Diabetic Macular Edema - Exudates
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56-year-old woman was seen on 3/3/08. She has diabetes for twelve years. She has noticed blurring of the vision in the right eye for about six months. Her left eye is a little bit blurred as well. You saw a problem with the retina and suggested she come in here for evaluation.
VISUAL ACUITY: Vision OD is 20/70, OS is 20/25. IOP: 14 OD, 16 OS.
SLIT LAMP EXAM: There is 1+ nuclear sclerosis in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.3. There is a posterior vitreous separation. There is clinically significant macular edema involving the fovea. There are 2+ retinal hemorrhages and microaneurysms with no proliferation.
OS: Vertical C/D ratio is 0.3. There is a posterior vitreous separation and clinically significant macular edema touching the fovea temporally. There are 2+ retinal hemorrhages and microaneurysms with no proliferation.
OCT SCAN: There is clinically significant macular edema in both eyes.
FLUORESCEIN ANGIOGRAPHY: Photos confirm clinical findings. FA shows multiple leaking microaneurysms in both eyes.
IMPRESSION: 1. BACKGROUND DIABETIC RETINOPATHY – BOTH EYES
2. CLINICALLY SIGNIFICANT MACULAR EDEMA – BOTH EYES
DISCUSSION: I explained to the patient with focal laser we can reduce the risk of vision loss in both eyes and possibly improve the vision. I treated her right eye without any difficulty. She will return for check in one month for probable treatment of the other eye. I told her if the laser does not sufficiently dry up the macula, there are other treatments we could add to it.
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Clinically Significant Diabetic Macular Edema both Eyes with Exudatesvu 1678 fois56-year-old woman with diabetes for twelve years. She has noticed blurring of the vision in the right eye for about six months. OD is 20/70, OS is 20/25. 
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Clinically Significant Diabetic Macular Edema both Eyes with Exudatesvu 926 fois56-year-old woman with diabetes for twelve years. She has noticed blurring of the vision in the right eye for about six months. OD is 20/70, OS is 20/25.
(0 votes)
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Clinically Significant Diabetic Macular Edema both Eyes with Exudatesvu 809 fois56-year-old woman with diabetes for twelve years. She has noticed blurring of the vision in the right eye for about six months. OD is 20/70, OS is 20/25.
(0 votes)
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Clinically Significant Diabetic Macular Edema both Eyes with Exudatesvu 817 fois56-year-old woman with diabetes for twelve years. She has noticed blurring of the vision in the right eye for about six months. OD is 20/70, OS is 20/25.
(0 votes)
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Clinically Significant Diabetic Macular Edema both Eyes with Exudatesvu 762 fois56-year-old woman with diabetes for twelve years. She has noticed blurring of the vision in the right eye for about six months. OD is 20/70, OS is 20/25.
(0 votes)
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Clinically Significant Diabetic Macular Edema both Eyes with Exudatesvu 628 fois56-year-old woman with diabetes for twelve years. She has noticed blurring of the vision in the right eye for about six months. OD is 20/70, OS is 20/25.
(0 votes)
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Clinically Significant Diabetic Macular Edema both Eyes with Exudatesvu 611 fois56-year-old woman with diabetes for twelve years. She has noticed blurring of the vision in the right eye for about six months. OD is 20/70, OS is 20/25.
(0 votes)
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Clinically Significant Diabetic Macular Edema both Eyes with Exudatesvu 513 fois56-year-old woman with diabetes for twelve years. She has noticed blurring of the vision in the right eye for about six months. OD is 20/70, OS is 20/25.
(0 votes)
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Clinically Significant Diabetic Macular Edema both Eyes with Exudatesvu 556 fois56-year-old woman with diabetes for twelve years. She has noticed blurring of the vision in the right eye for about six months. OD is 20/70, OS is 20/25.
(0 votes)
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Clinically Significant Diabetic Macular Edema both Eyes with Exudatesvu 530 fois56-year-old woman with diabetes for twelve years. She has noticed blurring of the vision in the right eye for about six months. OD is 20/70, OS is 20/25.
