Diabetic Macular Edema and Fresh Laser Left Eye
|
|
82-year-old woman in the office on March 14, 2008. She has been diabetic for some time. Her last eye exam was about five years ago up in the Detroit area. She has moved to Florida since you just saw her for the first time recently and noticed a problem with her retina and suggested she come in here for evaluation. She was recently hospitalized and just released for anemia. Her hemoglobin was terrible low. She has been started on some new medication for that.
VISUAL ACUITY: OD 20/60, OS 20/70. IOP: OD 16, OS 17.
SLIT LAMP EXAM: The posterior chamber intraocular lens is in good position in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.3. There is posterior vitreous separation. There are 2+ retinal hemorrhages.
OS: Vertical C/D ratio is 0.3. There is posterior vitreous separation. There are 2+ retinal hemorrhages. There is edema temporal to the fovea.
OCT SCAN: The OCT scan of the right eye shows retinal atrophy with no intraretinal or subretinal fluid. The left eye has edema temporal to the fovea with involvement of the fovea. Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAM: FA shows multiple microaneurysms in both eyes.
IMPRESSION:
1. BACKGROUND DIABETIC RETINOPATHY – BOTH EYES
2. CLINICALLY SIGNIFICANT MACULAR EDEMA – LEFT EYE
Page – Niki Ratsos
March 21, 2008
DISCUSSION: I explained to the patient with focal laser we can reduce the risk of vision loss in the left eye and possibly even improve the vision. I treated the left eye with focal laser today without any difficulty. She will return here for a check in three months, sooner should she notice any problem.
|
Diabetic Macular Edema Left Eye - Pre Laservista 530 veces82-year-old woman diabetic for many years, last eye exam 5 years ago with gradual vision loss. OD 20/60, OS 20/70. IOP: OD 16, OS 17.
(0 votos)
|
|
Diabetic Macular Edema Left Eye - Pre Laservista 510 veces82-year-old woman diabetic for many years, last eye exam 5 years ago with gradual vision loss. OD 20/60, OS 20/70. IOP: OD 16, OS 17.
(0 votos)
|
|
Diabetic Macular Edema Left Eye - Pre Laservista 508 veces82-year-old woman diabetic for many years, last eye exam 5 years ago with gradual vision loss. OD 20/60, OS 20/70. IOP: OD 16, OS 17.
(0 votos)
|
|
Diabetic Macular Edema Left Eye - Pre Laservista 425 veces82-year-old woman diabetic for many years, last eye exam 5 years ago with gradual vision loss. OD 20/60, OS 20/70. IOP: OD 16, OS 17.
(0 votos)
|
|
Diabetic Macular Edema Left Eye - Pre Laservista 480 veces82-year-old woman diabetic for many years, last eye exam 5 years ago with gradual vision loss. OD 20/60, OS 20/70. IOP: OD 16, OS 17.
(0 votos)
|
|
Diabetic Macular Edema Left Eye - Pre Laservista 421 veces82-year-old woman diabetic for many years, last eye exam 5 years ago with gradual vision loss. OD 20/60, OS 20/70. IOP: OD 16, OS 17.
(0 votos)
|
|
Diabetic Macular Edema Left Eye - Pre Laservista 425 veces82-year-old woman diabetic for many years, last eye exam 5 years ago with gradual vision loss. OD 20/60, OS 20/70. IOP: OD 16, OS 17.
(0 votos)
|
|
Diabetic Macular Edema Left Eye - Pre Laservista 433 veces82-year-old woman diabetic for many years, last eye exam 5 years ago with gradual vision loss. OD 20/60, OS 20/70. IOP: OD 16, OS 17.
(0 votos)
|
|
Diabetic Macular Edema Left Eye - Pre Laservista 414 veces82-year-old woman diabetic for many years, last eye exam 5 years ago with gradual vision loss. OD 20/60, OS 20/70. IOP: OD 16, OS 17.
(0 votos)
|
|
Diabetic Macular Edema Left Eye - Pre Laservista 432 veces82-year-old woman diabetic for many years, last eye exam 5 years ago with gradual vision loss. OD 20/60, OS 20/70. IOP: OD 16, OS 17.
