Despite full panretinal photocoagulation, this 57YO patient with proliferative diabetic retinopathy developed an acute premacular hemorrhage. Her vision was 20/300 in the right eye.
Learning Points:
Panretinal photocoagulation has been around since the 1960s and still remains the mainstay for treating proliferative disease. Often considered a “one and done,” patients can still develop breakthrough hemorrhages.
Intravitreal anti-VEGF injections are often helpful, but some will require vitrectomy.
