Diabetic retinopathy is one of the leading causes of vision impairment among the local population. As Singapore continues its “War on Diabetes,” the number of individuals requiring specialised eye care has seen a steady increase. This condition occurs when high blood sugar levels cause the tiny blood vessels in the retina to swell, leak, or close off completely, which can result in irreversible vision loss or blindness if not treated early.
For Singaporeans diagnosed with this condition, understanding the medical landscape—from clinical procedures to financial planning—is crucial for effective long-term management.
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Diabetic Retinopathy Treatment Options in Singapore
Ophthalmologists in Singapore categorise treatment based on the severity of the disease: Non-Proliferative Diabetic Retinopathy (NPDR) and the more advanced Proliferative Diabetic Retinopathy (PDR).
1. Intravitreal Injections (Anti-VEGF Therapy)
Currently the most common intervention for Diabetic Macular Oedema (DMO), these injections involve delivering medication (such as Aflibercept or Ranibizumab) directly into the vitreous gel of the eye.
- How it works: The medication blocks a protein that stimulates the growth of abnormal, leaky blood vessels.
- The Process: It is a brief day-procedure performed under local anaesthetic. Most patients require a series of injections over several months.
2. Laser Photocoagulation
This traditional yet highly effective method uses a laser to seal leaking vessels or shrink abnormal ones.
- Focal/Grid Laser: Targets specific leaking vessels near the macula.
- Pan-Retinal Photocoagulation (PRP): Applied to the peripheral retina to prevent the growth of new, fragile vessels that cause bleeding.
3. Vitrectomy Surgery
In advanced cases where blood has leaked into the eye (vitreous haemorrhage) or scar tissue is pulling on the retina, a vitrectomy is required. The surgeon removes the blood-stained vitreous and replaces it with a clear solution, gas, or oil.
Estimated Costs of Treatment
The following table provides the estimated doctor fees for private specialist care in Singapore. These figures are based on MOH 2025 Fee Benchmarks for private specialist professional fees.
| Service / Treatment Type | Estimated Surgeon Fees (w/ GST) |
| Anti-VEGF Injection | S$817 – S$1,744 |
| Retinal Laser | S$1,962 – S$2,834 |
| Simple Vitrectomy | S$5,886 – S$10,246 |
| Complex Vitrectomy | S$10,464 – S$15,696 |
Note on Subsidies: Singapore Citizens and Permanent Residents can utilise MediSave for these treatments. Intravitreal injections (Table 1B) and Vitrectomy (Table 6B) have specific withdrawal limits that can significantly reduce out-of-pocket expenses.
Specialists You May Consider
Singapore is home to vitreoretinal specialists who are experts in managing complex diabetic eye diseases. Selecting a doctor with a dedicated focus on medical and surgical retina is recommended for the best clinical outcomes.
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For enquiries or for an introduction to a specialist, contact us below.
Frequently Asked Questions (FAQs)
Is it possible to use MediSave for outpatient eye injections?
Yes, you may use MediSave to cover a portion of the costs for intravitreal injections. Under current Ministry of Health guidelines, these fall under the Table of Surgical Procedures (TOSP), allowing for specific withdrawal limits per eye.
Does the laser treatment hurt?
Most patients describe the sensation of laser treatment as a series of brief, bright flashes or a mild stinging sensation. Local anaesthetic eye drops are always applied beforehand to ensure the procedure is as comfortable as possible.
Will I need to stay overnight in the hospital for a vitrectomy?
In many cases, a vitrectomy is performed as a day surgery, meaning you can return home on the same day. However, your surgeon may recommend an overnight stay if the case is particularly complex or if you require specific post-operative monitoring.
How often must I go for screenings if I have diabetes?
Clinical guidelines in Singapore recommend an annual comprehensive eye examination. However, if your specialist detects early signs of diabetic retinopathy, they may increase the frequency of your visits to every three or six months.
Can I drive home after receiving an eye injection?
No, you should not drive yourself home. The pupils are usually dilated for the procedure, and your vision will be blurred for several hours. It is advisable to have a family member accompany you or to take a taxi.