Capillary Nonperfusion

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File number: 28086


Comments

    1. Hosam Attia, MD (July 3 2018)

      2- it's striking that despite the extent of the peripheral CNP, that at least angiographically (which doesn't necessarily correlate with the clinical findings 100%, all the times), the patient doesn't have any active (leaking) or involuting/ involuted (staining) NVD/ NVE, although again they may have NVI, NVA, NVG, Vit hge etc ... but otherwise the PRP may be adequate. Not sure if one has to cover the entire CNP, just based on the angiogram, it's a mass response and may be if we cover 70-80% of the ischemic area, that it will be enough to tip the balance over, unless again the patient is till showing signs of Dx activity, regardless of the angiogram ...

      Thanks again for sharing an excellent photo.

    2. Hosam Attia, MD (July 3 2018)

      Excellent photo ... Thank you for sharing

      I have a question and a comment ..

      1- Was this PRP - targeted using Navilas or alike system, or just clinically guided by the clinically grossly avascular retina - the pattern of following the CNP everywhere else except temporally is striking, which leads one to assume, it was intentional, which is not necessarily a bad idea when someone have macular ischemia to that extent for multiple reasons, at least in the first session or two if done in multiple sessions

    3. Suber S. Huang, MD, MBA (June 7 2018)

      Superb image. Additional details of clinical history including duration of disease, vision, and when laser was performed would be useful. Consider editing your clinical description.
      Thank you for sharing!

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    • By SUSHIL BHATT
      PGIMER CHANDIGARH
      Co-author(s): Arun Kapil PGIMER chandigarh India
    • Uploaded on Apr 12, 2018.
    • Last modified by Caroline Bozell on Jun 29, 2018.
    Image of the week
    Jul 1, 2018
    View all images of the week
    Rating 5 ratings
    Appears in
    12-Apr-2018
    Condition/keywords
    capillary nonperfusion
    Photographer
    Bhatt Sushil PGIMER chandigarh INDIA
    Imaging device
    Scanning laser ophthalmoscope
    OPTOS Ultra wide Field
    Description
    OPTOS ultra wide field angiogram of an 45 years old diabetic male patient shows capillary nonperfusion areas with inadequate laser.

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