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Last additions - NVE (neovascularization elsewhere) and Vitreous Hemorrhage

55-year-old woman has had a vitreous hemorrhage in her left eye. She had one in the right eye in the past. The vision is clearing some as the blood absorbs. VISUAL ACUITY: OD 20/32, OS 20/40. IOP: OD 13, OS 12. The posterior chamber intraocular lens is in good position in both eyes. The left eye has a 1+ posterior capsular opacity. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.3. There are patchy retinal hemorrhages. OS: Vertical C/D ratio is 0.3. There is neovascularization superotemporal to the macula, which is elevated into the vitreous and clearly under tension. There is a 2+ vitreous hemorrhage. FUNDUS PHOTOGRAPHY: The photos show the retinal hemorrhages in the right eye and the neovascularization in the left eye. FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography shows moderate non perfusion in the periphery of the left eye with heavy leakage from the neovascularization. In the right eye there is some leakage from the microaneurysms in the macula and there is moderate non perfusion in the periphery. SPECTRALIS-SD-OCT SCAN: The OCT scan shows no significant retinal edema in either eye. IMPRESSION: 1. PROLIFERATIVE DIABETIC RETINOPATHY – LEFT EYE 2. VITREOUS HEMORRHAGE – LEFT EYE 3. BACKGROUND DIABETIC RETINOPATHY – RIGHT EYE 4. ABSORBING VITREOUS HEMORRHAGE – LEFT EYE DISCUSSION: I explained to the patient with pan retinal laser we can substantially reduce the risk of severe vision loss in the left eye. We talked about the risks, benefits, indications, and alternatives of panretinal photocoagulation and the patient agreed to this procedure after the questions were answered. Panretinal photocoagulation was performed today without difficulty.

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Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE584 viewsApr 25, 2013
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Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE549 viewsApr 25, 2013
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Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE599 viewsApr 25, 2013
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Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE739 viewsApr 25, 2013
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Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE784 viewsApr 25, 2013
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Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE797 viewsApr 25, 2013
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Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE652 viewsApr 25, 2013
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Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE573 viewsApr 25, 2013
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Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE590 viewsApr 25, 2013
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Pre-proliferative Diabetic Retinopathy - Peripheral non-perfusion visible on FA550 viewsApr 25, 2013
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Pre-proliferative Diabetic Retinopathy - Peripheral non-perfusion visible on FA625 viewsApr 25, 2013
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Pre-proliferative Diabetic Retinopathy - Peripheral non-perfusion visible on FA555 viewsApr 25, 2013
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Pre-proliferative Diabetic Retinopathy - Peripheral non-perfusion visible on FA591 viewsApr 25, 2013
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PDR - IR540 viewsApr 25, 2013
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PDR - FAF655 viewsApr 25, 2013
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BDR FAF584 viewsApr 25, 2013
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529 viewsApr 25, 2013
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578 viewsApr 25, 2013
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Neovascularization elsewhere (NVE) Left Eye with Vitreous Hemorrhage922 viewsApr 25, 2013
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Neovascularization elsewhere (NVE) Left Eye with Vitreous Hemorrhage614 viewsApr 25, 2013
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Neovascularization elsewhere (NVE) Left Eye with Vitreous Hemorrhage811 viewsApr 25, 2013
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Neovascularization elsewhere (NVE) Left Eye with Vitreous Hemorrhage750 viewsApr 25, 2013
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Neovascularization elsewhere (NVE) Left Eye with Vitreous Hemorrhage623 viewsApr 25, 2013
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BDR OD with Macular Edema590 viewsApr 25, 2013
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BDR OD with Macular Edema632 viewsApr 25, 2013
     
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55-year-old woman has had a vitreous hemorrhage in her left eye. She had one in the right eye in the past. The vision is clearing some as the blood absorbs. VISUAL ACUITY: OD 20/32, OS 20/40. IOP: OD 13, OS 12. The posterior chamber intraocular lens is in good position in both eyes. The left eye has a 1+ posterior capsular opacity. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.3. There are patchy retinal hemorrhages. OS: Vertical C/D ratio is 0.3. There is neovascularization superotemporal to the macula, which is elevated into the vitreous and clearly under tension. There is a 2+ vitreous hemorrhage. FUNDUS PHOTOGRAPHY: The photos show the retinal hemorrhages in the right eye and the neovascularization in the left eye. FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography shows moderate non perfusion in the periphery of the left eye with heavy leakage from the neovascularization. In the right eye there is some leakage from the microaneurysms in the macula and there is moderate non perfusion in the periphery. SPECTRALIS-SD-OCT SCAN: The OCT scan shows no significant retinal edema in either eye. IMPRESSION: 1. PROLIFERATIVE DIABETIC RETINOPATHY – LEFT EYE 2. VITREOUS HEMORRHAGE – LEFT EYE 3. BACKGROUND DIABETIC RETINOPATHY – RIGHT EYE 4. ABSORBING VITREOUS HEMORRHAGE – LEFT EYE DISCUSSION: I explained to the patient with pan retinal laser we can substantially reduce the risk of severe vision loss in the left eye. We talked about the risks, benefits, indications, and alternatives of panretinal photocoagulation and the patient agreed to this procedure after the questions were answered. Panretinal photocoagulation was performed today without difficulty.