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DIABETIC RETINOPATHY

Proliferative Diabetic Retinopathy in Type 1 Diabetes

Clinical Case 05

Proliferative Diabetic Retinopathy in Type 1 Diabetes - Clinical Case 05

Ultra-widefield photograph of severe proliferative diabetic retinopathy in a 56-year-old female patient, with diabetes diagnosed 23 years ago. Note the fibrovascular tissue at vitreous, and vitreous hemorrhages. She did not know the test HbA1c

Proliferative Diabetic Retinopathy in Type 1 Diabetes - Clinical Case 05

Ultra-widefield photograph, 3 months after surgery. Visual acuity: 20/32 LE

Evaluations

1st evaluation

7 0

08 07 2011 - Anterior Segment Photo

Anterior segment photograph in a 56-years-old female patient diagnosed with diabetes 23 years ago. She did not know the HbA1c test. The vitreous hemorrhage did not allow the visualization of fundus details

08 07 2011 - Colour Retinography

Ultra-widefield photograph of severe proliferative diabetic retinopathy showing preretinal fibrovascular tissue and retinal hemorrhages

Ultra-widefield photograph (amplification) of severe proliferative diabetic retinopathy showing preretinal fibrovascular tissue and retinal hemorrhages

Fundus photograph of severe proliferative diabetic retinopathy showing preretinal fibrovascular tissue and retinal hemorrhages

08 07 2011 - Echography

B-scan echogram showing hemovitreous, fibrous tissue on the detached retina

B-scan echogram showing retinal detachment and vitreous hemorrhage

08 07 2011 - OCT B-Scan (Longitudinal)

OCT vertical line-scan demonstrates the retinal detachment caused by fibrovascular tissue

2nd evaluation - postoperative

8 0

15 07 2011 - Autofluorescence

01 01 1970 - Colour Retinography

Ultra-widefield photograph 1 day after vitreoretinal surgery. The fibrovascular tissue was removed. Note the spatial distribution of endolaser spots

15 07 2011 - Infrared

15 07 2011 - OCT B-Scan (Longitudinal)

OCT vertical line-scan shows partial recovery of retinal structure

OCT line-scan one day after vitreoretinal surgery shows partial recovery of retinal structure

OCT line-scan 1 day after vitreoretinal surgery shows partial recovery of retinal structure

OCT line-scan one day after vitreoretinal surgery shows partial recovery of retinal structure

15 07 2011 - Red-free

3rd evaluation

11 0

31 08 2011 - Autofluorescence

31 08 2011 - Colour Retinography

Ultra-widefield photograph 2 months after vitreoretinal surgery showing laser scars and some focus of fibrous tissue

Fundus photograph 2 months after vitreoretinal surgery. Note retinal macular folds and hard exudates

31 08 2011 - Fluorescein Angiography

Fluorescein angiogram, early phase

Fluorescein at late stage shows some areas of leakage. Laser photocoagulation was reinforced

31 08 2011 - Infrared

Infrared photograph showing chorioretinal folds

31 08 2011 - OCT B-Scan (Longitudinal)

31 08 2011 - Red-free

Red-free photograph showing macular retinal folds

4th evaluation

14 0

12 10 2011 - Autofluorescence

12 10 2011 - Colour Retinography

Ultra-widefield photograph of proliferative diabetic retinopathy 3 months after surgery

Fundus photograph of proliferative diabetic retinopathy 3 months after surgery

02 11 2011 - Fluorescein Angiography

12 10 2011 - Infrared

12 10 2011 - OCT B-Scan (Longitudinal)

12 10 2011 - Red-free

5th evaluation

8 0

11 01 2012 - Autofluorescence

11 01 2012 - Colour Retinography

Visual acuity: 20/32 OU

11 01 2012 - Infrared

11 01 2012 - OCT B-Scan (Longitudinal)

11 01 2012 - Red-free

6th evaluation

9 0

01 02 2012 - Autofluorescence

01 02 2012 - Colour Retinography

VA: 20/32 OU. HbA1c =7,4%

01 02 2012 - Infrared

01 02 2012 - OCT B-Scan (Longitudinal)

OCT vertical line-scan shows macular epiretinal membrane and subfoveolar detachment

01 02 2012 - Red-free

01 02 2012 - Tonometry

7th evaluation

7 0

15 01 2014 - Autofluorescence

15 01 2014 - Colour Retinography

2.5 years after surgery. HbA1c=7,8

15 01 2014 - Infrared

15 01 2014 - OCT B-Scan (Longitudinal)

15 01 2014 - Red-free

8th evaluation

9 0

12 04 2019 - Autofluorescence

Eight years after surgery. BCVA: 20/40 LE

12 04 2019 - Colour Retinography

Eight years after surgery. BCVA: 20/40 LE

12 04 2019 - Infrared

12 04 2019 - OCT B-Scan (Longitudinal)

Eight years after surgery. BCVA: 20/40 LE

12 04 2019 - Red-free

Centro Cirúrgico de Coimbra

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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

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Imagiologia:9072/2015 (Licença de Funcionamento)

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