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Ophthalmology and Visual Sciences

Proliferative diabetic retinopathy (PDR)

Proliferative diabetic retinopathy (PDR)

Category(ies): Retina, Vitreous
Contributor: Christopher Kirkpatrick, MD
Photographer: Samantha Jacobo

The left eye shows severe neovascularization of the disc (NVD) that extends down along the inferior arcade with tufts of neovascularization elsewhere (NVE) along both the inferior and superior arcades. The right eye had similar findings.


Severe Proliferative Diabetic Retinopathy

Severe Proliferative Diabetic Retinopathy

Contributor: Morgan Bertsch, BS and Tyler B.S. Risma, MD

Posted May 11, 2017

This patient is a 32-year-old female with poorly controlled type I diabetes mellitus and severe proliferative diabetic retinopathy. She had not had panretinal photocoagulation at the time of presentation. Eventually this patient developed severe vitreous hemorrhage and traction retinal detachments in both eyes. Optos® widefield fluorescein angiography demonstrates delayed arteriovenous transit time, extensive neovascularization of the disc and huge areas of capillary nonperfusion.

Optos® fundus photo
Figure1. Optos® fundus photo, right eye
Optos® fundus photo
Figure 2. Optos® widefield fluorescein angiography, right eye, at 41 seconds
Figure 3.  Optos® widefield fluorescein angiography
Figure 3. Optos® widefield fluorescein angiography, right eye, at 7 minutes 38 secondss

Proliferative diabetic retinopathy

Proliferative diabetic retinopathy

Contributor: Andrew Doan, MD, PhD, University of Iowa

February 8, 2008

Seen are neovascularization, cotton wool spots, microaneurysms, and intraretinal hemorrhages.
Seen are neovascularization, cotton wool spots, microaneurysms, and intraretinal hemorrhages.
Fluorescein angiography showing neovascularization and microaneurysms.
Fluorescein angiography showing neovascularization and microaneurysms.

Proliferative diabetic retinopathy - advanced, uncontrolled

Proliferative diabetic retinopathy - advanced, uncontrolled