Diabetes can cause harm to the blood vessels of the retina which, in many cases, can cause swelling and bleeding into the surrounding retinal tissues which can cause vision loss. Evaluation for diabetic retinal disease consists of careful inspection of the retina through a dilated pupil. Baseline photographs for future comparisons are taken. If diabetic retinal changes threatening vision, a prompt intervention is likely required. This would ordinarily be performed by an esteemed retinal specialist group with whom our practice has had a 30 year relationship.