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86-year-old man was seen in the office on September 27, 2012. He has diabetes for six years. He does take a half an aspirin. He was in for a comprehensive evaluation and you noticed a problem in the retina and suggest he come here for an evaluation. VISUAL ACUITY: OD 20/32, OS 20/25. IOP: OD 12, OS 13. SLIT EXAMINATION: The posterior chamber intraocular lens is in good position in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.6. There is a posterior vitreous separation. There is a yellow pigment spot under the fovea about 500 microns in size. OS: Vertical C/D ratio is 0.6. There is a posterior vitreous separation. There is a yellow pigment spot superior to the fovea, which looks dry and in the inferotemporal periphery from 4 o’clock to 6 o’clock extending two disc-diameters posterior to the equator. There is a loculated subretinal hemorrhage with a pigment epithelial detachment associated with it. FUNDUS PHOTOGRAPHY: Infrared and auto fluorescence photography shows the presence of the hemorrhage inferotemporally and it does look like some of it is deep to the pigment epithelium. SPECTRALIS-SD-OCT SCAN: The OCT scan of the macula in both eyes shows no intraretinal or subretinal fluid associated with the pattern dystrophy macular degeneration. IMPRESSION: 1. PATTERN DYSTROPHY TYPE MACULAR DEGENERATION – BOTH EYES 2. ECCENTRIC DISCIFORM SCAR – LEFT EYE WITH HEMORRHAGE DISCUSSION: I explained to the patient he does have some bleeding in the periphery of the left eye. Generally that does not cause any sort of visual threatening problems, but I did ask him to return for a check in two to three months so I could re-evaluate it to make sure it is not extending. It would be relatively straight forward to treat that with cryotherapy if necessary, but it is rarely necessary. He will see you back regularly. I told him there is no reason to stop the aspirin herapy, which is helpful for heart disease.

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Peripheral Exudative Hemorrhagic Chorioretinopathy164 views70 year old man with recurrent peripheral choroidal hemorrhages - no treatment - b-scan shows hemorrhage shrinking over a month00000
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Peripheral Exudative Hemorrhagic Chorioretinopathy138 views70 year old man with recurrent peripheral choroidal hemorrhages - no treatment - b-scan shows hemorrhage shrinking over a month00000
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Peripheral Exudative Hemorrhagic Chorioretinopathy277 views70 year old man with recurrent peripheral choroidal hemorrhages - no treatment - b-scan shows hemorrhage shrinking over a month00000
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Peripheral Exudative Hemorrhagic Chorioretinopathy180 views70 year old man with recurrent peripheral choroidal hemorrhages - no treatment - b-scan shows hemorrhage shrinking over a month00000
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Peripheral Exudative Hemorrhagic Chorioretinopathy205 views70 year old man with recurrent peripheral choroidal hemorrhages - no treatment - b-scan shows hemorrhage shrinking over a month00000
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Peripheral Exudative Hemorrhagic Chorioretinopathy143 views70 year old man with recurrent peripheral choroidal hemorrhages - no treatment - b-scan shows hemorrhage shrinking over a month00000
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Peripheral Exudative Hemorrhagic Chorioretinopathy119 views70 year old man with recurrent peripheral choroidal hemorrhages - no treatment - b-scan shows hemorrhage shrinking over a month00000
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Peripheral Exudative Hemorrhagic Chorioretinopathy152 views70 year old man with recurrent peripheral choroidal hemorrhages - no treatment - b-scan shows hemorrhage shrinking over a month00000
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86-year-old man was seen in the office on September 27, 2012. He has diabetes for six years. He does take a half an aspirin. He was in for a comprehensive evaluation and you noticed a problem in the retina and suggest he come here for an evaluation. VISUAL ACUITY: OD 20/32, OS 20/25. IOP: OD 12, OS 13. SLIT EXAMINATION: The posterior chamber intraocular lens is in good position in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.6. There is a posterior vitreous separation. There is a yellow pigment spot under the fovea about 500 microns in size. OS: Vertical C/D ratio is 0.6. There is a posterior vitreous separation. There is a yellow pigment spot superior to the fovea, which looks dry and in the inferotemporal periphery from 4 o’clock to 6 o’clock extending two disc-diameters posterior to the equator. There is a loculated subretinal hemorrhage with a pigment epithelial detachment associated with it. FUNDUS PHOTOGRAPHY: Infrared and auto fluorescence photography shows the presence of the hemorrhage inferotemporally and it does look like some of it is deep to the pigment epithelium. SPECTRALIS-SD-OCT SCAN: The OCT scan of the macula in both eyes shows no intraretinal or subretinal fluid associated with the pattern dystrophy macular degeneration. IMPRESSION: 1. PATTERN DYSTROPHY TYPE MACULAR DEGENERATION – BOTH EYES 2. ECCENTRIC DISCIFORM SCAR – LEFT EYE WITH HEMORRHAGE DISCUSSION: I explained to the patient he does have some bleeding in the periphery of the left eye. Generally that does not cause any sort of visual threatening problems, but I did ask him to return for a check in two to three months so I could re-evaluate it to make sure it is not extending. It would be relatively straight forward to treat that with cryotherapy if necessary, but it is rarely necessary. He will see you back regularly. I told him there is no reason to stop the aspirin herapy, which is helpful for heart disease.