It pays to further investigate…

To a retinal specialist, the importance of a fundus fluorescein angiogram (FFA) as a follow up investigation is commonplace. What isn’t so routine is expecting to find something that you weren’t quote convinced was present on examination of a patient’s retinal fundus.
I share the following post with you as I was somewhat surprised by the results from FFA.

This patient has a diagnosis of NPDR with macular oedema. Of some surprise are the large areas of retinal ischemia present.