13th August 2020

A 75-year-old gentleman with a background of type 2 diabetes and hypertension presents to the emergency ophthalmological clinic

A 75-year-old gentleman with a background of type 2 diabetes and hypertension presents to the emergency ophthalmological clinic with a history of a sudden onset red haze settling over vision in his left eye and floaters appearing. He reports that he is not in pain. He has had poor control of his diabetes with multiple complications: myocardial infarction 5 years ago, diabetic neuropathy in glove and stocking distribution, and erectile dysfunction. His last HbA1c was 92. On slit lamp examination, the red reflex was present bilaterally, but red blood cells were visualised in the anterior vitreous of the left eye. Visual acuity is preserved at the patient’s normal level. Vitreous haemorrhage is suspected.

What is the most likely cause of the vitreous haemorrhage?

For the patient above, please select the most appropriate diagnosis. Select ONE option from the list above.