Neovascularization of the Disc
![Neovascularization of the disc (NVD) associated with extensive fibrovascular proliferation.](https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_200/public/media/images/2022-05/neovascularization-of-the-disc.jpeg?itok=OsXK0Rnc 200w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_260/public/media/images/2022-05/neovascularization-of-the-disc.jpeg?itok=M5NpF3f_ 260w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_320/public/media/images/2022-05/neovascularization-of-the-disc.jpeg?itok=7sTDpCYu 320w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_400/public/media/images/2022-05/neovascularization-of-the-disc.jpeg?itok=aLwFE4pu 400w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_1600/public/media/images/2022-05/neovascularization-of-the-disc.jpeg?itok=6_egE5KR 430w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_520/public/media/images/2022-05/neovascularization-of-the-disc.jpeg?itok=Li3-akzw 520w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_640/public/media/images/2022-05/neovascularization-of-the-disc.jpeg?itok=63agpHez 640w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_800/public/media/images/2022-05/neovascularization-of-the-disc.jpeg?itok=haw1Zv9O 800w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_1040/public/media/images/2022-05/neovascularization-of-the-disc.jpeg?itok=5ci_YxJM 1040w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_1280/public/media/images/2022-05/neovascularization-of-the-disc.jpeg?itok=cjazfSZ_ 1280w)
- Opaque fibrovascular proliferation tissue often appears on the internal limiting membrane (adjacent to the new vessels) and becomes adherent to the posterior vitreous.
- Contraction of this fibrovascular tissue may lead to:
- Distortion or dragging of the macula
- Mild to extensive tractional retinal detachment
- Avulsion of retinal vessels
- Preretinal and/or vitreous hemorrhages
![Neovascularization of the disc (NVD)](https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_200/public/media/images/2022-05/neovascularization-of-the-disc-2.jpeg?itok=y9lXe8l_ 200w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_260/public/media/images/2022-05/neovascularization-of-the-disc-2.jpeg?itok=It39KoA3 260w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_320/public/media/images/2022-05/neovascularization-of-the-disc-2.jpeg?itok=GbWdP624 320w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_400/public/media/images/2022-05/neovascularization-of-the-disc-2.jpeg?itok=K4d_RQmU 400w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_1600/public/media/images/2022-05/neovascularization-of-the-disc-2.jpeg?itok=pX6pScAo 430w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_520/public/media/images/2022-05/neovascularization-of-the-disc-2.jpeg?itok=IPm4IqkR 520w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_640/public/media/images/2022-05/neovascularization-of-the-disc-2.jpeg?itok=VaVq1wmM 640w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_800/public/media/images/2022-05/neovascularization-of-the-disc-2.jpeg?itok=9Q0_pf0d 800w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_1040/public/media/images/2022-05/neovascularization-of-the-disc-2.jpeg?itok=zIH77Vbg 1040w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_1280/public/media/images/2022-05/neovascularization-of-the-disc-2.jpeg?itok=7jtppjB_ 1280w)
Another case of proliferative diabetic retinopathy with:
- Florid new vessels grow from the surface of the optic disc
- Proliferation of fibroglial tissue that extend to the adjacent retina and vitreous
- Fluorescein angiogram demonstrates continuous dye leakage from the NVD