Crimson and Cream: The Retinal Symphony

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    • By Dr Supreme Goel
      Chaithanya eye hospital and research institute Trivandrum Kerala
      Co-author(s): Dr Unnikrishnan Nair and Dr Manoj Soman, Chaithanya eye hospital and research institute, Trivandrum, Kerala
    • Uploaded on Feb 23, 2026.
    • Last modified by Joshua Friedman on Feb 24, 2026.
    Rating
    Appears in
    Lipemia retinalis with proliferative diabetic retinopathy
    Condition/keywords
    lipemia retinalis, proliferative diabetic retinopathy (PDR)
    Photographer
    Zanhar, Optometrist, Chaithanya eye hospital and research institute, Trivandrum, Kerala
    Imaging device
    Fundus camera
    iCare EIDON widefield TrueColor Confocal fundus imaging system
    Description
    An 83 year-old man with diabetes mellitus, hypertension, dyslipidemia, and chronic kidney disease presents a retina that tells a story of systemic turbulence — creamy, "cake batter" vessels meandering through a landscape marked by neovascular growth and pre-retinal hemorrhage. A striking interplay of lipid and ischemic pathways captured in a single frame.

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