Last additions - Chronic Macula Off Tractional Diabetic Retinal Detachment 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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Chronic Macula-off Tractional Retinal Detachment Left Eye Proliferative Diabetic Retinopathy592 views81-year-old man with diabetes for 24 years has proliferative diabetic retinopathy in both eyes with a chronic tractional retinal detachment in the left eye 4 years old. OD is 20/40, OS is 2/200Jan 17, 2012
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Chronic Macula-off Tractional Retinal Detachment Left Eye Proliferative Diabetic Retinopathy535 views81-year-old man with diabetes for 24 years has proliferative diabetic retinopathy in both eyes with a chronic tractional retinal detachment in the left eye 4 years old. OD is 20/40, OS is 2/200Jan 17, 2012
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Chronic Macula-off Tractional Retinal Detachment Left Eye Proliferative Diabetic Retinopathy587 views81-year-old man with diabetes for 24 years has proliferative diabetic retinopathy in both eyes with a chronic tractional retinal detachment in the left eye 4 years old. OD is 20/40, OS is 2/200Jan 17, 2012
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Chronic Macula-off Tractional Retinal Detachment Left Eye Proliferative Diabetic Retinopathy594 views81-year-old man with diabetes for 24 years has proliferative diabetic retinopathy in both eyes with a chronic tractional retinal detachment in the left eye 4 years old. OD is 20/40, OS is 2/200Jan 17, 2012
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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.