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
|
BDRvista 554 veces
(0 votos)
|
|
bdrvista 683 veces
(0 votos)
|
|
bdrvista 531 veces
(0 votos)
|
|
BDRvista 502 veces
(0 votos)
|
|
PDRvista 561 veces
(0 votos)
|
|
PDRvista 498 veces
(0 votos)
|
|
Lacy Neovascularization of the Disk - Color Photovista 646 veces
(0 votos)
|
|
Heidelberg False Colorvista 506 veces
(0 votos)
|
|
NVD - proliferative diabetic retinopathy Heidelberg False Colorvista 607 veces
(0 votos)
|
|
NVD - proliferative diabetic retinopathy Heidelberg False Colorvista 567 veces
(0 votos)
|
|
NVD - proliferative diabetic retinopathy Heidelberg False Colorvista 613 veces
(0 votos)
|
|
NVD - proliferative diabetic retinopathyvista 571 veces
(0 votos)
|
|
FAFvista 504 veces
(0 votos)
|
|
FAFvista 508 veces
(0 votos)
|
|
No significant macular edemavista 436 veces
(0 votos)
|
|
No significant macular edemavista 410 veces
(0 votos)
|
|
BDR right eye - previous laservista 460 veces
(0 votos)
|
|
BDR right eye - previous laservista 476 veces
(0 votos)
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvista 476 veces
(0 votos)
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvista 434 veces
(0 votos)
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvista 458 veces
(0 votos)
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvista 484 veces
(0 votos)
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvista 474 veces
(0 votos)
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvista 473 veces
(0 votos)
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvista 672 veces
(0 votos)
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvista 437 veces
(0 votos)
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvista 534 veces
(0 votos)
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvista 443 veces
(0 votos)
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvista 482 veces
(0 votos)
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion (heavy leakage from NV)vista 604 veces
(0 votos)
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvista 467 veces
(0 votos)
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvista 506 veces
(0 votos)
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvista 596 veces
(0 votos)
|
|
Neovascularization of the Disc - Heidelberg false color vista 434 veces
(0 votos)
|
|
Panretinal (Scatter) Photocoagulation (Fresh)vista 434 veces
(0 votos)
|
|
Panretinal (Scatter) Photocoagulation (Fresh)vista 402 veces
(0 votos)
|
|
Panretinal (Scatter) Photocoagulation (Fresh)vista 449 veces
(0 votos)
|
|
Panretinal (Scatter) Photocoagulation (Fresh)vista 604 veces
(0 votos)
|
|
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressingvista 494 veces1 month after initial laser
(0 votos)
|
|
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressingvista 486 veces1 month after initial laser
(0 votos)
|
|
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressingvista 508 veces1 month after initial laser
(0 votos)
|
|
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressingvista 595 veces1 month after initial laser
(0 votos)
|
|
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressingvista 577 veces1 month after initial laser
(0 votos)
|
|
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressingvista 566 veces1 month after initial laser
(0 votos)
|
|
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressingvista 759 veces1 month after initial laser
(0 votos)
|
|
|
|
|
| 45 archivos en 1 página(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
