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Vitreous Hemorrhage - Mild 58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20. IOP: OD 16, OS 17. There is trace nuclear sclerosis in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.1. There is a large tuft of neovascularization on the superior pole of the optic nerve, extending about 2-3 disc diameters off the nerve. There is tractional retinal detachment superotemporal to the periphery. There is moderate panretinal laser. OS: Vertical C/D ratio is 0.0. There is an area of neovascularization on the inferior pole of the optic nerve, as well as in the inferotemporal periphery. PHOTOGRAPHS: Photos confirm clinical findings. FLUORESCEIN ANGIOGRAPHY: FA shows excellent perfusion of each eye with areas of hypofluorescence corresponding to the hemorrhage and hyperfluorescence corresponding to the microaneurysms. There is also leakage from neovascularization on the nerve in each eye in the late frames, more in the right eye than the left eye. IMPRESSION: 1. PROLIFERATIVE DIABETIC RETINOPATHY – BOTH EYES 2. HIGH-RISK DIABETIC RETINOPATHY – BOTH EYES 3. VITREOUS HEMORRHAGE – LEFT EYE 4. PREVIOUS LASER DISCUSSION: I explained to the patient with further panretinal laser there is an excellent chance of inducing regression of the neovascularization and controlling her diabetic retinopathy. I gave the right eye retrobulbar anesthetic injection today and I added the laser to the periphery. I asked her to return for check in about three to four weeks for similar treatment in the left eye.
PDR - Mild Vitreous Hemorrhage and Good Visionvu 760 fois58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20. (0 votes)	PDR - Mild Vitreous Hemorrhage and Good Visionvu 665 fois58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20. (0 votes)	PDR - Mild Vitreous Hemorrhage and Good Visionvu 627 fois58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20. (0 votes)	PDR - Mild Vitreous Hemorrhage and Good Visionvu 615 fois58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20. (0 votes)
PDR - Mild Vitreous Hemorrhage and Good Visionvu 717 fois58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20. (0 votes)	PDR - NVEvu 725 fois58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20. (0 votes)	PDR - Preretinal Fibrosisvu 928 fois58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20. (0 votes)	PDR - Mild Vitreous Hemorrhage and Good Visionvu 546 fois58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20. (0 votes)
PDR - Mild Vitreous Hemorrhage and Good Visionvu 548 fois58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20. (0 votes)	PDR - Mild Vitreous Hemorrhage and Good Visionvu 533 fois58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20. (0 votes)	PDR - Mild Vitreous Hemorrhage and Good Visionvu 571 fois58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20. (0 votes)	PDR - Mild Vitreous Hemorrhage and Good Visionvu 531 fois58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20. (0 votes)
PDR - Mild Vitreous Hemorrhage and Good Visionvu 529 fois58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20. (0 votes)	PDR - Mild Vitreous Hemorrhage and Good Visionvu 514 fois58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20. (0 votes)	PDR - Mild Vitreous Hemorrhage and Good Visionvu 550 fois58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20. (0 votes)	PDR - Mild Vitreous Hemorrhage and Good Visionvu 486 fois58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20. (0 votes)
PDR - Mild Vitreous Hemorrhage and Good Visionvu 506 fois58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20. (0 votes)	PDR - Mild Vitreous Hemorrhage and Good Visionvu 499 fois58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20. (0 votes)	PDR - Mild Vitreous Hemorrhage and Good Visionvu 513 fois58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20. (0 votes)	PDR - Mild Vitreous Hemorrhage and Good Visionvu 535 fois58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20. (0 votes)
PDR - Mild Vitreous Hemorrhage and Good Visionvu 503 fois58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20. (0 votes)	PDR - Mild Vitreous Hemorrhage and Good Visionvu 523 fois58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20. (0 votes)	PDR - Mild Vitreous Hemorrhage and Good Visionvu 555 fois58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20. (0 votes)	PDRvu 540 fois58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20. (0 votes)
PDRvu 530 fois58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20. (0 votes)	PDRvu 540 fois58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20. (0 votes)	PDR - Macula Line Scanvu 570 fois58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20. (0 votes)
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58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20. IOP: OD 16, OS 17. There is trace nuclear sclerosis in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.1. There is a large tuft of neovascularization on the superior pole of the optic nerve, extending about 2-3 disc diameters off the nerve. There is tractional retinal detachment superotemporal to the periphery. There is moderate panretinal laser. OS: Vertical C/D ratio is 0.0. There is an area of neovascularization on the inferior pole of the optic nerve, as well as in the inferotemporal periphery. PHOTOGRAPHS: Photos confirm clinical findings. FLUORESCEIN ANGIOGRAPHY: FA shows excellent perfusion of each eye with areas of hypofluorescence corresponding to the hemorrhage and hyperfluorescence corresponding to the microaneurysms. There is also leakage from neovascularization on the nerve in each eye in the late frames, more in the right eye than the left eye. IMPRESSION: 1. PROLIFERATIVE DIABETIC RETINOPATHY – BOTH EYES 2. HIGH-RISK DIABETIC RETINOPATHY – BOTH EYES 3. VITREOUS HEMORRHAGE – LEFT EYE 4. PREVIOUS LASER DISCUSSION: I explained to the patient with further panretinal laser there is an excellent chance of inducing regression of the neovascularization and controlling her diabetic retinopathy. I gave the right eye retrobulbar anesthetic injection today and I added the laser to the periphery. I asked her to return for check in about three to four weeks for similar treatment in the left eye.