71-year-old woman who I saw in the office on March 16, 2009. She saw me last in 2005. She had age-related macular degeneration in both eyes with a lamellar macular hole in the left eye and also a dense vision floater in the left eye. She noticed her vision a little bit worse than when I last saw her. Both eyes are a little blurry. The left eye more so than the right. VISUAL ACUITY: OD 20/30, OS 20/25. IOP: OD 15, OS 14. SLIT EXAMINATION: There is 2+ nuclear sclerosis in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.2. There is a posterior vitreous separation and 2+ macular drusen. There is no intraretinal or subretinal fluid. OS: Vertical C/D ratio is 0.2. There is posterior vitreous separation. There is a dense posterior vitreous opacity. There is a 2+ epiretinal membrane with a lamellar macular hole in the left eye and 2+ macular drusen. OCT SCAN: The OCT scan is unchanged from previous exams. The right eye has a normal foveal thickness with some drusen deep to the retina. The left eye has a thickening of the parafoveal tissue. The fovea itself though again is nearly normal and the epiretinal membrane present as well as the macular drusen. IMPRESSION: 1. DRY AGE-RELATED MACULAR DEGENERATION – BOTH EYES 2. LAMELLAR MACULAR HOLE – LEFT EYE 3. CATARACTS 4. DENSE VITREOUS OPACITIES – LEFT EYE DISCUSSION: I explained to the patient the maculae look about the same as they did last year when I last saw her, which was in 2005. Her cataracts do however, look a little worse. I suggested that if her vision bothered her that she could have the cataract surgery, but she says she is getting along fine.