Pathophysiology: fibrocellular proliferation of glial cells, macrophages, and fibrocytes at the vitreoretinal interface. What is it? -> Incomplete posterior vitreous detachment (PVD) leading to multiple tractional forces at the vitreo-retinal/macular interface, resulting in morphologic changes and often functional effects Once glucose levels improved, he was discharged home with close follow up. Also requested initiating inflammatory/rheumatologic workup.
They recommended outpatient ophtho follow up and a course of topical steroids and cycloplegics, along with NSAIDs, in the meantime opted against systemic steroids until diabetes was better controlled. They performed comprehensive exam including dilated fundal assessment and diagnosed “ vitreo-retinal traction bands forming an almost complete napkin ring” + diffuse (anterior + posterior) scleritis. The membranes are also less mobile than typical retinal detachment with dynamic exam.ĭiffuse scleral thickening, seen anteriorly as well as posteriorly which, along with clinical presentation, was suggestive of scleritis.Ĭase continued : Ophthalmology was consulted. This was concerning for but different-appearing than typical retinal detachment. There appear there to be multiple attachment points posteriorly, some near the optic nerve. Please consult with City staff before using this tool and refer to the City's TIA Guidelines for more information and direction.Hyperechoic linear membranes extending from anterior to posterior globe on both medial and lateral aspects. Please note, this tool cannot be used to estimate VMT for retail projects or other projects that use the Total VMT metric and threshold. Users can look up a location by address or by the assessor's parcel number (APN).
The City of Glendale has created an Online Vehicle Miles Traveled (VMT) Mapping Tool to provide information on VMT for locations within the City of Glendale based on the most recent version of the existing citywide travel demand model. The City of Glendale has updated its Transportation Analysis Guidelines to comply with SB 743. The City is developing a VMT Matrix Analysis.įor technical assistance or questions regarding implementation of the Traffic Analysis Guidelines, please contact:įred Zohrehvand | Principal Mobility Planner City of Glendale | of Glendale Transportation Analysis Guidelines In addition, the Guidelines also include assessments for impacts to public transit, bicycles, pedestrians, and safety. In addition to VMT evaluations for CEQA, the City’s new Transportation Analysis Guidelines maintain automobile LOS requirements for assessing local congestion and traffic operations.
If you are interested in learning more about Senate Bill 743, please refer to the State of California Governor's Office of Planning and Research project webpage. These new TIA Guidelines went into effect on July 1st, 2020. The shift to analyzing project-generated VMT promotes the reduction of greenhouse gas emissions, the development of multimodal transportation networks, and a diversity of land uses. Instead, the California Office of Planning and Research (OPR) has recommended VMT as the most appropriate measure of transportation impacts. Passed by the State of California in 2013, SB 743 requires lead agencies, such as the City of Glendale, to no longer rely upon traditional automobile-focused performance measures such as level of service (LOS) for analyzing project impacts under the California Environmental Quality Act (CEQA). The City of Glendale has updated its Transportation Analysis Guidelines to require vehicle miles traveled (VMT) analysis as part of transportation analysis and environmental review for development projects in the city, consistent with the requirements o f Senate Bill 743 (SB 743).
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