Last additions - 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
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing836 views1 month after initial laserApr 03, 2013
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing655 views1 month after initial laserApr 03, 2013
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing666 views1 month after initial laserApr 03, 2013
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing687 views1 month after initial laserApr 03, 2013
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing600 views1 month after initial laserApr 03, 2013
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing566 views1 month after initial laserApr 03, 2013
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing599 views1 month after initial laserApr 03, 2013
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Panretinal (Scatter) Photocoagulation (Fresh)716 viewsMar 01, 2013
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Panretinal (Scatter) Photocoagulation (Fresh)533 viewsMar 01, 2013
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Panretinal (Scatter) Photocoagulation (Fresh)488 viewsMar 01, 2013
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Panretinal (Scatter) Photocoagulation (Fresh)521 viewsMar 01, 2013
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Neovascularization of the Disc - Heidelberg false color 511 viewsMar 01, 2013
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion674 viewsMar 01, 2013
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion596 viewsMar 01, 2013
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion567 viewsMar 01, 2013
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion (heavy leakage from NV)694 viewsMar 01, 2013
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion563 viewsMar 01, 2013
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion519 viewsMar 01, 2013
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion598 viewsMar 01, 2013
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion517 viewsMar 01, 2013
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion763 viewsMar 01, 2013
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion562 viewsMar 01, 2013
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion551 viewsMar 01, 2013
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion573 viewsMar 01, 2013
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion568 viewsMar 01, 2013
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion498 viewsMar 01, 2013
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion568 viewsMar 01, 2013
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BDR right eye - previous laser548 viewsMar 01, 2013
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BDR right eye - previous laser526 viewsMar 01, 2013
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No significant macular edema499 viewsMar 01, 2013
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No significant macular edema535 viewsMar 01, 2013
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FAF587 viewsMar 01, 2013
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FAF573 viewsMar 01, 2013
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NVD - proliferative diabetic retinopathy639 viewsMar 01, 2013
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NVD - proliferative diabetic retinopathy Heidelberg False Color689 viewsMar 01, 2013
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NVD - proliferative diabetic retinopathy Heidelberg False Color631 viewsMar 01, 2013
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NVD - proliferative diabetic retinopathy Heidelberg False Color678 viewsMar 01, 2013
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Heidelberg False Color591 viewsMar 01, 2013
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Lacy Neovascularization of the Disk - Color Photo720 viewsMar 01, 2013
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PDR557 viewsMar 01, 2013
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PDR622 viewsMar 01, 2013
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BDR558 viewsMar 01, 2013
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bdr601 viewsMar 01, 2013
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bdr750 viewsMar 01, 2013
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BDR640 viewsMar 01, 2013
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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
