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Fig. 1 | International Journal of Retina and Vitreous

Fig. 1

From: Post-vitrectomy delayed retinal breaks in proliferative diabetic retinopathy

Fig. 1

Details of case 3. A: A 46-year-old man with type 2 diabetes mellitus who was treated with oral hypoglycemic agents as well as injectable insulin developed multiple post-vitrectomy retinal breaks in the right eye three months after surgery for vitreous haemorrhage secondary to proliferative diabetic retinopathy. These retinal breaks were two in number (one superior to the optic disc and one nasal to it) and were located posterior to the equator (black arrows). B: Before the development of vitreous haemorrhage, a preoperative fundus image of the right eye shows the presence of dense fibrous proliferation at the sites where the retinal breaks eventually developed following surgery (red arrows). These retinal breaks were treated prophylactically with a barrage laser. C: The retinal breaks were well covered with laser scars at the last follow-up visit, 25 months after the surgery, and there was no new subretinal fluid or traction at the site of the retinal break (black arrows). D: Optical coherence tomography (OCT) scan through the superior post vitrectomy retinal break shows a large atrophic retinal hole measuring 1376 µm at the basal diameter with no overlying traction. The retinal layers surrounding the retinal break were disorganised, as seen on the OCT

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