PHOTO MONTAGE III: NPDR
HERE IS YET ANOTHER PATIENT WITH DIABETIC RETINOPATHY - NON PROLIFERATIVE DIABETIC RETINOPATHY (NPDR) TO BE EXACT. NOTE THE 'DOT AND BLOT' HEMORHAGES IN BOTH EYES AS WELL AS 'GHOST CAPILLARIES' IN BOTH MACULAS. (click to enlarge)BELOW ARE LATE PHASE ANGIOGRAPHIC MONTAGES OF EACH EYE.

RIGHT.......................&.........................LEFT

IT IS TYPICALLY A PRETTY GOOD IDEA TO 'LOOK AROUND' DURING THE ANGIOGRAPHY OF THE DIABETIC PATIENT TO CHECK FOR N.V.E. (NEO-VASCULARIZATION ELSEWHERE). THESE NEW BLOOD VESSELS ARE UNSTABLE AND TEND TO 'LEAK' IN THE EYE. IN SPITE OF THIS PATIENT'S MASSIVE CAPILLARY DROP-OUT (DARK, FLAT-LOOKING AREAS OF THE ANGIOGRAM), THERE DOESN'T SEEM TO BE ANY N.V.E. PRESENT

PHOTO MONTAGE II:
S C I E N C E . A S . A R T ?
HERE ARE A COUPLE MORE OPHTHALMIC PHOTO MONTAGES WITH A TWIST;
IN BOTH, MERGED A COLOR, FUNDUS PHOTO WITH A RED-FREE, BLACK AND WHITE PHOTO AND A MID-VENOUS PHASE ANGIOGRAM. ALTHOUGH THERE IS PROBABLY NO CLINICAL APPLICATION FOR THESE HYBRID IMAGES,
IT IS SORT OF COOL LOOKING.
GLAUCOMA

DIABETIC RETINOPATHY

PHOTO MONTAGE I
DIGITAL CAPTURE IN FUNDUS PHOTOGRAPHY AND ANGIOGRAPHY
HAS ALLOWED FOR UNIQUE AND INTERESTING WAYS OF RETINAL
IMAGING. BELOW IS A COLOR PHOTO OF A PATIENT WHO
IS SUFFERING FROM DIABETIC RETINOPATHY AND IS PRESENTING
WITH A 'BOAT-SHAPED' PRE-RETINAL HEMORRHAGE.

HERE ARE SEVERAL DIFFERENT VIEWS OF THE SAME RETINA
TAKEN DURING THE ANGIOGRAM.THE SOFTWARE ASSOCIATED WITH OUR DIGITAL CAPTURE SYSTEM CAN 'STITCH' (OR MONTAGE) THESE IMAGES TOGETHER TO GIVE US A BETTER, OVERALL VIEW OF THE RETINA. NOW WE CAN VIEW THE HEMORRHAGE AS WELL AS THE AREA OF NVE (NEO-VASCULARIZATION ELSEWHERE) IN THE SUPERIOR TEMPORAL REGION OF THE RETINA THAT IS LIKELY RESPONSIBLE FOR THAT HEMORRHAGE. WE CAN ALSO SEE THE EXTENT OF PAN-RETINAL LASER TREATMENT THIS PATIENT HAS HAD IN THE PAST (THE SMALL DARK SPLOTCHY SPOTS).