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81-year-old man was seen in the office on 1-29-08. He has wet age-related macular degeneration in the right eye. He has been undergoing treatment for that. He woke up yesterday with a sudden spot in his vision in his left eye. VISUAL ACUITY: OD: 20/30; OS: 20/60. IOP: OD: 23, OS: 18. OD: The posterior chamber intraocular lens is in good position. OS: There is 2+ nuclear sclerosis. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.3. There is a pigment epithelial detachment centrally. OS: Vertical C/D ratio is 0.3. There is a hemorrhage nasal to the fovea with another dot hemorrhage temporal to the fovea. There is no frank fluid or exudate. The OCT scan of the left eye shows thickening of the retina in the area of the subretinal hemorrhage. A fluorescein angiogram of the left eye shows hypofluorescence in the area of the subretinal hemorrhage. There is patchy hypofluorescence around it, which fades in the late frames. The right eye has a heavily staining subfoveal pigment epithelial detachment. IMPRESSION: 1. AGE-RELATED MACULAR DEGENERATION IN BOTH EYES. 2. SUBFOVEAL PIGMENT EPITHELIAL DETACHMENT IN THE RIGHT EYE. 3. NEW SUBRETINAL HEMORRHAGE IN THE LEFT EYE. 4. PROBABLY WET AGE-RELATED MACULAR DEGENERATION IN THE LEFT EYE. DISCUSSION: I explained to the patient that with intravitreal Avastin there is a chance we can suppress any neovascularization in the left eye. I injected the eye with Avastin (1.25 mg/0.05 ml) without any difficulty.

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Wet AMD both eyes Hemorrhage Left Eye - Pigment Epithelial Detachment Right Eye206 views81-year-old man wet age-related macular degeneration in the right eye. He has been undergoing treatment for that. He woke up yesterday with a sudden spot in his vision in his left eye OD: 20/30; OS: 20/6000000
(0 votes)
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Wet AMD both eyes Hemorrhage Left Eye - Pigment Epithelial Detachment Right Eye178 views81-year-old man wet age-related macular degeneration in the right eye. He has been undergoing treatment for that. He woke up yesterday with a sudden spot in his vision in his left eye OD: 20/30; OS: 20/6000000
(0 votes)
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Wet AMD both eyes Hemorrhage Left Eye - Pigment Epithelial Detachment Right Eye118 views81-year-old man wet age-related macular degeneration in the right eye. He has been undergoing treatment for that. He woke up yesterday with a sudden spot in his vision in his left eye OD: 20/30; OS: 20/6000000
(0 votes)
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Wet AMD both eyes Hemorrhage Left Eye - Pigment Epithelial Detachment Right Eye109 views81-year-old man wet age-related macular degeneration in the right eye. He has been undergoing treatment for that. He woke up yesterday with a sudden spot in his vision in his left eye OD: 20/30; OS: 20/6000000
(0 votes)
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Wet AMD both eyes Hemorrhage Left Eye - Pigment Epithelial Detachment Right Eye96 views81-year-old man wet age-related macular degeneration in the right eye. He has been undergoing treatment for that. He woke up yesterday with a sudden spot in his vision in his left eye OD: 20/30; OS: 20/6000000
(0 votes)
wetamdhemedola_28529.png
Wet AMD both eyes Hemorrhage Left Eye - Pigment Epithelial Detachment Right Eye107 views81-year-old man wet age-related macular degeneration in the right eye. He has been undergoing treatment for that. He woke up yesterday with a sudden spot in his vision in his left eye OD: 20/30; OS: 20/6000000
(0 votes)
wetamdhemedola_28629.png
Wet AMD both eyes Hemorrhage Left Eye - Pigment Epithelial Detachment Right Eye121 views81-year-old man wet age-related macular degeneration in the right eye. He has been undergoing treatment for that. He woke up yesterday with a sudden spot in his vision in his left eye OD: 20/30; OS: 20/6000000
(0 votes)
wetamdhemedola_28729.png
Wet AMD both eyes Hemorrhage Left Eye - Pigment Epithelial Detachment Right Eye104 views81-year-old man wet age-related macular degeneration in the right eye. He has been undergoing treatment for that. He woke up yesterday with a sudden spot in his vision in his left eye OD: 20/30; OS: 20/6000000
(0 votes)
wetamdhemedola_28829.png
Wet AMD both eyes Hemorrhage Left Eye - Pigment Epithelial Detachment Right Eye104 views81-year-old man wet age-related macular degeneration in the right eye. He has been undergoing treatment for that. He woke up yesterday with a sudden spot in his vision in his left eye OD: 20/30; OS: 20/6000000
(0 votes)
wetamdhemedola_28929.png
Wet AMD both eyes Hemorrhage Left Eye - Pigment Epithelial Detachment Right Eye95 views81-year-old man wet age-related macular degeneration in the right eye. He has been undergoing treatment for that. He woke up yesterday with a sudden spot in his vision in his left eye OD: 20/30; OS: 20/6000000
(0 votes)
wetamdhemedola_281029.png
Wet AMD both eyes Hemorrhage Left Eye - Pigment Epithelial Detachment Right Eye118 views81-year-old man wet age-related macular degeneration in the right eye. He has been undergoing treatment for that. He woke up yesterday with a sudden spot in his vision in his left eye OD: 20/30; OS: 20/6000000
(0 votes)
wetamdhemedola_281129.png
Wet AMD both eyes Hemorrhage Left Eye - Pigment Epithelial Detachment Right Eye179 views81-year-old man wet age-related macular degeneration in the right eye. He has been undergoing treatment for that. He woke up yesterday with a sudden spot in his vision in his left eye OD: 20/30; OS: 20/6000000
(0 votes)
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81-year-old man was seen in the office on 1-29-08. He has wet age-related macular degeneration in the right eye. He has been undergoing treatment for that. He woke up yesterday with a sudden spot in his vision in his left eye. VISUAL ACUITY: OD: 20/30; OS: 20/60. IOP: OD: 23, OS: 18. OD: The posterior chamber intraocular lens is in good position. OS: There is 2+ nuclear sclerosis. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.3. There is a pigment epithelial detachment centrally. OS: Vertical C/D ratio is 0.3. There is a hemorrhage nasal to the fovea with another dot hemorrhage temporal to the fovea. There is no frank fluid or exudate. The OCT scan of the left eye shows thickening of the retina in the area of the subretinal hemorrhage. A fluorescein angiogram of the left eye shows hypofluorescence in the area of the subretinal hemorrhage. There is patchy hypofluorescence around it, which fades in the late frames. The right eye has a heavily staining subfoveal pigment epithelial detachment. IMPRESSION: 1. AGE-RELATED MACULAR DEGENERATION IN BOTH EYES. 2. SUBFOVEAL PIGMENT EPITHELIAL DETACHMENT IN THE RIGHT EYE. 3. NEW SUBRETINAL HEMORRHAGE IN THE LEFT EYE. 4. PROBABLY WET AGE-RELATED MACULAR DEGENERATION IN THE LEFT EYE. DISCUSSION: I explained to the patient that with intravitreal Avastin there is a chance we can suppress any neovascularization in the left eye. I injected the eye with Avastin (1.25 mg/0.05 ml) without any difficulty.