Poorly controlled #Diabetes-mellitus Type 2, Insulin-depende | Figure 1

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Poorly controlled #Diabetes-mellitus Type 2, Insulin-dependent. #Obese male, age 38. #HbA1c 11.0 ("for a while"). #Proliferative-Diabetic-Retinopathy #PDR OU with a history of prior #anti-VEGF #Intravitreal-injections and various therapeutic #retinal-laser OU. BCVA 20/30 OU (very lucky!) Noncompliant with ocular diagnostics and treatments for over 2 years!

Pic1: Color (RGB) photos OU at 50° and 20° (#optic-nerve head) Pic2: Red-free photos OU at 50°, 20° Pic3: #Fluorescein-angiography OS, over 5 mins Pic4: #FA OD over 5 mins Pic5: Recirculation (late) phase #FA OU at 50°, 35°

#NVD (neovascularization of the disc) present OU. Look at the many, small (abnormal) blood vessels on both #optic-nerves in [Pic1,2]. Leakage from these malformed (fenestrated) blood vessels are visualized with #FA [Pic5,3,4]• #Hard-Exudates (lipids) are deposited along both #Arcades OU, and parafoveally OS [Pic2 shows them well]• #Microaneurisms OU [Pic3,4 white pin-points, best seen arteriovenous (mid) phase of transit (top right photos]

There are a few more significant findings; can anyone point them out?

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