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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
BDR77 views00000
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PDR43 views00000
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PDR_NVD_freshPRP_MAPA_07.png
Lacy Neovascularization of the Disk - Color Photo75 views00000
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PDR_NVD_freshPRP_MAPA_08.jpg
Heidelberg False Color80 views00000
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PDR_NVD_freshPRP_MAPA_09.jpg
NVD - proliferative diabetic retinopathy Heidelberg False Color82 views00000
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PDR_NVD_freshPRP_MAPA_10.jpg
NVD - proliferative diabetic retinopathy Heidelberg False Color61 views00000
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PDR_NVD_freshPRP_MAPA_11.jpg
NVD - proliferative diabetic retinopathy Heidelberg False Color65 views00000
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PDR_NVD_freshPRP_MAPA_12.jpg
NVD - proliferative diabetic retinopathy25 views00000
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PDR_NVD_freshPRP_MAPA_13.jpg
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PDR_NVD_freshPRP_MAPA_14.jpg
FAF55 views00000
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PDR_NVD_freshPRP_MAPA_15.jpg
No significant macular edema32 views00000
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PDR_NVD_freshPRP_MAPA_16.jpg
No significant macular edema25 views00000
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PDR_NVD_freshPRP_MAPA_17.jpg
BDR right eye - previous laser24 views00000
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PDR_NVD_freshPRP_MAPA_18.jpg
BDR right eye - previous laser20 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-perfusion44 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-perfusion45 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-perfusion53 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-perfusion57 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-perfusion55 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-perfusion27 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-perfusion52 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-perfusion32 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-perfusion50 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-perfusion28 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-perfusion43 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)35 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-perfusion41 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-perfusion67 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-perfusion68 views00000
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PDR_NVD_freshPRP_MAPA_34.jpg
Neovascularization of the Disc - Heidelberg false color 53 views00000
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PDR_NVD_freshPRP_MAPA_35.png
Panretinal (Scatter) Photocoagulation (Fresh)45 views00000
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Panretinal (Scatter) Photocoagulation (Fresh)34 views00000
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Panretinal (Scatter) Photocoagulation (Fresh)43 views00000
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prpos.png
Panretinal (Scatter) Photocoagulation (Fresh)83 views00000
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nvd_1mopostlaser_newlaser_mapa01.png
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing44 views1 month after initial laser00000
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing39 views1 month after initial laser00000
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing53 views1 month after initial laser00000
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing62 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 regressing52 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 regressing53 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 regressing84 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