{"id":87179,"date":"2023-11-27T09:24:49","date_gmt":"2023-11-27T09:24:49","guid":{"rendered":"https:\/\/www.atlasrleye.com\/proliferative-diabetic-retinopathy-in-type-2-diabetes\/clinical-case-4\/"},"modified":"2024-02-19T22:38:52","modified_gmt":"2024-02-19T22:38:52","slug":"clinical-case-4","status":"publish","type":"page","link":"https:\/\/www.atlasrleye.com\/en\/proliferative-diabetic-retinopathy-in-type-2-diabetes\/clinical-case-4\/","title":{"rendered":"Clinical Case 4"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_custom_heading text=&#8221;DIABETIC RETINOPATHY&#8221; font_container=&#8221;tag:h5|font_size:22px|text_align:center|color:%23000000&#8243; use_theme_fonts=&#8221;yes&#8221; link=&#8221;url:https%3A%2F%2Fwww.atlasrleye.com%2Fretinopatia-diabetica%2F|title:Diabetic%20Retinopathy|&#8221;][vc_text_separator title=&#8221;&#8221; i_icon_fontawesome=&#8221;fas fa-eye&#8221; i_color=&#8221;custom&#8221; i_size=&#8221;lg&#8221; color=&#8221;custom&#8221; border_width=&#8221;8&#8243; add_icon=&#8221;true&#8221; css=&#8221;.vc_custom_1637080776101{margin-bottom: -5px !important;}&#8221; accent_color=&#8221;#bababa&#8221; i_custom_color=&#8221;#bababa&#8221;][vc_custom_heading text=&#8221;Proliferative Diabetic Retinopathy in type 2 diabetes &#8211; Clinical Case 04&#8243; font_container=&#8221;tag:h1|text_align:center|color:%235f1b52&#8243; use_theme_fonts=&#8221;yes&#8221; link=&#8221;url:https%3A%2F%2Fwww.atlasrleye.com%2Fen%2Fproliferative-diabetic-retinopathy-in-type-2-diabetes%2F|title:PROLIFERATIVE%20DIABETIC%20RETINOPATHY%20IN%20TYPE%202%20DIABETES|&#8221;]<div class=\"ult-spacer spacer-6a03b98e8abc4\" data-id=\"6a03b98e8abc4\" data-height=\"70\" data-height-mobile=\"70\" data-height-tab=\"70\" data-height-tab-portrait=\"\" data-height-mobile-landscape=\"\" style=\"clear:both;display:block;\"><\/div>[\/vc_column][\/vc_row][vc_row][vc_column]<div class=\"ult-spacer spacer-6a03b98e8ac27\" data-id=\"6a03b98e8ac27\" data-height=\"10\" data-height-mobile=\"10\" data-height-tab=\"10\" data-height-tab-portrait=\"\" data-height-mobile-landscape=\"\" style=\"clear:both;display:block;\"><\/div><div class=\"ult-spacer spacer-6a03b98e8ac7e\" data-id=\"6a03b98e8ac7e\" data-height=\"20\" data-height-mobile=\"20\" data-height-tab=\"20\" data-height-tab-portrait=\"\" data-height-mobile-landscape=\"\" style=\"clear:both;display:block;\"><\/div>[\/vc_column][\/vc_row][vc_row gap=&#8221;35&#8243; equal_height=&#8221;yes&#8221;][vc_column width=&#8221;1\/2&#8243;][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n<p style=\"font-size: 18px; text-align: justify;\"><span style=\"color: #000000;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-18725\" src=\"https:\/\/www.atlasrleye.com\/wp-content\/uploads\/2022\/01\/o03-ti02-2159886-20120404-999-300x236.jpg\" alt=\"\" width=\"220\" height=\"173\">Ultra-widefield photograph of proliferative diabetic retinopathy, in a 54-years-old male patient with the diagnosis of diabetes since 12 years ago. Note a neovascularization of the disc and vitreoretinal hemorrhages<\/span><\/p>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;62648&#8243; img_size=&#8221;270&#215;270&#8243; alignment=&#8221;center&#8221; onclick=&#8221;link_image&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<\/p>\n<p style=\"text-align: justify; font-size: 18px;\"><span style=\"color: #000000;\">Fluorescein angiography (ultra-widefield) at late phase showing several ischemic areas, microaneurysms and neovascularization of the retina and the disc.<\/span><\/p>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<\/p>\n<h3><span style=\"color: #5f1b52;\">Evaluations<br \/>\n<\/span><\/h3>\n<p>[\/vc_column_text][vc_tta_accordion active_section=&#8221;99&#8243; no_fill=&#8221;true&#8221; collapsible_all=&#8221;true&#8221;][vc_tta_section i_icon_fontawesome=&#8221;far fa-calendar-alt&#8221; add_icon=&#8221;true&#8221; title=&#8221;1st Evaluation &#8211; 04 04 2012&#8243; tab_id=&#8221;1661528679639-01942171-9860&#8243;][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Fluorescein Angiography<\/p>\n<div style=\"text-indent: 20px;\">\n<p style=\"font-size: 14px; text-align: justify;\"><span style=\"color: #000000;\">Several ischemic areas, microaneurysms and neovascularization of the retina and the optic disc.