On the basis of this a plan of right eye injection antiVEGF followed by vitrectomy and left eye injection antiVEGF followed by macular laser Figure 6a: Fundus photograph of the right eye shows presence of multiple hard exudates at the macula.įigure 6b: Fundus photograph of the left eye shows presence of multiple dot and blot hemorrhages (yellow arrow) epiretinal membrane with fibrovascular proliferations along superotemporal arcade (green arrow) Figure 7a: SDOCT, horizontal line scan of the right eye post surgery showing evidence of minimal retinal thickening(yellow arrows), clump of hard exudates(green arrow), hyper-reflective foci(red arrow), DRIL lesion(yellow arrow heads), and loss of photoreceptors at fovea and temporally(green arrow heads).įigure 7b: SDOCT, horizontal line scan of the left eye post injection showing evidence of diffuse retinal thickening (green arrow), cystoid macular edema (yellow arrow), epiretinal membrane (red arrow) and hyper-reflective foci (blue arrow)Īfter undergoing intervention at initial presentation, patient responded well but didn’t follow up for routine examination. Figure 5a: SDOCT, horizontal line scan of the right eye showing evidence of diffuse retinal thickening (1), cystoid macular edema (2), neurosensory detachment (3), vitreomacular traction (4), epiretinal membrane (5), clump of hard exudates (6) and hyper-reflective foci (7).įigure 5b: SDOCT, horizontal line scan of the left eye showing evidence of diffuse retinal thickening (1), cystoid macular edema (2), neurosensory detachment (3), epiretinal membrane (4) and hyper-reflective foci (5). The optic disc looks pale.įigure 4b: Fundus photograph of the left eye shows presence of multiple dot and blot hemorrhages (yellow arrow), micro aneurysms (green arrow) and Internal limiting membrane folds (white arrow). Figure 4a: Fundus photograph of the right eye shows presence of multiple dot and blot hemorrhages (yellow arrow), micro aneurysms (green arrow), circinate retinopathy (red arrow) and epiretinal proliferation (blue arrow). On examination his BCVA was 6/36 in both eyes. Patient missed the follow ups and reviewed with us after 2 years with blurring of vision in both eyes. He underwent both eyes injection antiVEGF followed by pan retinal photocoagulation and modified grid macular laser for the right eye. On the basis of this patient was diagnosed to have both eyes proliferative diabetic retinopathy with right eye non centre involving macular edema. Leaking neovascular tufts are seen (red arrow heads).įigure 3a: SDOCT, horizontal line scan of the right eye showing a normal fovea with perifoveal thickening of the outer nuclear layers and collection of hyper reflective dots within (red arrows) suggestive of diffuse retinal thickening with clump of hard exudates due to diabetic maculopathy.įigure 3b: SDOCT, horizontal line scan of the left eye showing a normal fovea with mild distortion of retinal layers and collection of hyper reflective dots within suggestive of resolving hard exudates. Multiple capillary drop outs are seen (red arrow heads).įigure 2b:Fundus fluorescein angiography of the left eye shows presence of leaking microaneurysms (green arrow head) and blocked fluorescence due to pre retinal hemorrhage and vitreous hemorrhage (yellow arrow heads). Figure 2a:Fundus fluorescein angiography of the right eye shows presence of leaking microaneurysms (green arrow head) and blocked fluorescence due to retinal hemorrhages (yellow arrow head). Figure 1a: Fundus photograph of the right eye shows presence of multiple dot and blot hemorrhages (yellow arrow), micro aneurysms (green arrow), looping of vein (blue arrow) and circinate retinopathy (red arrow).įigure 1b:Fundus photograph of the left eye shows presence of multiple dot and blot hemorrhages (yellow arrow), micro aneurysms (green arrow), looping of vein (blue arrow), circinate retinopathy (red arrow), pre retinal blood (black arrow) and vitreous hemorrhage (white arrow). A fluorescein angiography and SDOCT was done to assess and document the retinopathy. Fundus examination revealed features of proliferative diabetic retinopathy with maculopathy in OU. IOP with applanation tonometry was 16 mmHg in OU. On examination his BCVA was 6/6p in OD and 6/9p in OS. He was a known diabetic under treatment since 10 years. Suraj Eye Institute, 559 New colony, Nagpur, IndiaĪ male, 54 years of age, came with floaters in the left eye since 2 days. Diabetic Retinopathy – Clinical and Imaging Correlation Dr.
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