(0 votes)
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Clinically Significant Diabetic Macular Edema both Eyes with Exudatesvu 567 fois56-year-old woman with diabetes for twelve years. She has noticed blurring of the vision in the right eye for about six months. OD is 20/70, OS is 20/25.
(0 votes)
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Clinically Significant Diabetic Macular Edema both Eyes with Exudatesvu 508 fois56-year-old woman with diabetes for twelve years. She has noticed blurring of the vision in the right eye for about six months. OD is 20/70, OS is 20/25.
(0 votes)
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Clinically Significant Diabetic Macular Edema both Eyes with Exudatesvu 572 fois56-year-old woman with diabetes for twelve years. She has noticed blurring of the vision in the right eye for about six months. OD is 20/70, OS is 20/25.
(0 votes)
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Clinically Significant Diabetic Macular Edema both Eyes with Exudatesvu 542 fois56-year-old woman with diabetes for twelve years. She has noticed blurring of the vision in the right eye for about six months. OD is 20/70, OS is 20/25.
(0 votes)
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Clinically Significant Diabetic Macular Edema both Eyes with Exudatesvu 509 fois56-year-old woman with diabetes for twelve years. She has noticed blurring of the vision in the right eye for about six months. OD is 20/70, OS is 20/25.
(0 votes)
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Clinically Significant Diabetic Macular Edema both Eyes with Exudatesvu 565 fois56-year-old woman with diabetes for twelve years. She has noticed blurring of the vision in the right eye for about six months. OD is 20/70, OS is 20/25.
(0 votes)
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Clinically Significant Diabetic Macular Edema both Eyes with Exudatesvu 599 fois56-year-old woman with diabetes for twelve years. She has noticed blurring of the vision in the right eye for about six months. OD is 20/70, OS is 20/25.
(0 votes)
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Clinically Significant Diabetic Macular Edema both Eyes with Exudatesvu 631 fois56-year-old woman with diabetes for twelve years. She has noticed blurring of the vision in the right eye for about six months. OD is 20/70, OS is 20/25.
(0 votes)
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Clinically Significant Diabetic Macular Edema both Eyes with Exudatesvu 696 fois56-year-old woman with diabetes for twelve years. She has noticed blurring of the vision in the right eye for about six months. OD is 20/70, OS is 20/25.
(0 votes)
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Clinically Significant Diabetic Macular Edema both Eyes with Exudatesvu 808 fois56-year-old woman with diabetes for twelve years. She has noticed blurring of the vision in the right eye for about six months. OD is 20/70, OS is 20/25.
(0 votes)
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56-year-old woman was seen on 3/3/08. She has diabetes for twelve years. She has noticed blurring of the vision in the right eye for about six months. Her left eye is a little bit blurred as well. You saw a problem with the retina and suggested she come in here for evaluation.
VISUAL ACUITY: Vision OD is 20/70, OS is 20/25. IOP: 14 OD, 16 OS.
SLIT LAMP EXAM: There is 1+ nuclear sclerosis in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.3. There is a posterior vitreous separation. There is clinically significant macular edema involving the fovea. There are 2+ retinal hemorrhages and microaneurysms with no proliferation.
OS: Vertical C/D ratio is 0.3. There is a posterior vitreous separation and clinically significant macular edema touching the fovea temporally. There are 2+ retinal hemorrhages and microaneurysms with no proliferation.
OCT SCAN: There is clinically significant macular edema in both eyes.
FLUORESCEIN ANGIOGRAPHY: Photos confirm clinical findings. FA shows multiple leaking microaneurysms in both eyes.
IMPRESSION: 1. BACKGROUND DIABETIC RETINOPATHY – BOTH EYES
2. CLINICALLY SIGNIFICANT MACULAR EDEMA – BOTH EYES
DISCUSSION: I explained to the patient with focal laser we can reduce the risk of vision loss in both eyes and possibly improve the vision. I treated her right eye without any difficulty. She will return for check in one month for probable treatment of the other eye. I told her if the laser does not sufficiently dry up the macula, there are other treatments we could add to it.
