This 27YO female with type 1 diabetes presented with counting fingers vision OD after being lost to follow-up with a new tractional retinal detachment (TRD). Vision and retinal findings were unchanged OS.
Vitrectomy surgery was performed one week later.
Three weeks postop, vision improved to 20/40, and the retina was completely attached.
Residual fibrosed islands of neovascularization are seen in the distal temporal macula and superonasal midperiphery, representing the neovascular ingrowth sites onto the posterior hyaloid that created the TRD.
