Ocular Disease Management

Diabetic Eye Exams

Diabetes can affect the small blood vessels throughout the body, including those in the retina.

Diabetic eye disease may develop even when vision appears normal, which is why annual diabetic eye exams are important.

Comprehensive diabetic eye evaluations help monitor for:

• Diabetic retinopathy

• Diabetic macular edema

• Retinal hemorrhages

• Changes related to blood sugar control

• Other retinal complications

Because diabetic eye disease may progress without symptoms, early detection is essential.

We recommend annual diabetic eye exams for all patients with diabetes, including Type 1, Type 2, and gestational diabetes when indicated.

Glaucoma

Glaucoma is a group of eye diseases that can damage the optic nerve and lead to permanent vision loss.

It is often called the “silent thief of sight” because many patients do not notice symptoms until vision loss has already occurred.

Risk factors may include:

• Family history of glaucoma

• Elevated eye pressure

• Diabetes

• Age

• Certain medications

• High myopia

Glaucoma evaluations and monitoring may include:

• Eye pressure measurements

• Optic nerve evaluation

• OCT imaging when indicated

• Visual field testing

• Retinal imaging

Early detection and routine monitoring are important because glaucoma-related vision loss is irreversible.

Cataracts

Cataracts occur when the natural lens of the eye gradually becomes cloudy, affecting vision quality.

Symptoms may include:

• Blurry vision

• Increased glare

• Difficulty driving at night

• Reduced contrast sensitivity

• Frequent prescription changes

• Colors appearing duller

Cataract evaluations help determine:

• Severity of lens changes

• Visual impact

• Monitoring recommendations

• Referral timing when surgery becomes appropriate

We provide cataract co-management and pre/post-operative care when needed.

Retinal Holes

Retinal holes and peripheral retinal changes can increase the risk of retinal complications and should be evaluated promptly.

Some patients have no symptoms, while others may experience:

• Flashes of light

• New floaters

• Peripheral shadows

• Sudden visual changes

Comprehensive retinal examinations help evaluate:

• Retinal holes

• Lattice degeneration

• Retinal tears

• Peripheral retinal changes

Prompt evaluation is important because untreated retinal complications may threaten vision.

Patients experiencing sudden flashes, floaters, or curtain-like vision changes should seek immediate evaluation.

Keratoconus

Keratoconus is a progressive condition where the cornea gradually thins and changes shape.

This irregular corneal shape can lead to:

• Blurred vision

• Increasing astigmatism

• Frequent prescription changes

• Glare and halos

• Reduced contact lens comfort

Management options vary depending on severity and may include:

• Specialty contact lenses

• Scleral lenses

• Corneal monitoring

• Co-management with corneal specialists when indicated

Early diagnosis is important because keratoconus often progresses over time.

Advanced Imaging & Ocular Monitoring

Depending on your condition, additional testing may be recommended to support diagnosis and monitoring.

Testing may include:

• OCT imaging

• Retinal photography

• Visual field testing

• Corneal measurements

• Eye pressure assessment

• Dilated retinal examination

Our goal is early detection, ongoing monitoring, and preserving long-term vision.

Schedule an Ocular Disease Evaluation

If you have diabetes, glaucoma risk factors, cataracts, retinal concerns, keratoconus, or changes in vision, our team is here to help.

Schedule your medical eye examination with City Eye Optometry today.