A fundus image of a woman in her mid-60s with type 2 diabetes showed visual disturbances in her left eye. She had high HbA1c levels and had not undergone diabetic retinopathy screening before. Her left eye had decreased visual acuity and had haemorrhages, exudates, and neovascularisation in the temporal macula. The bleeding was initially confined within the internal limiting membrane, resulting in a boat-shaped appearance. Haemorrhages confined within this membrane may have a better prognosis compared to those that breach the membrane into the vitreous cavity. These pre-retinal bleeds may resolve spontaneously. Early detection and management of diabetic retinopathy are crucial to prevent vision loss.
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A boat shaped bleed
