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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
BDR90 views00000
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PDR72 views00000
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PDR50 views00000
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Lacy Neovascularization of the Disk - Color Photo91 views00000
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PDR_NVD_freshPRP_MAPA_08.jpg
Heidelberg False Color89 views00000
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PDR_NVD_freshPRP_MAPA_09.jpg
NVD - proliferative diabetic retinopathy Heidelberg False Color96 views00000
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PDR_NVD_freshPRP_MAPA_10.jpg
NVD - proliferative diabetic retinopathy Heidelberg False Color69 views00000
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PDR_NVD_freshPRP_MAPA_11.jpg
NVD - proliferative diabetic retinopathy Heidelberg False Color78 views00000
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PDR_NVD_freshPRP_MAPA_12.jpg
NVD - proliferative diabetic retinopathy32 views00000
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PDR_NVD_freshPRP_MAPA_13.jpg
FAF36 views00000
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PDR_NVD_freshPRP_MAPA_14.jpg
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PDR_NVD_freshPRP_MAPA_15.jpg
No significant macular edema40 views00000
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PDR_NVD_freshPRP_MAPA_16.jpg
No significant macular edema32 views00000
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PDR_NVD_freshPRP_MAPA_17.jpg
BDR right eye - previous laser29 views00000
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PDR_NVD_freshPRP_MAPA_18.jpg
BDR right eye - previous laser23 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-perfusion48 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-perfusion49 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-perfusion59 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-perfusion71 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-perfusion62 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-perfusion32 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-perfusion62 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-perfusion37 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-perfusion56 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-perfusion32 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-perfusion46 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)41 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-perfusion45 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-perfusion79 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-perfusion81 views00000
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PDR_NVD_freshPRP_MAPA_34.jpg
Neovascularization of the Disc - Heidelberg false color 58 views00000
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PDR_NVD_freshPRP_MAPA_35.png
Panretinal (Scatter) Photocoagulation (Fresh)55 views00000
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Panretinal (Scatter) Photocoagulation (Fresh)41 views00000
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Panretinal (Scatter) Photocoagulation (Fresh)52 views00000
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prpos.png
Panretinal (Scatter) Photocoagulation (Fresh)101 views00000
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nvd_1mopostlaser_newlaser_mapa01.png
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing54 views1 month after initial laser00000
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing45 views1 month after initial laser00000
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing59 views1 month after initial laser00000
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nvd_1mopostlaser_newlaser_mapa04.jpg
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing79 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 regressing58 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 regressing67 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 regressing99 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