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James Thimons, MD from Ophthalmic Consultants of Connecticut answers the question. Dr. Thimons has received numerous awards for his service to the profession and has over 200 publications in Glaucoma, Dry Eye, Cornea and External Disease, as well as Refractive Surgery and New Technologies. He is a nationally and internationally acclaimed Speaker and Educator and an acknowledged leader in ophthalmic clinical education. Diabetic retinopathy, the most common diabetic eye disease, occurs when blood vessels in the retina change. Sometimes these vessels swell and leak fluid or even close off completely. In other cases, abnormal new blood vessels grow on the surface of the retina. Diabetic retinopathy usually affects both eyes. People who have diabetic retinopathy often don't notice changes in their vision in the disease's early stages. But as it progresses, diabetic retinopathy usually causes vision loss that in many cases cannot be reversed.