Although the patient was given an appointment 2 months after the laser treatments, she failed to return even after mail and telephone recall. About 16 months later, she returned complaining of blurred vision over the past several months in both eyes and sudden vision loss in the right eye for several days. Again she reported her blood glucose level to be round 200 and admitted to non compliance with medications. As depicted above, her sudden vision loss was due to a sub-hyaloid hemorrhage overlying the macula.