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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 631 fois00000
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PDR_NVD_freshPRP_MAPA_02.png
 bdrvu 739 fois00000
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PDR_NVD_freshPRP_MAPA_03.jpg
 bdrvu 596 fois00000
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PDR_NVD_freshPRP_MAPA_04.jpg
 BDRvu 554 fois00000
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PDR_NVD_freshPRP_MAPA_05.png
 PDRvu 615 fois00000
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PDR_NVD_freshPRP_MAPA_06.png
 PDRvu 552 fois00000
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PDR_NVD_freshPRP_MAPA_07.png
 Lacy Neovascularization of the Disk - Color Photovu 713 fois00000
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PDR_NVD_freshPRP_MAPA_08.jpg
 Heidelberg False Colorvu 587 fois00000
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PDR_NVD_freshPRP_MAPA_09.jpg
 NVD - proliferative diabetic retinopathy Heidelberg False Colorvu 671 fois00000
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PDR_NVD_freshPRP_MAPA_10.jpg
 NVD - proliferative diabetic retinopathy Heidelberg False Colorvu 625 fois00000
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PDR_NVD_freshPRP_MAPA_11.jpg
 NVD - proliferative diabetic retinopathy Heidelberg False Colorvu 677 fois00000
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PDR_NVD_freshPRP_MAPA_12.jpg
 NVD - proliferative diabetic retinopathyvu 633 fois00000
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PDR_NVD_freshPRP_MAPA_13.jpg
 FAFvu 567 fois00000
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PDR_NVD_freshPRP_MAPA_14.jpg
 FAFvu 582 fois00000
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PDR_NVD_freshPRP_MAPA_15.jpg
 No significant macular edemavu 526 fois00000
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PDR_NVD_freshPRP_MAPA_16.jpg
 No significant macular edemavu 492 fois00000
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PDR_NVD_freshPRP_MAPA_17.jpg
 BDR right eye - previous laservu 517 fois00000
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PDR_NVD_freshPRP_MAPA_18.jpg
 BDR right eye - previous laservu 544 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 562 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 491 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 561 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 569 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 546 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 554 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 757 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 508 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 591 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 512 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 549 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 684 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 552 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 589 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 665 fois00000
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PDR_NVD_freshPRP_MAPA_34.jpg
 Neovascularization of the Disc - Heidelberg false color vu 500 fois00000
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PDR_NVD_freshPRP_MAPA_35.png
 Panretinal (Scatter) Photocoagulation (Fresh)vu 505 fois00000
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PDR_NVD_freshPRP_MAPA_36.png
 Panretinal (Scatter) Photocoagulation (Fresh)vu 478 fois00000
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PDR_NVD_freshPRP_MAPA_37.png
 Panretinal (Scatter) Photocoagulation (Fresh)vu 524 fois00000
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prpos.png
 Panretinal (Scatter) Photocoagulation (Fresh)vu 710 fois00000
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nvd_1mopostlaser_newlaser_mapa01.png
 Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressingvu 590 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 557 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 597 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 677 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 658 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 650 fois1 month after initial laser00000
(0 votes)
nvd_1mopostlaser_newlaser_mapa07.png
 Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressingvu 831 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