81-year-old man has proliferative diabetic retinopathy in both eyes with a chronic tractional retinal detachment in the left eye. His vision is stable since he was here last a few months ago. VISUAL ACUITY: Vision OD is 20/40, OS is 2/200. IOP: OD 17, OS 15. The posterior chamber intraocular lens is in good position in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.3. There is neovascularization temporal to the macula. There is partial panretinal laser. OS: Vertical C/D ratio is 0.3. The retina is attached. IMPRESSION: 1. DIABETIC TRACTIONAL RETINAL DETACHMENT – LEFT EYE 2. PROLIFERATIVE DIABETIC RETINOPATHY – RIGHT EYE DISCUSSION: I explained to the patient with active neovascularization in the right eye there is a danger of bleeding and possible vision loss. I suggested we add panretinal laser to the right eye. |
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81-year-old man has proliferative diabetic retinopathy in both eyes with a chronic tractional retinal detachment in the left eye. His vision is stable since he was here last a few months ago. VISUAL ACUITY: Vision OD is 20/40, OS is 2/200. IOP: OD 17, OS 15. The posterior chamber intraocular lens is in good position in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.3. There is neovascularization temporal to the macula. There is partial panretinal laser. OS: Vertical C/D ratio is 0.3. The retina is attached. IMPRESSION: 1. DIABETIC TRACTIONAL RETINAL DETACHMENT – LEFT EYE 2. PROLIFERATIVE DIABETIC RETINOPATHY – RIGHT EYE DISCUSSION: I explained to the patient with active neovascularization in the right eye there is a danger of bleeding and possible vision loss. I suggested we add panretinal laser to the right eye.
