Diabetic Macular Edema Fresh Laser
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74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80. IOP: OD 10, OS 9. The right eye has a posterior chamber intraocular lens in good position. The left eye has a corneal scar a long the superior edge of the cornea. The posterior chamber intraocular lens is in good position.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.6. There is edema temporal to the fovea with microaneurysms.
OS: Vertical C/D ratio is 0.6. There is edema temporal to the fovea with microaneurysms.
OCT SCAN: The OCT scan in the right eye shows normal macular thickness. The left eye has edema, particularly temporal to the fovea. Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAM: FA shows multiple microaneurysms predominately temporal to the fovea with late leakage into the fovea in the left eye. The right eye has microaneurysms but no significant leakage into the fovea.
IMPRESSION:
1. BACKGROUND DIABETIC RETINOPATHY – BOTH EYES
2. CLINICALLY SIGNIFICANT MACULAR EDEMA – LEFT EYE
DISCUSSION: I explained to the patient with focal laser we can reduce the risk of vision loss in the left eye. I treated that eye today without any difficulties.
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Diabetic Macular Edema with Circinate Exudate 632 x angesehen74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80     (0 Bewertungen)
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Diabetic Macular Edema with Circinate Exudate macular photo589 x angesehen74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80     (0 Bewertungen)
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Diabetic Macular Edema with Circinate Exudate Macular Photo Post - Laser (Fresh)606 x angesehen74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80     (0 Bewertungen)
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Diabetic Macular Edema with Circinate Exudate OCT Map678 x angesehen74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80     (0 Bewertungen)
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Diabetic Macular Edema with Circinate Exudate Red Free586 x angesehen74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80     (0 Bewertungen)
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Diabetic Macular Edema with Circinate Exudate Early FA563 x angesehen74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80     (0 Bewertungen)
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Diabetic Macular Edema with Circinate Exudate Early FA478 x angesehen74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80     (0 Bewertungen)
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Diabetic Macular Edema with Circinate Exudate 452 x angesehen74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80     (0 Bewertungen)
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Diabetic Macular Edema with Circinate Exudate Macular FA539 x angesehen74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80     (0 Bewertungen)
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Diabetic Macular Edema with Circinate Exudate 411 x angesehen74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80     (0 Bewertungen)
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Diabetic Macular Edema with Circinate Exudate 426 x angesehen74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80     (0 Bewertungen)
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Diabetic Macular Edema with Circinate Exudate 416 x angesehen74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80     (0 Bewertungen)
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Diabetic Macular Edema with Circinate Exudate 396 x angesehen74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80     (0 Bewertungen)
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Diabetic Macular Edema with Circinate Exudate 474 x angesehen74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80     (0 Bewertungen)
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Diabetic Macular Edema with Circinate Exudate 384 x angesehen74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80     (0 Bewertungen)
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Diabetic Macular Edema with Circinate Exudate Fellow Eye FA491 x angesehen74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80     (0 Bewertungen)
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74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80. IOP: OD 10, OS 9. The right eye has a posterior chamber intraocular lens in good position. The left eye has a corneal scar a long the superior edge of the cornea. The posterior chamber intraocular lens is in good position.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.6. There is edema temporal to the fovea with microaneurysms.
OS: Vertical C/D ratio is 0.6. There is edema temporal to the fovea with microaneurysms.
OCT SCAN: The OCT scan in the right eye shows normal macular thickness. The left eye has edema, particularly temporal to the fovea. Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAM: FA shows multiple microaneurysms predominately temporal to the fovea with late leakage into the fovea in the left eye. The right eye has microaneurysms but no significant leakage into the fovea.
IMPRESSION:
1. BACKGROUND DIABETIC RETINOPATHY – BOTH EYES
2. CLINICALLY SIGNIFICANT MACULAR EDEMA – LEFT EYE
DISCUSSION: I explained to the patient with focal laser we can reduce the risk of vision loss in the left eye. I treated that eye today without any difficulties.