Hyperfluorescence Case #4

ID: 58M

Reason for Referral: Diabetic Retinopathy Check

Past Ocular History: PDR OU, History of Previous IVIs

Past Medical History: Hypertension, Diabetes (HbA1c 12.1%)

Medications: Metformin, Insulin

Ocular gtts: None

Eye Vitals and Examination:

  • BCVA 20/40 OD, 20/40 OS

  • IOP 16 OD, 15 OS

  • No RAPD, PEARRLA

  • EOM full

  • Leakage Secondary to NVE in PDR

    A leak occurs when there is loss of fluorescein into the extracellular space. A full leak begins early in the scan and increases in size and intensity with time.

    • Cystoid appearance (inside the macula, aflower petal appearance because of the organization of the outer plexiform layer; outside of the macula, a honey- comb appearance): diabetic retinopathy, telangiectasis, choroidal or retinal inflammation, subretinal neovascularization, subretinal inflammation, choroidal tumours.

    • Non-cystoid pattern (usually due to small retinal vessel leakage): hypertension, diabetes, or vasculitis.

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Hyperfluorescence Case #3

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Hyperfluorescence Case #5