89-year-old man has stage IV juxtafoveal retinal telangiectasis in both eyes with background diabetic retinopathy. His vision is stable since he was here last which is about 6 months ago. VISUAL ACUITY: OD 20/50, OS 20/70. IOP: OD 14, OS 11. The posterior chamber intraocular lens is in good position in both eyes with open capsules. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.0. There is a black spot temporal to the fovea. OS: Vertical C/D ratio is 0.0. There is a black spot temporal to the fovea. There are rare retinal hemorrhages in both eyes. OCT SCAN: The OCT scan confirms an absence of intraretinal or subretinal fluid. IMPRESSION: 1. STAGE IV JUXTAFOVEAL RETINAL TELANGIECTASIS – BOTH EYES 2. BACKGROUND DIABETIC RETINOPATHY - BOTH EYES DISCUSSION: I explained to the patient the maculae are both stable. I asked him to return for check in a year, sooner should he notice a problem.