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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 NVE504 viewsApr 25, 2013
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Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE465 viewsApr 25, 2013
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Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE480 viewsApr 25, 2013
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Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE644 viewsApr 25, 2013
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Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE682 viewsApr 25, 2013
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Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE699 viewsApr 25, 2013
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Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE560 viewsApr 25, 2013
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Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE468 viewsApr 25, 2013
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Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE500 viewsApr 25, 2013
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Pre-proliferative Diabetic Retinopathy - Peripheral non-perfusion visible on FA445 viewsApr 25, 2013
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Pre-proliferative Diabetic Retinopathy - Peripheral non-perfusion visible on FA525 viewsApr 25, 2013
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Pre-proliferative Diabetic Retinopathy - Peripheral non-perfusion visible on FA465 viewsApr 25, 2013
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Pre-proliferative Diabetic Retinopathy - Peripheral non-perfusion visible on FA508 viewsApr 25, 2013
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PDR - IR453 viewsApr 25, 2013
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PDR - FAF572 viewsApr 25, 2013
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BDR FAF481 viewsApr 25, 2013
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425 viewsApr 25, 2013
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485 viewsApr 25, 2013
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Neovascularization elsewhere (NVE) Left Eye with Vitreous Hemorrhage796 viewsApr 25, 2013
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Neovascularization elsewhere (NVE) Left Eye with Vitreous Hemorrhage522 viewsApr 25, 2013
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Neovascularization elsewhere (NVE) Left Eye with Vitreous Hemorrhage697 viewsApr 25, 2013
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Neovascularization elsewhere (NVE) Left Eye with Vitreous Hemorrhage617 viewsApr 25, 2013
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Neovascularization elsewhere (NVE) Left Eye with Vitreous Hemorrhage526 viewsApr 25, 2013
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BDR OD with Macular Edema508 viewsApr 25, 2013
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BDR OD with Macular Edema532 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.