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61-year old man has diabetic retinopathy in the right eye. He also had a macular pucker and macular edema. I did a vitrectomy on September 5th. His vision was initially improving. His vision in the right eye seems to be a little more foggy. VISUAL ACUITY: OD: 20/200. IOP: OD: 15. The posterior chamber intraocular lens is in good position. EXTENDED OPHTHALMOSCOPY: OD: C/D ratio is 0.5. There is edema superior to the fovea. There is vitreoretinal traction around the edge of the macula. There is a plexis of leaky vessels just superotemporal to the fovea. The OCT scan shows worse macular edema with a central foveal thickness today of 642 microns and the leakage appears to be superotemporal to the fovea. A fluorescein angiogram confirms leaky vessels superotemporal to the fovea. Photos confirm clinical findings. IMPRESSION: 1. MACULAR EDEMA IN THE RIGHT EYE. 2. DIABETIC RETINOPATHY IN THE RIGHT EYE. 3. HISTORY OF MACULAR PUCKER SURGERY IN THE RIGHT EYE. DISCUSSION: I explained to the patient that he does have a plexis of vessels leaking superior and temporal to the fovea heavily and causing worsened macular edema. I treated those with focal laser today.

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Old Branch Retinal Vein Occlusion- Severe CME - Pucker - Diabetic Fundus Photo304 views61-year old man has diabetic retinopathy in the right eye. He also had a macular pucker and macular edema. I did a vitrectomy on September 5th. His vision was initially improving. His vision in the right eye seems to be a little more foggy.

VISUAL ACUITY: OD: 20/200
00000
(0 votes)
brvooldpucker_roth_28129.jpg
Old Branch Retinal Vein Occlusion- Severe CME - Pucker - Diabetic Map OCT260 views61-year old man has diabetic retinopathy in the right eye. He also had a macular pucker and macular edema. I did a vitrectomy on September 5th. His vision was initially improving. His vision in the right eye seems to be a little more foggy.

VISUAL ACUITY: OD: 20/200
22222
(1 votes)
brvooldpucker_roth_28229.png
Old Branch Retinal Vein Occlusion- Severe CME - Pucker - Diabetic Early FA139 views61-year old man has diabetic retinopathy in the right eye. He also had a macular pucker and macular edema. I did a vitrectomy on September 5th. His vision was initially improving. His vision in the right eye seems to be a little more foggy.

VISUAL ACUITY: OD: 20/200
00000
(0 votes)
brvooldpucker_roth_28329.png
Old Branch Retinal Vein Occlusion- Severe CME - Pucker - Diabetic Early FA155 views61-year old man has diabetic retinopathy in the right eye. He also had a macular pucker and macular edema. I did a vitrectomy on September 5th. His vision was initially improving. His vision in the right eye seems to be a little more foggy.

VISUAL ACUITY: OD: 20/200
00000
(0 votes)
brvooldpucker_roth_28429.png
Old Branch Retinal Vein Occlusion- Severe CME - Pucker - Diabetic Late FA143 views61-year old man has diabetic retinopathy in the right eye. He also had a macular pucker and macular edema. I did a vitrectomy on September 5th. His vision was initially improving. His vision in the right eye seems to be a little more foggy.

VISUAL ACUITY: OD: 20/200
00000
(0 votes)
     
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61-year old man has diabetic retinopathy in the right eye. He also had a macular pucker and macular edema. I did a vitrectomy on September 5th. His vision was initially improving. His vision in the right eye seems to be a little more foggy. VISUAL ACUITY: OD: 20/200. IOP: OD: 15. The posterior chamber intraocular lens is in good position. EXTENDED OPHTHALMOSCOPY: OD: C/D ratio is 0.5. There is edema superior to the fovea. There is vitreoretinal traction around the edge of the macula. There is a plexis of leaky vessels just superotemporal to the fovea. The OCT scan shows worse macular edema with a central foveal thickness today of 642 microns and the leakage appears to be superotemporal to the fovea. A fluorescein angiogram confirms leaky vessels superotemporal to the fovea. Photos confirm clinical findings. IMPRESSION: 1. MACULAR EDEMA IN THE RIGHT EYE. 2. DIABETIC RETINOPATHY IN THE RIGHT EYE. 3. HISTORY OF MACULAR PUCKER SURGERY IN THE RIGHT EYE. DISCUSSION: I explained to the patient that he does have a plexis of vessels leaking superior and temporal to the fovea heavily and causing worsened macular edema. I treated those with focal laser today.