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Fern Garden of the Retina
Mar 11 2026 by Dr Supreme Goel
A 66 year-old diabetic female presented with proliferative diabetic retinopathy and a large altered subhyaloid hemorrhage involving the posterior pole in left eye. She underwent left eye pars plana vitrectomy, endolaser photocoagulation, and fluid-air exchange. Post-operative day-1 ultra-widefield imaging shows a clear view of posterior pole following removal of the subhyaloid hemorrhage, an attached retina with a superior air bubble. The evenly distributed endolaser photocoagulation marks create delicate, fern-like frond patterns across the retina, giving the appearance of a "fern garden".
Photographer: Dr Supreme Goel
Imaging device: Optos ultra-wide field color fundus photography
Condition/keywords: Post op day 1- status post pars plana vitrectomy
