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DIABETIC RETINOPATHY

Proliferative Diabetic Retinopathy in Type 1 Diabetes

Clinical Case 01

Proliferative Diabetic Retinopathy in Type 1 Diabetes - Clinical Case 01

Proliferative diabetic retinopathy in a 29-year-old female patient, with diabetes diagnosed 17 years ago, showing severe neovascularization of the disc and retina. HbA1c=8,1%

Proliferative Diabetic Retinopathy in Type 1 Diabetes - Clinical Case 01

Fundus photograph 3 years after surgery in same case. Fibrovascular tissue was removed and laser theraphy was made. Note the optic disc pallor, arteriolar sclerosis and ischemic maculopathy. HbA1c=8,4%

Evaluations

1st evaluation

7 0

28 03 2007 - Colour Retinography

Fundus photograph of proliferative diabetic retinopathy in a 29-years-old female patient with diabetes diagnosed 17 years ago. Note the neovascularization on the optic disc, cotton-wool spots and microaneurysms. This patient did not know the HbA1c test. Visual acuity: 20/22 RE; 20/20 LE

Fundus photograph of proliferative diabetic retinopathy in a 29-years-old female patient with diabetes diagnosed 17 years ago. Note the neovascularization on the optic disc, cotton-wool spots and microaneurysms. This patient did not know the HbA1c test. Visual acuity: 20/22 RE; 20/20 LE

28 03 2007 - Fluorescein Angiography

Fluorescein angiogram of proliferative diabetic retinopathy in same case

02 05 2007 - OCT B-Scan (Longitudinal)

OCT horizontal line-scan showing macular edema

28 03 2007 - Red-free

2nd evaluation

7 0

02 07 2007 - Colour Retinography

Fundus photograph 3 months after presentation

Fundus photograph 3 months after presentation

02 07 2007 - Fluorescein Angiography

02 07 2007 - OCT B-Scan (Longitudinal)

02 07 2007 - Red-free

3rd evaluation

8 0

08 04 2008 - Colour Retinography

Fundus photograph showing severe neovascularization of the disc and retina. HgA1c=8,1%. Patient was submmited to laser photocoagulation

Fundus photograph showing severe neovascularization of the disc and retina. HgA1c=8,1%. Patient was submmited to laser photocoagulation

Fundus photograph showing pre-retinal hemorrhages in left eye and severe neovascularization at the optic disc and retina

Left eye, with severe fibrovascular proliferation. Vitrectomy was scheduled. HgA1c was 6,9%

14 07 2008 - OCT B-Scan (Longitudinal)

OCT line scan showing cystoid macular edema

OCT line scan showing cystoid macular edema and vitreoretinal traction

4th evaluation - postoperative

3 1

11 09 2008 - Colour Retinography

Fundus photograph 2 months after surgery showing reduction of neovascularization

11 09 2008 - OCT B-Scan (Longitudinal)

OCT line-scan showing severe macular edema

OCT line-scan showing severe macular edema

17 07 2008 - Surgical Video

5th evaluation - postoperative

8 1

05 09 2008 - Colour Retinography

Fundus photograph 1 day after surgery showing laser spots and reduction of neovascularization

Fundus photograph 1 year after surgery in same case. Visual acuity was 20/200 RE

Fundus photograph 1 year after surgery in same case. Visual acuity was 20/40 LE

05 09 2008 - OCT B-Scan (Longitudinal)

OCT line-scan 1 day after surgery showing cystoid macular edema

OCT line-scan after intravitreal injection of triamcinolone showing reduction of macular edema

04 09 2008 - Surgical Video

6th evaluation

20 0

14 12 2010 - Autofluorescence

14 12 2010 - Colour Retinography

Ultra-widefield photograph of diabetic retinopathy showing laser photocoagulation scars. HbA1c= 8,4%

Ultra-widefield photograph of diabetic retinopathy showing laser photocoagulation scars. HbA1c=8,4%

Ultra-widefield photograph (amplification)of diabetic retinopathy showing laser photocoagulation scars. HbA1c was 8,4%

Ultra-widefield photograph (amplification)of diabetic retinopathy showing laser photocoagulation scars. HbA1c was 8,4%

14 12 2010 - Infrared

14 12 2010 - OCT B-Scan (Longitudinal)

OCT vertical line-scan showing macular edema

OCT line-scan showing macular edema

OCT horizontal line-scan showing macular edema

OCT line-scan showing macular edema

14 12 2010 - Red-free

7th evaluation

19 0

27 04 2011 - Autofluorescence

27 04 2011 - Colour Retinography

Fundus photograph, showing optic disc pallor, arteriolar sclerosis and ischemic maculopathy

Fundus photograph, showing optic disc pallor, arteriolar sclerosis and ischemic maculopathy

27 04 2011 - Infrared

27 04 2011 - OCT B-Scan (Longitudinal)

27 04 2011 - Red-free

27 04 2011 - Tonometry

8th evaluation

10 0

22 07 2013 - Colour Retinography

HbA1c=8,3%. VA: 20/40 RE; 20/28 LE

HbA1c=8,3%. VA: 20/40 RE; 20/28 LE

22 07 2013 - OCT B-Scan (Longitudinal)

22 07 2013 - Red-free

9th evaluation

8 0

23 09 2014 - Colour Retinography

Six years after surgery. BCVA: 20/28 OU

Ultra-widefield photograph

Ultra-widefield photograph

23 09 2014 - OCT B-Scan (Longitudinal)

10th evaluation

8 0

09 10 2015 - Autofluorescence

Ultra-widefield photograph of autofluorescence

Ultra-widefield photograph of autofluorescence

09 10 2015 - Colour Retinography

Ultra-widefield photograph

Ultra-widefield photograph

09 10 2015 - OCT B-Scan (Longitudinal)

Seven years after surgery. HbA1c=8.3%. BCVA: 20/25 OU

11th evaluation

8 0

26 07 2019 - Autofluorescence

Eleven years after surgery. HbA1c=8.3%. BCVA: 20/25 OU

26 07 2019 - Colour Retinography

Eleven years after surgery. HbA1c=8.3%. BCVA: 20/25 OU

26 07 2019 - OCT B-Scan (Longitudinal)

Eleven years after surgery. HbA1c=8.3%. BCVA: 20/25 OU

Centro Cirúrgico de Coimbra

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Centro Cirúrgico de Coimbra

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Imagiologia:9072/2015 (Licença de Funcionamento)

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