Patient name: Awatef Mohamed Abdelhalem

Date: june 16, 2016

Dear Prof. Dr.: Mahmod Khalel

.Thanks for your kind referral

:Colored photo of both eyes revealed

Atherosclerotic vascular tree.
Scattered blot and dot hemorrhages in the posterior pole.
Scattered hard exudates in the posterior pole .
Abnormal foveal reflex.
Normal appearance of the optic nerve heads.
Flourescein angiography of both eyes revealed:
Normal arm to retina time.
Normal reinal and choroidal circulation.
Hyper-florescent spots started early in the angiogram,
filled in the mid-phase and fluoresce brightly in the late
phase (micro-aneurysms) in the macula and peripheral
fundus. Some showed late leakage encroaching on the
FAZ (macular edema).
Areas of blocked fluorescence due to retinal
hemorrhages.
the Optic nerve heads seemed to be hypo-perfused.
Impression:
A picture of bilateral NPDR with macular edema.
Best regards

Eman Saad
Hala Mostafa