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
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing857 views1 month after initial laser
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion779 views
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bdr763 views
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Lacy Neovascularization of the Disk - Color Photo738 views
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Panretinal (Scatter) Photocoagulation (Fresh)730 views
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NVD - proliferative diabetic retinopathy Heidelberg False Color715 views
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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)711 views
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing709 views1 month after initial laser
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion700 views
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NVD - proliferative diabetic retinopathy Heidelberg False Color695 views
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing684 views1 month after initial laser
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing677 views1 month after initial laser
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BDR658 views
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NVD - proliferative diabetic retinopathy651 views
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NVD - proliferative diabetic retinopathy Heidelberg False Color649 views
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PDR638 views
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing623 views1 month after initial laser
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion619 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion618 views
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing617 views1 month after initial laser
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bdr613 views
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Heidelberg False Color607 views
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FAF598 views
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing595 views1 month after initial laser
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion589 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion588 views
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FAF583 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion583 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion581 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion580 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion574 views
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BDR573 views
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PDR572 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion567 views
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BDR right eye - previous laser564 views
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Panretinal (Scatter) Photocoagulation (Fresh)549 views
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No significant macular edema547 views
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BDR right eye - previous laser544 views
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Panretinal (Scatter) Photocoagulation (Fresh)540 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion537 views
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Neovascularization of the Disc - Heidelberg false color 531 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion529 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion512 views
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No significant macular edema510 views
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Panretinal (Scatter) Photocoagulation (Fresh)503 views
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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
