For many years, we have been following this 55YO male with 20/50 vision and involuted proliferative diabetic retinopathy with a stable extrafoveal traction retinal detachment in his left eye.
His right eye was enucleated following several failed vitrectomy surgeries years ago, before he came to our practice.
Although completely stable funduscopically, OCT shows some subclinical, progressive tractional schisis near the temporal macular center.
After a lengthy discussion, the patient chose to avoid vitrectomy for now, given his total lack of symptoms and prior experience with his right eye. We continue to follow him extremely closely since surgery may be necessary in the near future.
Learning Points:
Tractional retinal detachment is one of the main complications of untreated or incompletely treated proliferative diabetic retinopathy.
