This patient presented with bilateral diabetic traction detachments with counting fingers OD and 20/400 OS. The fibrotic neovascularization is particularly severe in his right eye, obscuring the entire posterior pole.
He subsequently underwent bilateral pars plana vitrectomy. An image of the left eye is shown about 9 months later. All neovascular tissue was removed intraoperatively and endolaser was done. Vision remarkably improved to 20/60.
We were unable to get a photo of the right eye at that visit due to a recurrent vitreous hemorrhage. The blood subsequently resolved with an intravitreal Avastin injection, and vision was 20/200 OD at the most recent visit.
Learning Points:
Tractional retinal detachment is one of the main complications of untreated or incompletely treated proliferative diabetic retinopathy.
