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Severe Diabetic Macular Edema and Siegrist Streaks 56 year old female. seen in 5/2023 - She injured her right foot with a roofing nail and got necrotizing fasciitis (4/2020). With the necrotizing fasciitis, she entered multiple organ failure but recovered. She does not know if she had high blood pressure or DIC. Before that she could see well except that she needed reading glasses. She was then put into hyperbaric and got a myopic shift. She was also diagnosed with diabetes. Her A1C now is very good. At the time of her infection her A1C was very high for less than a few months. She noticed a shadow that comes and goes within the last 6 months in just the left eye. The right eye does not see well, everything is not crisp. She just ordered new glasses and does not know what her vision would be. She has not had an eye examination in a few years. She was concerned about the shift and needing to update her glasses. Medical Hx: Diabetes Type II with Ocular Complications. Thyroid Disease. Influenza Immunization Not Received. Pneumococcal Vaccine Not Received. Surgical Hx: foot surgery. Systemic Meds: MOUNJARO- tirzepatide injection, solution. VA OD: sc20/80+1 PHNI NscJ16 VA OS: sc20/100 PHNI NscJ16 IOP: TP: OD:10 OS:11
Siegrist Streaks and severe diabetic macular edemavaatamisi: 21056 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)	Siegrist Streaks and severe diabetic macular edemavaatamisi: 23056 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)	Siegrist Streaks and severe diabetic macular edemavaatamisi: 24056 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)	Siegrist Streaks and severe diabetic macular edemavaatamisi: 22356 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)
Siegrist Streaks and severe diabetic macular edemavaatamisi: 20256 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)	Siegrist Streaks and severe diabetic macular edemavaatamisi: 19056 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)	Siegrist Streaks and severe diabetic macular edemavaatamisi: 22656 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)	Siegrist Streaks and severe diabetic macular edemavaatamisi: 18656 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)
Siegrist Streaks and severe diabetic macular edemavaatamisi: 22156 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)	Siegrist Streaks and severe diabetic macular edemavaatamisi: 17656 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)	Siegrist Streaks and severe diabetic macular edemavaatamisi: 17756 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)	Siegrist Streaks and severe diabetic macular edemavaatamisi: 17556 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)
Siegrist Streaks and severe diabetic macular edemavaatamisi: 23356 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)	Siegrist Streaks and severe diabetic macular edemavaatamisi: 20756 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)	Siegrist Streaks and severe diabetic macular edemavaatamisi: 21556 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)	Siegrist Streaks and severe diabetic macular edemavaatamisi: 23256 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)
Siegrist Streaks and severe diabetic macular edemavaatamisi: 19256 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)	Siegrist Streaks and severe diabetic macular edemavaatamisi: 18856 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)	Siegrist Streaks and severe diabetic macular edemavaatamisi: 19556 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)	Siegrist Streaks and severe diabetic macular edemavaatamisi: 18756 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)
Siegrist Streaks and severe diabetic macular edemavaatamisi: 20856 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)	Siegrist Streaks and severe diabetic macular edemavaatamisi: 21156 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)	Siegrist Streaks and severe diabetic macular edemavaatamisi: 24656 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)	Siegrist Streaks and severe diabetic macular edemavaatamisi: 21656 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)
Siegrist Streaks and severe diabetic macular edemavaatamisi: 18556 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)	Siegrist Streaks and severe diabetic macular edemavaatamisi: 26056 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)	Siegrist Streaks and severe diabetic macular edemavaatamisi: 20756 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)	Siegrist Streaks and severe diabetic macular edemavaatamisi: 20256 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)
Siegrist Streaks and severe diabetic macular edemavaatamisi: 21856 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)	Siegrist Streaks and severe diabetic macular edemavaatamisi: 21956 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)	Siegrist Streaks and severe diabetic macular edemavaatamisi: 19256 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)	Siegrist Streaks and severe diabetic macular edemavaatamisi: 19056 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)
Siegrist Streaks and severe diabetic macular edemavaatamisi: 24956 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)	Siegrist Streaks and severe diabetic macular edemavaatamisi: 21156 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks. (0 hinnangut)
34 faili 1 lehel

56 year old female. seen in 5/2023 - She injured her right foot with a roofing nail and got necrotizing fasciitis (4/2020). With the necrotizing fasciitis, she entered multiple organ failure but recovered. She does not know if she had high blood pressure or DIC. Before that she could see well except that she needed reading glasses. She was then put into hyperbaric and got a myopic shift. She was also diagnosed with diabetes. Her A1C now is very good. At the time of her infection her A1C was very high for less than a few months. She noticed a shadow that comes and goes within the last 6 months in just the left eye. The right eye does not see well, everything is not crisp. She just ordered new glasses and does not know what her vision would be. She has not had an eye examination in a few years. She was concerned about the shift and needing to update her glasses. Medical Hx: Diabetes Type II with Ocular Complications. Thyroid Disease. Influenza Immunization Not Received. Pneumococcal Vaccine Not Received. Surgical Hx: foot surgery. Systemic Meds: MOUNJARO- tirzepatide injection, solution. VA OD: sc20/80+1 PHNI NscJ16 VA OS: sc20/100 PHNI NscJ16 IOP: TP: OD:10 OS:11