes Regular retinal evaluations are a key part of diabetic care. Early detection and treatment can help preserve your sight for years to come. Request Appointment Related Services Comprehensive Eye Exams Annual Eye Checkups Eye Infection Treatment Frequently Asked Questions (FAQs)For Diabetic Eye Exams & Retinal Evaluation How often should I have a diabetic eye exam? Most patients need a dilated exam at least once a year. Your doctor may recommend more frequent visits based on your findings. Do I still need an eye exam if my diabetes is well controlled? Yes. Even with good control, diabetic changes can occur without symptoms, so regular exams are still important. Will you dilate my eyes every time? Dilation is usually recommended for a thorough retinal evaluation. In some follow-up situations, your doctor may adjust the approach. Can you send a report to my primary doctor? Absolutely. We can send exam findings to your primary care physician or endocrinologist to support your overall diabetes care plan. Are diabetic eye exams covered by insurance? They are typically billed to medical insurance. Our staff can review your benefits and estimate any copays before your visit.