What pain reliever is safe to use with diabetic retinopathy? i know aspirin can increase bleeding risk, so i assume it wouldn't be safe for someone with diabetic retinopathy. are other nsaid's ok?

Diabetic : Diabetic retinopathy comes in many forms. In general, I do not advise stopping of nsaids or Aspirin in patients with diabetic retinopathy (some of these patients have underlying cardiac disease - an Aspirin daily is beneficial in these patients for systemic health). If someone has proliferative diabetic retinopathy, use of nsaids or Aspirin could theoretically increase the size of a bleed should it occur. Someone with proliferative diabetic retinopathy should be followed closely and treatment by laser can preserve vision in these patients.

Both : Both nsaids and Aspirin can increase bleeding risk. The pain reliever to use that doesn't increase bleeding risk is tylenol (acetaminophen).

NSAID's : Nsaid's can cause thinning of blood similar to Aspirin but to much less degree. Tylenol (acetaminophen) does not have this property.