The photo seen here represents an extensive subhyaloid hemorrhage of the right eye secondary to an active neovascular membrane. Angiography was performed, confirming the existence of the new blood vessels. Photocoagulation was performed and the patient was advised to restrict physical activity, but the hemorrhage broke through into the vitreous, greatly complicated this case.

Despite supposedly good blood glucose control with oral medication, this patient was obviously ischemic in both eyes, leading to the neovascular changes in the right eye. Pan-retinal photocoagulation was begun OU to reduce the ischemia and the patient's internist was notified.