54-year-old man was seen in the office on 5/24/2011. He has an asymptomatic chronic inferotemporal retinal detachment. I saw him initially in 2001. He does not notice any symptoms. He does not notice any floaters. You suggested he come in here for an evaluation. VISUAL ACUITY: OD 20/25, OS 20/30. IOP: OD 12, OS 10. There is trace nuclear sclerosis in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.2. There is a partial posterior vitreous separation. There is some debris in the vitreous. There also is some macular crystals and then in the inferotemporal periphery there is a heavily demarcated retinal detachment extending from 5 o’clock around to 8 o’clock and retracting about 4 disc-diameters posterior to the equator. OS: Vertical C/D ratio is 0.2. The macula and periphery look healthy. IMPRESSION: 1. STABLE CHRONIC ASYMPTOMATIC INFEROTEMPORAL RETINAL DETACHMENT – RIGHT EYE 2. RETINAL CRYSTALS FROM THE CHRONIC RETINAL DETACHMENT – RIGHT EYE DISCUSSION: I explained to the patient the retinal detachment looks unchanged from the exam in 2001 and it is now demarcated. I asked him to see you back regularly. He will return here for a check in about two years, sooner should he notice a problem. Thank you for allowing me to participate in his care. |
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54-year-old man was seen in the office on 5/24/2011. He has an asymptomatic chronic inferotemporal retinal detachment. I saw him initially in 2001. He does not notice any symptoms. He does not notice any floaters. You suggested he come in here for an evaluation. VISUAL ACUITY: OD 20/25, OS 20/30. IOP: OD 12, OS 10. There is trace nuclear sclerosis in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.2. There is a partial posterior vitreous separation. There is some debris in the vitreous. There also is some macular crystals and then in the inferotemporal periphery there is a heavily demarcated retinal detachment extending from 5 o’clock around to 8 o’clock and retracting about 4 disc-diameters posterior to the equator. OS: Vertical C/D ratio is 0.2. The macula and periphery look healthy. IMPRESSION: 1. STABLE CHRONIC ASYMPTOMATIC INFEROTEMPORAL RETINAL DETACHMENT – RIGHT EYE 2. RETINAL CRYSTALS FROM THE CHRONIC RETINAL DETACHMENT – RIGHT EYE DISCUSSION: I explained to the patient the retinal detachment looks unchanged from the exam in 2001 and it is now demarcated. I asked him to see you back regularly. He will return here for a check in about two years, sooner should he notice a problem. Thank you for allowing me to participate in his care.
