The number of diabetics in the UK is growing exponentially and is expected to rise to 2.67 million people by the year 2030.1 However, the mortality rate associated with the macrovascular complications of diabetes is decreasing along with a general increase in life expectancy for this population. This could lead to an increase in the time that people live with the morbidity associated with microvascular complications. Microvascular damage in the retina results in diabetic retinopathy and this article reviews the management of this condition in older people.