Most viewed - 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
|
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing868 views1 month after initial laser
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion786 views
|
|
bdr772 views
|
|
Lacy Neovascularization of the Disk - Color Photo741 views
|
|
Panretinal (Scatter) Photocoagulation (Fresh)736 views
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion (heavy leakage from NV)720 views
|
|
NVD - proliferative diabetic retinopathy Heidelberg False Color718 views
|
|
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing713 views1 month after initial laser
|
|
NVD - proliferative diabetic retinopathy Heidelberg False Color704 views
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion703 views
|
|
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing688 views1 month after initial laser
|
|
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing681 views1 month after initial laser
|
|
BDR667 views
|
|
NVD - proliferative diabetic retinopathy653 views
|
|
NVD - proliferative diabetic retinopathy Heidelberg False Color652 views
|
|
PDR643 views
|
|
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing628 views1 month after initial laser
|
|
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing626 views1 month after initial laser
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion625 views
|
|
bdr621 views
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion621 views
|
|
Heidelberg False Color610 views
|
|
FAF600 views
|
|
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing600 views1 month after initial laser
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion594 views
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion590 views
|
|
FAF586 views
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion586 views
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion585 views
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion583 views
|
|
BDR581 views
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion578 views
|
|
PDR575 views
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion572 views
|
|
BDR right eye - previous laser568 views
|
|
No significant macular edema560 views
|
|
Panretinal (Scatter) Photocoagulation (Fresh)559 views
|
|
BDR right eye - previous laser549 views
|
|
Panretinal (Scatter) Photocoagulation (Fresh)543 views
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion540 views
|
|
Neovascularization of the Disc - Heidelberg false color 539 views
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion533 views
|
|
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion516 views
|
|
No significant macular edema512 views
|
|
Panretinal (Scatter) Photocoagulation (Fresh)509 views
|
|
|
|
|
|
|
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
