This patient underwent vitrectomy in 2013 for a severe table-top diabetic traction retinal detachment (TRD). We were able to free up all significant traction except superiorly and superotemporally, shown in the Optos image.
Despite this, the patient has been quite stable anatomically, maintaining 20/30 vision.
Learning Points:
Tractional retinal detachment is one of the main complications of untreated or incompletely treated proliferative diabetic retinopathy.
