Clinical Case 9

DIABETIC RETINOPATHY

Proliferative Diabetic Retinopathy in Type 1 Diabetes - Clinical Case 9

Ultra-widefield photograph showing a retro-hyaloid hemorrhage in a 43-years-old male patient, with diabetes since 24 years of age.

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Six years after surgery. BVCA: 20/20 LE.

Evaluations

1st Evaluation - 15 06 2011

Fluorescein Angiography

Neovascularization and some ischemic areas.

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Autofluorescence

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Infrared

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Red-free

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Biometry

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Anterior Segment Photo

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Microperimetry

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OCT (B-Scan) longitudinal

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Colour Retinography

HbA1c=10,3%.

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2nd Evaluation - 11 07 2011

Anterior Segment Photo

One day before surgery demonstrating no blepharitis.

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3rd Evaluation - postoperative - 12 07 2011

Autofluorescence

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Infrared

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Red-free

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Anterior Segment Photo

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OCT (B-Scan) longitudinal

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Colour Retinography

One day after fibrovascular tissue removal and endolaser photocoagulation.Hemorrhage.

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4th Evaluation - 18 07 2011

Autofluorescence

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Infrared

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OCT (B-Scan) longitudinal

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Colour Retinography

Hemovitreous.

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5th Evaluation - 19 07 2011

Autofluorescence

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Infrared

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Red-free

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Anterior Segment Photo

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OCT (B-Scan) longitudinal

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Colour Retinography

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6th Evaluation - 25 07 2011

Autofluorescence

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Infrared

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Red-free

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OCT (B-Scan) longitudinal

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Colour Retinography

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7th Evaluation - 23 08 2011

Autofluorescence

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Infrared

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Red-free

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OCT (B-Scan) longitudinal

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Colour Retinography

Fundus photograph showing microaneurysms, retinal hemorrhages and some macular exudates.

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8th Evaluation - 12 10 2011

Autofluorescence

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Infrared

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Red-free

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Anterior Segment Photo

VA: 20/50 RE; 20/400 LE. HbA1c=7,7 %.

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OCT (B-Scan) longitudinal

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Colour Retinography

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9th Evaluation - 15 05 2012

Autofluorescence

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Infrared

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Red-free

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Colour Retinography

OE: retro-hyaloid hemorrhages.

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10th Evaluation - postoperative - 18 05 2012

Autofluorescence

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Infrared

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Red-free

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Anterior Segment Photo

After vitrectomy, cataract surgery and endolaser photocoagulation. VA: 20/20 RLE.

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OCT (B-Scan) longitudinal

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Colour Retinography

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11th Evaluation - 14 10 2013

Red-free

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OCT (B-Scan) longitudinal

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Colour Retinography

VA: 20/20 RLE. HgA1c=7,7%. Note the epiretinal membrane adjacent to the optic disc on the superior temporal arcade .

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12th Evaluation - 03 12 2018

Autofluorescence

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Infrared

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Red-free

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OCT (B-Scan) longitudinal

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Colour Retinography

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13th Evaluation- 07 10 2022

Autofluorescence

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Colour Retinography

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OCT (B-Scan) longitudinal

VA: 20/30c RE, 20/30c LE .

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