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Case studies: Bilateral Proliferative Diabetic Retinopathy

I saw a patient, who presented to his optometrist initially due to a floater in his left eye.

On examination today, his unaided acuities are right 6/12+ and left 6/6, the right improved to 6/9- with a pinhole. His intraocular pressures were right 16mmHg and left 14mmHg with Goldman applanation tonometry. Dilated fundus examination revealed bilateral proliferative diabetic retinopathy. He has pre-retinal haemorrhages on the right. See pictures. There were no signs of retinal tears

This patient has bilateral proliferative diabetic retinopathy. Given he did not have a diagnosis of diabetes, we checked his sugar level, which was 20mmol/L. He has been sent to his GP for systemic assessment. Meanwhile a combination treatment of intravitreal injections and retinal laser has been advised for his eyes.