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84-year-old man has had retinal detachment repairs in both eyes. He also has advanced optic atrophy. He also has had diabetes for thirty five years. He had his manifest almost no diabetic retinopathy. His vision is stable and possibly a little worse in both eyes. He is using Travatan and Dorzolamide drops. VISUAL ACUITY: OD 20/30, OS 20/40. IOP: OD 17, OS 14. The posterior chamber intraocular lens is in good position in both eyes. The left eye has a 2+ posterior capsular opacity. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.8. There is laser superiorly. The retina is attached. OS: Vertical C/D ratio is 0.95. The nerve is pale. The retina is attached on a moderate buckle. OCT SCAN: The nerve fiber layer scan in the right eye shows an average thickness of 48 microns and the left eye has 45 microns. This is substantially worse than his nerve fiber layer scans were about a year ago when the right eye was running about 71 and the left eye 60. His nerve fiber layer scans unfortunately had been declining in 2006, the right eye was 77 and the left eye was 70. IMPRESSION: 1. PROGRESSING OPTIC ATROPHY – BOTH EYES 2. GLAUCOMA – BOTH EYES 3. HISTORY OF RETINAL DETACHMENT REPAIRS – BOTH EYES 4. DIABETES DISCUSSION: I explained to the patient his retinas are nicely attached, but I am concerned about his progressing optic atrophy and his intraocular pressures, which were better than they were in the past. I asked him to see you regularly to make sure the intraocular pressures were reasonably controlled

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Glaucoma (also Diabetes and Previous Retinal Detachment both Eyes)394 views84-year-old man has had retinal detachment repairs in both eyes. He also has advanced optic atrophy. He also has had diabetes for thirty five years. OD 20/30, OS 20/4000000
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Glaucoma (also Diabetes and Previous Retinal Detachment both Eyes)335 views84-year-old man has had retinal detachment repairs in both eyes. He also has advanced optic atrophy. He also has had diabetes for thirty five years. OD 20/30, OS 20/4000000
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Glaucoma (also Diabetes and Previous Retinal Detachment both Eyes)374 views84-year-old man has had retinal detachment repairs in both eyes. He also has advanced optic atrophy. He also has had diabetes for thirty five years. OD 20/30, OS 20/4000000
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Glaucoma (also Diabetes and Previous Retinal Detachment both Eyes)375 views84-year-old man has had retinal detachment repairs in both eyes. He also has advanced optic atrophy. He also has had diabetes for thirty five years. OD 20/30, OS 20/4000000
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84-year-old man has had retinal detachment repairs in both eyes. He also has advanced optic atrophy. He also has had diabetes for thirty five years. He had his manifest almost no diabetic retinopathy. His vision is stable and possibly a little worse in both eyes. He is using Travatan and Dorzolamide drops. VISUAL ACUITY: OD 20/30, OS 20/40. IOP: OD 17, OS 14. The posterior chamber intraocular lens is in good position in both eyes. The left eye has a 2+ posterior capsular opacity. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.8. There is laser superiorly. The retina is attached. OS: Vertical C/D ratio is 0.95. The nerve is pale. The retina is attached on a moderate buckle. OCT SCAN: The nerve fiber layer scan in the right eye shows an average thickness of 48 microns and the left eye has 45 microns. This is substantially worse than his nerve fiber layer scans were about a year ago when the right eye was running about 71 and the left eye 60. His nerve fiber layer scans unfortunately had been declining in 2006, the right eye was 77 and the left eye was 70. IMPRESSION: 1. PROGRESSING OPTIC ATROPHY – BOTH EYES 2. GLAUCOMA – BOTH EYES 3. HISTORY OF RETINAL DETACHMENT REPAIRS – BOTH EYES 4. DIABETES DISCUSSION: I explained to the patient his retinas are nicely attached, but I am concerned about his progressing optic atrophy and his intraocular pressures, which were better than they were in the past. I asked him to see you regularly to make sure the intraocular pressures were reasonably controlled