Last additions - Laser - Panretinal Photocoagulation - Heavy and Macular Edema 51-year-old woman has had extensive laser in both eyes done years ago elsewhere. Her left eye has gradually been declining with macular edema.
VISUAL ACUITY: OD 20/40, OS 20/40. IOP: OS 10. The left eye has a posterior chamber intraocular lens in good position with an open capsule.
EXTENDED OPHTHALMOSCOPY:
OS: Vertical C/D ratio is 0.0. There is edema temporal to the fovea with a microaneurysm there.
OCT SCAN: The OCT scan confirms worsening macular edema. The fluorescein shows leakage from acute parafoveal microaneurysms in the left eye. Photos confirm clinical findings.
IMPRESSION:
1. MACULAR EDEMA – LEFT EYE
2. PROLIFERATIVE DIABETIC RETINOPATHY – LEFT EYE
3. LEAKY MICROANEURYSMS – LEFT EYE
DISCUSSION: I explained to the patient that with focal laser we may be able to dry out the macula in the left eye and reduce the risk of further vision loss. I treated her today without any difficulty.
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PDR with heavy PRP laser and worsening macular edema OCT line scan528 views51-year-old woman has had extensive laser in both eyes done years ago elsewhere. Her left eye has gradually been declining with macular edema.
VISUAL ACUITY: OD 20/40, OS 20/40Oct 30, 2010
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PDR with heavy PRP laser and worsening macular edema late fa507 views51-year-old woman has had extensive laser in both eyes done years ago elsewhere. Her left eye has gradually been declining with macular edema.
VISUAL ACUITY: OD 20/40, OS 20/40Oct 30, 2010
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PDR with heavy PRP laser and worsening macular edema mid FA546 views51-year-old woman has had extensive laser in both eyes done years ago elsewhere. Her left eye has gradually been declining with macular edema.
VISUAL ACUITY: OD 20/40, OS 20/40Oct 30, 2010
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PDR with heavy PRP laser and worsening macular edema early FA493 views51-year-old woman has had extensive laser in both eyes done years ago elsewhere. Her left eye has gradually been declining with macular edema.
VISUAL ACUITY: OD 20/40, OS 20/40Oct 30, 2010
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PDR with heavy PRP laser and worsening macular edema red free photo679 views51-year-old woman has had extensive laser in both eyes done years ago elsewhere. Her left eye has gradually been declining with macular edema.
VISUAL ACUITY: OD 20/40, OS 20/40Oct 30, 2010
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PDR with heavy PRP laser and worsening macular edema 800 views51-year-old woman has had extensive laser in both eyes done years ago elsewhere. Her left eye has gradually been declining with macular edema.
VISUAL ACUITY: OD 20/40, OS 20/40Oct 30, 2010
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PDR with heavy PRP laser and worsening macular edema 1041 views51-year-old woman has had extensive laser in both eyes done years ago elsewhere. Her left eye has gradually been declining with macular edema.
VISUAL ACUITY: OD 20/40, OS 20/40Oct 30, 2010
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PDR with heavy PRP laser and worsening macular edema 1161 views51-year-old woman has had extensive laser in both eyes done years ago elsewhere. Her left eye has gradually been declining with macular edema.
VISUAL ACUITY: OD 20/40, OS 20/40Oct 30, 2010
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PDR with heavy PRP laser and worsening macular edema map617 views51-year-old woman has had extensive laser in both eyes done years ago elsewhere. Her left eye has gradually been declining with macular edema.
VISUAL ACUITY: OD 20/40, OS 20/40Oct 30, 2010
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51-year-old woman has had extensive laser in both eyes done years ago elsewhere. Her left eye has gradually been declining with macular edema.
VISUAL ACUITY: OD 20/40, OS 20/40. IOP: OS 10. The left eye has a posterior chamber intraocular lens in good position with an open capsule.
EXTENDED OPHTHALMOSCOPY:
OS: Vertical C/D ratio is 0.0. There is edema temporal to the fovea with a microaneurysm there.
OCT SCAN: The OCT scan confirms worsening macular edema. The fluorescein shows leakage from acute parafoveal microaneurysms in the left eye. Photos confirm clinical findings.
IMPRESSION:
1. MACULAR EDEMA – LEFT EYE
2. PROLIFERATIVE DIABETIC RETINOPATHY – LEFT EYE
3. LEAKY MICROANEURYSMS – LEFT EYE
DISCUSSION: I explained to the patient that with focal laser we may be able to dry out the macula in the left eye and reduce the risk of further vision loss. I treated her today without any difficulty.