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93-year-old man has wet age-related macular degeneration in his left eye with a subfoveal pigment epithelial detachment. His macula is progressing despite treatments, so I tightened up his treatment interval. With every two-to-three week injections, his vision remains reasonable in that eye. The vision seems to possibly be a little worse. He is taking a glaucoma drop in the left eye. VISUAL ACUITY: Vision OS is 20/40. IOP: OS 15. There is a posterior chamber intraocular lens in good position. EXTENDED OPHTHALMOSCOPY: OS: Vertical C/D ratio is 0.2. There is a pigment epithelial detachment centrally. There are striking radiating chorioretinal folds emanating off of the scar, which suggests it is contracting. OCT SCAN: The OCT scan shows macular edema. IMPRESSION: 1. WET AGE-RELATED MACULAR DEGENERATION – LEFT EYE 2. MACULAR EDEMA – LEFT EYE 3. PIGMENT EPITHELIAL DETACHMENT – LEFT EYE 4. MACULAR PUCKER 5. RADIATING CHORIORETINAL FOLDS

radiatingfoldsamd_sara01.jpg
Wet Age-related Macular Degeneration (AMD) Radiating Chorioretinal Folds from Contracting Macular Scar190 views93-year-old man has wet age-related macular degeneration in his left eye with a subfoveal pigment epithelial detachment.
Vision OS is 20/40. There are striking radiating chorioretinal folds emanating off of the scar, which suggests it is contracting.
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radiatingfoldsamd_sara02.jpg
Wet Age-related Macular Degeneration (AMD) Radiating Chorioretinal Folds from Contracting Macular Scar62 views93-year-old man has wet age-related macular degeneration in his left eye with a subfoveal pigment epithelial detachment.
Vision OS is 20/40. There are striking radiating chorioretinal folds emanating off of the scar, which suggests it is contracting.
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radiatingfoldsamd_sara03.jpg
Wet Age-related Macular Degeneration (AMD) Radiating Chorioretinal Folds from Contracting Macular Scar98 views93-year-old man has wet age-related macular degeneration in his left eye with a subfoveal pigment epithelial detachment.
Vision OS is 20/40. There are striking radiating chorioretinal folds emanating off of the scar, which suggests it is contracting.
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radiatingfoldsamd_sara04.jpg
Wet Age-related Macular Degeneration (AMD) Radiating Chorioretinal Folds from Contracting Macular Scar57 views93-year-old man has wet age-related macular degeneration in his left eye with a subfoveal pigment epithelial detachment.
Vision OS is 20/40. There are striking radiating chorioretinal folds emanating off of the scar, which suggests it is contracting.
00000
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radiatingfoldsamd_sara05.jpg
Wet Age-related Macular Degeneration (AMD) Radiating Chorioretinal Folds from Contracting Macular Scar55 views93-year-old man has wet age-related macular degeneration in his left eye with a subfoveal pigment epithelial detachment.
Vision OS is 20/40. There are striking radiating chorioretinal folds emanating off of the scar, which suggests it is contracting.
00000
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radiatingfoldsamd_sara06.jpg
Wet Age-related Macular Degeneration (AMD) Radiating Chorioretinal Folds from Contracting Macular Scar48 views93-year-old man has wet age-related macular degeneration in his left eye with a subfoveal pigment epithelial detachment.
Vision OS is 20/40. There are striking radiating chorioretinal folds emanating off of the scar, which suggests it is contracting.
00000
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radiatingfoldsamd_sara07.jpg
Wet Age-related Macular Degeneration (AMD) Radiating Chorioretinal Folds from Contracting Macular Scar87 views93-year-old man has wet age-related macular degeneration in his left eye with a subfoveal pigment epithelial detachment.
Vision OS is 20/40. There are striking radiating chorioretinal folds emanating off of the scar, which suggests it is contracting.
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radiatingfoldsamd_sara08.jpg
Wet Age-related Macular Degeneration (AMD) Radiating Chorioretinal Folds from Contracting Macular Scar69 views93-year-old man has wet age-related macular degeneration in his left eye with a subfoveal pigment epithelial detachment.
Vision OS is 20/40. There are striking radiating chorioretinal folds emanating off of the scar, which suggests it is contracting.
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radiatingfoldsamd_sara09.jpg
Wet Age-related Macular Degeneration (AMD) Radiating Chorioretinal Folds from Contracting Macular Scar78 views93-year-old man has wet age-related macular degeneration in his left eye with a subfoveal pigment epithelial detachment.
Vision OS is 20/40. There are striking radiating chorioretinal folds emanating off of the scar, which suggests it is contracting.
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radiatingfoldsamd_sara10.jpg
Wet Age-related Macular Degeneration (AMD) Radiating Chorioretinal Folds from Contracting Macular Scar89 views93-year-old man has wet age-related macular degeneration in his left eye with a subfoveal pigment epithelial detachment.
Vision OS is 20/40. There are striking radiating chorioretinal folds emanating off of the scar, which suggests it is contracting.
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93-year-old man has wet age-related macular degeneration in his left eye with a subfoveal pigment epithelial detachment. His macula is progressing despite treatments, so I tightened up his treatment interval. With every two-to-three week injections, his vision remains reasonable in that eye. The vision seems to possibly be a little worse. He is taking a glaucoma drop in the left eye. VISUAL ACUITY: Vision OS is 20/40. IOP: OS 15. There is a posterior chamber intraocular lens in good position. EXTENDED OPHTHALMOSCOPY: OS: Vertical C/D ratio is 0.2. There is a pigment epithelial detachment centrally. There are striking radiating chorioretinal folds emanating off of the scar, which suggests it is contracting. OCT SCAN: The OCT scan shows macular edema. IMPRESSION: 1. WET AGE-RELATED MACULAR DEGENERATION – LEFT EYE 2. MACULAR EDEMA – LEFT EYE 3. PIGMENT EPITHELIAL DETACHMENT – LEFT EYE 4. MACULAR PUCKER 5. RADIATING CHORIORETINAL FOLDS