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Last additions - Severe Diabetic Macular Edema and Siegrist Streaks

56 year old female. seen in 5/2023 - She injured her right foot with a roofing nail and got necrotizing fasciitis (4/2020). With the necrotizing fasciitis, she entered multiple organ failure but recovered. She does not know if she had high blood pressure or DIC. Before that she could see well except that she needed reading glasses. She was then put into hyperbaric and got a myopic shift. She was also diagnosed with diabetes. Her A1C now is very good. At the time of her infection her A1C was very high for less than a few months. She noticed a shadow that comes and goes within the last 6 months in just the left eye. The right eye does not see well, everything is not crisp. She just ordered new glasses and does not know what her vision would be. She has not had an eye examination in a few years. She was concerned about the shift and needing to update her glasses. Medical Hx: Diabetes Type II with Ocular Complications. Thyroid Disease. Influenza Immunization Not Received. Pneumococcal Vaccine Not Received. Surgical Hx: foot surgery. Systemic Meds: MOUNJARO- tirzepatide injection, solution. VA OD: sc20/80+1 PHNI NscJ16 VA OS: sc20/100 PHNI NscJ16 IOP: TP: OD:10 OS:11

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Siegrist Streaks and severe diabetic macular edema206 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_35.jpg
Siegrist Streaks and severe diabetic macular edema237 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_34.jpg
Siegrist Streaks and severe diabetic macular edema185 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_33.jpg
Siegrist Streaks and severe diabetic macular edema186 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_32.jpg
Siegrist Streaks and severe diabetic macular edema214 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_30.jpg
Siegrist Streaks and severe diabetic macular edema212 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_31.jpg
Siegrist Streaks and severe diabetic macular edema196 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_29.jpg
Siegrist Streaks and severe diabetic macular edema200 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_28.jpg
Siegrist Streaks and severe diabetic macular edema254 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_27.jpg
Siegrist Streaks and severe diabetic macular edema180 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_09.jpg
Siegrist Streaks and severe diabetic macular edema200 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_25.jpg
Siegrist Streaks and severe diabetic macular edema238 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_24.jpg
Siegrist Streaks and severe diabetic macular edema193 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_23.jpg
Siegrist Streaks and severe diabetic macular edema190 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_22.jpg
Siegrist Streaks and severe diabetic macular edema178 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_21.jpg
Siegrist Streaks and severe diabetic macular edema182 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_20.jpg
Siegrist Streaks and severe diabetic macular edema182 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_19.jpg
Siegrist Streaks and severe diabetic macular edema186 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_18.jpg
Siegrist Streaks and severe diabetic macular edema226 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_17.JPG
Siegrist Streaks and severe diabetic macular edema199 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_11.jpg
Siegrist Streaks and severe diabetic macular edema198 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_16.JPG
Siegrist Streaks and severe diabetic macular edema222 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_15.jpg
Siegrist Streaks and severe diabetic macular edema170 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_14.jpg
Siegrist Streaks and severe diabetic macular edema171 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_13.jpg
Siegrist Streaks and severe diabetic macular edema170 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_12.jpg
Siegrist Streaks and severe diabetic macular edema206 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_07.jpg
Siegrist Streaks and severe diabetic macular edema180 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_10.jpg
Siegrist Streaks and severe diabetic macular edema221 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_03.jpg
Siegrist Streaks and severe diabetic macular edema184 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_05.jpg
Siegrist Streaks and severe diabetic macular edema197 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_06.jpg
Siegrist Streaks and severe diabetic macular edema217 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_01.jpg
Siegrist Streaks and severe diabetic macular edema236 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_04.jpg
Siegrist Streaks and severe diabetic macular edema223 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
dme_htn-choroid_padod1_052523_02.jpg
Siegrist Streaks and severe diabetic macular edema203 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
   
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56 year old female. seen in 5/2023 - She injured her right foot with a roofing nail and got necrotizing fasciitis (4/2020). With the necrotizing fasciitis, she entered multiple organ failure but recovered. She does not know if she had high blood pressure or DIC. Before that she could see well except that she needed reading glasses. She was then put into hyperbaric and got a myopic shift. She was also diagnosed with diabetes. Her A1C now is very good. At the time of her infection her A1C was very high for less than a few months. She noticed a shadow that comes and goes within the last 6 months in just the left eye. The right eye does not see well, everything is not crisp. She just ordered new glasses and does not know what her vision would be. She has not had an eye examination in a few years. She was concerned about the shift and needing to update her glasses. Medical Hx: Diabetes Type II with Ocular Complications. Thyroid Disease. Influenza Immunization Not Received. Pneumococcal Vaccine Not Received. Surgical Hx: foot surgery. Systemic Meds: MOUNJARO- tirzepatide injection, solution. VA OD: sc20/80+1 PHNI NscJ16 VA OS: sc20/100 PHNI NscJ16 IOP: TP: OD:10 OS:11