This 58YO male presented with asymptomatic retinal changes in his right eye. Vision was 20/25 OD.
The left eye was phthisical. He had a history of type 2 diabetes.
Optos color imaging shows fibrosed retinal neovascularization scattered around the posterior pole. Fluorescein angiography shows scattered retinal neovascularization.
We were concerned that panretinal photocoagulation could further contract the neovascular tissue, possibly increasing traction and leading to vision loss. We were also hesitant to recommend primary vitrectomy since he is monocular, has excellent vision, and minimal macular traction.
We are therefore following him closely with observation and will likely recommend primary vitrectomy for increased traction. What would you recommend?
