This 34YO female presented with 20/20 vision OD and 20/80 vision OS. Optos imaging of her right eye shows inferior fibrotic neovascularization with marked peripheral ischemia, with more extensive fibrovascular proliferation and ischemia in her left eye.
The relatively good vision in her left eye is deceiving, with potentially blinding traction lurking just outside the fovea. Triton swept-source OCT imaging revealed a relatively normal, flat central macula (not shown here).
Panretinal photocoagulation was started in her right eye. She is scheduled for primary vitrectomy in her left eye.
Learning Points:
Tractional retinal detachments are one of the complications that can develop from proliferative diabetic retinopathy.
Although described as a specific manifestation in sickle cell disease (see Han, Retina 2021; 41;1361-1363), we think the left eye resembles a sea fan.
