Post Seg Exam 1 Photos

Cotton-Wool Spots

Microaneurysms

Microaneurysms

blot hemes

Microaneurysms

Microaneurysms

dot hemorrhages

blot hemorrhages

hard exudates

hard exudates

hard exudates

hard exudates + leakage

cotton wool spots

cotton-wool spots

cotton-wool spots

cotton-wool spots

venous beading

venous beading

venous beading

venous beading

venous looping

IRMA

DR classification:

** assume this is what all 4 quadrants look like

Severe NPDR

DR classification:

** assume this is what 2 quadrants look like

Severe NPDR

DR classification:

Severe NPDR

DR classification:

Moderate NPDR

Which finding is sufficient by itself to classify this eye as severe NPDR?

prominent IRMA in 1 or more quadrant

Which plan is most appropriate?

re-examine in 3-4 months with retina-level surveillance/ referral

IRMA vs NVE?

IRMA

CWS + Flame Heme

CWS + Hard Exudates

Hard Exudates (Circinate Pattern = Leakage)

macular edema

leakage and retinal thickening

cystic intraretinal fluid

Drusen

Drusen

Vitreous Hemorrhage

Vitreous Hemorrhage

Vitreous Hemorrhage

Flame Hemorrhages + Ischemia

Disc margin flame hemes

Dot Blot Hemes

subretinal hemorrhage

Subretinal hemorrhage

Subretinal hemorrhage

roth spots

intraretinal hemorrhages

roth spots

ERM

ERM

ERM

retinal folds

choroidal folds

NVD

NVE

CWS

Exudates

Drusen

neovascularization

Which are the HYPO-reflective bands?

GCL, INL, ONL, PR (outer)

Which are the HYPER-reflective bands?

RNFL, IPL, OPL, ELM, RPE

(D) Macular Edema

ONH Drusen

Retinal Drusen

Blink

Floater

Eye Movement

RPE Dropout (hyperfluorescence)

Subretinal Hemorrhage (hypofluorescence)

Central Serous Chorioretinopathy (CSCR)

Exudate

retinal artery blockage (vessel hypoperfusion)

Petaloid Leakage, Cystoid Macular Edema (FA Leakage)

Acute Posterior Multifocal Placoid Pigment Epitheliopathy “APMPPE” Lesions (FA Late Staining)

Acute Posterior Multifocal Placoid Pigment Epitheliopathy “APMPPE” (ICGA Late Staining)

Serous Pigment Epithelial Detachment (Pooling)

ICGA middle phase (choroidal vessels), healthy retina

Optic Disc Drusen (FAF)

DR Classification?

Moderate NPDR

CME

Diffuse Retinal Thickening

Diffuse Retinal Thickening

microaneurysms focal leakage (FA)

diffuse leakage (FA)

hard exudates

subretinal fluid

hyper-reflective foci (lipid deposits// inflammation)

which has a better prognosis, top or bottom?

top

(better integrity score)

classify the DME

CI-DME

classify the DME

NCI-DME

classify the mac edema:

CME with SRF

classify the mac edema:

CME w/o SRF

classify the mac edema:

diffuse

classify the mac edema:

CME

classify the mac edema:

focal (FME)

Finding?

CSME

(thickening w/in 500 um of fovea)

Finding?

CSME (hard exudates w/in 500 um + adjacent thickening)