Fern Garden of the Retina

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    • By Dr Supreme Goel
      Chaithanya eye hospital and research institute Trivandrum Kerala
      Co-author(s): Dr Unnikrishnan Nair R, Medical Director, Chaithanya Eye Hospital and Research Institute, Trivandrum, Kerala
    • Uploaded on Mar 11, 2026.
    • Last modified by Joshua Friedman on Mar 11, 2026.
    Rating 1 rating
    Appears in
    Status post vitrectomy
    Condition/keywords
    Post op day 1- status post pars plana vitrectomy
    Photographer
    Dr Supreme Goel
    Imaging device
    Fundus camera
    Optos ultra-wide field color fundus photography
    Description
    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".

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