Laser - Panretinal Photocoagulation - Heavy and Macular Edema
|
|
51-year-old woman has had extensive laser in both eyes done years ago elsewhere. Her left eye has gradually been declining with macular edema.
VISUAL ACUITY: OD 20/40, OS 20/40. IOP: OS 10. The left eye has a posterior chamber intraocular lens in good position with an open capsule.
EXTENDED OPHTHALMOSCOPY:
OS: Vertical C/D ratio is 0.0. There is edema temporal to the fovea with a microaneurysm there.
OCT SCAN: The OCT scan confirms worsening macular edema. The fluorescein shows leakage from acute parafoveal microaneurysms in the left eye. Photos confirm clinical findings.
IMPRESSION:
1. MACULAR EDEMA – LEFT EYE
2. PROLIFERATIVE DIABETIC RETINOPATHY – LEFT EYE
3. LEAKY MICROANEURYSMS – LEFT EYE
DISCUSSION: I explained to the patient that with focal laser we may be able to dry out the macula in the left eye and reduce the risk of further vision loss. I treated her today without any difficulty.
|

PDR with heavy PRP laser and worsening macular edema mapvaatamisi: 57651-year-old woman has had extensive laser in both eyes done years ago elsewhere. Her left eye has gradually been declining with macular edema.
VISUAL ACUITY: OD 20/40, OS 20/40     (0 hinnangut)
|
|

PDR with heavy PRP laser and worsening macular edema vaatamisi: 110151-year-old woman has had extensive laser in both eyes done years ago elsewhere. Her left eye has gradually been declining with macular edema.
VISUAL ACUITY: OD 20/40, OS 20/40     (0 hinnangut)
|
|

PDR with heavy PRP laser and worsening macular edema vaatamisi: 98651-year-old woman has had extensive laser in both eyes done years ago elsewhere. Her left eye has gradually been declining with macular edema.
VISUAL ACUITY: OD 20/40, OS 20/40     (0 hinnangut)
|
|

PDR with heavy PRP laser and worsening macular edema vaatamisi: 75251-year-old woman has had extensive laser in both eyes done years ago elsewhere. Her left eye has gradually been declining with macular edema.
VISUAL ACUITY: OD 20/40, OS 20/40     (0 hinnangut)
|
|

PDR with heavy PRP laser and worsening macular edema red free photovaatamisi: 63451-year-old woman has had extensive laser in both eyes done years ago elsewhere. Her left eye has gradually been declining with macular edema.
VISUAL ACUITY: OD 20/40, OS 20/40     (0 hinnangut)
|
|

PDR with heavy PRP laser and worsening macular edema early FAvaatamisi: 47451-year-old woman has had extensive laser in both eyes done years ago elsewhere. Her left eye has gradually been declining with macular edema.
VISUAL ACUITY: OD 20/40, OS 20/40     (0 hinnangut)
|
|

PDR with heavy PRP laser and worsening macular edema mid FAvaatamisi: 51351-year-old woman has had extensive laser in both eyes done years ago elsewhere. Her left eye has gradually been declining with macular edema.
VISUAL ACUITY: OD 20/40, OS 20/40     (0 hinnangut)
|
|

PDR with heavy PRP laser and worsening macular edema late favaatamisi: 48151-year-old woman has had extensive laser in both eyes done years ago elsewhere. Her left eye has gradually been declining with macular edema.
VISUAL ACUITY: OD 20/40, OS 20/40     (0 hinnangut)
|
|

PDR with heavy PRP laser and worsening macular edema OCT line scanvaatamisi: 49751-year-old woman has had extensive laser in both eyes done years ago elsewhere. Her left eye has gradually been declining with macular edema.
VISUAL ACUITY: OD 20/40, OS 20/40     (0 hinnangut)
|
|
|
|
|
|
|
51-year-old woman has had extensive laser in both eyes done years ago elsewhere. Her left eye has gradually been declining with macular edema.
VISUAL ACUITY: OD 20/40, OS 20/40. IOP: OS 10. The left eye has a posterior chamber intraocular lens in good position with an open capsule.
EXTENDED OPHTHALMOSCOPY:
OS: Vertical C/D ratio is 0.0. There is edema temporal to the fovea with a microaneurysm there.
OCT SCAN: The OCT scan confirms worsening macular edema. The fluorescein shows leakage from acute parafoveal microaneurysms in the left eye. Photos confirm clinical findings.
IMPRESSION:
1. MACULAR EDEMA – LEFT EYE
2. PROLIFERATIVE DIABETIC RETINOPATHY – LEFT EYE
3. LEAKY MICROANEURYSMS – LEFT EYE
DISCUSSION: I explained to the patient that with focal laser we may be able to dry out the macula in the left eye and reduce the risk of further vision loss. I treated her today without any difficulty.