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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 edema152 x angesehen56 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 Bewertungen)	Siegrist Streaks and severe diabetic macular edema178 x angesehen56 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 Bewertungen)	Siegrist Streaks and severe diabetic macular edema190 x angesehen56 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 Bewertungen)	Siegrist Streaks and severe diabetic macular edema173 x angesehen56 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 Bewertungen)
Siegrist Streaks and severe diabetic macular edema167 x angesehen56 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 Bewertungen)	Siegrist Streaks and severe diabetic macular edema155 x angesehen56 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 Bewertungen)	Siegrist Streaks and severe diabetic macular edema172 x angesehen56 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 Bewertungen)	Siegrist Streaks and severe diabetic macular edema136 x angesehen56 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 Bewertungen)
Siegrist Streaks and severe diabetic macular edema169 x angesehen56 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 Bewertungen)	Siegrist Streaks and severe diabetic macular edema126 x angesehen56 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 Bewertungen)	Siegrist Streaks and severe diabetic macular edema135 x angesehen56 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 Bewertungen)	Siegrist Streaks and severe diabetic macular edema144 x angesehen56 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 Bewertungen)
Siegrist Streaks and severe diabetic macular edema168 x angesehen56 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 Bewertungen)	Siegrist Streaks and severe diabetic macular edema150 x angesehen56 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 Bewertungen)	Siegrist Streaks and severe diabetic macular edema148 x angesehen56 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 Bewertungen)	Siegrist Streaks and severe diabetic macular edema176 x angesehen56 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 Bewertungen)
Siegrist Streaks and severe diabetic macular edema140 x angesehen56 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 Bewertungen)	Siegrist Streaks and severe diabetic macular edema148 x angesehen56 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 Bewertungen)	Siegrist Streaks and severe diabetic macular edema130 x angesehen56 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 Bewertungen)	Siegrist Streaks and severe diabetic macular edema139 x angesehen56 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 Bewertungen)
Siegrist Streaks and severe diabetic macular edema140 x angesehen56 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 Bewertungen)	Siegrist Streaks and severe diabetic macular edema127 x angesehen56 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 Bewertungen)	Siegrist Streaks and severe diabetic macular edema150 x angesehen56 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 Bewertungen)	Siegrist Streaks and severe diabetic macular edema141 x angesehen56 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 Bewertungen)
Siegrist Streaks and severe diabetic macular edema148 x angesehen56 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 Bewertungen)	Siegrist Streaks and severe diabetic macular edema156 x angesehen56 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 Bewertungen)	Siegrist Streaks and severe diabetic macular edema155 x angesehen56 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 Bewertungen)	Siegrist Streaks and severe diabetic macular edema141 x angesehen56 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 Bewertungen)
Siegrist Streaks and severe diabetic macular edema165 x angesehen56 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 Bewertungen)	Siegrist Streaks and severe diabetic macular edema175 x angesehen56 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 Bewertungen)	Siegrist Streaks and severe diabetic macular edema163 x angesehen56 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 Bewertungen)	Siegrist Streaks and severe diabetic macular edema150 x angesehen56 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 Bewertungen)
Siegrist Streaks and severe diabetic macular edema189 x angesehen56 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 Bewertungen)	Siegrist Streaks and severe diabetic macular edema167 x angesehen56 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 Bewertungen)
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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