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Proliferative Diabetic Retinopathy - Lacy Neovascularization of the Disc - Photo of Fresh Panretinal (Scatter) Photocoagulation


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
 BDR614 views00000
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PDR_NVD_freshPRP_MAPA_02.png
 bdr722 views00000
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PDR_NVD_freshPRP_MAPA_03.jpg
 bdr586 views00000
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PDR_NVD_freshPRP_MAPA_04.jpg
 BDR546 views00000
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PDR_NVD_freshPRP_MAPA_05.png
 PDR607 views00000
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PDR_NVD_freshPRP_MAPA_06.png
 PDR545 views00000
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PDR_NVD_freshPRP_MAPA_07.png
 Lacy Neovascularization of the Disk - Color Photo701 views00000
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PDR_NVD_freshPRP_MAPA_08.jpg
 Heidelberg False Color574 views00000
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PDR_NVD_freshPRP_MAPA_09.jpg
 NVD - proliferative diabetic retinopathy Heidelberg False Color664 views00000
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PDR_NVD_freshPRP_MAPA_10.jpg
 NVD - proliferative diabetic retinopathy Heidelberg False Color619 views00000
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PDR_NVD_freshPRP_MAPA_11.jpg
 NVD - proliferative diabetic retinopathy Heidelberg False Color671 views00000
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PDR_NVD_freshPRP_MAPA_12.jpg
 NVD - proliferative diabetic retinopathy619 views00000
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PDR_NVD_freshPRP_MAPA_13.jpg
 FAF554 views00000
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PDR_NVD_freshPRP_MAPA_14.jpg
 FAF564 views00000
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PDR_NVD_freshPRP_MAPA_15.jpg
 No significant macular edema508 views00000
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PDR_NVD_freshPRP_MAPA_16.jpg
 No significant macular edema476 views00000
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PDR_NVD_freshPRP_MAPA_17.jpg
 BDR right eye - previous laser503 views00000
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PDR_NVD_freshPRP_MAPA_18.jpg
 BDR right eye - previous laser530 views00000
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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-perfusion552 views00000
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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-perfusion478 views00000
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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-perfusion547 views00000
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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-perfusion558 views00000
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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-perfusion530 views00000
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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-perfusion527 views00000
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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-perfusion727 views00000
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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-perfusion485 views00000
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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-perfusion574 views00000
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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-perfusion493 views00000
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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-perfusion533 views00000
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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)663 views00000
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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-perfusion530 views00000
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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-perfusion568 views00000
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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-perfusion642 views00000
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PDR_NVD_freshPRP_MAPA_34.jpg
 Neovascularization of the Disc - Heidelberg false color 478 views00000
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PDR_NVD_freshPRP_MAPA_35.png
 Panretinal (Scatter) Photocoagulation (Fresh)489 views00000
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PDR_NVD_freshPRP_MAPA_36.png
 Panretinal (Scatter) Photocoagulation (Fresh)459 views00000
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PDR_NVD_freshPRP_MAPA_37.png
 Panretinal (Scatter) Photocoagulation (Fresh)505 views00000
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prpos.png
 Panretinal (Scatter) Photocoagulation (Fresh)694 views00000
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nvd_1mopostlaser_newlaser_mapa01.png
 Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing570 views1 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 regressing542 views1 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 regressing572 views1 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 regressing655 views1 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 regressing633 views1 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 regressing622 views1 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 regressing805 views1 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