TheFastDoctor

Case Description

76yom with bothersome varicose veins on the right leg. On his request without anaesthesia I bound both ends of each vein transcutaneously. Plan is to leave sutures in until vein luminae fibrose - about 2 weeks.

Unusual treatment for sure. But he was SO happy with the results on his left leg from an identical treatment I did 20 years before, that he travelled from another country to request the same contralateral.

Medical ethics dictate that we share successful treatments with the profession.. but 20 years ago Figure1 was not. And not all of these succeed as well as this one. And he only returned now for me to witness the long term outcome.

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Case 1

54 year old Chinese man presenting for new onset large floater OD x 1 week. He's a high myope at ~ -7. He has a hx of gout, hypercholesterolemia, hypothyroidism with medications for all 3 conditions (he doesn't know the names though). BCVA is 20/20 od and os. His floater was a PVD but baseline OCT found intraretinal fluid along the inferotemporal vein OD (see OCT). It's not obvious on DFE (no blood or obvious elevation) and all I see is some mild venous dilation. I consulted a mentor in Retina and was advised that it may be a myopic macular schisis and as long as it's asymptomatic and not progressing it can be monitored. Plan is to monitor in 1 month. If stable follow up in 6 months or 1 year. Any thoughts or suggestions are appreciated as I have not seen this condition before.

Case 2

Back to his baseline. Uric Acid 4.2, so gout was unlikely. Whatever, he’s all better he says. The discoloration of his veins? He says they’ve been like that for years.

Case 3

Before and after; #Sclerotherapy treatment #Spider-veins #Varicose-veins #Veins](https://app.figure1.com/case-detail/52efa811-120b-4130-adb3-c5fd6c4c8404)

Case 4

biopolymer implant ( gluteal moddeling) migration to inguinal region , a fragment of biopolymer above Femoral artery and Vein on Doppler Ultrasound , pt consulting for leg disconfort #Leg(s) #Varices #Varicose-veins #Foreign-bodies #Inflammatory

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