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DIABETIC RETINOPATHY

Proliferative Diabetic Retinopathy in Type 1 Diabetes

Clinical Case 04

Proliferative Diabetic Retinopathy in Type 1 Diabetes - Clinical Case 04

Ultra-widefield photograph of proliferative diabetic retinopathy in a 37 years-old patient. Note the fibrovascular tissue and severe neovascularization at the interface retina/optic disc. Visual acuity: 20/250 LE

Proliferative Diabetic Retinopathy in Type 1 Diabetes - Clinical Case 04

Ultra-widefield photograph 2 months after removal of fibrous tissue and endolaser

Evaluations

1st evaluation

17 0

29 04 2010 - Anterior Segment Photo

Anterior segment photograph of right eye in a 37 years-old male patient with proliferative diabetic retinopathy. Visual acuity: < 20/400 RE; 20/250 LE

Anterior segment photograph of left eye in a 37 years-old male patient with proliferative diabetic retinopathy. Visual acuity: < 20/400 RE; 20/250 LE

29 04 2010 - Autofluorescence

29 04 2010 - Colour Retinography

Ultra-widefield photograph of proliferative diabetic retinopathy showing fibrovascular tissue and retinal detachment

Ultra-widefield photograph of proliferative diabetic retinopathy showing fibrovascular tissue and severe neovascularization of the optic disc and retina. VA: 20/250 LE

30 04 2010 - Fluorescein Angiography

30 04 2010 - Microperimetry

29 04 2010 - OCT B-Scan (Longitudinal)

29 04 2010 - Red-free

Red-free photograph showing fibrovascular tissue at right eye

Red-free photograph showing fibrovascular tissue at left eye

2nd evaluation - postoperative

16 1

10 05 2010 - Anterior Segment Photo

Anterior segment photograph of left eye 1 week after surgery. HbA1c=8,2%

16 06 2010 - Autofluorescence

02 06 2010 - Colour Retinography

Ultra-widefield photograph 1 month after surgery. Visual acuity: 20/60 LE

Ultra-widefield photograph 6 weeks after vitreoretinal surgery

02 06 2010 - Fluorescein Angiography

Fluorescein angiogram at eraly phase showing isquemic areas, tortuous vessels and leakage

16 06 2010 - Infrared

16 06 2010 - OCT B-Scan (Longitudinal)

OCT vertical line-scan showing macular edema and epiretinal membranes

OCT line-scan (45º) showing macular edema and epiretinal membranes

OCT horizontal line-scan showing epiretinal membrane, macular edema and retinal detachment

OCT line-scan (315º) showing macular edema and epiretinal membrane

02 06 2010 - Red-free

Red-free photograph 6 weeks after surgery showing macular epiretinal membranes

03 05 2010 - Surgical Video

3rd evaluation - postoperative

8 0

28 06 2010 - Autofluorescence

2 weeks after epiretinal membrane removal

28 06 2010 - Colour Retinography

Ultra-widefield photograph 2 weeks after epiretinal membrane removal showing gas bubble and laser spots

28 06 2010 - Infrared

28 06 2010 - OCT B-Scan (Longitudinal)

OCT vertical line-scan 2 weeks after epiretinal membrane removal. Note the recovery of retinal structure and the small foveal serous detachment

OCT vertical line-scan 2 weeks after epiretinal membrane removal. Note the recovery of retinal structure and the small foveal serous detachment

OCT vertical line-scan 2 weeks after epiretinal membrane removal. Note the recovery of retinal structure and the small foveal serous detachment

OCT vertical line-scan 2 weeks after epiretinal membrane removal. Note the recovery of retinal structure and the small foveal serous detachment

28 06 2010 - Red-free

4th evaluation

23 0

05 07 2010 - Autofluorescence

05 07 2010 - Colour Retinography

Ultra-widefield photograph showing some areas of epiretinal fibrous tissue

Ultra-widefield photograph, 3 days later, showing some areas of epiretinal fibrous tissue

05 07 2010 - Infrared

05 07 2010 - OCT B-Scan (Longitudinal)

OCT vertical line-scan showing a retinal detachment

OCT vertical line-scan showing a retinal detachment

OCT vertical line-scan showing a retinal detachment

OCT line-scan showing a retinal detachment around the optic disc

OCT line-scan showing a retinal detachment around the optic disc

OCT line-scan showing a retinal detachment around the optic disc

OCT horizontal line-scan showing a retinal detachment and an epiretinal fibrous tissue

OCT horizontal line-scan showing a retinal detachment and an epiretinal fibrous tissue

05 07 2010 - Red-free

5th evaluation

19 0

23 08 2010 - Anterior Segment Photo

Two months after surgery

Anterior segment photograph after new pars plana vitrectomy with air tamponade

07 10 2010 - Autofluorescence

13 12 2010 - Colour Retinography

Fundus photograph showing patches of silicone oil

07 10 2010 - Infrared

09 09 2010 - OCT B-Scan (Longitudinal)

OCT vertical line-scan showing macular edema

OCT line-scan (45º) showing macular edema

OCT horizontal line-scan showing macular edema

OCT line-scan showing macular edema

13 12 2010 - Red-free

6th evaluation

12 0

18 01 2011 - Anterior Segment Photo

Minimal corneal decompensation

06 01 2011 - Colour Retinography

Six months after surgery

17 01 2011 - OCT B-Scan (Longitudinal)

OCT vertical line-scan shows macular atrophy and edema of the nasal fovea

OCT vertical line-scan shows macular atrophy and edema of the nasal fovea

7th evaluation

4 0

23 05 2017 - Autofluorescence

23 05 2017 - Colour Retinography

Seven years after surgery

23 05 2017 - OCT B-Scan (Longitudinal)

Centro Cirúrgico de Coimbra

We work to be the best

Rua Dr. Manuel Campos Pinheiro, 51 Espadaneira - S. Martinho do Bispo 3045-089 Coimbra, Portugal
(+351) 239 802 700
consultas@ccci.pt
centrocirurgico@ccci.pt

Centro Cirúrgico de Coimbra

UPS 07/02.00 (Licença de Funcionamento)
Certidão Registo E106499

Imagiologia:9072/2015 (Licença de Funcionamento)

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