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80-year-old woman I saw on January 25, 2008. She was in for a comprehensive evaluation recently with you and although her vision is not bothering her, you noticed a problem with the retina. Her left eye tests worse than the right eye today, but she says that it has been like that for a long time and she is not bothered by any floaters or change in central vision. VISUAL ACUITY: OD is 20/25, OS 20/40. IOP: OD 18, OS 16. She had a normal slit lamp exam. Posterior chamber intraocular lens is in good position in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D is 0.3. There is posterior vitreous separation with 2+ asteroid hyalosis. There are 2+ macular drusen. There is a blot retinal hemorrhage just superior to the fovea. OS: Vertical C/D is 0.5. There is 3+ asteroid hyalosis. There is a flame hemorrhage superior to the fovea. There is peripheral pigment degeneration in both eyes. OCT SCAN: An OCT scan shows foveal atrophy in both eyes with minimal thickening of the retina just superior to the fovea. Photos confirm clinical findings. FLUORESCEIN ANGIOGRAPHY: FA shows a few retinal capillary microaneurysms superior to the fovea with a little bit of leakage in the late frame. She also has typical hyper and hypofluorescence from her pigment spot and her macular degeneration. IMPRESSION: 1. RETINAL CAPILLARY MICROANEURYSMS – BOTH EYES 2. AGE-RELATED MACULAR DEGENERATION – BOTH EYES 3. PERIPHERAL PIGMENT DEGENERATION – BOTH EYES 4. ASTEROID HYALOSIS – BOTH EYES DISCUSSION: I explained to the patient she does have retinal hemorrhages in both eyes and retinal capillary microaneurysms. I suspect these are idiopathic and associated with just long-term general vascular disease, but given that she has them in both eyes, I will ask Dr. Morales to check her for a few systemic problems that might be contributing to the retinal findings. Either way, because of the retinal vascular abnormalities proximity to the central vision, I suggested she follow an Amsler grid and return urgently should she notice a change in either eye. Also, I asked her to return here for a check in six weeks for a re-evaluation.

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Asteroid Hyalosis - Benign Calcified Deposits in the Vitreous578 views75 year old woman with 20/30 vision and dense asteroid haylosis00000
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Asteroid Hyalosis - Benign Calcified Deposits in the Vitreous389 views75 year old woman with 20/30 vision and dense asteroid haylosis55555
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80-year-old woman I saw on January 25, 2008. She was in for a comprehensive evaluation recently with you and although her vision is not bothering her, you noticed a problem with the retina. Her left eye tests worse than the right eye today, but she says that it has been like that for a long time and she is not bothered by any floaters or change in central vision. VISUAL ACUITY: OD is 20/25, OS 20/40. IOP: OD 18, OS 16. She had a normal slit lamp exam. Posterior chamber intraocular lens is in good position in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D is 0.3. There is posterior vitreous separation with 2+ asteroid hyalosis. There are 2+ macular drusen. There is a blot retinal hemorrhage just superior to the fovea. OS: Vertical C/D is 0.5. There is 3+ asteroid hyalosis. There is a flame hemorrhage superior to the fovea. There is peripheral pigment degeneration in both eyes. OCT SCAN: An OCT scan shows foveal atrophy in both eyes with minimal thickening of the retina just superior to the fovea. Photos confirm clinical findings. FLUORESCEIN ANGIOGRAPHY: FA shows a few retinal capillary microaneurysms superior to the fovea with a little bit of leakage in the late frame. She also has typical hyper and hypofluorescence from her pigment spot and her macular degeneration. IMPRESSION: 1. RETINAL CAPILLARY MICROANEURYSMS – BOTH EYES 2. AGE-RELATED MACULAR DEGENERATION – BOTH EYES 3. PERIPHERAL PIGMENT DEGENERATION – BOTH EYES 4. ASTEROID HYALOSIS – BOTH EYES DISCUSSION: I explained to the patient she does have retinal hemorrhages in both eyes and retinal capillary microaneurysms. I suspect these are idiopathic and associated with just long-term general vascular disease, but given that she has them in both eyes, I will ask Dr. Morales to check her for a few systemic problems that might be contributing to the retinal findings. Either way, because of the retinal vascular abnormalities proximity to the central vision, I suggested she follow an Amsler grid and return urgently should she notice a change in either eye. Also, I asked her to return here for a check in six weeks for a re-evaluation.