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MACULAR DISEASES

Epiretinal Membranes

Clinical Case 09

Epiretinal Membranes - Clinical Case 09

OCT line-scan showing an epiretinal membrane and macular edema, in a 66-years-old male patient. Visual acuity: < 20/400 LE

Epiretinal Membranes - Clinical Case 09

OCT line-scan, 2 months after epiretinal membrane removal and intravitreal injection of dexamethasone implant. Visual acuity: 20/60 LE

Evaluations

1st evaluation

19 0

28 03 2011 - Anterior Segment Photo

Anterior segment photograph of left eye, in a 66-years-old male patient.Visual acuity: 20/20 RE; < 20/400 LE

28 03 2011 - Autofluorescence

Autofluorescence photograph showing hiperfluorescence of foveal area due to macular edema

28 03 2011 - Colour Retinography

Ultra-widefield photograph showing abnormal foveal reflex and a retinal tear at superior temporal periphery

Fundus photograph showing abnormal foveal reflex

28 03 2011 - Fluorescein Angiography

Fluorescein angiogram shows early macular leakage demonstrating macular edema

Fluorescein angiogram shows early macular leakage demonstrating macular edema, and microaneurysms

Fluorescein angiogram at mid-phase shows macular and perimacular leakage demonstrating edema

Fluorescein angiogram at late phase shows macular and perimacular leakage demonstrating edema

28 03 2011 - Infrared

28 03 2011 - Microperimetry

28 03 2011 - OCT B-Scan (Longitudinal)

OCT vertical line-scan showing an epiretinal membrane and macular edema

28 03 2011 - Red-free

Red-free photograph shows an epiretinal membrane which extends to the posterior pole

2nd evaluation - postoperative

10 0

15 04 2011 - Anterior Segment Photo

Anterior segment photograph, 1 day after surgery

20 04 2011 - Autofluorescence

20 04 2011 - Colour Retinography

Ultra-widefield photograph 6 days after surgery showing gas bubble and laser spots around the retinal tear

6 days after surgery

20 04 2011 - Infrared

20 04 2011 - OCT B-Scan (Longitudinal)

OCT vertical scan, six days after epiretinal membrane surgery showing some recovery of retinal structure

20 04 2011 - Red-free

3rd evaluation

8 0

26 04 2011 - Autofluorescence

26 04 2011 - Colour Retinography

Fundus photograph, 2 days after intraocular injection of dexamethasone implant

26 04 2011 - Infrared

26 04 2011 - OCT B-Scan (Longitudinal)

OCT vertical line-scan, 2 days after intraocular injection of dexamethasone implant, showing macular edema

26 04 2011 - Red-free

4th evaluation

8 0

17 05 2011 - Autofluorescence

17 05 2011 - Colour Retinography

05 05 2011 - Infrared

05 05 2011 - OCT B-Scan (Longitudinal)

OCT line-scan, 1 month intraocular injection of dexamethasone implant, showing reduction of macular edema

17 05 2011 - Red-free

5th evaluation

9 0

31 05 2011 - Anterior Segment Photo

Anterior segment photograph after epiretinal membrane removal and 1 month after intraocular injection of dexamethasone implant. Visual acuity: 20/60 LE

27 07 2011 - Autofluorescence

27 07 2011 - Colour Retinography

27 07 2011 - Infrared

31 05 2011 - OCT B-Scan (Longitudinal)

OCT vertical line-scan, after epiretinal membrane removal and 1 month after intraocular injection of dexamethasone implant, showing recovery from macular edema. Visual acuity: 20/60 LE

27 07 2011 - Red-free

6th evaluation

10 0

10 01 2012 - Autofluorescence

10 01 2012 - Colour Retinography

10 01 2012 - Infrared

10 01 2012 - OCT B-Scan (Longitudinal)

OCT vertical line-scan, 9 months after intraocular injection of dexamethasone implant, shows macular edema over again

10 01 2012 - Red-free

7th evaluation

19 0

04 04 2012 - Anterior Segment Photo

Anterior segment photograph 2 months after another intraocular injection of dexamethasone implant

04 04 2012 - Autofluorescence

Ultra-widefield photograph (autofluorescence)

04 04 2012 - Colour Retinography

04 04 2012 - Fluorescein Angiography

Fluorescein angiogram (mid-phase) demonstrating some macular edema which is not visible on the OCT

04 04 2012 - OCT B-Scan (Longitudinal)

OCT line-scan, 2 months after another intraocular injection of dexamethasone implant, no reveals macular edema

04 04 2012 - Red-free

8th evaluation

6 0

09 10 2018 - Colour Retinography

09 10 2018 - OCT B-Scan (Longitudinal)

Seven years after epiretinal membrane removal and intravitreal injections of dexamethasone implant. Visual acuity: 20/60 LE.

Centro Cirúrgico de Coimbra

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