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9501443977

Vasu Eye Institute & Skin Centre
NABH
  • About
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    • Vitreoretina Services
      • Diabetic Retinopathy
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Laser, Injections, or Surgery: Which Is Best for Diabetic Retinopathy?

Published by G M at October 31, 2025
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Laser, Injections, or Surgery: Which Is Best for Diabetic Retinopathy?

Home / Blogs / Laser, Injections, or Surgery: Which Is Best for Diabetic Retinopathy?

  1. What is Diabetic Retinopathy?
  2. Treatment Options for Diabetic Retinopathy
  3. Laser for Diabetic Eye
  4. Injections for Diabetic Retinopathy
  5. Pros and Cons of Each Treatment
  6. Laser for Diabetic Eye
  7. Injections for Diabetic Retinopathy
  8. Diabetic Eye Surgery (Vitrectomy)
  9. General Considerations
  10. Advanced Care at Vasu Eye Institute
  11. Importance of Timely Consultation
  12. Conclusion

Diabetes affects more than just blood sugar. Over time, it can damage the small blood vessels in the eye, leading to a condition called diabetic retinopathy. This is one of the leading causes of preventable blindness worldwide. The good news is that early diagnosis and the right treatment for diabetic retinopathy can protect vision. But many patients wonder, whether they should go for a laser for diabetic eye, try injections for diabetic retinopathy, or consider diabetic eye surgery?

At Vasu Hospital Bathinda, experienced eye specialists guide patients through these choices with advanced technology and personalized care.

What is Diabetic Retinopathy?

Diabetic retinopathy is a complication of diabetes that affects the retina – the light-sensitive tissue at the back of the eye. High blood sugar damages small retinal blood vessels, causing them to swell, leak, or close off. In later stages, abnormal new vessels may grow, which are fragile and prone to bleeding.

There are two main types:

  • Non-proliferative diabetic retinopathy (NPDR): Early stage, where vessels bulge, leak, or block.
  • Proliferative diabetic retinopathy (PDR): Advanced stage, where new vessels form, raising the risk of bleeding and retinal detachment.

     

Common symptoms include:

  • Blurry or fluctuating vision
  • Black spots or floaters
  • Dark or empty areas in vision
  • Sudden vision loss in advanced stages

     

The tricky part? Early stages may show no symptoms. That’s why yearly screenings are essential. Regular eye care treatment helps detect changes early and prevent blindness.

Treatment Options for Diabetic Retinopathy

The right diabetic retinopathy treatment depends on the stage. In early stages, lifestyle management and close monitoring may be enough. In advanced cases, doctors recommend medicines, lasers, or surgery.

Laser vision correction. A patient and team of surgeons in the operating room

Laser for Diabetic Eye

Laser therapy (photocoagulation) uses focused light beams to seal leaking blood vessels and stop new ones from growing.

  • Usually advised in proliferative retinopathy.
  • Quick outpatient procedure under local anesthesia.
  • Some patients need multiple sessions.

Injections for Diabetic Retinopathy

Medicines are injected directly into the eye.

  • Anti-VEGF injections: Block abnormal vessel growth and reduce leakage.
  • Steroid injections: Reduce swelling in the macula (central retina).
  • Often repeated every few weeks or months.
  • Sometimes combined with laser eye treatment for stronger results.

Diabetic Eye Surgery (Vitrectomy)

When bleeding or scar tissue threatens vision, surgery may be needed.

  • Removes the vitreous gel filled with blood
  • Clears scar tissue pulling on the retina.
  • Helps restore vision in severe cases.
Lasik Eye Treatment

Lifestyle Management

Simple everyday habits help slow down retinopathy:

  • Control blood sugar and blood pressure.
  • Eat a balanced diet and exercise regularly.
  • Avoid smoking and manage cholesterol.
  • Go for yearly eye exams, even without symptoms.

Combination Therapy

Doctors often combine options for best outcomes. For example:

  • Injections for diabetic retinopathy to reduce swelling.
  • Laser eye treatment to seal leaking vessels.
  • Surgery if vision is at serious risk.

Pros and Cons of Each Treatment

Every option has benefits and limitations.

Laser for Diabetic Eye

Pros:

  • Prevents further vision loss.
  • Highly effective for severe disease.
  • Quick outpatient procedure.
  • More economical than frequent injections.

