Bloody discoloration of a posterior capsule opacification in a case of diabetic retinopathy

A 68-year-old woman was presented to our practice, with a progressive blurring of vision and movable floaters of 6 months’ duration in her left eye. She had diabetes mellitus and hypertension with a history of left phacoemulsification 10 months ago. On examination, her visual acuity was counting fingers and a slit-lamp examination showed a one piece acrylic intraocular lens (IOL) with a significant posterior capsular pacification with a bloody discoloration of IOL along with a dense vitreous hemorrhage (VH) that obscured fundus view with an organized parts of VH that clearly move with eye movement [Figure 1 and Video 1]. From detailed history, there was no remarkable improvement in her vision after cataract surgery and VH was there for the past 8 months without any intervention, thus being she had a long-standing and a dense VH, was the cause of the blood staining of the posterior capsule. We referred her to a retina specialist for further management. In the literature, a blood staining of the posterior capsule was observed during combined phacovitrectomy in a patient with Terson syndrome.[1] To the best of our knowledge, this is the first documented case of a bloody staining/discoloration of a posterior capsule opacification in a case of diabetic retinopathy.Figure 1: Bloody-stained posterior capsular opacification with dense vitreous hemorrhage behind, note dense reddish area that was present (a, Yellow arrow=VH) then disappeared (b, White arrow) behind intraocular lens {"href":"Single Video Player","role":"media-player-id","content-type":"play-in-place","position":"float","orientation":"portrait","label":"Video 1","caption":"","object-id":[{"pub-id-type":"doi","id":""},{"pub-id-type":"other","content-type":"media-stream-id","id":"1_j761l981"},{"pub-id-type":"other","content-type":"media-source","id":"Kaltura"}]} Data availability statement The data supporting the findings of this study will be made available on reasonable request. Declaration of patient consent The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.