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;62591,62597,62609,62606,62612,62615,62624,62651,62660,62648&#8243; img_size=&#8221;193&#215;206&#8243; css=&#8221;.vc_custom_1708376562644{margin-top: -30px !important;}&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=&#8221;3\/5&#8243;][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Autofluorescence<\/p>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;62654,62657,62603&#8243; img_size=&#8221;193&#215;206&#8243;][\/vc_column_inner][vc_column_inner width=&#8221;1\/5&#8243;][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Infrared<\/p>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;62645&#8243; img_size=&#8221;193&#215;206&#8243;][\/vc_column_inner][vc_column_inner width=&#8221;1\/5&#8243;][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Red-free<\/p>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;62621&#8243; img_size=&#8221;193&#215;206&#8243;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Anterior Segment Photo<\/p>\n<div style=\"text-indent: 20px;\">\n<p style=\"font-size: 14px; text-align: justify;\"><span style=\"color: #000000;\">Note the iris neovascularization (RE). He didn&#8217;t know the HbA1c test. The patient had microcytic anemia. In this context blood glucose should be measured: 91mg\/dL. Note the corneal edema due to hypertension and the severe iris neovascularization (LE).<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;62594,62600&#8243; img_size=&#8221;323&#215;206&#8243; css=&#8221;.vc_custom_1708376428325{margin-top: -30px !important;}&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Biometry<\/p>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;62639&#8243; img_size=&#8221;206&#215;206&#8243;][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Microperimetry<\/p>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;62636&#8243; img_size=&#8221;287&#215;206&#8243;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">OCT (B-Scan) longitudinal<\/p>\n<div style=\"text-indent: 20px;\">\n<p style=\"font-size: 14px; text-align: justify;\"><span style=\"color: #000000;\">Severe cystoid macular edema.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;62633,62630,62642,62627&#8243; img_size=&#8221;207&#215;110&#8243; css=&#8221;.vc_custom_1708376529120{margin-top: -30px !important;}&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Colour Retinography<\/p>\n<div style=\"text-indent: 20px;\">\n<p style=\"font-size: 14px; text-align: justify;\"><span style=\"color: #000000;\">Retinal and vitreous hemorrhage, and neovascularization of the optic disc .<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;62198,62213&#8243; img_size=&#8221;251&#215;206&#8243; css=&#8221;.vc_custom_1708376504042{margin-top: -30px !important;}&#8221;][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=&#8221;far fa-calendar-alt&#8221; add_icon=&#8221;true&#8221; title=&#8221;2nd Evaluation &#8211; 10 04 2012&#8243; tab_id=&#8221;1661530099011-eea59b10-3e63&#8243;][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Anterior Segment Photo<\/p>\n<div style=\"text-indent: 20px;\">\n<p style=\"font-size: 14px; text-align: justify;\"><span style=\"color: #000000;\">One day after facoemulsification and pars plana vitrectomy. Anterior chamber injection of alteplase.