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DIABETIC RETINOPATHY

Non-Proliferative Diabetic Retinopathy

Clinical Case 02

Non-Proliferative Diabetic Retinopathy - Clinical Case 02

Ultra-widefield photograph of pre-proliferative diabetic retinopathy in a 59-year-old female patient. Note the cotton-wool spots, microaneurysms and some retinal hemorrhages. HbA1c=8,8%

Non-Proliferative Diabetic Retinopathy - Clinical Case 02

Ultra-widefield photograph, in same case, 8 months later. The diabetic retinopathy was treated with laser therapy. HbA1c09,3%. BP=168/97 mmHg

Evaluations

1st evaluation

17 0

10 05 2010 - Autofluorescence

24 05 2010 - Colour Retinography

Ultra-widefield photograph of non-proliferative diabetic retinopathy in a 59-year-old female patient. HbA1c=8,8%

Ultra-widefield photograph of pre-proliferative diabetic retinopathy in a 59-year-old female patient. Note the cotton-wool spots, microaneurysms and some retinal hemorrhages. HbA1c=8,8%

10 05 2010 - Fluorescein Angiography

Fluorescein angiogram showing bright hyperfluorescent microaneurysms

Fluorescein angiogram showing bright hyperfluorescent microaneurysms and some areas of leakage. Retinal hemorrhages block fluorescence and appear as hypofluorescent spots

Fluorescein angiogram showing bright hyperfluorescent microaneurysms and some areas of leakage. Retinal hemorrhages block fluorescence and appear as hypofluorescent spots

Fluorescein angiogram showing bright hyperfluorescent microaneurysms and some areas of leakage. Retinal hemorrhages block fluorescence and appear as hypofluorescent spots

Fluorescein angiogram showing bright hyperfluorescent microaneurysms and some areas of leakage. Retinal hemorrhages block fluorescence and appear as hypofluorescent spots

10 05 2010 - OCT B-Scan (Longitudinal)

10 05 2010 - Red-free

2nd evaluation

6 0

06 09 2010 - Autofluorescence

HbA1c= 6,9 %. BP=140/70 mmHg

HbA1c= 6,9 %. BP=140/70 mmHg

06 09 2010 - OCT B-Scan (Longitudinal)

06 09 2010 - Red-free

Red-free photograph. HbA1c= 6,9 %. BP=140/70 mmHg

Red-free photograph in same case. HbA1c:6,9 %. BP=140/70 mmHg

3rd evaluation

14 0

14 12 2011 - Autofluorescence

14 12 2011 - Colour Retinography

18 months after the first evaluation. Note the retinal hemorrhages and exudates. HbA1c=9,3%. BP=168/97 mmHg

18 months after the first evaluation. Note the retinal hemorrhages and exudates. HbA1c=9,3%. BP=168/97 mmHg

14 12 2011 - Fluorescein Angiography

Fluorescein angiogram at arterial phase shows hyperfluorescence of microaneurysms

Fluorescein angiogram showing bright hyperfluorescent microaneurysms. Retinal hemorrhages block fluorescence and appear as hypofluorescent spots

Fluorescein angiogram showing early leakage

Fluorescein angiogram at late-phase showing some areas of leakage

Fluorescein angiogram at late-phase showing some areas of leakage

Fluorescein angiogram at late-phase showing some areas of leakage

Fluorescein angiogram at late-phase showing some areas of leakage

Fluorescein angiogram at late-phase showing some areas of leakage

14 12 2011 - Red-free

4th evaluation

14 0

17 01 2012 - Autofluorescence

Nineteen mounths after the 1st evaluation

Nineteen mounths after the 1st evaluation

17 01 2012 - Colour Retinography

Nineteen mounths after the 1st evaluation

Nineteen mounths after the 1st evaluation

The diabetic retinopathy was treated with laser therapy. HbA1c=9,3%. BP=168/97 mmHg

The diabetic retinopathy was treated with laser therapy. HbA1c=9,3%. BP=168/97 mmHg

17 01 2012 - Infrared

17 01 2012 - OCT B-Scan (Longitudinal)

17 01 2012 - Red-free

5th evaluation

10 0

06 02 2013 - Colour Retinography

Three years after presentation. HbA1c=6,0%. VA: 20/20 RE; 20/20 LE

Three years after presentation. HbA1c=6,0%. VA: 20/20 RE; 20/20 LE

06 02 2013 - OCT B-Scan (Longitudinal)

19 06 2013 - Red-free

6th evaluation

14 0

11 04 2016 - Autofluorescence

11 04 2016 - Colour Retinography

11 04 2016 - Infrared

11 04 2016 - OCT B-Scan (Longitudinal)

Six years after presentation. Pseudophakic (LE).Macular edema. VA: 20/40

11 04 2016 - Red-free

7th evaluation

12 0

17 01 2019 - Autofluorescence

Eight years after presentation. Pseudophakic. Hg A1c=6.9%. BCVA: 20/30 OU.

17 01 2019 - Colour Retinography

Eight years after presentation. Pseudophakic. Hg A1c=6.9%. BCVA: 20/30 OU.

17 01 2019 - OCT B-Scan (Longitudinal)

Eight years after presentation. Pseudophakic. Hg A1c=6.9%. BCVA: 20/30 OU.

After treatment with dexamethasone intravitreal implant

17 01 2019 - Red-free

Centro Cirúrgico de Coimbra

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