Retinal Ischemia Associated with PDR

69-year old female, with a history of diabetes for the past 30 years, presented for a routine diabetic exam. Fundus exam revealed dot hemorrhages, but no neovascularization or edema. Optos Fluoresceine angiogram was obtained before leaving for documentation. Frames above of the right and left eye are shown from the optos FA. The images reveal severe retinal ischemia throughout both eyes, more so in the left.