“…One of the characteristics of diabetic retinopathy secondary to acro megaly is that retinopathy is moderate. Previously reported retinopathy in acro megalic diabetes mellitus showed only microaneurysms or several punctate hem orrhages \Koh, 1970;McCullagh and Alivisatos, 1954], In the present series, 2 of the 3 patients with diabetic retinopathy showed only a few microaneurysms or a punctate hemorrhage. 1 showed prominent neovascularization, punctate hemorrhages and white spots.…”