Floater - Big One - Vitreous Opacity
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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.
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Dense Vitreous Floater (opacity) from Vitreous Separation 744 views71-year-old woman with a lamellar macular hole in the left eye and also a dense vision floater in the left eye. OD 20/30, OS 20/25 
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Dense Vitreous Floater (opacity) from Vitreous Separation 679 views71-year-old woman with a lamellar macular hole in the left eye and also a dense vision floater in the left eye. OD 20/30, OS 20/25
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Dense Vitreous Floater (opacity) from Vitreous Separation 719 views71-year-old woman with a lamellar macular hole in the left eye and also a dense vision floater in the left eye. OD 20/30, OS 20/25
(1 votes)
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Dense Vitreous Floater (opacity) from Vitreous Separation 653 views71-year-old woman with a lamellar macular hole in the left eye and also a dense vision floater in the left eye. OD 20/30, OS 20/25
(0 votes)
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Dense Vitreous Floater (opacity) from Vitreous Separation 730 views71-year-old woman with a lamellar macular hole in the left eye and also a dense vision floater in the left eye. OD 20/30, OS 20/25
(0 votes)
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Dense Vitreous Floater (opacity) from Vitreous Separation 653 views71-year-old woman with a lamellar macular hole in the left eye and also a dense vision floater in the left eye. OD 20/30, OS 20/25
(0 votes)
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Dense Vitreous Floater (opacity) from Vitreous Separation 706 views71-year-old woman with a lamellar macular hole in the left eye and also a dense vision floater in the left eye. OD 20/30, OS 20/25
(0 votes)
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Dense Vitreous Floater (opacity) from Vitreous Separation 762 views71-year-old woman with a lamellar macular hole in the left eye and also a dense vision floater in the left eye. OD 20/30, OS 20/25
(0 votes)
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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.
