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Geographic Atrophy Choriocapillaris Intact


85-year-old woman has age-related macular degeneration in both eyes with geographic atrophy. She has noticed her vision getting slightly worse since I saw her last in December. VISUAL ACUITY: OD 20/70, OS 20/400. IOP: OD 12, OS 17. She has low filtering blebs in both eyes. There is a posterior chamber intraocular lens is in good position in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.5. There is geographic atrophy. There is no intraretinal or subretinal fluid. OS: Vertical C/D ratio is 0.5. There is geographic atrophy. There is no intraretinal or subretinal fluid. OCT SCAN: The OCT scan show retinal atrophy. Photos confirm clinical findings. FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography shows concentric geographic atrophy, predominately nasal to the fovea in each eye. The geographic atrophy is unfortunately now closer to the foveal center. IMPRESSION: 1. AGE-RELATED MACULAR DEGENERATION – BOTH EYES 2. PROGRESSING GEOGRAPHIC ATROPHY – BOTH EYES 3. SUBSTANTIAL OBJECTIVE VISION LOSS 4. GLAUCOMA WITH FILTERING BLEBS 5. DIABETES DISCUSSION: I explained to the patient that the macular degeneration does look slightly worse and although she only notices a slight decline in vision, her vision in fact measures substantially worse than it did when she was last here. When I saw her in December she was seeing 20/40 out of both eyes and now she is down to 20/70 and 20/400. Sometimes patients with geographic atrophy can develop seemingly sudden vision loss when the geographic atrophy progressed to involve the center of the macula.
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 Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intactvista 631 veces85-year-old woman has age-related macular degeneration in both eyes with geographic atrophy. She has noticed her vision getting slightly worse in the past 6 months. VISUAL ACUITY: OD 20/70, OS 20/40000000
(0 votos)
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 Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intactvista 474 veces85-year-old woman has age-related macular degeneration in both eyes with geographic atrophy. She has noticed her vision getting slightly worse in the past 6 months. VISUAL ACUITY: OD 20/70, OS 20/40000000
(0 votos)
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 Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intactvista 463 veces85-year-old woman has age-related macular degeneration in both eyes with geographic atrophy. She has noticed her vision getting slightly worse in the past 6 months. VISUAL ACUITY: OD 20/70, OS 20/40000000
(0 votos)
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 Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intactvista 407 veces85-year-old woman has age-related macular degeneration in both eyes with geographic atrophy. She has noticed her vision getting slightly worse in the past 6 months. VISUAL ACUITY: OD 20/70, OS 20/40000000
(0 votos)
gat_elra_28429.png
 Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intactvista 406 veces85-year-old woman has age-related macular degeneration in both eyes with geographic atrophy. She has noticed her vision getting slightly worse in the past 6 months. VISUAL ACUITY: OD 20/70, OS 20/40000000
(0 votos)
gat_elra_28529.png
 Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intactvista 394 veces85-year-old woman has age-related macular degeneration in both eyes with geographic atrophy. She has noticed her vision getting slightly worse in the past 6 months. VISUAL ACUITY: OD 20/70, OS 20/40000000
(0 votos)
gat_elra_28629.png
 Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intactvista 378 veces85-year-old woman has age-related macular degeneration in both eyes with geographic atrophy. She has noticed her vision getting slightly worse in the past 6 months. VISUAL ACUITY: OD 20/70, OS 20/40000000
(0 votos)
gat_elra_28729.png
 Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intactvista 459 veces85-year-old woman has age-related macular degeneration in both eyes with geographic atrophy. She has noticed her vision getting slightly worse in the past 6 months. VISUAL ACUITY: OD 20/70, OS 20/40000000
(0 votos)
gat_elra_28829.jpg
 Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intactvista 464 veces85-year-old woman has age-related macular degeneration in both eyes with geographic atrophy. She has noticed her vision getting slightly worse in the past 6 months. VISUAL ACUITY: OD 20/70, OS 20/40000000
(0 votos)
gat_elra_28929.jpg
 Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intactvista 423 veces85-year-old woman has age-related macular degeneration in both eyes with geographic atrophy. She has noticed her vision getting slightly worse in the past 6 months. VISUAL ACUITY: OD 20/70, OS 20/40000000
(0 votos)
gat_elra_281029.jpg
 Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intactvista 423 veces85-year-old woman has age-related macular degeneration in both eyes with geographic atrophy. She has noticed her vision getting slightly worse in the past 6 months. VISUAL ACUITY: OD 20/70, OS 20/40000000
(0 votos)
 
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85-year-old woman has age-related macular degeneration in both eyes with geographic atrophy. She has noticed her vision getting slightly worse since I saw her last in December. VISUAL ACUITY: OD 20/70, OS 20/400. IOP: OD 12, OS 17. She has low filtering blebs in both eyes. There is a posterior chamber intraocular lens is in good position in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.5. There is geographic atrophy. There is no intraretinal or subretinal fluid. OS: Vertical C/D ratio is 0.5. There is geographic atrophy. There is no intraretinal or subretinal fluid. OCT SCAN: The OCT scan show retinal atrophy. Photos confirm clinical findings. FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography shows concentric geographic atrophy, predominately nasal to the fovea in each eye. The geographic atrophy is unfortunately now closer to the foveal center. IMPRESSION: 1. AGE-RELATED MACULAR DEGENERATION – BOTH EYES 2. PROGRESSING GEOGRAPHIC ATROPHY – BOTH EYES 3. SUBSTANTIAL OBJECTIVE VISION LOSS 4. GLAUCOMA WITH FILTERING BLEBS 5. DIABETES DISCUSSION: I explained to the patient that the macular degeneration does look slightly worse and although she only notices a slight decline in vision, her vision in fact measures substantially worse than it did when she was last here. When I saw her in December she was seeing 20/40 out of both eyes and now she is down to 20/70 and 20/400. Sometimes patients with geographic atrophy can develop seemingly sudden vision loss when the geographic atrophy progressed to involve the center of the macula.