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November 2003, Vol 121, No. 11 >

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Photo Essay | November 2003

Bilateral Foveal Neovascularization in a Patient With Insulin-Dependent Diabetes Mellitus

Paul A. Kurz, MD; Hoang Nguyan, CRA; Michael J. Cooney, MD
Arch Ophthalmol. 2003;121(11):1656-1657. doi:10.1001/archopht.121.11.1656.
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A 30-YEAR-OLD white man with a 17-year history of insulin-dependent diabetes mellitus noted decreased vision for 1 month. He denied any history of ocular problems or surgery. At examination, his best-corrected visual acuity was 20/60 OD and 20/60-1 OS. Biomicroscopy revealed proliferative diabetic retinopathy with foveal neovascularization in both eyes (Figure 1). Optical coherence tomography and fluorescein angiography were performed (Figure 2 and Figure 3). Panretinal photocoagulation was initiated in both eyes.
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Figure 1.

A, Fundus photograph of the right eye showing foveal neovascularization. There was no neovascularization of the optic disc or clinically significant macular edema. Areas of intraretinal microvascular abnormalities and neovascularization appear elsewhere in the temporal macula. B, Fundus photograph of the left eye showing foveal neovascularization. There was neovascularization of the optic disc, and other areas of neovascularization appear temporally. A small area of clinically significant macular edema was present inferior to the fovea.

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Figure 2.

Optical coherence tomography of the left eye showing foveal neovascularization projecting into the vitreous.

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Figure 3.

Fluorescein angiogram of the left eye showing foveal neovascularization. A small retinal vessel can be seen feeding the neovascularization superonasally.

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