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57-year-old woman was seen in the office on July 3, 2008. She has had blurred central vision in the right eye for about two to three weeks. The vision in the left eye is fine. VISUAL ACUITY: OD 20/70, OS 20/25. IOP: OD 14, OS 15. SLIT LAMP EXAM: Normal with clear lenses. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.3. There is no posterior vitreous separation. There is a stage 2 macular hole about 200 microns across. OS: Vertical C/D ratio is 0.3. There is no posterior vitreous separation. The macula and periphery look healthy. OCT SCAN: The OCT scan of the right eye confirms the macular hole. The left retina is normal. IMPRESSION: 1. STAGE 2 MACULAR HOLE – RIGHT EYE DISCUSSION: I explained to the patient she does have a small stage 2 macular hole in the right eye. The chance of this spontaneously healing is about 20 percent. I suggested since there is no harm waiting a few months that she return for a check in six to eight weeks for a re-evaluation. If at that time the macular hole has not closed or if it has gotten larger, I would suggest we go ahead with vitrectomy. NOTE: patient refused surgery and further evaluations.

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Stage 2 Macular Hole with 20/70 Vision477 views57-year-old woman blurred central vision in the right eye for about two to three weeks. OD 20/7000000
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Stage 2 Macular Hole with 20/70 Vision418 views57-year-old woman blurred central vision in the right eye for about two to three weeks. OD 20/7000000
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Stage 2 Macular Hole with 20/70 Vision348 views57-year-old woman blurred central vision in the right eye for about two to three weeks. OD 20/7000000
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Stage 2 Macular Hole with 20/70 Vision243 views57-year-old woman blurred central vision in the right eye for about two to three weeks. OD 20/7000000
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Stage 2 Macular Hole with 20/70 Vision193 views57-year-old woman blurred central vision in the right eye for about two to three weeks. OD 20/7000000
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Atypical Birdshot Chorioretinitis and Retinal Arterial Macroaneurysm Right Eye - HLA-B29 Positive273 views55-year-old woman has multifocal chorioditis in both eyes because she was HLA A-29 positive. She has presumptive birdshot chorioretinopathy. She has not noticed any vision changes. OD 20/40, OS 20/20.00000
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57-year-old woman was seen in the office on July 3, 2008. She has had blurred central vision in the right eye for about two to three weeks. The vision in the left eye is fine. VISUAL ACUITY: OD 20/70, OS 20/25. IOP: OD 14, OS 15. SLIT LAMP EXAM: Normal with clear lenses. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.3. There is no posterior vitreous separation. There is a stage 2 macular hole about 200 microns across. OS: Vertical C/D ratio is 0.3. There is no posterior vitreous separation. The macula and periphery look healthy. OCT SCAN: The OCT scan of the right eye confirms the macular hole. The left retina is normal. IMPRESSION: 1. STAGE 2 MACULAR HOLE – RIGHT EYE DISCUSSION: I explained to the patient she does have a small stage 2 macular hole in the right eye. The chance of this spontaneously healing is about 20 percent. I suggested since there is no harm waiting a few months that she return for a check in six to eight weeks for a re-evaluation. If at that time the macular hole has not closed or if it has gotten larger, I would suggest we go ahead with vitrectomy. NOTE: patient refused surgery and further evaluations.