(0 votos)
|
|
Diabetic Macular Edema Left Eye - Pre Laservista 418 veces82-year-old woman diabetic for many years, last eye exam 5 years ago with gradual vision loss. OD 20/60, OS 20/70. IOP: OD 16, OS 17.
(0 votos)
|
|
Diabetic Macular Edema Left Eye - Pre Laservista 441 veces82-year-old woman diabetic for many years, last eye exam 5 years ago with gradual vision loss. OD 20/60, OS 20/70. IOP: OD 16, OS 17.
(0 votos)
|
|
Diabetic Macular Edema Left Eye - Pre Laservista 396 veces82-year-old woman diabetic for many years, last eye exam 5 years ago with gradual vision loss. OD 20/60, OS 20/70. IOP: OD 16, OS 17.
(0 votos)
|
|
Diabetic Macular Edema Left Eye - Pre Laservista 419 veces82-year-old woman diabetic for many years, last eye exam 5 years ago with gradual vision loss. OD 20/60, OS 20/70. IOP: OD 16, OS 17.
(0 votos)
|
|
Diabetic Macular Edema Left Eye - Pre Laservista 443 veces82-year-old woman diabetic for many years, last eye exam 5 years ago with gradual vision loss. OD 20/60, OS 20/70. IOP: OD 16, OS 17.
(0 votos)
|
|
Diabetic Macular Edema Left Eye - Pre Laservista 493 veces82-year-old woman diabetic for many years, last eye exam 5 years ago with gradual vision loss. OD 20/60, OS 20/70. IOP: OD 16, OS 17.
(0 votos)
|
|
Diabetic Macular Edema Left Eye - Pre Laservista 484 veces82-year-old woman diabetic for many years, last eye exam 5 years ago with gradual vision loss. OD 20/60, OS 20/70. IOP: OD 16, OS 17.
(0 votos)
|
|
Diabetic Macular Edema Left Eye - Post Laservista 558 veces82-year-old woman diabetic for many years, last eye exam 5 years ago with gradual vision loss. OD 20/60, OS 20/70. IOP: OD 16, OS 17.
(0 votos)
|
|
Diabetic Macular Edema Left Eye - Post Laservista 1275 veces82-year-old woman diabetic for many years, last eye exam 5 years ago with gradual vision loss. OD 20/60, OS 20/70. IOP: OD 16, OS 17.
(0 votos)
|
|
|
| 19 archivos en 1 página(s) |
|
82-year-old woman in the office on March 14, 2008. She has been diabetic for some time. Her last eye exam was about five years ago up in the Detroit area. She has moved to Florida since you just saw her for the first time recently and noticed a problem with her retina and suggested she come in here for evaluation. She was recently hospitalized and just released for anemia. Her hemoglobin was terrible low. She has been started on some new medication for that.
VISUAL ACUITY: OD 20/60, OS 20/70. IOP: OD 16, OS 17.
SLIT LAMP EXAM: The posterior chamber intraocular lens is in good position in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.3. There is posterior vitreous separation. There are 2+ retinal hemorrhages.
OS: Vertical C/D ratio is 0.3. There is posterior vitreous separation. There are 2+ retinal hemorrhages. There is edema temporal to the fovea.
OCT SCAN: The OCT scan of the right eye shows retinal atrophy with no intraretinal or subretinal fluid. The left eye has edema temporal to the fovea with involvement of the fovea. Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAM: FA shows multiple microaneurysms in both eyes.
IMPRESSION:
1. BACKGROUND DIABETIC RETINOPATHY – BOTH EYES
2. CLINICALLY SIGNIFICANT MACULAR EDEMA – LEFT EYE
Page – Niki Ratsos
March 21, 2008
DISCUSSION: I explained to the patient with focal laser we can reduce the risk of vision loss in the left eye and possibly even improve the vision. I treated the left eye with focal laser today without any difficulty. She will return here for a check in three months, sooner should she notice any problem.
