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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

PDR_NVD_freshPRP_MAPA_01.png
BDRvu 562 fois00000
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PDR_NVD_freshPRP_MAPA_02.png
bdrvu 689 fois00000
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PDR_NVD_freshPRP_MAPA_03.jpg
bdrvu 544 fois00000
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PDR_NVD_freshPRP_MAPA_04.jpg
BDRvu 510 fois00000
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PDR_NVD_freshPRP_MAPA_05.png
PDRvu 572 fois00000
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PDR_NVD_freshPRP_MAPA_06.png
PDRvu 510 fois00000
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PDR_NVD_freshPRP_MAPA_07.png
Lacy Neovascularization of the Disk - Color Photovu 652 fois00000
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PDR_NVD_freshPRP_MAPA_08.jpg
Heidelberg False Colorvu 516 fois00000
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PDR_NVD_freshPRP_MAPA_09.jpg
NVD - proliferative diabetic retinopathy Heidelberg False Colorvu 615 fois00000
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PDR_NVD_freshPRP_MAPA_10.jpg
NVD - proliferative diabetic retinopathy Heidelberg False Colorvu 580 fois00000
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PDR_NVD_freshPRP_MAPA_11.jpg
NVD - proliferative diabetic retinopathy Heidelberg False Colorvu 621 fois00000
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PDR_NVD_freshPRP_MAPA_12.jpg
NVD - proliferative diabetic retinopathyvu 578 fois00000
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PDR_NVD_freshPRP_MAPA_13.jpg
FAFvu 509 fois00000
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PDR_NVD_freshPRP_MAPA_14.jpg
FAFvu 518 fois00000
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PDR_NVD_freshPRP_MAPA_15.jpg
No significant macular edemavu 442 fois00000
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PDR_NVD_freshPRP_MAPA_16.jpg
No significant macular edemavu 417 fois00000
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PDR_NVD_freshPRP_MAPA_17.jpg
BDR right eye - previous laservu 468 fois00000
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PDR_NVD_freshPRP_MAPA_18.jpg
BDR right eye - previous laservu 486 fois00000
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PDR_NVD_freshPRP_MAPA_19.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvu 486 fois00000
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PDR_NVD_freshPRP_MAPA_20.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvu 447 fois00000
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PDR_NVD_freshPRP_MAPA_21.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvu 468 fois00000
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PDR_NVD_freshPRP_MAPA_22.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvu 492 fois00000
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PDR_NVD_freshPRP_MAPA_23.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvu 479 fois00000
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PDR_NVD_freshPRP_MAPA_24.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvu 480 fois00000
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PDR_NVD_freshPRP_MAPA_25.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvu 677 fois00000
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PDR_NVD_freshPRP_MAPA_26.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvu 440 fois00000
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PDR_NVD_freshPRP_MAPA_27.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvu 542 fois00000
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PDR_NVD_freshPRP_MAPA_28.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvu 449 fois00000
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PDR_NVD_freshPRP_MAPA_29.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvu 491 fois00000
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PDR_NVD_freshPRP_MAPA_30.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion (heavy leakage from NV)vu 620 fois00000
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PDR_NVD_freshPRP_MAPA_31.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvu 475 fois00000
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PDR_NVD_freshPRP_MAPA_32.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvu 513 fois00000
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PDR_NVD_freshPRP_MAPA_33.jpg
FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvu 600 fois00000
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PDR_NVD_freshPRP_MAPA_34.jpg
Neovascularization of the Disc - Heidelberg false color vu 441 fois00000
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PDR_NVD_freshPRP_MAPA_35.png
Panretinal (Scatter) Photocoagulation (Fresh)vu 442 fois00000
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PDR_NVD_freshPRP_MAPA_36.png
Panretinal (Scatter) Photocoagulation (Fresh)vu 412 fois00000
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PDR_NVD_freshPRP_MAPA_37.png
Panretinal (Scatter) Photocoagulation (Fresh)vu 457 fois00000
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prpos.png
Panretinal (Scatter) Photocoagulation (Fresh)vu 613 fois00000
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nvd_1mopostlaser_newlaser_mapa01.png
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressingvu 502 fois1 month after initial laser00000
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nvd_1mopostlaser_newlaser_mapa02.png
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressingvu 494 fois1 month after initial laser00000
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nvd_1mopostlaser_newlaser_mapa03.png
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressingvu 513 fois1 month after initial laser00000
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nvd_1mopostlaser_newlaser_mapa04.jpg
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressingvu 604 fois1 month after initial laser00000
(0 votes)
nvd_1mopostlaser_newlaser_mapa05.jpg
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressingvu 587 fois1 month after initial laser00000
(0 votes)
nvd_1mopostlaser_newlaser_mapa06.jpg
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressingvu 574 fois1 month after initial laser00000
(0 votes)
nvd_1mopostlaser_newlaser_mapa07.png
Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressingvu 766 fois1 month after initial laser00000
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45 photos sur 1 page(s)

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