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85 year old man with Large, confluent drusen may be accompanied by subretinal spaces that appear to be filled with fluid. This fluid might be from poor absorption of subretinal fluid or possibly from mechanical strain where the drusen elevate the retina. The patient was in for a yearly check and you saw a problem in the right and better eye. His left eye does not see very well but he does well enough to drive. The right, better eye, looks like it may have wet macular degeneration. VA OD: sc20/25 NscJ10 VA OS: sc20/50 NscJ10-1

AMD_drusen_fluid1_rosi_112816_01.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye69 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_02.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye53 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_03.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye65 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_04.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye50 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_05.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye44 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_06.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye44 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_08.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye42 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_09.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye45 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_10.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye43 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_11.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye55 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_12.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye45 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_13.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye46 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_14.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye43 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_15.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye40 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_16.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye37 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_17.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye34 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_18.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye35 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_19.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye34 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_20.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye37 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_21.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye37 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_22.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye35 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_23.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye34 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_24.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye35 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_25.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye33 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_26.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye34 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_27.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye36 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_28.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye35 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_29.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye36 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_30.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye37 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_31.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye36 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_32.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye37 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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AMD_drusen_fluid1_rosi_112816_33.jpg
Confluent Soft Drusen with Subetinal Fluid - Right Eye45 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.00000
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85 year old man with Large, confluent drusen may be accompanied by subretinal spaces that appear to be filled with fluid. This fluid might be from poor absorption of subretinal fluid or possibly from mechanical strain where the drusen elevate the retina. The patient was in for a yearly check and you saw a problem in the right and better eye. His left eye does not see very well but he does well enough to drive. The right, better eye, looks like it may have wet macular degeneration. VA OD: sc20/25 NscJ10 VA OS: sc20/50 NscJ10-1