The short answer
If you have type 1 or type 2 diabetes and are pregnant or planning to be, you need extra retinal checks, because diabetic retinopathy can get worse during pregnancy. UK guidance advises an eye check before conception if possible, at the first antenatal visit, and again later in pregnancy, with more if changes are found. Gestational diabetes that starts in pregnancy does not usually need these extra eye checks.
See a verified eye specialistMedically reviewed by Dr Debo Odulana, Founder and Chief Executive, Mezo. Last reviewed . This page is general information, not a diagnosis. Care is decided with you after an examination.
Why pregnancy matters for diabetic eyes
Pregnancy changes blood flow and blood pressure, and many women tighten their sugar control quickly, which is good for the baby but can briefly worsen retinopathy. Women who already have retinopathy, high blood pressure or pre-eclampsia are at more risk.
When to have your eyes checked
Dilating drops used for the check are generally considered safe in pregnancy. Tell the eye team you are pregnant.
- Before you get pregnant, if you can plan it
- Soon after your first antenatal booking
- Again later in pregnancy, as your antenatal team advises
- More often if retinopathy is found
- After the birth, as advised
If treatment is needed
Laser treatment can be done in pregnancy. Some eye medicines, including some injections, are usually avoided or used with special care in pregnancy and breastfeeding, so your eye doctor and obstetric team plan together. Retinopathy alone is not usually a reason to avoid a vaginal birth, but discuss it with your obstetrician.
Gestational diabetes
Diabetes that starts in pregnancy does not usually affect the retina in the same way, and routine extra retinal checks are not normally needed. It does raise your chance of type 2 diabetes later, so keep up with your sugar checks after the baby is born, and have regular eye checks if diabetes develops.
What it costs on Mezo
One fixed price, paid online.
Common questions
Will my eyesight get worse because I am pregnant?
Many women's eyes do not change. Some notice blurry sight from fluid changes, which settles after birth. If you have diabetes, regular retinal checks find any real change early.
Can I have an eye injection while pregnant?
Anti-VEGF injections are usually avoided in pregnancy unless the benefit clearly outweighs the risk. Your eye doctor and obstetrician decide together.
Should I see an eye doctor before trying for a baby?
Yes, if you have type 1 or type 2 diabetes. Treating any retinopathy before pregnancy is easier.
Can I book on Mezo?
Yes. Book an in-person examination with a verified eye specialist and tell them how far along you are.
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Sources and further reading
The guidelines and patient information this page is checked against. Care in Nigeria follows the same evidence; what differs is the price and where it is done.
- Diabetes in pregnancy: management from preconception to the postnatal period. National Institute for Health and Care Excellence (NICE). Clinical guideline.
- Diabetic retinopathy. NHS. Patient information.
Links last checked 23 October 2026.
Medical disclaimer: This guide is general information and does not replace advice from your own doctor. Where your centre's instructions differ from this guide, follow theirs.