Diabetic Macular Edema Fresh Laser
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74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80. IOP: OD 10, OS 9. The right eye has a posterior chamber intraocular lens in good position. The left eye has a corneal scar a long the superior edge of the cornea. The posterior chamber intraocular lens is in good position.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.6. There is edema temporal to the fovea with microaneurysms.
OS: Vertical C/D ratio is 0.6. There is edema temporal to the fovea with microaneurysms.
OCT SCAN: The OCT scan in the right eye shows normal macular thickness. The left eye has edema, particularly temporal to the fovea. Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAM: FA shows multiple microaneurysms predominately temporal to the fovea with late leakage into the fovea in the left eye. The right eye has microaneurysms but no significant leakage into the fovea.
IMPRESSION:
1. BACKGROUND DIABETIC RETINOPATHY – BOTH EYES
2. CLINICALLY SIGNIFICANT MACULAR EDEMA – LEFT EYE
DISCUSSION: I explained to the patient with focal laser we can reduce the risk of vision loss in the left eye. I treated that eye today without any difficulties.
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Diabetic Macular Edema with Circinate Exudate 652 views74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80
(0 votes)
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Diabetic Macular Edema with Circinate Exudate macular photo608 views74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80
(0 votes)
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Diabetic Macular Edema with Circinate Exudate Macular Photo Post - Laser (Fresh)629 views74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80
(0 votes)
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Diabetic Macular Edema with Circinate Exudate OCT Map697 views74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80
(0 votes)
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Diabetic Macular Edema with Circinate Exudate Red Free605 views74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80
(0 votes)
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Diabetic Macular Edema with Circinate Exudate Early FA584 views74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80
(0 votes)
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Diabetic Macular Edema with Circinate Exudate Early FA496 views74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80
(0 votes)
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Diabetic Macular Edema with Circinate Exudate 471 views74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80
(0 votes)
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Diabetic Macular Edema with Circinate Exudate Macular FA551 views74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80
(0 votes)
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Diabetic Macular Edema with Circinate Exudate 429 views74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80
(0 votes)
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Diabetic Macular Edema with Circinate Exudate 447 views74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80
(0 votes)
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Diabetic Macular Edema with Circinate Exudate 443 views74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80
(0 votes)
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Diabetic Macular Edema with Circinate Exudate 410 views74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80
(0 votes)
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Diabetic Macular Edema with Circinate Exudate 487 views74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80
(0 votes)
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Diabetic Macular Edema with Circinate Exudate 403 views74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80
(0 votes)
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Diabetic Macular Edema with Circinate Exudate Fellow Eye FA506 views74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80
(0 votes)
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74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80. IOP: OD 10, OS 9. The right eye has a posterior chamber intraocular lens in good position. The left eye has a corneal scar a long the superior edge of the cornea. The posterior chamber intraocular lens is in good position.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.6. There is edema temporal to the fovea with microaneurysms.
OS: Vertical C/D ratio is 0.6. There is edema temporal to the fovea with microaneurysms.
OCT SCAN: The OCT scan in the right eye shows normal macular thickness. The left eye has edema, particularly temporal to the fovea. Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAM: FA shows multiple microaneurysms predominately temporal to the fovea with late leakage into the fovea in the left eye. The right eye has microaneurysms but no significant leakage into the fovea.
IMPRESSION:
1. BACKGROUND DIABETIC RETINOPATHY – BOTH EYES
2. CLINICALLY SIGNIFICANT MACULAR EDEMA – LEFT EYE
DISCUSSION: I explained to the patient with focal laser we can reduce the risk of vision loss in the left eye. I treated that eye today without any difficulties.
