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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
BDR431 x angesehen00000
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PDR_NVD_freshPRP_MAPA_02.png
bdr572 x angesehen00000
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PDR_NVD_freshPRP_MAPA_03.jpg
bdr396 x angesehen00000
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PDR_NVD_freshPRP_MAPA_04.jpg
BDR377 x angesehen00000
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PDR_NVD_freshPRP_MAPA_05.png
PDR431 x angesehen00000
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PDR_NVD_freshPRP_MAPA_06.png
PDR368 x angesehen00000
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PDR_NVD_freshPRP_MAPA_07.png
Lacy Neovascularization of the Disk - Color Photo506 x angesehen00000
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PDR_NVD_freshPRP_MAPA_08.jpg
Heidelberg False Color372 x angesehen00000
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PDR_NVD_freshPRP_MAPA_09.jpg
NVD - proliferative diabetic retinopathy Heidelberg False Color439 x angesehen00000
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PDR_NVD_freshPRP_MAPA_10.jpg
NVD - proliferative diabetic retinopathy Heidelberg False Color410 x angesehen00000
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PDR_NVD_freshPRP_MAPA_11.jpg
NVD - proliferative diabetic retinopathy Heidelberg False Color481 x angesehen00000
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PDR_NVD_freshPRP_MAPA_12.jpg
NVD - proliferative diabetic retinopathy425 x angesehen00000
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PDR_NVD_freshPRP_MAPA_13.jpg
FAF376 x angesehen00000
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PDR_NVD_freshPRP_MAPA_14.jpg
FAF399 x angesehen00000
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PDR_NVD_freshPRP_MAPA_15.jpg
No significant macular edema322 x angesehen00000
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PDR_NVD_freshPRP_MAPA_16.jpg
No significant macular edema288 x angesehen00000
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PDR_NVD_freshPRP_MAPA_17.jpg
BDR right eye - previous laser341 x angesehen00000
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PDR_NVD_freshPRP_MAPA_18.jpg
BDR right eye - previous laser369 x angesehen00000
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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-perfusion362 x angesehen00000
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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-perfusion320 x angesehen00000
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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-perfusion372 x angesehen00000
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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-perfusion391 x angesehen00000
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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-perfusion387 x angesehen00000
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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-perfusion382 x angesehen00000
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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-perfusion501 x angesehen00000
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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-perfusion348 x angesehen00000
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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-perfusion415 x angesehen00000
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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-perfusion343 x angesehen00000
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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-perfusion353 x angesehen00000
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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)418 x angesehen00000
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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-perfusion336 x angesehen00000
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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-perfusion403 x angesehen00000
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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-perfusion481 x angesehen00000
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PDR_NVD_freshPRP_MAPA_34.jpg
Neovascularization of the Disc - Heidelberg false color 353 x angesehen00000
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PDR_NVD_freshPRP_MAPA_35.png
Panretinal (Scatter) Photocoagulation (Fresh)336 x angesehen00000
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PDR_NVD_freshPRP_MAPA_36.png
Panretinal (Scatter) Photocoagulation (Fresh)337 x angesehen00000
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PDR_NVD_freshPRP_MAPA_37.png
Panretinal (Scatter) Photocoagulation (Fresh)352 x angesehen00000
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prpos.png
Panretinal (Scatter) Photocoagulation (Fresh)463 x angesehen00000
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nvd_1mopostlaser_newlaser_mapa01.png
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing414 x angesehen1 month after initial laser00000
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nvd_1mopostlaser_newlaser_mapa02.png
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing391 x angesehen1 month after initial laser00000
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nvd_1mopostlaser_newlaser_mapa03.png
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing417 x angesehen1 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 regressing504 x angesehen1 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 regressing436 x angesehen1 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 regressing444 x angesehen1 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 regressing607 x angesehen1 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