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Severe Diabetic Macular Edema and Siegrist Streaks 56 year old female. seen in 5/2023 - She injured her right foot with a roofing nail and got necrotizing fasciitis (4/2020). With the necrotizing fasciitis, she entered multiple organ failure but recovered. She does not know if she had high blood pressure or DIC. Before that she could see well except that she needed reading glasses. She was then put into hyperbaric and got a myopic shift. She was also diagnosed with diabetes. Her A1C now is very good. At the time of her infection her A1C was very high for less than a few months. She noticed a shadow that comes and goes within the last 6 months in just the left eye. The right eye does not see well, everything is not crisp. She just ordered new glasses and does not know what her vision would be. She has not had an eye examination in a few years. She was concerned about the shift and needing to update her glasses. Medical Hx: Diabetes Type II with Ocular Complications. Thyroid Disease. Influenza Immunization Not Received. Pneumococcal Vaccine Not Received. Surgical Hx: foot surgery. Systemic Meds: MOUNJARO- tirzepatide injection, solution. VA OD: sc20/80+1 PHNI NscJ16 VA OS: sc20/100 PHNI NscJ16 IOP: TP: OD:10 OS:11
Siegrist Streaks and severe diabetic macular edema232 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)	Siegrist Streaks and severe diabetic macular edema250 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)	Siegrist Streaks and severe diabetic macular edema261 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)	Siegrist Streaks and severe diabetic macular edema240 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)
Siegrist Streaks and severe diabetic macular edema227 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)	Siegrist Streaks and severe diabetic macular edema211 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)	Siegrist Streaks and severe diabetic macular edema246 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)	Siegrist Streaks and severe diabetic macular edema205 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)
Siegrist Streaks and severe diabetic macular edema240 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)	Siegrist Streaks and severe diabetic macular edema189 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)	Siegrist Streaks and severe diabetic macular edema200 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)	Siegrist Streaks and severe diabetic macular edema198 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)
Siegrist Streaks and severe diabetic macular edema247 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)	Siegrist Streaks and severe diabetic macular edema225 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)	Siegrist Streaks and severe diabetic macular edema236 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)	Siegrist Streaks and severe diabetic macular edema251 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)
Siegrist Streaks and severe diabetic macular edema210 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)	Siegrist Streaks and severe diabetic macular edema203 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)	Siegrist Streaks and severe diabetic macular edema214 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)	Siegrist Streaks and severe diabetic macular edema204 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)
Siegrist Streaks and severe diabetic macular edema233 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)	Siegrist Streaks and severe diabetic macular edema226 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)	Siegrist Streaks and severe diabetic macular edema262 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)	Siegrist Streaks and severe diabetic macular edema236 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)
Siegrist Streaks and severe diabetic macular edema207 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)	Siegrist Streaks and severe diabetic macular edema283 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)	Siegrist Streaks and severe diabetic macular edema226 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)	Siegrist Streaks and severe diabetic macular edema225 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)
Siegrist Streaks and severe diabetic macular edema239 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)	Siegrist Streaks and severe diabetic macular edema237 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)	Siegrist Streaks and severe diabetic macular edema207 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)	Siegrist Streaks and severe diabetic macular edema208 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)
Siegrist Streaks and severe diabetic macular edema264 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)	Siegrist Streaks and severe diabetic macular edema234 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 votes)
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56 year old female. seen in 5/2023 - She injured her right foot with a roofing nail and got necrotizing fasciitis (4/2020). With the necrotizing fasciitis, she entered multiple organ failure but recovered. She does not know if she had high blood pressure or DIC. Before that she could see well except that she needed reading glasses. She was then put into hyperbaric and got a myopic shift. She was also diagnosed with diabetes. Her A1C now is very good. At the time of her infection her A1C was very high for less than a few months. She noticed a shadow that comes and goes within the last 6 months in just the left eye. The right eye does not see well, everything is not crisp. She just ordered new glasses and does not know what her vision would be. She has not had an eye examination in a few years. She was concerned about the shift and needing to update her glasses. Medical Hx: Diabetes Type II with Ocular Complications. Thyroid Disease. Influenza Immunization Not Received. Pneumococcal Vaccine Not Received. Surgical Hx: foot surgery. Systemic Meds: MOUNJARO- tirzepatide injection, solution. VA OD: sc20/80+1 PHNI NscJ16 VA OS: sc20/100 PHNI NscJ16 IOP: TP: OD:10 OS:11