This 29YO male with type 1 diabetes presented with severe peripheral proliferative diabetic retinopathy (PDR). Despite having extensive peripheral ischemia and neovascularization, the posterior poles were remarkably almost normal.
Learning Points:
These types of presentations are very humbling for us clinicians and remind us of the importance of peripheral retinal examination and ultra-widefield imaging with fluorescein angiography in screening for proliferative disease.
Widefield OCT angiography may also prove to be an equally effective yet less invasive screening tool (Al-Khersan et al., Am J Ophthalmol 2021;224:292-300).
