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 Photo731 views
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Heidelberg False Color600 views
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NVD - proliferative diabetic retinopathy Heidelberg False Color687 views
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NVD - proliferative diabetic retinopathy Heidelberg False Color641 views
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NVD - proliferative diabetic retinopathy Heidelberg False Color702 views
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NVD - proliferative diabetic retinopathy648 views
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No significant macular edema544 views
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No significant macular edema508 views
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BDR right eye - previous laser535 views
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BDR right eye - previous laser560 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion575 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion508 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion582 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion585 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion563 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion571 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion773 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion526 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion615 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion534 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion575 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)707 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion574 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion606 views
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion690 views
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Neovascularization of the Disc - Heidelberg false color 522 views
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Panretinal (Scatter) Photocoagulation (Fresh)534 views
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Panretinal (Scatter) Photocoagulation (Fresh)501 views
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Panretinal (Scatter) Photocoagulation (Fresh)544 views
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Panretinal (Scatter) Photocoagulation (Fresh)727 views
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing609 views1 month after initial laser
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing578 views1 month after initial laser
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing614 views1 month after initial laser
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing699 views1 month after initial laser
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing677 views1 month after initial laser
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing667 views1 month after initial laser
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing847 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
