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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 650 fois00000
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PDR_NVD_freshPRP_MAPA_02.png
 bdrvu 757 fois00000
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PDR_NVD_freshPRP_MAPA_03.jpg
 bdrvu 608 fois00000
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PDR_NVD_freshPRP_MAPA_04.jpg
 BDRvu 567 fois00000
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PDR_NVD_freshPRP_MAPA_05.png
 PDRvu 633 fois00000
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PDR_NVD_freshPRP_MAPA_06.png
 PDRvu 565 fois00000
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PDR_NVD_freshPRP_MAPA_07.png
 Lacy Neovascularization of the Disk - Color Photovu 731 fois00000
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PDR_NVD_freshPRP_MAPA_08.jpg
 Heidelberg False Colorvu 600 fois00000
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PDR_NVD_freshPRP_MAPA_09.jpg
 NVD - proliferative diabetic retinopathy Heidelberg False Colorvu 687 fois00000
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PDR_NVD_freshPRP_MAPA_10.jpg
 NVD - proliferative diabetic retinopathy Heidelberg False Colorvu 641 fois00000
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PDR_NVD_freshPRP_MAPA_11.jpg
 NVD - proliferative diabetic retinopathy Heidelberg False Colorvu 702 fois00000
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PDR_NVD_freshPRP_MAPA_12.jpg
 NVD - proliferative diabetic retinopathyvu 648 fois00000
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PDR_NVD_freshPRP_MAPA_13.jpg
 FAFvu 580 fois00000
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PDR_NVD_freshPRP_MAPA_14.jpg
 FAFvu 594 fois00000
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PDR_NVD_freshPRP_MAPA_15.jpg
 No significant macular edemavu 544 fois00000
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PDR_NVD_freshPRP_MAPA_16.jpg
 No significant macular edemavu 508 fois00000
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PDR_NVD_freshPRP_MAPA_17.jpg
 BDR right eye - previous laservu 535 fois00000
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PDR_NVD_freshPRP_MAPA_18.jpg
 BDR right eye - previous laservu 560 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 575 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 508 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 582 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 585 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 563 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 571 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 773 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 526 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 615 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 534 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 575 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 707 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 574 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 606 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 690 fois00000
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PDR_NVD_freshPRP_MAPA_34.jpg
 Neovascularization of the Disc - Heidelberg false color vu 522 fois00000
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PDR_NVD_freshPRP_MAPA_35.png
 Panretinal (Scatter) Photocoagulation (Fresh)vu 534 fois00000
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PDR_NVD_freshPRP_MAPA_36.png
 Panretinal (Scatter) Photocoagulation (Fresh)vu 501 fois00000
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PDR_NVD_freshPRP_MAPA_37.png
 Panretinal (Scatter) Photocoagulation (Fresh)vu 544 fois00000
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prpos.png
 Panretinal (Scatter) Photocoagulation (Fresh)vu 727 fois00000
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nvd_1mopostlaser_newlaser_mapa01.png
 Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressingvu 609 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 578 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 614 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 699 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 677 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 667 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 847 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