Florid retinopathy: a rapidly progressive form of proliferative diabetic retinopathy

The complications of FDR are VH, tractional RD, neovascular glaucoma, and blindness in a very short time such as a few weeks or months. Thus, to prevent the destructive consequences of FDR, the management of the disease includes early diagnosis and aggressive treatment with an extensive pan-retinal photocoagulation (PRPC) and when necessary, early pars plana vitrectomy (PPV).1,2,6-8 Intravitreal anti-VEGF drug and steroid injections should be considered as the adjunctive treatment to obtain NV regression and interventional easiness for PRFC and PPV, if markedly fibrovascular vitreoretinal traction is not observed.9-11 Recent reports on the treatment of FDR showed that pituitary ablation, insulin-infusion device or continuous subcutaneous insulin infusion can preserve vision in selected cases.8,12,13