Diabetic Retinopathy

Case 6-3 continued

Clinical Summary

Examination of the patient s left eve (E) showed a large foveal cyst and clinically significant macular thickening. Corresponding late leakage of fluorescein dye was observed in the central macula on angiography (F). The visual acuity in this eye was 20/40.

Optical Coherence Tomography

OCT (G) demonstrated macular thickening with a large central cystic space extending to the inner limiting membrane and smaller surrounding cysts. he foveal thickness was 460 |j.m. Focal laser photocoagulation was performed and the patient returned for a follow-up visit two months later. OCT examination (H) showed that the foveal thickness had significantly decreased to 290 \xm and that the retinal cysts had flattened. The patient s visual acuity was 20/50.

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