|Year : 2021 | Volume
| Issue : 1 | Page : 22
Sea-fan neovascularisation in neglected proliferative diabetic retinopathy
Divya Agarwal, Atul Kumar
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India
|Date of Web Publication||31-Dec-2020|
Dr. Atul Kumar
Retina Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110 029
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Agarwal D, Kumar A. Sea-fan neovascularisation in neglected proliferative diabetic retinopathy. Indian J Ophthalmol Case Rep 2021;1:22
A 65-year-old man presented with complaints of gradual diminution of vision in left eye for past 2 years. He had a history of uncontrolled Type 2 diabetes mellitus and hypertension. Fundus examination revealed advanced proliferative diabetic retinopathy with tractional retinal detachment involving optic disc and macula. Ultra-widefield fluorescein angiography revealed florid sea-fan shaped neovascularisation with ischemic peripheral retina. (Optos California, Optos, PLC, Scotland, UK) [Figure 1]. Sea-fan neovascularisation is generally present in cases of sickle cell retinopathy and retinal vasculitis.,
|Figure 1: (a) Optos pseudocolor image showing unlasered proliferative diabetic retinopathy with tractional retinal detachment involving optic disc and macula. (b) Corresponding ultra-widefield fluorescein angiography showing extensive retinal ischemia with florid sea-fan neovascularisation|
Click here to view
With advancements in ophthalmology, these cases still emphasise the need of early referral by physicians to ophthalmologists for DR screening.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Georgalas I, Paraskevopoulos T, Symmeonidis C, Petrou P, Koutsandrea C. Peripheral sea-fan retinal neovascularization as a manifestation of chronic rhegmatogenous retinal detachment and surgical management. BMC Ophthalmol 2014;14:112.
Kumar V, Chandra P, Kumar A. Ultra-wide field angiography in the management of Eales disease. Indian J Ophthalmol 2016;64:504-7.
] [Full text]
Scanlon PH, Aldington SJ, Stratton IM. Delay in diabetic retinopathy screening increases the rate of detection of referable diabetic retinopathy. Diabet Med J Br Diabet Assoc 2014;31:439-42.