Diabetic Retinopathy in Monterey, CA

Protecting Your Vision From Diabetes

  • Fellowship-trained retina care
  • Advanced tech for precise diagnoses
  • 475+ five-star Google reviews
  • Insurance-friendly, bilingual offices

Why Patients Choose Monterey County Eye 
Associates for Diabetic Eye Care

Advanced Retinal Imaging

Optical coherence tomography (OCT) gives your doctor a detailed cross-section of the retina. We repeat the same scans at every visit, at any of our offices, so subtle changes stand out early.

Coordinated Specialty Care

Diabetes rarely affects the retina alone. When cataracts, glaucoma, or cornea problems complicate treatment planning, our retina doctors work with the practice's other subspecialists, keeping your care in one practice.

Insurance-Friendly Visits

Diabetic eye exams and testing are medically necessary care, and most plans cover them. We accept most insurances and most major credit cards, and we explain what your plan covers before testing begins.

“Excellent doctors, great staff, a very nice and comfortable facility” – Natalie, 5-Star Review

 
illustration of the effects of diabetic retinopathy


What Is Diabetic Retinopathy?

Diabetic retinopathy is an eye disease caused by high blood sugar. Over time, elevated glucose damages the small blood vessels that feed the retina, the light-sensing tissue at the back of the eye. Damaged vessels can swell, leak, or close off, and any of these changes can harm vision. Every type of diabetes, including gestational diabetes, carries this risk.

Early Diabetic Retinopathy (NPDR)

In nonproliferative diabetic retinopathy (NPDR), weakened vessels bulge and leak fluid into the retina. Many patients notice nothing at this stage. NPDR can also lead to diabetic macular edema (DME), swelling in the central retina that blurs the sharp vision you use for reading and driving.

Advanced Diabetic Retinopathy (PDR)

In proliferative diabetic retinopathy (PDR), blocked vessels trigger the growth of abnormal new ones. These fragile vessels bleed into the vitreous and form scar tissue, which can pull on the retina and cause serious complications.

Diabetic Retinopathy Often Has No Early Symptoms

Symptoms of diabetic retinopathy are often absent at first. There is usually no pain and no obvious vision change in the early stages. When symptoms do appear, they can include new eye floaters (dark spots or streaks that drift across your vision), blurred or fluctuating vision, and trouble reading or seeing faraway objects. Because the damage can begin silently, a yearly dilated exam with an ophthalmologist in Monterey, CA is the most reliable way to catch the disease while treatment can still protect your sight. If you have diabetes and notice any new vision change, call us the same day.

What to Expect at 
Your Diabetic Eye Exam

eye exam
Dr. Eric J. Del Piero with patient

A diabetic eye exam is a medical visit, and dilation is part of every screening. Drops widen your pupils so your doctor can examine the retina and take OCT images. Your eyes may stay blurry and light-sensitive for a few hours afterward, so arrange a driver if you can.

Bring these items to your visit:

  • Your insurance card and photo ID
  • A current list of medications
  • Recent blood sugar and A1C numbers
  • Completed patient forms, available on our Patient Information page

After each visit, keep your diabetes care team informed of the findings. Steady blood sugar control, regular follow-ups, and yearly screenings work together to protect your vision.

Diabetic Retinopathy Treatment Options

Diabetic retinopathy treatment depends on the stage of the disease and whether the macula is involved. Many patients with early retinopathy need careful monitoring rather than procedures.

Monitoring

Regular dilated exams and OCT imaging track the retina between visits. If the disease stays stable, monitoring plus tight blood sugar control may be all that is needed.

Laser Treatment

Laser photocoagulation seals leaking blood vessels and discourages abnormal new growth. It is an established treatment for advanced disease and some cases of diabetic macular edema, and it is available in our practice.

Injections and Surgery

If advanced disease or DME calls for injections, these are given in our office using numbing drops. When vitrectomy surgery is needed, your retina specialist will arrange it at a local outpatient surgery center, and review the anesthesia method with you beforehand.

“I worked in the medical field for over 30 years i appreciate good quality care” 
– Carol, 5-Star Review

 

Frequently Asked Questions 
About Diabetic Retinopathy

Can diabetic retinopathy be reversed?

Treatment usually cannot undo damage that has already happened, but it can stop your vision from getting worse. Better blood sugar control helps, too. The earlier retinopathy is found, the more sight can be preserved, which is why yearly dilated exams matter so much.

What is the first sign of diabetic retinopathy?

Often there is none. Most patients feel and see nothing in the early stage. When signs do appear, they can include floaters, blurry vision, or dark spots. A dilated exam can detect retinopathy before you notice anything.

How often should I have a diabetic eye exam?

At least once a year for most people with diabetes, even when vision seems fine. If you already have retinopathy, or you are pregnant, your doctor may recommend more frequent exams. Our Monterey, Salinas, and King City offices all provide diabetic eye exams.

Can diabetic retinopathy cause blindness?

Untreated diabetic retinopathy can. But blindness is not inevitable. Yearly screening, timely treatment, and good diabetes management greatly reduce the risk of severe vision loss.

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“Welcoming space, friendly staff. Doctors are very knowledgeable. I went in to update my prescription and they recommended other things to help with my near sightedness. They also promote eye care.” 

–Michael, 5-Star Review

 

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