I recently had my annual retinopathy check and the letter came back that I had background retinopathy. I also received a letter reminding me it was time for my annual eye check. Fortuitous, because my ophthalmologist is clued up on diabetes and very thorough. She gave the backs of my eyes a very thorough going over and said that she could see a faint pink shadow in part of my left eye, but no bleeds, and my right eye was a little blotchy near the centre, but again no sign of any bleeds, including micro bleeds. I am, as you can imagine, enormously relieved. I have booked in for another check in 6 months time and also (at my ophthalmologist's suggestion) switched my regular check to the summer so that my NHS check and my optician check are 6 months apart in future. Said she was good. I also agreed to pay £12.50 for photographs at my next checkup on top of the standard service. I know SpecSavers do this as standard but it isn't much (passport photos?) to have a long term record. Which brings me onto another thing. You get a letter saying you have background retinopathy. No mention of which eye or whereabouts in the eye. The photographs aren't available to the ophthalmologists so they have a hint about where to look. This is commercial gain over service to the patient. Anyway, I had a bad 3 months when dropping Metformin to see if it improved my eGFR coincided with a lot of complicated things happening in my life, and a home test HbA1c in mid December showing a 64/8% result when I am usually at or below 6.4%. This could be enough to explain the flare up in my retinas and the subsequent improved control could explain the clearing up. So a report that you have background retinopathy might not be the end of the world.