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;62687,62678,62672,62669,62663,62684,62666,62681&#8243; img_size=&#8221;282*206&#8243; css=&#8221;.vc_custom_1708376605441{margin-top: -30px !important;}&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Colour Retinography<\/p>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;62675&#8243; img_size=&#8221;251&#215;206&#8243;][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=&#8221;far fa-calendar-alt&#8221; add_icon=&#8221;true&#8221; title=&#8221;3rd Evaluation &#8211; 10 04 2013&#8243; tab_id=&#8221;1661784723484-06fa3ba0-2afa&#8221;][vc_row_inner][vc_column_inner width=&#8221;1\/4&#8243;][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Fluorescein Angiography<\/p>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;62711&#8243; img_size=&#8221;193&#215;206&#8243;][\/vc_column_inner][vc_column_inner width=&#8221;1\/4&#8243;][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Autofluorescence<\/p>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;62717&#8243; img_size=&#8221;193&#215;206&#8243;][\/vc_column_inner][vc_column_inner width=&#8221;1\/4&#8243;][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Infrared<\/p>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;62705&#8243; img_size=&#8221;193&#215;206&#8243;][\/vc_column_inner][vc_column_inner width=&#8221;1\/4&#8243;][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Red-free<\/p>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;62693&#8243; img_size=&#8221;193&#215;206&#8243;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">OCT (B-Scan) longitudinal<\/p>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;62708,62699,62696,62702&#8243; img_size=&#8221;307&#215;110&#8243;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Colour Retinography<\/p>\n<div style=\"text-indent: 20px;\">\n<p style=\"font-size: 14px; text-align: justify;\"><span style=\"color: #000000;\">One year after vitrectomy and endolaser. The eye was treated with intraocular bevacizumab.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;62714,62690&#8243; img_size=&#8221;251&#215;206&#8243; css=&#8221;.vc_custom_1708376630228{margin-top: -30px !important;}&#8221;][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][\/vc_tta_accordion][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_custom_heading text=&#8221;DIABETIC RETINOPATHY&#8221; font_container=&#8221;tag:h5|font_size:22px|text_align:center|color:%23000000&#8243; use_theme_fonts=&#8221;yes&#8221; link=&#8221;url:https%3A%2F%2Fwww.atlasrleye.com%2Fretinopatia-diabetica%2F|title:Diabetic%20Retinopathy|&#8221;][vc_text_separator title=&#8221;&#8221; i_icon_fontawesome=&#8221;fas fa-eye&#8221; i_color=&#8221;custom&#8221; i_size=&#8221;lg&#8221; color=&#8221;custom&#8221; border_width=&#8221;8&#8243; add_icon=&#8221;true&#8221; css=&#8221;.vc_custom_1637080776101{margin-bottom: -5px !important;}&#8221; accent_color=&#8221;#bababa&#8221; i_custom_color=&#8221;#bababa&#8221;][vc_custom_heading text=&#8221;Proliferative Diabetic Retinopathy in type 2 diabetes &#8211; Clinical Case 04&#8243; font_container=&#8221;tag:h1|text_align:center|color:%235f1b52&#8243; use_theme_fonts=&#8221;yes&#8221; link=&#8221;url:https%3A%2F%2Fwww.atlasrleye.com%2Fen%2Fproliferative-diabetic-retinopathy-in-type-2-diabetes%2F|title:PROLIFERATIVE%20DIABETIC%20RETINOPATHY%20IN%20TYPE%202%20DIABETES|&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][\/vc_column][\/vc_row][vc_row gap=&#8221;35&#8243; equal_height=&#8221;yes&#8221;][vc_column width=&#8221;1\/2&#8243;][vc_row_inner][vc_column_inner][vc_column_text] Ultra-widefield photograph of proliferative [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":75341,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-87179","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages\/87179","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/comments?post=87179"}],"version-history":[{"count":7,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages\/87179\/revisions"}],"predecessor-version":[{"id":97772,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages\/87179\/revisions\/97772"}],"up":[{"embeddable":true,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages\/75341"}],"wp:attachment":[{"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/media?parent=87179"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}