Adam,Rouilly AR403 - Page 17

Condion 7
This view is of the opc disc and temporal rena
The main clinical features are:
• Mulple laser scars with areas of hyperpig-
mentaon
• Probable regressed New Vessels at the disc
with residual gliosis
This diagnosis is consistent with:
PAN RETINAL LASER PHOTOCOAGULATION
Comment:
The overall appearance suggests an excellent response to laser photocoagulaon and
medical management. Apart from possible Microaneurysms there is no acve Diabec
Renopathy. The paent will have reduced peripheral vision and a degree of night-blindness
(compare with Renis pigmentosa)
Condion 8
This view is of the opc disc
The main clinical features are:
• Disc area is obscured
• Poorly dened vasculature
This diagnosis is consistent with:
UNGRADABLE RETINOPATHY WITH POSSIBLE NVD
Comment:
The suspicion of bro vascular proliferaon at the disc and along the vascular arcade with
traconal detachment is very strong. This would be a feature of advanced diabec eye
disease.
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