Heidelberg Normal Images - 48 Year Old Woman
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48-year-old woman has had a change recently coming on over the last six to twelve months or so, where she has had a problem with light and dark adaptations. She notices when she sees a point source of light like a cell phone in a dimly lit room and then she turns the cell phone off, that subsequently her vision is very dark until she goes back into a well lighted area. She has not checked to see how long it takes her to re-dark if she stays in the dark. She is in good health, accept for having a severe food allergy, but she does eat a lot of vegetables and she does have a problem with migraines.
VISUAL ACUITY: OD 20/20, OS 20/25. IOP: OD 14, OS 13.
SLIT EXAMINATION: Normal with clear lenses.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.0. There is no posterior vitreous separation. The macula and periphery look healthy.
OS: Vertical C/D ratio is 0.0. There is no posterior vitreous separation. The macula and periphery look healthy.
FUNDUS AUTO FLUORESCENCE: The fundus auto fluorescence as well as spectral domain OCT scans of the macula are completely normal.
IMPRESSION:
1. LIGHT AND DARK ADAPTATION ISSUE
DISCUSSION: I explained to the patient there is a normal time where most people will take several minutes to darken once they are faced with a bright source of light and it sounds like she may be within normal range. I don’t think it is unreasonable to check a vitamin A level the next time she has her blood tests done, since she does have to modify her diet because of her food allergies. I suspect though it will be normal.
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Normal Infrared Image1028 views48-year-old woman has had a problem with light and dark adaptations. She notices when she sees a point source of light like a cell phone in a dimly lit room and then she turns the cell phone off, that subsequently her vision is very dark until she goes back into a well lighted area. OD 20/20, OS 20/25. 
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Normal Infrared Image866 views48-year-old woman has had a problem with light and dark adaptations. She notices when she sees a point source of light like a cell phone in a dimly lit room and then she turns the cell phone off, that subsequently her vision is very dark until she goes back into a well lighted area. OD 20/20, OS 20/25.
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Normal Fundus Autofluorescence1311 views48-year-old woman has had a problem with light and dark adaptations. She notices when she sees a point source of light like a cell phone in a dimly lit room and then she turns the cell phone off, that subsequently her vision is very dark until she goes back into a well lighted area. OD 20/20, OS 20/25.
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Normal Fundus Autofluorescence1053 views48-year-old woman has had a problem with light and dark adaptations. She notices when she sees a point source of light like a cell phone in a dimly lit room and then she turns the cell phone off, that subsequently her vision is very dark until she goes back into a well lighted area. OD 20/20, OS 20/25.
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Normal Spectral Domain Optical Coherence Tomography (SD-OCT)1187 views48-year-old woman has had a problem with light and dark adaptations. She notices when she sees a point source of light like a cell phone in a dimly lit room and then she turns the cell phone off, that subsequently her vision is very dark until she goes back into a well lighted area. OD 20/20, OS 20/25.
(0 votes)
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Normal Spectral Domain Optical Coherence Tomography (SD-OCT)1268 views48-year-old woman has had a problem with light and dark adaptations. She notices when she sees a point source of light like a cell phone in a dimly lit room and then she turns the cell phone off, that subsequently her vision is very dark until she goes back into a well lighted area. OD 20/20, OS 20/25.
(0 votes)
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Normal Spectral Domain Optical Coherence Tomography (SD-OCT) - Prefoveal Vitreous Liquifaction1311 views48-year-old woman has had a problem with light and dark adaptations. She notices when she sees a point source of light like a cell phone in a dimly lit room and then she turns the cell phone off, that subsequently her vision is very dark until she goes back into a well lighted area. OD 20/20, OS 20/25.
(0 votes)
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Normal Spectral Domain Optical Coherence Tomography (SD-OCT)1386 views48-year-old woman has had a problem with light and dark adaptations. She notices when she sees a point source of light like a cell phone in a dimly lit room and then she turns the cell phone off, that subsequently her vision is very dark until she goes back into a well lighted area. OD 20/20, OS 20/25.
(0 votes)
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48-year-old woman has had a change recently coming on over the last six to twelve months or so, where she has had a problem with light and dark adaptations. She notices when she sees a point source of light like a cell phone in a dimly lit room and then she turns the cell phone off, that subsequently her vision is very dark until she goes back into a well lighted area. She has not checked to see how long it takes her to re-dark if she stays in the dark. She is in good health, accept for having a severe food allergy, but she does eat a lot of vegetables and she does have a problem with migraines.
VISUAL ACUITY: OD 20/20, OS 20/25. IOP: OD 14, OS 13.
SLIT EXAMINATION: Normal with clear lenses.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.0. There is no posterior vitreous separation. The macula and periphery look healthy.
OS: Vertical C/D ratio is 0.0. There is no posterior vitreous separation. The macula and periphery look healthy.
FUNDUS AUTO FLUORESCENCE: The fundus auto fluorescence as well as spectral domain OCT scans of the macula are completely normal.
IMPRESSION:
1. LIGHT AND DARK ADAPTATION ISSUE
DISCUSSION: I explained to the patient there is a normal time where most people will take several minutes to darken once they are faced with a bright source of light and it sounds like she may be within normal range. I don’t think it is unreasonable to check a vitamin A level the next time she has her blood tests done, since she does have to modify her diet because of her food allergies. I suspect though it will be normal.
