The fundus photos demonstrate severe NDPR with cotton wool spots, microaneurysms, and intraretinal hemorrhages.
Our patient’s ultra wide-field fundus fluorescein angiography (UW-FFA) shows significant areas of non-perfusion with vascular staining but no neovascularization.
Learning Points:
In some cases of moderate or severe retinopathy, a baseline fluorescein angiography is performed. UW-FFA can be useful to detect clinically silent proliferative disease and monitor these patients for conversion from NPDR to PDR.

