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Ophthalmic Images
October 11, 2018

Tractional Retinal Detachment Secondary to Diabetic Retinopathy

Author Affiliations
  • 1Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada
  • 2Vitreous Retina Macula Specialists of Toronto, Toronto, Ontario, Canada
JAMA Ophthalmol. 2018;136(10):e183507. doi:10.1001/jamaophthalmol.2018.3507

A patient in his late 30s with history of more than 20 years of poorly controlled type 2 diabetes mellitus presented to the retina clinic with gradual painless vision loss in the left eye over several months. On examination, best-corrected visual acuity was found to be 20/32 OU. A dilated fundus examination revealed a tractional retinal detachment in the left eye with circumferential fibrovascular bands surrounding the macular region (Figure), secondary to extensive proliferative diabetic retinopathy. There also was substantial diabetic macular edema with striae at the level of the internal limiting membrane and a vitreous hemorrhage overlying the inferior retina with peripheral areas of laser treatment. The patient received an intravitreal anti–vascular endothelial growth factor injection prior to undergoing vitrectomy to surgically remove the hemorrhage and reattach the retina.

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