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Patients should contact their GP or diabetes team urgently (within 24 hours) if they experience: Sudden vision loss or significant vision deterioration in one or both eyes New floaters (dark spots or strings drifting through the visual field) Flashing lights or sparks in the peripheral vision A curtain or shadow obscuring part of the visual field Sudden onset of blurred vision that doesn't improve with blinking Distortion of straight lines or difficulty reading These symptoms may indicate serious complications such as vitreous haemorrhage, retinal detachment, or severe macular oedema requiring immediate ophthalmological assessment