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A 44-year-old woman with a 20-year history of type 1 diabetes mellitus presented with progressive visual loss over a period of 3 months in both eyes. She had no prior eye examinations, and on examination at our hospital her corrected visual acuity was 20/400 in the right eye and 20/40 in the left eye. She reported arterial hypertension, heavy smoking, and foot ulcers. Dilated ophthalmoscopy, performed at the first visit (Panels A and B), and red-free photographs (Panels C and D) and fluorescein angiography (Panels E and F), performed a week later, revealed severe, bilateral proliferative diabetic retinopathy with significant . . . [Full Text of this Article] |
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