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79-year-old woman has noticed decreased vision in the top half of her vision in the left eye for two months. It has been waxing and waning. VISUAL ACUITY: Vision OD is 20/30, OS is 20/100. IOP: OD 23, OS 21. There is 3+ nuclear sclerosis in both eyes. EXTENDED OPHTHALMOSCOPY: OS: Vertical C/D ratio is 0.3. There is a posterior vitreous separation and an inferior retinal detachment splitting the macula. There are multiple demarcation lines suggesting parts of the detachment are very old. There appear to be some retinal holes at 6:00 o’clock, but it is difficult to see because of the cataract. IMPRESSION: 1. INFERIOR CHRONIC RETINAL DETACHMENT WHICH HAS NOW EXTENDED THROUGH THE MACULA – LEFT EYE 2. CATARACT DISCUSSION: I explained to the patient that she does have a retinal detachment in the left eye. There are even some preretinal membranes and some of the retinal detachment is very old. Because of that, I suggested vitrectomy and scleral buckle that will allow me to adequately flatten the retina intraoperatively and laser all the pathology. I have scheduled her for surgery next week. FU 1 year - vision was 20/40.

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Chronic Retinal Detachment - Pigment Line - Subretinal Fibrosis348 views60 year old with temporal macula-on chronic retinal detachment. No treatment was done.00000
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Chronic Retinal Detachment - Pigment Line - Subretinal Fibrosis393 views60 year old with temporal macula-on chronic retinal detachment. No treatment was done.00000
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rdchronic_masl03.jpg
Chronic Retinal Detachment - Pigment Line - Subretinal Fibrosis330 views60 year old with temporal macula-on chronic retinal detachment. No treatment was done.00000
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Chronic Retinal Detachment - Pigment Line - Subretinal Fibrosis298 views60 year old with temporal macula-on chronic retinal detachment. No treatment was done.00000
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79-year-old woman has noticed decreased vision in the top half of her vision in the left eye for two months. It has been waxing and waning. VISUAL ACUITY: Vision OD is 20/30, OS is 20/100. IOP: OD 23, OS 21. There is 3+ nuclear sclerosis in both eyes. EXTENDED OPHTHALMOSCOPY: OS: Vertical C/D ratio is 0.3. There is a posterior vitreous separation and an inferior retinal detachment splitting the macula. There are multiple demarcation lines suggesting parts of the detachment are very old. There appear to be some retinal holes at 6:00 o’clock, but it is difficult to see because of the cataract. IMPRESSION: 1. INFERIOR CHRONIC RETINAL DETACHMENT WHICH HAS NOW EXTENDED THROUGH THE MACULA – LEFT EYE 2. CATARACT DISCUSSION: I explained to the patient that she does have a retinal detachment in the left eye. There are even some preretinal membranes and some of the retinal detachment is very old. Because of that, I suggested vitrectomy and scleral buckle that will allow me to adequately flatten the retina intraoperatively and laser all the pathology. I have scheduled her for surgery next week. FU 1 year - vision was 20/40.