A 47-year-old man had previously undergone a vitrectomy in his right eye for a vitreous haemorrhage due to PDR. Systemic findings included multiple, discrete, symmetrical, small yellow papules bilaterally in the axilla and inguinal region. Examination on presentation showed a vitreous haemorrhage in his left eye, and a vitrectomy was performed for treatment. Intraoperative findings showed a fibrovascular membrane around the optic disc and vascular arcade. A mottled fundus (peau d'orange appearance) associated with angioid streaks was also present, yet there was no evident choroidal neovascularization (CNV).

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