Cons:

  • Cannot restore lost vision.
  • May cause slight, permanent loss of side or night vision.
  • Temporary blurriness and light sensitivity are common.
  • Multiple sittings may be needed.

Injections for Diabetic Retinopathy

Pros:

  • Very effective for swelling and abnormal vessel growth.
  • Minimally invasive and usually painless.
  • Can improve vision and lower risk of complications.

Cons:

  • Require repeat sessions every few weeks or months.
  • Small risk of infection or temporary rise in eye pressure.

Steroid injections may accelerate cataract formation.

Diabetic Eye Surgery (Vitrectomy)

Pros:

  • Removes blood and scar tissue.
  • Can restore vision in advanced cases.
  • Reduces future risk of bleeding.

     

Cons:

  • More invasive with weeks of recovery.
  • Risks include bleeding, cataracts, or retinal detachment.
  • Higher complication rates compared to laser or injections.

General Considerations

  • Treatments slow or stop progression but don’t cure the disease.
  • Annual eye exams remain essential.
  • Managing diabetes with healthy habits improves outcomes.

     

Advanced Care at Vasu Eye Institute

At Vasu Hospital Bathinda, diabetic retinopathy is managed by retina specialists trained in the latest methods. The centre provides:

  • AI-guided diagnostics to detect early changes.
  • Advanced lasers for precision.
  • Customized treatment plans — whether injections, laser eye treatment, or surgery tailored for each patient.

The hospital also stresses preventive eye care treatment, advising every diabetic to get annual check-ups even if vision seems fine.

Importance of Timely Consultation

Delaying care can mean permanent vision loss. Since retinopathy often progresses silently, the best approach is:

  • Yearly dilated eye exams.
  • Control of sugar, blood pressure, and cholesterol.
  • Immediate consultation if blurriness, floaters, or dark spots appear.

Early diabetic retinopathy treatment is simpler, safer, and far more affordable than late-stage surgery.

Conclusion

Choosing between laser for diabetic eye, injections for diabetic retinopathy, or diabetic eye surgery depends on disease stage and individual factors. With timely consultation, most patients can save their vision.

At Vasu Hospital Bathinda, advanced retina care ensures patients get the right treatment at the right time. Don’t wait for your vision to worsen. Book your consultation today.

Vasu Eye Institute & Skin Centre
Bhatti Road, Near Beri Wala Baba, Bathinda, Punjab – 151001
+91 9501443977, +91 9872030377

FAQs

What is the best treatment for diabetic retinopathy?

The best treatment depends on the stage. Early disease improves with sugar control, while advanced cases may need injections for diabetic retinopathy, laser for diabetic eye, or surgery.

What is Stage 1 diabetic retinopathy?

Stage 1 is mild, non-proliferative disease with tiny vessel bulges (microaneurysms). Vision may be normal, but annual exams are crucial.

Is diabetic retinopathy reversible?

No, damage already caused cannot be reversed. But timely laser eye treatment, injections, or surgery can stop further worsening.

How to prevent eye damage from diabetes?
  • Keep sugar, blood pressure, and cholesterol in control.
  • Have yearly dilated eye exams.
  • Seek early care if vision becomes blurred or spotted.
What is the new treatment of diabetic retinopathy?

The latest option is anti-VEGF injections, often combined with laser for better results.

Which vitamin is good for diabetic retinopathy?

Vitamins C, E, and B-complex, plus omega-3, support eye health. But these cannot replace medical care.

Can diabetic retinopathy be reversed with diet?

No, diet alone cannot reverse it. But healthy eating can slow progression and improve results after diabetic eye surgery or injections.

What are the 4 stages of diabetes?
  • Normal glucose tolerance
  • Prediabetes
  • Type 2 diabetes (early stage)
  • Type 2 diabetes (long-term, higher risk of complications)
How much do diabetic retinopathy injections cost?

In India, injections cost ₹8,000–₹25,000 per dose depending on the drug. Multiple sittings may be needed.

What is the laser eye surgery age limit for diabetics?

There is no strict laser eye surgery age limit. Suitability depends on eye condition, stage of disease, and overall health.

Dr. Gourav Mangla

Dr. Gourav Mangla

MBBS, MS, DNB(eye), FVR

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