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60-year-old woman has pattern dystrophy in both eyes for some time. She was last seen here a year ago. She notices, if anything, her vision recently is improving. She is noticing less distortion and less blind spots. VISUAL ACUITY: Vision OD is 20/20, OS is 20/40. IOP: 15 in both eyes. The lenses are clear. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.3. There is no posterior vitreous separation. There is a yellow pigment spot under the fovea, about 500 microns across. OS: Vertical C/D ratio is 0.3. There is no posterior vitreous separation. There is a yellow pigment spot under the fovea, about 500 microns across. OCT SCAN: The OCT scan in the right eye shows pigment epithelial thickening centrally with overlying foveal atrophy. The left eye OCT scan shows a gap in the photoreceptors centrally. These are largely unchanged from the previous scans. IMPRESSION: 1. PATTERN DYSTROPHY-TYPE DRY MACULAR DEGENERATION – BOTH EYES DISCUSSION: I explained to the patient the maculae look stable, but I am encouraged her visual function has improved, and it is possible her tissue is healing itself. Most patients with pattern dystrophy do have slow vision loss, if any at all.

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Pattern Dystrophy - Adult Vitelliform - Both Eyes397 views60-year-old woman noticing less distortion and less blind spots.
OD is 20/20, OS is 20/40
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(0 votes)
patterndyst_deub02.jpg
Pattern Dystrophy - Adult Vitelliform - Both Eyes392 views60-year-old woman noticing less distortion and less blind spots.
OD is 20/20, OS is 20/40
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(0 votes)
patterndyst_deub03.jpg
Pattern Dystrophy - Adult Vitelliform - Both Eyes373 views60-year-old woman noticing less distortion and less blind spots.
OD is 20/20, OS is 20/40
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(0 votes)
patterndyst_deub04.jpg
Pattern Dystrophy - Adult Vitelliform - Both Eyes351 views60-year-old woman noticing less distortion and less blind spots.
OD is 20/20, OS is 20/40
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(0 votes)
patterndyst_deub05.jpg
Pattern Dystrophy - Adult Vitelliform - Both Eyes361 views60-year-old woman noticing less distortion and less blind spots.
OD is 20/20, OS is 20/40
00000
(0 votes)
patterndyst_deub06.jpg
Pattern Dystrophy - Adult Vitelliform - Both Eyes386 views60-year-old woman noticing less distortion and less blind spots.
OD is 20/20, OS is 20/40
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(0 votes)
   
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60-year-old woman has pattern dystrophy in both eyes for some time. She was last seen here a year ago. She notices, if anything, her vision recently is improving. She is noticing less distortion and less blind spots. VISUAL ACUITY: Vision OD is 20/20, OS is 20/40. IOP: 15 in both eyes. The lenses are clear. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.3. There is no posterior vitreous separation. There is a yellow pigment spot under the fovea, about 500 microns across. OS: Vertical C/D ratio is 0.3. There is no posterior vitreous separation. There is a yellow pigment spot under the fovea, about 500 microns across. OCT SCAN: The OCT scan in the right eye shows pigment epithelial thickening centrally with overlying foveal atrophy. The left eye OCT scan shows a gap in the photoreceptors centrally. These are largely unchanged from the previous scans. IMPRESSION: 1. PATTERN DYSTROPHY-TYPE DRY MACULAR DEGENERATION – BOTH EYES DISCUSSION: I explained to the patient the maculae look stable, but I am encouraged her visual function has improved, and it is possible her tissue is healing itself. Most patients with pattern dystrophy do have slow vision loss, if any at all.