Sickle Cell Retinopathy

The above OPTOS fundus photograph shows the right eye of a 45-year-old African- American male. There is a macular pucker (red arrow). In the retinal periphery, there are several areas of neovascularization in the periphery (blue arrows), old autoinfarcted blood vessels (green arrow), and old black scars (yellow arrow). The patient was found to have hemoglobin SC. Sector panretinal photocoagulation was recommended to cause regression of the active retinal neovascularization