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Chronic Traction Retinal Detachment Splitting Fovea Right Eye 77-year-old woman has a diabetic tractional retinal detachment in the left eye. She had dense cataracts in both eyes removed a few months ago. Her vision is better than it was before the surgery but still not very good. VISUAL ACUITY: Vision OD is 20/40, OS is 7/200. IOP: OD 16, OS 13. The posterior chamber intraocular lens is in good position in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.3. There is panretinal laser. The macula is flat and attached. OS: Vertical C/D ratio is 0.3. There is panretinal laser. There is a tractional retinal detachment with preretinal fibrosis nasal to the optic nerves. OCT SCAN: The OCT scan shows the right macula to be flat. The left eye shows intraretinal fluid. PHOTOGRAPHS: Photos confirm clinical findings. IMPRESSION: 1. MACULA-SPLITTING CHRONIC DIABETIC TRACTIONAL RETINAL DETACHMENT – LEFT EYE 2. QUIESCENT PROLIFERATIVE DIABETIC RETINOPATHY – BOTH EYES 3. RECENT CATARACT SURGERY DISCUSSION: I explained to the patient the retina in the right eye looks lovely. The left eye though has a chronic macula-off retinal detachment. Unfortunately, surgery would not help the left eye. In fact, it would be very risky and probably harm it. Otherwise, the cataract implants look beautiful. I asked her to return for check in a year. I asked her to see you in six months.
Chronic - Old Diabetic Tractional Retinal Detachment Left Eye832 views77-year-old woman Vision OD is 20/40, OS is 7/200OD: Vertical C/D ratio is 0.3. There is panretinal laser. The macula is flat and attached. OS: Vertical C/D ratio is 0.3. There is panretinal laser. There is a tractional retinal detachment with preretinal fibrosis nasal to the optic nerves. (1 votes)	Chronic - Old Diabetic Tractional Retinal Detachment Left Eye479 views77-year-old woman Vision OD is 20/40, OS is 7/200OD: Vertical C/D ratio is 0.3. There is panretinal laser. The macula is flat and attached. OS: Vertical C/D ratio is 0.3. There is panretinal laser. There is a tractional retinal detachment with preretinal fibrosis nasal to the optic nerves. (0 votes)	Chronic - Old Diabetic Tractional Retinal Detachment Left Eye544 views77-year-old woman Vision OD is 20/40, OS is 7/200OD: Vertical C/D ratio is 0.3. There is panretinal laser. The macula is flat and attached. OS: Vertical C/D ratio is 0.3. There is panretinal laser. There is a tractional retinal detachment with preretinal fibrosis nasal to the optic nerves. (0 votes)	Chronic - Old Diabetic Tractional Retinal Detachment Left Eye687 views77-year-old woman Vision OD is 20/40, OS is 7/200OD: Vertical C/D ratio is 0.3. There is panretinal laser. The macula is flat and attached. OS: Vertical C/D ratio is 0.3. There is panretinal laser. There is a tractional retinal detachment with preretinal fibrosis nasal to the optic nerves. (1 votes)
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77-year-old woman has a diabetic tractional retinal detachment in the left eye. She had dense cataracts in both eyes removed a few months ago. Her vision is better than it was before the surgery but still not very good. VISUAL ACUITY: Vision OD is 20/40, OS is 7/200. IOP: OD 16, OS 13. The posterior chamber intraocular lens is in good position in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.3. There is panretinal laser. The macula is flat and attached. OS: Vertical C/D ratio is 0.3. There is panretinal laser. There is a tractional retinal detachment with preretinal fibrosis nasal to the optic nerves. OCT SCAN: The OCT scan shows the right macula to be flat. The left eye shows intraretinal fluid. PHOTOGRAPHS: Photos confirm clinical findings. IMPRESSION: 1. MACULA-SPLITTING CHRONIC DIABETIC TRACTIONAL RETINAL DETACHMENT – LEFT EYE 2. QUIESCENT PROLIFERATIVE DIABETIC RETINOPATHY – BOTH EYES 3. RECENT CATARACT SURGERY DISCUSSION: I explained to the patient the retina in the right eye looks lovely. The left eye though has a chronic macula-off retinal detachment. Unfortunately, surgery would not help the left eye. In fact, it would be very risky and probably harm it. Otherwise, the cataract implants look beautiful. I asked her to return for check in a year. I asked her to see you in six months.