macular oedema & high blood pressure
- 1939 date of birth, male
- 2011 right vision 6/7.5;
HbA1c 9.9, GFR 40, BP 167/84-
- Complete grid laser, declined avastin
There are no retinal haemorrhages, and no obvious ischaemia. There is extensive laser, perhaps heavier than ideal. Is the high blood pressure the cause of the oedema? enlarge. The oedema might be'solid' and hence not get any worse and not represent actual leakage, but previous leakage. In 2020 much lighter laser would have been used.
- High blood pressure, and possibly renal failure, seem to contribute to the macular oedema.
- After laser the retinopathy may be inactive in terms of no haemorrhages and exudates, but there must be microvascular damage, and this leaks with the reduced renal function or high blood pressure.
- I am not sure whether Avastin would help in such a patient.
- The vision is good...but this may deteriorate.
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