Ophthalmology/Eye Institute

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 Department of Ophthalmology Case Studies

 

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Exam:

VAsc: OD 20/40; OS 20/40

Pupils: OD 3 mm and reactive to light; OS 3mm and reactive to light. No APD

Applanation: OD- 16 mmHg; OS- 15 mmHg

CVF: full OU

EOM: intact

External: No abnormalities could be appreciated.

 

SLE Right Left
L/L WNL WNL
C/S White/Quiet White/Quiet
K Clear Clear
AC Deep/Quiet Deep/Quiet
I Round/Regular Round/Regular; No NVI OU
L Clear Clear

 

 

 

 

 

 

DFE:

C/D: OD 0.35; OS 0.40
Neovascularization of the optic disc(NVD) OD, No NVD OS
Vitreous: No Vitreous Hemorrhage OU
Optic Nerve: C/D 0.35 OD and 0.4 OS, NVD involving ~ 50% of disc OD, No NVD OS
Macula: Flat with multiple microaneurysms and hard exudates > 500 microns away
from the fovea OU. No Clinically Significant Macular Edema (CSME) OU
Peripheral Retina: Attached 360 degrees in both eyes. Multiple dot-blot hemorrhages in
the periphery OU. Cotton Wool spots OS Focal areas of NVE OS.
 

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