85-year-old man has age-related macular degeneration in both eyes with drusen maculopathy. He did have an episode of endophthalmitis in the left eye for which he had vitrectomy in 1989. His vision in the left eye has been worse than the right eye for some time. He notices recently, since he was here last five years ago, the vision may be a little worse in both eyes. VISUAL ACUITY: Vision OD is 20/40, OS is 20/400. IOP: OD 10, OS 13. SLIT LAMP EXAM: The posterior chamber intraocular lens is in good position in both eyes with open capsules. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.5. There is a posterior vitreous separation and 3+ macular drusen. OS: Vertical C/D ratio is 0.5. There is a posterior vitreous separation. There is pigment epithelial thickening centrally. OCT SCAN: The OCT scan shows both macula to be dry. PHOTOGRAPHS: Photos confirm clinical findings. IMPRESSION: 1. DRUSEN MACULOPATHY – RIGHT EYE 2. PIGMENT EPITHELIAL DETACHMENT – LEFT EYE |
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85-year-old man has age-related macular degeneration in both eyes with drusen maculopathy. He did have an episode of endophthalmitis in the left eye for which he had vitrectomy in 1989. His vision in the left eye has been worse than the right eye for some time. He notices recently, since he was here last five years ago, the vision may be a little worse in both eyes. VISUAL ACUITY: Vision OD is 20/40, OS is 20/400. IOP: OD 10, OS 13. SLIT LAMP EXAM: The posterior chamber intraocular lens is in good position in both eyes with open capsules. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.5. There is a posterior vitreous separation and 3+ macular drusen. OS: Vertical C/D ratio is 0.5. There is a posterior vitreous separation. There is pigment epithelial thickening centrally. OCT SCAN: The OCT scan shows both macula to be dry. PHOTOGRAPHS: Photos confirm clinical findings. IMPRESSION: 1. DRUSEN MACULOPATHY – RIGHT EYE 2. PIGMENT EPITHELIAL DETACHMENT – LEFT EYE
