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28 y.o man with more flashes and floaters in both eyes starting a few months ago. There are a few big floaters and a lot of little ones in both eyes. The flashes he is seeing used to start when he was exposed to bright light. The last few weeks the flashes have been constant and all over. They come and go. They can form in an arc below fixation. It used to be more like a ring. Now it is more like an L shape more to the left and below center. The flashes do not come with headaches. He has occipital migraines. The lights have been more constant than they used to be. There is a lot of junk in his eye. The patient has less than normal night vision and side vision is a little bit hazy VA OD: cc20/25 OS: cc20/25 IOP: TP OD: 15 OS: 15 Findings OD: Lens: Clear. Findings OS: Lens: Clear. Posterior Segment: Findings OD: Nerve: Pink. Sharp. CDR-V 0.1. Vitreous: Posterior Vitreous Detachment. Retinal Vessels: Attenuated Vessels. Macula: No Hemorrhage. No Subretinal Fluid. No Edema. Periphery: Attached 360 Degrees. Paving Stone Degeneration (Inferior). Findings OS: Nerve: Pink. Sharp. CDR-V 0.1. Vitreous: Posterior Vitreous Detachment. Retinal Vessels: Attenuated Vessels. Macula: No Hemorrhage. No Subretinal Fluid. No Edema. Periphery: Attached 360 Degrees. Paving Stone Degeneration (Inferior). OCT Macula: Findings OD: Outer Retinal Atrophy (Extrafoveal). Findings OS: Outer Retinal Atrophy (Extrafoveal). Fundus Photos (Infrared): Findings OD: Findings OS: Fundus Photos (Autofluorescence): Findings OD: White ring around the macula typical for RP. Findings OS: White ring around the macula typical for RP. Imp/Plan: 1. Retinitis Pigmentosa OU (sine pigmente). I explained to the patient that his findings are typical for RP. I'm going to see about getting him genetically tested either through UF or directly through Carver Lab.

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Retinitis Pigmentosa Sine Pigmento 278 views00000
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Retinitis Pigmentosa Sine Pigmento 191 views00000
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Retinitis Pigmentosa Sine Pigmento 255 views00000
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Retinitis Pigmentosa Sine Pigmento 222 views00000
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Retinitis Pigmentosa Sine Pigmento 211 views00000
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Retinitis Pigmentosa Sine Pigmento 173 views00000
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Retinitis Pigmentosa Sine Pigmento 183 views00000
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Retinitis Pigmentosa Sine Pigmento 103 views00000
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Retinitis Pigmentosa Sine Pigmento 129 views00000
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Retinitis Pigmentosa Sine Pigmento 137 views00000
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Retinitis Pigmentosa Sine Pigmento 174 views00000
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Retinitis Pigmentosa Sine Pigmento 129 views00000
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Retinitis Pigmentosa Sine Pigmento 149 views00000
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Retinitis Pigmentosa Sine Pigmento 152 views00000
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28 y.o man with more flashes and floaters in both eyes starting a few months ago. There are a few big floaters and a lot of little ones in both eyes. The flashes he is seeing used to start when he was exposed to bright light. The last few weeks the flashes have been constant and all over. They come and go. They can form in an arc below fixation. It used to be more like a ring. Now it is more like an L shape more to the left and below center. The flashes do not come with headaches. He has occipital migraines. The lights have been more constant than they used to be. There is a lot of junk in his eye. The patient has less than normal night vision and side vision is a little bit hazy VA OD: cc20/25 OS: cc20/25 IOP: TP OD: 15 OS: 15 Findings OD: Lens: Clear. Findings OS: Lens: Clear. Posterior Segment: Findings OD: Nerve: Pink. Sharp. CDR-V 0.1. Vitreous: Posterior Vitreous Detachment. Retinal Vessels: Attenuated Vessels. Macula: No Hemorrhage. No Subretinal Fluid. No Edema. Periphery: Attached 360 Degrees. Paving Stone Degeneration (Inferior). Findings OS: Nerve: Pink. Sharp. CDR-V 0.1. Vitreous: Posterior Vitreous Detachment. Retinal Vessels: Attenuated Vessels. Macula: No Hemorrhage. No Subretinal Fluid. No Edema. Periphery: Attached 360 Degrees. Paving Stone Degeneration (Inferior). OCT Macula: Findings OD: Outer Retinal Atrophy (Extrafoveal). Findings OS: Outer Retinal Atrophy (Extrafoveal). Fundus Photos (Infrared): Findings OD: Findings OS: Fundus Photos (Autofluorescence): Findings OD: White ring around the macula typical for RP. Findings OS: White ring around the macula typical for RP. Imp/Plan: 1. Retinitis Pigmentosa OU (sine pigmente). I explained to the patient that his findings are typical for RP. I'm going to see about getting him genetically tested either through UF or directly through Carver Lab.