Case #16 – NVD and Traction RD

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Case 9: Optomap® color image OS The posterior pole was devoid of any vascular abnormalities in both eyes. In the far inferior temporal retina OS are similar abnormalities as previously demonstrated in the right eye, but less dramatic.

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Case 9: Optomap® color  and green separation images OD Black dots and spots demonstrated in green separation represent microaneurysms or small hemorrhages.

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Case 9: Optomap® color fundus image OD Note in the right eye very small, but dramatic vascular abnormalities in the far temporal periphery.

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Case 9: Optomap® color fundus image OD Case 9: A 40 something year old white male optometrist recently attended a workshop in advanced retinal technologies. Although asymptomatic and no history of diabetes or other vascular disorders, peripheral vascular abnormalities including telangiectasia, microaneurysms, and small hemorrhages were observed in the peripheral temporal retina in

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Case 8: Optomap® green and red separation images OS Small retinal hemorrhages are best viewed in the green laser separation at higher magnification and often completely disappear with the red laser separation. The white spot in the superior temporal arcade is a small cotton wool spot and also is far more obvious

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Case 8: Optomap® color fundus image  Case 8: Some patients with or without a history of diabetes present with small scattered hemorrhages -some in the posterior pole, some in the mid- periphery and some in the far periphery as in this case.

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Case 7: Optomap® green and red separation images OS  Separation of the composite color optos® images into red and green channels is helpful in many cases. Subtle findings, such as small retinal hemorrhages at the level of the retina (anterior to the RPE) are most obvious with the green separation and subtle

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Case 7: Optomap® color fundus image Case 7: Some patients with a history of diabetes present without symptoms and a normal posterior pole but demonstrate mid or far peripheral hemorrhages most likely due to diabetes. Small retinal hemorrhages are usually best viewed with the green separation and high magnification (see next

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Case 6: Optomap® color fundus image Case 6: This patient with diabetic retinopathy presents with recent onset of large floaters. Vitreal hemorrhages are well documented as the etiology of the floaters. FA may be helpful to determine areas of neovascularization in consideration of laser treatment.

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Case 5: Optomap® color fundus image Case 5: Another patient who has undergone extensive PRP. This patient has traction retinal detachment most obvious inferior to the disc. The fibroglial tissue is tugging on the disc and inferior to the disc in a similar fashion as demonstrated in the SD OCT previously (see pages 4-6).

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