Female patient 80 years old, diabetic since 20 years , bilateral pseudophakia, history of right old branch vein occlusion. PRP and intravitreal injection 4 months ago.
current presentation is diminution of vision. BCVA Rt. 5/60 Lt. 6/60.
What has interrested me is the picture of the background macula in the early phase of FFA seen as homogenous hyperfluorescent dots (enlarge the image to see it) showing late diffuse leakage and causing diffuse macular oedema which is confirmed by OCT.
Is this an ischemic macula or just diffuse excudative maculopathy? and how should it best be managed?
3 comments:
I think the foveal area in the right eye was hit by laser and this is a macular scar and the left eye shows tiny laser marks at the macular area (the tiny white spots), No more laser could be applied and the only line will be IVT in my opinion
It is an ischemia in the macular area in the left eye.There is a macular scar in the right eye and recanalized vein
Regardles of the cause of scar in the right eye, i think this is a combination of ischaemic and diffuse exudative diabetic maculopathy. I agree with Prof. Dr. Zeinab that no more LASER is needed here and IVT may benefit the macular oedema.
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