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65-year-old woman was seen in the office on May 25, 2011. She had noticed new onset floaters around Sunday. She initially saw flashing lights and then the flashing lights subsided and then she had the floaters around and then she did bang her head when she was putting something in the truck and she hit her face and her glasses did sort of bang into her face, but it didn’t directly hurt her eye. You saw a vitreous separation and suggest she come here for an evaluation. VISUAL ACUITY: OD 20/25, OS 20/50. Pinhole 20/30. IOP: OD 15, OS 17. SLIT EXAMINATION: There is 1+ nuclear sclerosis in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.3. There is posterior vitreous separation with scleral depression and there is a small retinal flap tear posterior to the equator at 2 o’clock with a small bed of blood around it and a little bit of subretinal fluid. There is also peripheral retinoschisis between 6 o’clock and 8 o’clock anterior to the equator. OS: Vertical C/D ratio is 0.3. There is no posterior vitreous separation. There is peripheral retinoschisis between 4 o’clock and 6 o’clock. IMPRESSION: 1. ACUTE POSTERIOR VITREOUS SEPARATION – RIGHT EYE 2. RETINAL TEAR – RIGHT EYE 3. RETINAL HEMORRHAGE – RIGHT EYE 4. RETINOSCHISIS – BOTH EYES 5. MILD CATARACTS DISCUSSION: I explained to the patient she does have a retinal tear in the right eye and with a little bit of fluid around it and left alone there is probably a 70 to 80 percent chance that will progress to a retinal detachment. With laser we can reduce the risk of that tear progressing to a retinal detachment down to one percent. We talked about the risks, benefits, indications, and alternatives of prophylactic laser and the patient agreed to this procedure after the questions were answered. Prophylactic laser was performed today without difficulty. I asked her to return here for a check in one week. In the meantime I asked her to avoid recreational reading and any sort of jarring activity for the next week.

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Retinal Tear Before Laser498 views65-year-old woman new onset floaters for 1 week. She initially saw flashing lights and then the flashing lights subsided and then she had the floaters VISUAL ACUITY: OD 20/25, OS 20/5000000
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Retinal Tear Before Laser552 views65-year-old woman new onset floaters for 1 week. She initially saw flashing lights and then the flashing lights subsided and then she had the floaters VISUAL ACUITY: OD 20/25, OS 20/5000000
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Retinal Tear Before Laser660 views65-year-old woman new onset floaters for 1 week. She initially saw flashing lights and then the flashing lights subsided and then she had the floaters VISUAL ACUITY: OD 20/25, OS 20/5000000
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Retinal Tear Before Laser592 views65-year-old woman new onset floaters for 1 week. She initially saw flashing lights and then the flashing lights subsided and then she had the floaters VISUAL ACUITY: OD 20/25, OS 20/5000000
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Retinal Tear Before Laser784 views65-year-old woman new onset floaters for 1 week. She initially saw flashing lights and then the flashing lights subsided and then she had the floaters VISUAL ACUITY: OD 20/25, OS 20/5000000
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Retinal Tear After Laser835 views65-year-old woman new onset floaters for 1 week. She initially saw flashing lights and then the flashing lights subsided and then she had the floaters VISUAL ACUITY: OD 20/25, OS 20/5000000
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Retinal Tear After Laser907 views65-year-old woman new onset floaters for 1 week. She initially saw flashing lights and then the flashing lights subsided and then she had the floaters VISUAL ACUITY: OD 20/25, OS 20/5000000
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65-year-old woman was seen in the office on May 25, 2011. She had noticed new onset floaters around Sunday. She initially saw flashing lights and then the flashing lights subsided and then she had the floaters around and then she did bang her head when she was putting something in the truck and she hit her face and her glasses did sort of bang into her face, but it didn’t directly hurt her eye. You saw a vitreous separation and suggest she come here for an evaluation. VISUAL ACUITY: OD 20/25, OS 20/50. Pinhole 20/30. IOP: OD 15, OS 17. SLIT EXAMINATION: There is 1+ nuclear sclerosis in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.3. There is posterior vitreous separation with scleral depression and there is a small retinal flap tear posterior to the equator at 2 o’clock with a small bed of blood around it and a little bit of subretinal fluid. There is also peripheral retinoschisis between 6 o’clock and 8 o’clock anterior to the equator. OS: Vertical C/D ratio is 0.3. There is no posterior vitreous separation. There is peripheral retinoschisis between 4 o’clock and 6 o’clock. IMPRESSION: 1. ACUTE POSTERIOR VITREOUS SEPARATION – RIGHT EYE 2. RETINAL TEAR – RIGHT EYE 3. RETINAL HEMORRHAGE – RIGHT EYE 4. RETINOSCHISIS – BOTH EYES 5. MILD CATARACTS DISCUSSION: I explained to the patient she does have a retinal tear in the right eye and with a little bit of fluid around it and left alone there is probably a 70 to 80 percent chance that will progress to a retinal detachment. With laser we can reduce the risk of that tear progressing to a retinal detachment down to one percent. We talked about the risks, benefits, indications, and alternatives of prophylactic laser and the patient agreed to this procedure after the questions were answered. Prophylactic laser was performed today without difficulty. I asked her to return here for a check in one week. In the meantime I asked her to avoid recreational reading and any sort of jarring activity for the next week.