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69-year-old man has had vision loss in both eyes starting about ten years prior to when I saw him first in 2005. He was diagnosed at one point with Stargardt’s macular dystrophy. When I saw him, he had retinal atrophy in each eye. His vision unfortunately is still limited in both eyes. He was in the Viet Nam war and is concerned whether something might be linked to the service there, especially exposure to Agent Orange, which is an herbicide sometimes containing Dioxin. VISUAL ACUITY: Vision is 20/200 in each eye. IOP: OD 16, OS 12. There is 3+ nuclear sclerosis in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.2. There is a well-circumscribed atrophic macular scar. OS: Vertical C/D ratio is 0.2. There is a well-circumscribed atrophic macular scar. OCT SCAN: The OCT scan shows retinal atrophy, even outside the scar in both eyes. PHOTOGRAPHS: Photos confirm clinical findings. FLUORESCEIN ANGIOGRAPHY: FA shows well-circumscribed areas of hyperfluorescence in the macula of each eye. IMPRESSION: 1. MACULAR SCARS WITH ATROPHY – BOTH EYES 2. POSSIBLE STARGARDT’S MACULAR DYSTROPHY 3. POSSIBLE CHLOROQUINE DISCUSSION: I explained to the patient the Agent Orange and related chemicals, as far as my understanding, do not have any effect on the macula and there are no reports of that. His retinas do look like what you would see in someone with Chloroquine toxicity and it is possible with his service that if he was on high-dose Chloroquine for any amount of time, that could have caused the retinal damage. I told him he could look into that. In the meantime, I asked him to return here for check in eighteen months.

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Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes408 views69-year-old man has had vision loss in both eyes starting 20 years ago. He was diagnosed at one point with Stargardt’s macular dystrophy. When I saw him, he had retinal atrophy in each eye.
Vision is 20/200 in each eye
00000
(0 votes)
stargartsgeographicatrophy_waja02.jpg
Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes374 views69-year-old man has had vision loss in both eyes starting 20 years ago. He was diagnosed at one point with Stargardt’s macular dystrophy. When I saw him, he had retinal atrophy in each eye.
Vision is 20/200 in each eye
00000
(0 votes)
stargartsgeographicatrophy_waja03.jpg
Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes328 views69-year-old man has had vision loss in both eyes starting 20 years ago. He was diagnosed at one point with Stargardt’s macular dystrophy. When I saw him, he had retinal atrophy in each eye.
Vision is 20/200 in each eye
00000
(0 votes)
stargartsgeographicatrophy_waja04.jpg
Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes264 views69-year-old man has had vision loss in both eyes starting 20 years ago. He was diagnosed at one point with Stargardt’s macular dystrophy. When I saw him, he had retinal atrophy in each eye.
Vision is 20/200 in each eye
00000
(0 votes)
stargartsgeographicatrophy_waja05.jpg
Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes291 views69-year-old man has had vision loss in both eyes starting 20 years ago. He was diagnosed at one point with Stargardt’s macular dystrophy. When I saw him, he had retinal atrophy in each eye.
Vision is 20/200 in each eye
33333
(1 votes)
stargartsgeographicatrophy_waja06.jpg
Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes211 views69-year-old man has had vision loss in both eyes starting 20 years ago. He was diagnosed at one point with Stargardt’s macular dystrophy. When I saw him, he had retinal atrophy in each eye.
Vision is 20/200 in each eye
00000
(0 votes)
stargartsgeographicatrophy_waja07.jpg
Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes283 views69-year-old man has had vision loss in both eyes starting 20 years ago. He was diagnosed at one point with Stargardt’s macular dystrophy. When I saw him, he had retinal atrophy in each eye.
Vision is 20/200 in each eye
00000
(0 votes)
stargartsgeographicatrophy_waja08.jpg
Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes237 views69-year-old man has had vision loss in both eyes starting 20 years ago. He was diagnosed at one point with Stargardt’s macular dystrophy. When I saw him, he had retinal atrophy in each eye.
Vision is 20/200 in each eye
44444
(1 votes)
stargartsgeographicatrophy_waja09.jpg
Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes315 views69-year-old man has had vision loss in both eyes starting 20 years ago. He was diagnosed at one point with Stargardt’s macular dystrophy. When I saw him, he had retinal atrophy in each eye.
