Vanishing Cotton-Wool Spot in a Patient with Arterial Hypertension and Diabetes (Mosaic Colour Image from 2009 and 2012)
Vanishing Cotton-Wool Spot in a Patient with Arterial Hypertension and Diabetes (Mosaic Colour Image from 2009 and 2012)
Male, 64 years.
Main complaint: slight vision deterioration.
General medical history: BMI 24.9, non-smoker, arterial hypertenson since 20y, diabetes Type II since 20 y, HbA1c 6.7%.
Image in 2009: Ophthalmoscopy showed a cotton-wool spot superior of the optic disc resembling an edema of the retinal nerve fiber layer, and several retinal hemorrhages.
Image in 2012: Three years later, the cotton-wool spot completely vanished. After improving systemic therapy and focal retinal Laser coagulation retinal microinfarct was vanished.
Michelson, Georg, Prof. Dr. med., Interdisciplinary Center of Ophthalmic Preventive Medicine and Imaging, Department of Ophthalmology, Friedrich-Alexander-University, Erlangen, Germany; Müller, Jörg, Dr.med., Private Praxis Gera, Gera, Germany; Müller, Hans-Jürgen, Dr.med., Private Praxis Gera, Gera, Germany
