Audio Qbank – Q340 – A 59F with loss of vision

A 59-year-old man is brought in to emergency after a 30-minute history of pain and sudden loss of vision in his left eye after being hit in the eye while boxing. He has a 20-year history of type II diabetes mellitus and is a heavy smoker. He has hypertension managed with lisinopril. On examination, blood pressure is 150/90. A fundoscopic photograph of the patient’s eye is shown below.

Which of the following is the most likely diagnosis?

Diabetic retinopathy
Hypertensive retinopathy
Retinal detachment
Vitreous hemorrhage