Vision is 20/200 in each eye
00000
(0 votes)
stargartsgeographicatrophy_waja10.jpg
Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes439 views69-year-old man has had vision loss in both eyes starting 20 years ago. He was diagnosed at one point with Stargardt’s macular dystrophy. When I saw him, he had retinal atrophy in each eye.
Vision is 20/200 in each eye
00000
(0 votes)
stargartsgeographicatrophy_waja11.jpg
Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes428 views69-year-old man has had vision loss in both eyes starting 20 years ago. He was diagnosed at one point with Stargardt’s macular dystrophy. When I saw him, he had retinal atrophy in each eye.
Vision is 20/200 in each eye
00000
(0 votes)
stargartsgeographicatrophy_waja12.jpg
Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes299 views69-year-old man has had vision loss in both eyes starting 20 years ago. He was diagnosed at one point with Stargardt’s macular dystrophy. When I saw him, he had retinal atrophy in each eye.
Vision is 20/200 in each eye
00000
(0 votes)
stargartsgeographicatrophy_waja13.jpg
Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes182 views69-year-old man has had vision loss in both eyes starting 20 years ago. He was diagnosed at one point with Stargardt’s macular dystrophy. When I saw him, he had retinal atrophy in each eye.
Vision is 20/200 in each eye
00000
(0 votes)
stargartsgeographicatrophy_waja14.jpg
Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes207 views69-year-old man has had vision loss in both eyes starting 20 years ago. He was diagnosed at one point with Stargardt’s macular dystrophy. When I saw him, he had retinal atrophy in each eye.
Vision is 20/200 in each eye
00000
(0 votes)
stargartsgeographicatrophy_waja15.jpg
Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes173 views69-year-old man has had vision loss in both eyes starting 20 years ago. He was diagnosed at one point with Stargardt’s macular dystrophy. When I saw him, he had retinal atrophy in each eye.
Vision is 20/200 in each eye
00000
(0 votes)
stargartsgeographicatrophy_waja16.jpg
Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes224 views69-year-old man has had vision loss in both eyes starting 20 years ago. He was diagnosed at one point with Stargardt’s macular dystrophy. When I saw him, he had retinal atrophy in each eye.
Vision is 20/200 in each eye
00000
(0 votes)
stargartsgeographicatrophy_waja17.jpg
Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes173 views69-year-old man has had vision loss in both eyes starting 20 years ago. He was diagnosed at one point with Stargardt’s macular dystrophy. When I saw him, he had retinal atrophy in each eye.
Vision is 20/200 in each eye
00000
(0 votes)
stargartsgeographicatrophy_waja18.jpg
Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes235 views69-year-old man has had vision loss in both eyes starting 20 years ago. He was diagnosed at one point with Stargardt’s macular dystrophy. When I saw him, he had retinal atrophy in each eye.
Vision is 20/200 in each eye
00000
(0 votes)
   
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69-year-old man has had vision loss in both eyes starting about ten years prior to when I saw him first in 2005. He was diagnosed at one point with Stargardt’s macular dystrophy. When I saw him, he had retinal atrophy in each eye. His vision unfortunately is still limited in both eyes. He was in the Viet Nam war and is concerned whether something might be linked to the service there, especially exposure to Agent Orange, which is an herbicide sometimes containing Dioxin. VISUAL ACUITY: Vision is 20/200 in each eye. IOP: OD 16, OS 12. There is 3+ nuclear sclerosis in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.2. There is a well-circumscribed atrophic macular scar. OS: Vertical C/D ratio is 0.2. There is a well-circumscribed atrophic macular scar. OCT SCAN: The OCT scan shows retinal atrophy, even outside the scar in both eyes. PHOTOGRAPHS: Photos confirm clinical findings. FLUORESCEIN ANGIOGRAPHY: FA shows well-circumscribed areas of hyperfluorescence in the macula of each eye. IMPRESSION: 1. MACULAR SCARS WITH ATROPHY – BOTH EYES 2. POSSIBLE STARGARDT’S MACULAR DYSTROPHY 3. POSSIBLE CHLOROQUINE DISCUSSION: I explained to the patient the Agent Orange and related chemicals, as far as my understanding, do not have any effect on the macula and there are no reports of that. His retinas do look like what you would see in someone with Chloroquine toxicity and it is possible with his service that if he was on high-dose Chloroquine for any amount of time, that could have caused the retinal damage. I told him he could look into that. In the meantime, I asked him to return here for check in eighteen months.