Proliferative Diabetic Retinopathy - Lacy Neovascularization of the Disc - Photo of Fresh Panretinal (Scatter) Photocoagulation
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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
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Lacy Neovascularization of the Disk - Color Photo756 views
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Heidelberg False Color623 views
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NVD - proliferative diabetic retinopathy Heidelberg False Color721 views
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NVD - proliferative diabetic retinopathy Heidelberg False Color669 views
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NVD - proliferative diabetic retinopathy Heidelberg False Color724 views
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NVD - proliferative diabetic retinopathy660 views
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No significant macular edema574 views
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No significant macular edema522 views
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BDR right eye - previous laser560 views
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BDR right eye - previous laser576 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion593 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion532 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion604 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion607 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion588 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion591 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion800 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion542 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion647 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion555 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion591 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion (heavy leakage from NV)729 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion592 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion629 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion717 views
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Neovascularization of the Disc - Heidelberg false color 553 views
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Panretinal (Scatter) Photocoagulation (Fresh)551 views
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Panretinal (Scatter) Photocoagulation (Fresh)521 views
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Panretinal (Scatter) Photocoagulation (Fresh)566 views
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Panretinal (Scatter) Photocoagulation (Fresh)747 views
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing642 views1 month after initial laser
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing617 views1 month after initial laser
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing642 views1 month after initial laser
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing720 views1 month after initial laser
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing701 views1 month after initial laser
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing693 views1 month after initial laser
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing877 views1 month after initial laser
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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
