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A Peculiar Retinal Scan in a Patient With Diabetes

  • AUTHORS:
    Juan Qiu, MD, PhD1 • Ryan J. Kenney2 • David A. Quillen, MD3

    AFFILIATIONS:
    1Professor, Department of Family and Community Medicine, Pennsylvania State University College of Medicine, Penn State Health Medical Group – Colonnade, State College, Pennsylvania
    2Medical student, Pennsylvania State University College of Medicine, State College, Pennsylvania
    3George and Barbara Blankenship Professor and Chair, Department of Ophthalmology, Pennsylvania State University College of Medicine, Hershey, Pennsylvania

    CITATION:
    Qiu J, Kenney RJ, Quillen DA. A peculiar retinal scan in a patient with diabetes. Consultant. 2022;62(9):e10-e11. doi:10.25270/con.2021.10.00015

    Received May 5, 2021. Accepted May 24, 2021. Published online October 28, 2021.

    DISCLOSURES:
    The authors report no relevant financial relationships.

    CORRESPONDENCE:
    Juan Qiu, MD, PhD, Penn State Health Medical Group – Colonnade, 32 Colonnade Way, State College, PA 16803 (jqiu@pennstatehealth.psu.edu)


     

    A 70-year-old man with a medical history significant for well-controlled type 2 diabetes, hypertension, hyperlipidemia, and obesity presented to our primary care clinic for a diabetic retinopathy screen with the clinic’s new retinal scanner.

    Results of his last eye examination 2 years prior to presentation were within normal limits, and he reported no changes in vision since then. A recent test showed that his hemoglobin A1C level was 6.1%. While his right eye retinal scan was normal, the left retinal scan showed some abnormalities (Figure).

    A 70-year-old man with a medical history significant for well-controlled type 2 diabetes, hypertension, hyperlipidemia, and obesity presented to our primary care clinic for a diabetic retinopathy screen with the clinic’s new retinal scanner.

     

     

    (Answer and discussion on next page.)