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).

(Answer and discussion on next page.)