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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
 BDRvu 558 fois00000
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PDR_NVD_freshPRP_MAPA_02.png
 bdrvu 685 fois00000
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PDR_NVD_freshPRP_MAPA_03.jpg
 bdrvu 532 fois00000
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PDR_NVD_freshPRP_MAPA_04.jpg
 BDRvu 502 fois00000
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PDR_NVD_freshPRP_MAPA_05.png
 PDRvu 567 fois00000
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PDR_NVD_freshPRP_MAPA_06.png
 PDRvu 503 fois00000
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PDR_NVD_freshPRP_MAPA_07.png
 Lacy Neovascularization of the Disk - Color Photovu 649 fois00000
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PDR_NVD_freshPRP_MAPA_08.jpg
 Heidelberg False Colorvu 509 fois00000
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PDR_NVD_freshPRP_MAPA_09.jpg
 NVD - proliferative diabetic retinopathy Heidelberg False Colorvu 612 fois00000
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PDR_NVD_freshPRP_MAPA_10.jpg
 NVD - proliferative diabetic retinopathy Heidelberg False Colorvu 572 fois00000
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PDR_NVD_freshPRP_MAPA_11.jpg
 NVD - proliferative diabetic retinopathy Heidelberg False Colorvu 617 fois00000
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PDR_NVD_freshPRP_MAPA_12.jpg
 NVD - proliferative diabetic retinopathyvu 572 fois00000
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PDR_NVD_freshPRP_MAPA_13.jpg
 FAFvu 506 fois00000
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PDR_NVD_freshPRP_MAPA_14.jpg
 FAFvu 513 fois00000
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PDR_NVD_freshPRP_MAPA_15.jpg
 No significant macular edemavu 438 fois00000
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PDR_NVD_freshPRP_MAPA_16.jpg
 No significant macular edemavu 412 fois00000
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PDR_NVD_freshPRP_MAPA_17.jpg
 BDR right eye - previous laservu 463 fois00000
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PDR_NVD_freshPRP_MAPA_18.jpg
 BDR right eye - previous laservu 481 fois00000
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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-perfusionvu 481 fois00000
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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-perfusionvu 441 fois00000
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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-perfusionvu 464 fois00000
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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-perfusionvu 488 fois00000
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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-perfusionvu 477 fois00000
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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-perfusionvu 476 fois00000
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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-perfusionvu 674 fois00000
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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-perfusionvu 438 fois00000
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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-perfusionvu 537 fois00000
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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-perfusionvu 444 fois00000
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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-perfusionvu 486 fois00000
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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)vu 612 fois00000
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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-perfusionvu 473 fois00000
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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-perfusionvu 510 fois00000
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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-perfusionvu 597 fois00000
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PDR_NVD_freshPRP_MAPA_34.jpg
 Neovascularization of the Disc - Heidelberg false color vu 436 fois00000
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PDR_NVD_freshPRP_MAPA_35.png
 Panretinal (Scatter) Photocoagulation (Fresh)vu 439 fois00000
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PDR_NVD_freshPRP_MAPA_36.png
 Panretinal (Scatter) Photocoagulation (Fresh)vu 407 fois00000
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PDR_NVD_freshPRP_MAPA_37.png
 Panretinal (Scatter) Photocoagulation (Fresh)vu 454 fois00000
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prpos.png
 Panretinal (Scatter) Photocoagulation (Fresh)vu 609 fois00000
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nvd_1mopostlaser_newlaser_mapa01.png
 Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressingvu 500 fois1 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 regressingvu 490 fois1 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 regressingvu 509 fois1 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 regressingvu 599 fois1 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 regressingvu 579 fois1 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 regressingvu 567 fois1 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 regressingvu 761 fois1 month after initial laser00000
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45 photos sur 1 page(s)

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