Log Reflection

Diabetic Retinopathy

Case 6-5 continued

Clinical Summary

Slit-lamp biomicroscopy (D) of the left eye also showed scattered dot and blot hemorrhages and microaneurysms without neovascularization. Punctate hyperfluorescence with late leakage was observed on fluorescein angiography (E) consistent with microaneurysms. The visual acuity was 20/200 in this eye.

Optical Coherence Tomography

Radial OCT sections (F) illustrated diffuse thickening throughout the macula with preferential fluid accumulation in the outer retinal layers. À small detachment of the neurosensory retina with subretinal fluid accumulation was noted just beneath the fovea.

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