Is the white ring around the macula benign or part of a dise | Figure 1

%27%3e%3cg%20id=%27Group-14%27%20transform=%27translate(13.000000,%20103.176124)%27%3e%3cg%20id=%27Group-Copy-5%27%20transform=%27translate(0.000000,%20182.676124)%27%3e%3crect%20id=%27Rectangle-8%27%20fill=%27%23E2E0DE%27%20x=%270%27%20y=%270%27%20width=%2736%27%20height=%2736%27%20rx=%2718%27%3e%3c/rect%3e%3cpath%20d=%27M28,27.6503435%20C28,22.127496%2023.5228474,17.6503435%2018,17.6503435%20C12.4771525,17.6503435%208,22.127496%208,27.6503435%20M18,16.3472505%20C20.8165136,16.3472505%2023.099749,14.0640151%2023.099749,11.2475015%20C23.099749,8.43098783%2020.8165136,6.1477524%2018,6.1477524%20C15.1834863,6.1477524%2012.9002509,8.43098783%2012.9002509,11.2475015%20C12.9002509,14.0640151%2015.1834863,16.3472505%2018,16.3472505%20Z%27%20id=%27Combined-Shape%27%20fill=%27%23FFFFFF%27%20fill-rule=%27nonzero%27%3e%3c/path%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/svg%3e)

Deleted account

You can view up to 4 cases without signing up

Is the white ring around the macula benign or part of a disease process?

(46 year old M with 30+ year hx of DM)

More about this case

Resolved

Why you should join Figure 1

Diabetes-mellitus Type 2 with #PDR OU. Follow up after 1.5 years.

Patient has received Avastin intravitreal injections 5 times (per eye) over the last 1.5 years. Look at the difference! Reduction in retinal hemorrhages and hard exudates. His #Diabetic-retinopathy is proliferative; there is still #NVD
Anti-VEGF are game-changers.

58 y/o WM presents for routine eye examination, no complaints of flashes, floaters, or vision loss. Diabetes x7 years (A1c 7.1%). BCVA 20/20 OD/OS, PERRL -APD, visual field full. First photo taken early 2011, next set of fundus photos taken mid-2015. Diagnosis? Management?
Today is World #Diabetes Day. #Diabetic-retinopathy is a leading cause of blindness among working-age adults worldwide, and the duration of diabetes is the most significant risk factor for its development. This image demonstrates some classic features of diabetic retinopathy: microaneurysms, flame-shaped hemorrhages, hard exudates, and cotton wool spots. 60% of the world’s diabetic population is in Asia, and patients in India and China develop diabetes on average 10 years earlier than those in Europe and the United States. #dm15. Image credit: @Igloo
22 year old male with no complaints of vision loss. Ref for occasional flashes. 20/20 OU. Ideas on Dx? Questions? The schisis has an underlying cause.
A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.
A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.
A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.
patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?