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Most viewed - NVE (neovascularization elsewhere) and Vitreous Hemorrhage

55-year-old woman has had a vitreous hemorrhage in her left eye. She had one in the right eye in the past. The vision is clearing some as the blood absorbs. VISUAL ACUITY: OD 20/32, OS 20/40. IOP: OD 13, OS 12. The posterior chamber intraocular lens is in good position in both eyes. The left eye has a 1+ posterior capsular opacity. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.3. There are patchy retinal hemorrhages. OS: Vertical C/D ratio is 0.3. There is neovascularization superotemporal to the macula, which is elevated into the vitreous and clearly under tension. There is a 2+ vitreous hemorrhage. FUNDUS PHOTOGRAPHY: The photos show the retinal hemorrhages in the right eye and the neovascularization in the left eye. FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography shows moderate non perfusion in the periphery of the left eye with heavy leakage from the neovascularization. In the right eye there is some leakage from the microaneurysms in the macula and there is moderate non perfusion in the periphery. SPECTRALIS-SD-OCT SCAN: The OCT scan shows no significant retinal edema in either eye. IMPRESSION: 1. PROLIFERATIVE DIABETIC RETINOPATHY – LEFT EYE 2. VITREOUS HEMORRHAGE – LEFT EYE 3. BACKGROUND DIABETIC RETINOPATHY – RIGHT EYE 4. ABSORBING VITREOUS HEMORRHAGE – LEFT EYE DISCUSSION: I explained to the patient with pan retinal laser we can substantially reduce the risk of severe vision loss in the left eye. We talked about the risks, benefits, indications, and alternatives of panretinal photocoagulation and the patient agreed to this procedure after the questions were answered. Panretinal photocoagulation was performed today without difficulty.

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Neovascularization elsewhere (NVE) Left Eye with Vitreous Hemorrhage946 views
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Neovascularization elsewhere (NVE) Left Eye with Vitreous Hemorrhage831 views
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Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE817 views
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Neovascularization elsewhere (NVE) Left Eye with Vitreous Hemorrhage774 views
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Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE760 views
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Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE687 views
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PDR - FAF676 views
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BDR OD with Macular Edema658 views
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Neovascularization elsewhere (NVE) Left Eye with Vitreous Hemorrhage647 views
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Pre-proliferative Diabetic Retinopathy - Peripheral non-perfusion visible on FA641 views
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Neovascularization elsewhere (NVE) Left Eye with Vitreous Hemorrhage632 views
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Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE622 views
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BDR OD with Macular Edema615 views
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Pre-proliferative Diabetic Retinopathy - Peripheral non-perfusion visible on FA615 views
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Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE611 views
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Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE604 views
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603 views
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BDR FAF603 views
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Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE603 views
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Pre-proliferative Diabetic Retinopathy - Peripheral non-perfusion visible on FA570 views
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PDR - IR567 views
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Pre-proliferative Diabetic Retinopathy - Peripheral non-perfusion visible on FA565 views
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Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE563 views
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561 views
     
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55-year-old woman has had a vitreous hemorrhage in her left eye. She had one in the right eye in the past. The vision is clearing some as the blood absorbs. VISUAL ACUITY: OD 20/32, OS 20/40. IOP: OD 13, OS 12. The posterior chamber intraocular lens is in good position in both eyes. The left eye has a 1+ posterior capsular opacity. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.3. There are patchy retinal hemorrhages. OS: Vertical C/D ratio is 0.3. There is neovascularization superotemporal to the macula, which is elevated into the vitreous and clearly under tension. There is a 2+ vitreous hemorrhage. FUNDUS PHOTOGRAPHY: The photos show the retinal hemorrhages in the right eye and the neovascularization in the left eye. FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography shows moderate non perfusion in the periphery of the left eye with heavy leakage from the neovascularization. In the right eye there is some leakage from the microaneurysms in the macula and there is moderate non perfusion in the periphery. SPECTRALIS-SD-OCT SCAN: The OCT scan shows no significant retinal edema in either eye. IMPRESSION: 1. PROLIFERATIVE DIABETIC RETINOPATHY – LEFT EYE 2. VITREOUS HEMORRHAGE – LEFT EYE 3. BACKGROUND DIABETIC RETINOPATHY – RIGHT EYE 4. ABSORBING VITREOUS HEMORRHAGE – LEFT EYE DISCUSSION: I explained to the patient with pan retinal laser we can substantially reduce the risk of severe vision loss in the left eye. We talked about the risks, benefits, indications, and alternatives of panretinal photocoagulation and the patient agreed to this procedure after the questions were answered. Panretinal photocoagulation was performed today without difficulty.