Proliferative Diabetic Retinopathy - Lacy Neovascularization of the Disc - Photo of Fresh Panretinal (Scatter) Photocoagulation
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64-year-old woman was seen 6 months ago, still with vision loss right eye. She has been diabetic for eleven years. Her hemoglobin A1Cs are running high lately. She had laser done in Texas. She relocated back to Florida now permanently. The right eye does have a central scotoma dating back to the laser treatment done about a year ago.
VISUAL ACUITY: OD 20/63, OS 20/40. IOP: OD 17, OS 13. There is 3+ nuclear sclerosis in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.0. There is no posterior vitreous separation and rare retinal hemorrhages.
OS: Vertical C/D ratio is 0.2. There is no posterior vitreous separation and rare retinal hemorrhages. There is new NVD.
SPECTRALIS-SD-OCT SCAN: The OCT scan of the right eye does show an epiretinal membrane where there is a central area of photoreceptor defect neatly under the center of the macula. The left eye shows an epiretinal membrane with vitreoretinal traction and a partial evolving posterior vitreous separation. The photos in the right eye show patchy retinal hemorrhages. In the left eye there is light laser and there is an epiretinal membrane.
FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography shows multiple microaneurysms in each eye with light laser. The left eye does have a diffuse leakage from the macula, which looks more like tractional leakage than diabetic leakage. I see very few microaneurysms near the fovea. The left has leakage from NVD and nonperfusion inferonasally.
IMPRESSION:
1. BACKGROUND DIABETIC RETINOPATHY – OD; PDR OS.
2. VITREOMACULAR TRACTION – LEFT EYE
3. EPIRETINAL MEMBRANE – LEFT EYE
4. MACULAR EDEMA – LEFT EYE
5. CATARACT
6. CENTRAL SCOTOMA – RIGHT EYE
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Lacy Neovascularization of the Disk - Color Photo713 views
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Heidelberg False Color587 views
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NVD - proliferative diabetic retinopathy Heidelberg False Color673 views
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NVD - proliferative diabetic retinopathy Heidelberg False Color626 views
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NVD - proliferative diabetic retinopathy Heidelberg False Color678 views
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NVD - proliferative diabetic retinopathy636 views
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No significant macular edema526 views
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No significant macular edema493 views
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BDR right eye - previous laser519 views
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BDR right eye - previous laser544 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion564 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion492 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion561 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion570 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion548 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion557 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion759 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion511 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion594 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion514 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion554 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion (heavy leakage from NV)685 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion554 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion591 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion670 views
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Neovascularization of the Disc - Heidelberg false color 507 views
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Panretinal (Scatter) Photocoagulation (Fresh)518 views
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Panretinal (Scatter) Photocoagulation (Fresh)482 views
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Panretinal (Scatter) Photocoagulation (Fresh)527 views
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Panretinal (Scatter) Photocoagulation (Fresh)712 views
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing595 views1 month after initial laser
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing559 views1 month after initial laser
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing597 views1 month after initial laser
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing682 views1 month after initial laser
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing663 views1 month after initial laser
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing651 views1 month after initial laser
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing834 views1 month after initial laser
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64-year-old woman was seen 6 months ago, still with vision loss right eye. She has been diabetic for eleven years. Her hemoglobin A1Cs are running high lately. She had laser done in Texas. She relocated back to Florida now permanently. The right eye does have a central scotoma dating back to the laser treatment done about a year ago.
VISUAL ACUITY: OD 20/63, OS 20/40. IOP: OD 17, OS 13. There is 3+ nuclear sclerosis in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.0. There is no posterior vitreous separation and rare retinal hemorrhages.
OS: Vertical C/D ratio is 0.2. There is no posterior vitreous separation and rare retinal hemorrhages. There is new NVD.
SPECTRALIS-SD-OCT SCAN: The OCT scan of the right eye does show an epiretinal membrane where there is a central area of photoreceptor defect neatly under the center of the macula. The left eye shows an epiretinal membrane with vitreoretinal traction and a partial evolving posterior vitreous separation. The photos in the right eye show patchy retinal hemorrhages. In the left eye there is light laser and there is an epiretinal membrane.
FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography shows multiple microaneurysms in each eye with light laser. The left eye does have a diffuse leakage from the macula, which looks more like tractional leakage than diabetic leakage. I see very few microaneurysms near the fovea. The left has leakage from NVD and nonperfusion inferonasally.
IMPRESSION:
1. BACKGROUND DIABETIC RETINOPATHY – OD; PDR OS.
2. VITREOMACULAR TRACTION – LEFT EYE
3. EPIRETINAL MEMBRANE – LEFT EYE
4. MACULAR EDEMA – LEFT EYE
5. CATARACT
6. CENTRAL SCOTOMA – RIGHT EYE
