Hemoglobin Sickel Cell Retinopathy

These are late frames from the intravenous fluorescein angiogram of a 52-year-old female patient with hemoglobin SC Retinopathy. In the right eye neovascular lesions indicated by the yellow arrows are leaking fluorescein profusely. These lesions typically occur at the border of nonperfused and perfused retina as they do in this case. Scatter laser photocoagulation was applied to the nonperfused area to cause regression of the new vessels. In the left eye, there is an area of capillary nonperfusion but no growth of new vessels. This area will need to be monitored, and if neovascularization develops, laser photocoagulation applied to the nonperfused region.