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64-year-old woman was seen 6 months ago, still with vision loss right eye. She has been diabetic for eleven years. Her hemoglobin A1Cs are running high lately. She had laser done in Texas. She relocated back to Florida now permanently. The right eye does have a central scotoma dating back to the laser treatment done about a year ago. VISUAL ACUITY: OD 20/63, OS 20/40. IOP: OD 17, OS 13. There is 3+ nuclear sclerosis in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.0. There is no posterior vitreous separation and rare retinal hemorrhages. OS: Vertical C/D ratio is 0.2. There is no posterior vitreous separation and rare retinal hemorrhages. There is new NVD. SPECTRALIS-SD-OCT SCAN: The OCT scan of the right eye does show an epiretinal membrane where there is a central area of photoreceptor defect neatly under the center of the macula. The left eye shows an epiretinal membrane with vitreoretinal traction and a partial evolving posterior vitreous separation. The photos in the right eye show patchy retinal hemorrhages. In the left eye there is light laser and there is an epiretinal membrane. FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography shows multiple microaneurysms in each eye with light laser. The left eye does have a diffuse leakage from the macula, which looks more like tractional leakage than diabetic leakage. I see very few microaneurysms near the fovea. The left has leakage from NVD and nonperfusion inferonasally. IMPRESSION: 1. BACKGROUND DIABETIC RETINOPATHY – OD; PDR OS. 2. VITREOMACULAR TRACTION – LEFT EYE 3. EPIRETINAL MEMBRANE – LEFT EYE 4. MACULAR EDEMA – LEFT EYE 5. CATARACT 6. CENTRAL SCOTOMA – RIGHT EYE

PDR_NVD_freshPRP_MAPA_01.png
BDR80 views00000
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PDR67 views00000
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PDR45 views00000
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Lacy Neovascularization of the Disk - Color Photo81 views00000
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PDR_NVD_freshPRP_MAPA_08.jpg
Heidelberg False Color82 views00000
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PDR_NVD_freshPRP_MAPA_09.jpg
NVD - proliferative diabetic retinopathy Heidelberg False Color86 views00000
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PDR_NVD_freshPRP_MAPA_10.jpg
NVD - proliferative diabetic retinopathy Heidelberg False Color64 views00000
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PDR_NVD_freshPRP_MAPA_11.jpg
NVD - proliferative diabetic retinopathy Heidelberg False Color68 views00000
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PDR_NVD_freshPRP_MAPA_12.jpg
NVD - proliferative diabetic retinopathy29 views00000
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PDR_NVD_freshPRP_MAPA_13.jpg
FAF33 views00000
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PDR_NVD_freshPRP_MAPA_14.jpg
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PDR_NVD_freshPRP_MAPA_15.jpg
No significant macular edema34 views00000
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PDR_NVD_freshPRP_MAPA_16.jpg
No significant macular edema27 views00000
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PDR_NVD_freshPRP_MAPA_17.jpg
BDR right eye - previous laser26 views00000
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PDR_NVD_freshPRP_MAPA_18.jpg
BDR right eye - previous laser22 views00000
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PDR_NVD_freshPRP_MAPA_19.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion47 views00000
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PDR_NVD_freshPRP_MAPA_20.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion47 views00000
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PDR_NVD_freshPRP_MAPA_21.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion56 views00000
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PDR_NVD_freshPRP_MAPA_22.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion61 views00000
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PDR_NVD_freshPRP_MAPA_23.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion58 views00000
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PDR_NVD_freshPRP_MAPA_24.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion29 views00000
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PDR_NVD_freshPRP_MAPA_25.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion54 views00000
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PDR_NVD_freshPRP_MAPA_26.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion34 views00000
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PDR_NVD_freshPRP_MAPA_27.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion52 views00000
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PDR_NVD_freshPRP_MAPA_28.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion30 views00000
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PDR_NVD_freshPRP_MAPA_29.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion45 views00000
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PDR_NVD_freshPRP_MAPA_30.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion (heavy leakage from NV)37 views00000
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PDR_NVD_freshPRP_MAPA_31.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion43 views00000
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PDR_NVD_freshPRP_MAPA_32.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion72 views00000
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PDR_NVD_freshPRP_MAPA_33.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion73 views00000
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PDR_NVD_freshPRP_MAPA_34.jpg
Neovascularization of the Disc - Heidelberg false color 55 views00000
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PDR_NVD_freshPRP_MAPA_35.png
Panretinal (Scatter) Photocoagulation (Fresh)50 views00000
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Panretinal (Scatter) Photocoagulation (Fresh)38 views00000
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Panretinal (Scatter) Photocoagulation (Fresh)47 views00000
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prpos.png
Panretinal (Scatter) Photocoagulation (Fresh)89 views00000
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nvd_1mopostlaser_newlaser_mapa01.png
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing49 views1 month after initial laser00000
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing42 views1 month after initial laser00000
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing56 views1 month after initial laser00000
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing69 views1 month after initial laser00000
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nvd_1mopostlaser_newlaser_mapa05.jpg
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing55 views1 month after initial laser00000
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nvd_1mopostlaser_newlaser_mapa06.jpg
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing57 views1 month after initial laser00000
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nvd_1mopostlaser_newlaser_mapa07.png
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing89 views1 month after initial laser00000
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64-year-old woman was seen 6 months ago, still with vision loss right eye. She has been diabetic for eleven years. Her hemoglobin A1Cs are running high lately. She had laser done in Texas. She relocated back to Florida now permanently. The right eye does have a central scotoma dating back to the laser treatment done about a year ago. VISUAL ACUITY: OD 20/63, OS 20/40. IOP: OD 17, OS 13. There is 3+ nuclear sclerosis in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.0. There is no posterior vitreous separation and rare retinal hemorrhages. OS: Vertical C/D ratio is 0.2. There is no posterior vitreous separation and rare retinal hemorrhages. There is new NVD. SPECTRALIS-SD-OCT SCAN: The OCT scan of the right eye does show an epiretinal membrane where there is a central area of photoreceptor defect neatly under the center of the macula. The left eye shows an epiretinal membrane with vitreoretinal traction and a partial evolving posterior vitreous separation. The photos in the right eye show patchy retinal hemorrhages. In the left eye there is light laser and there is an epiretinal membrane. FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography shows multiple microaneurysms in each eye with light laser. The left eye does have a diffuse leakage from the macula, which looks more like tractional leakage than diabetic leakage. I see very few microaneurysms near the fovea. The left has leakage from NVD and nonperfusion inferonasally. IMPRESSION: 1. BACKGROUND DIABETIC RETINOPATHY – OD; PDR OS. 2. VITREOMACULAR TRACTION – LEFT EYE 3. EPIRETINAL MEMBRANE – LEFT EYE 4. MACULAR EDEMA – LEFT EYE 5. CATARACT 6. CENTRAL SCOTOMA – RIGHT EYE