Geographic Atrophy Choriocapillaris Intact
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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.
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Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intact631 views85-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 20/400
(0 votes)
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Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intact474 views85-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 20/400
(0 votes)
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Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intact463 views85-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 20/400
(0 votes)
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Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intact408 views85-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 20/400
(0 votes)
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Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intact407 views85-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 20/400
(0 votes)
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Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intact394 views85-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 20/400
(0 votes)
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Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intact379 views85-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 20/400
(0 votes)
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Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intact460 views85-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 20/400
(0 votes)
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Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intact466 views85-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 20/400
(0 votes)
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Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intact424 views85-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 20/400
(0 votes)
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Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intact423 views85-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 20/400
(0 votes)
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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.
