A 60 year old man has both HTN and DM for 10 years. There is reduced vision in one eye. On fundus examination there is a central bleed and the fellow eye is normal. The diagnosis is –
Central bleed implies bleed in the macula and this is resulting in reduced vision in the involved eye.
Among the given options, macular bleed can be seen in diabetic retinopathy only. In diabetic retinopathy, neovascularization of macula may occur where there is growth of abnormal blood vessels under the retina which can cause leakage, bleeding and scarring resulting in reduced / loss of vision.
Retinal tear
Optic neuritis
Diabetic retinopathy
Hypertensive retinopathy