Proliferative Diabetic Retinopathy - Poor Metabolic Control

40 year old male, presenting upon referral for evaluation of diabetic damage to both eyes. The patient is a type 2 diabetic, insulin dependent for the last 16 years. He reports poor metabolic control with uncontrolled blood sugars and hypertension. Dilated fundus exam revealed dense vitreous hemorrhage in the left eye with vision at hand motion with projection, and in the right eye, areas of neovascularization with preretinal hemorrhages around the optic disc and macula. The photo shown here is of the right eye, note the areas of blood around the optic disc (black arrow) and the blood in the macula (black circle), degrading vision to 20/200. The right eye was given a treatment of intravitreal Bevacizumab and later treatment of pan retinal photocoagulation. The left eye disease was too far advanced for in office procedures, and was treated with vitrectomy and laser treatment.