Clinical Case 1

DIABETIC RETINOPATHY

Proliferative Diabetic Retinopathy in type 2 diabetes - Clinical Case 01

Fluorescein angiogram (ultra-widefield) at late stage showing severe ischemia in a 74-years-old patient, with diabetes diagnosed 29 years ago.

o01-ti02-29378-20120605-999

Ultra-widefield photograph fifteen months after vitreoretinalsurgery. BCVA: 20/20 RE

Evaluations

1st Evaluation - 19 03 2008

Colour Retinography

Note the microaneurysms, retinal hemorrhages and vitreous hemorrhage. Fundus photograph 2 weeks after vitreoretinal surgery with removal of macular epiretinal membrane.

  • o01-ti02-29378-20080319-001
  • o02-ti02-29378-20080402-001

2nd Evaluation - 16 06 2009

Anterior Segment Photo

VA: 20/28 RE, 20/350 LE. Left eye with neovascular glaucoma. Note the iris neovascularization and endothelial staining after previous hyphema. He was submmited to an intravitreal bevacizumab injection. Neovascularization has regressed. In the last image, the cornea shows descemet membrane folds.

  • o01-ti12-29378-20090616-001
  • o02-ti12-29378-20090616-001
  • o03-ti12-29378-20090618-001
  • o04-ti12-29378-20090622-001
  • o05-ti12-29378-20090624-001

Tonometry

  • o06-ti21-29378-20090616-001

3rd Evaluation - 06 07 2009

Anterior Segment Photo

No iris neovascularization.

  • o01-ti12-29378-20090706-001

OCT (B-Scan) longitudinal

Macular retinal detachment.

  • o11-ti03-29378-20090720-003
  • o12-ti03-29378-20090720-001
  • o13-ti03-29378-20090720-002
  • o14-ti03-29378-20090720-004
  • o15-ti03-29378-20090720-001
  • o16-ti03-29378-20090720-002
  • o17-ti03-29378-20090720-004
  • o18-ti03-29378-20090720-005

Colour Retinography

Fundus photograph showing a retinal detachment.

  • o03-ti02-29378-20090720-005
  • o04-ti02-29378-20090720-002

Tonometry

  • o19-ti21-29378-20090720-001

4th Evaluation - 11 12 2009

Anterior Segment Photo

  • o08-ti12-29378-20091211-001

Colour Retinography

  • o03-ti02-29378-20091021-001

OCT (B-Scan) longitudinal

Cystoid macular edema.

  • o04-ti03-29378-20091021-003
  • o05-ti03-29378-20091021-001
  • o06-ti03-29378-20091021-001
  • o07-ti03-29378-20091021-002
  • o09-ti03-29378-20091211-001
  • o10-ti03-29378-20091211-020
  • o11-ti03-29378-20091211-003
  • o12-ti03-29378-20091211-002

5th Evaluation - 15 02 2011

Fluorescein Angiography

Fluorescein angiogram (ultra-widefield) at late phase showing severe ischemia.

  • o20-ti07-29378-20110215-002
  • o21-ti07-29378-20110215-003

Infrared

  • o19-ti16-29378-20100727-001

Anterior Segment Photo

Herpetic corneal leukoma at right eye.

  • o17-ti12-29378-20100727-001

Colour Retinography

Some retinal hemorrhages.

  • o16-ti02-29378-20100427-001
  • o18-ti02-29378-20100727-005

6th Evaluation - postoperative - 19 04 2011

Fluorescein Angiography

  • o15-ti07-29378-20110419-010
  • o14-ti07-29378-20110419-009
  • o16-ti07-29378-20110419-011

OCT (B-Scan) longitudinal

  • o17-ti03-29378-20110531-001
  • o18-ti03-29378-20110531-002
  • o19-ti03-29378-20110531-003
  • o20-ti03-29378-20110531-004

Colour Retinography

After vitreoretinal surgery. The fibrovascular tissue was removed. HbA1c= 8,2%.

  • o11-ti02-29378-20110302-006
  • o12-ti02-29378-20110419-007
  • o13-ti02-29378-20110419-008

7th Evaluation - 05 06 2012

Fluorescein Angiography

  • o11-ti07-29378-20120605-008
  • o12-ti07-29378-20120605-009
  • o13-ti07-29378-20120605-010
  • o14-ti07-29378-20120605-011
  • o15-ti07-29378-20120605-012
  • o16-ti07-29378-20120605-013
  • o17-ti07-29378-20120605-014
  • o18-ti07-29378-20120605-001
  • o19-ti07-29378-20120605-002

Autofluorescence

  • o04-ti15-29378-20120605-998
  • o05-ti15-29378-20120605-002

Infrared

  • o06-ti16-29378-20120605-003

Red-free

  • o03-ti01-29378-20120605-001

Colour Retinography

BCVA: 20/20 RE.

  • o01-ti02-29378-20120605-999
  • o02-ti02-29378-20120605-001

8th Evaluation - 16 11 2018

Anterior Segment Photo

VA: 20/40c RE.

  • 15-29378-20181116-001

Autofluorescence

  • 33-29378-20181116-003-autof
  • 33-29378-20181116-004-autof

OCT (B-Scan) longitudinal

  • 11-29378-20181116-001
  • 11-29378-20181116-002
  • 11-29378-20181116-003
  • 11-29378-20181116-004

Colour Retinography

  • 33-29378-20181116-001
  • 33-29378-20181116-002
  • 03-29378-20181116-001
  • 03-29378-20181116-002

9th Evaluation- 10 01 2022

Anterior Segment Photo

VA: 20/30c RE, PL LE.

  • 15-29378-20220110-001

Autofluorescence

  • 33-29378-20220110-002-autof

Colour Retinography

  • 33-29378-20220110-001

RNFL – Thickness Image

  • 11-29378-20220110-001-rnfl
  • 11-29378-20220110-002rnfl

OCTA

  • 11-29378-20220110-005-octa

OCT (B-Scan) longitudinal

  • 11-29378-20220110-003
  • 11-29378-20220110-004