Drusen - Basal Laminar and Equatorial
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70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. I saw her back in April of 2008.
VISUAL ACUITY: Her vision is OD 20/16, OS 10/200. IOP: OD 17, OS 19. The posterior chamber intraocular lens is in good position in both eyes. The left eye has an open capsule.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.1. There are 2+ macular drusen. There is no subretinal fluid, hemorrhage, or exudate.
OS: Vertical C/D ratio is 0.1. There are 2+ macular drusen. There is an area of geographic atrophy, 2-disc areas in size, centered temporal to the fovea which involves the foveal center.
OCT SCAN: There is no intraretinal or subretinal fluid in either eye. There is, however, retinal atrophy, more in the left eye than the right.
PHOTOGRAPHS: Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAPHY: FA shows speckled hyperfluorescence consistent with basal laminar drusen with a radiating pattern out in the far periphery and hyperfluorescence in the macula of the left eye, consistent with geographic atrophy. There is no evidence of any neovascularization in either eye.
IMPRESSION: 1. BASAL LAMINAR DRUSEN – BOTH EYES
2. FOVEAL GEOGRAPHIC ATROPHY – LEFT EYE
3. DRY MACULAR DEGENERATION – BOTH EYES
DISCUSSION: I explained to the patient the left eye does unfortunately have increasing retinal atrophy. At the moment there is no treatment for that, but in time there may be something we can offer.
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Macular Photo Right Eyevaatamisi: 156470 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 138570 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Photo Equatorvaatamisi: 89170 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 104370 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Optic Nerve Photo Right Eyevaatamisi: 79470 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Photo Montage Right Eyevaatamisi: 111470 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(1 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Photo Montage Left Eyevaatamisi: 61670 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(1 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman Fundus Photo - Geographic Atrophyvaatamisi: 61570 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Fundus Photo Left Eyevaatamisi: 47470 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 39170 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 43670 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 42470 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - OCT Mapvaatamisi: 47370 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - OCT Line Scan Right Eyevaatamisi: 39970 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman Line Scan Left Eyevaatamisi: 36270 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 37270 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 35270 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 36370 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 35370 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Early FA Shows Cuticular Drusen like Starsvaatamisi: 59170 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 36770 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 41770 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 38970 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 34070 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 36370 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 36770 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 37470 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 38570 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 34270 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 42670 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 35570 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 48170 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Fluorescein Angiogram Montage Right Eyevaatamisi: 50370 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Fluorescein Angiogram Montage Left Eyevaatamisi: 61670 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. I saw her back in April of 2008.
VISUAL ACUITY: Her vision is OD 20/16, OS 10/200. IOP: OD 17, OS 19. The posterior chamber intraocular lens is in good position in both eyes. The left eye has an open capsule.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.1. There are 2+ macular drusen. There is no subretinal fluid, hemorrhage, or exudate.
OS: Vertical C/D ratio is 0.1. There are 2+ macular drusen. There is an area of geographic atrophy, 2-disc areas in size, centered temporal to the fovea which involves the foveal center.
OCT SCAN: There is no intraretinal or subretinal fluid in either eye. There is, however, retinal atrophy, more in the left eye than the right.
PHOTOGRAPHS: Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAPHY: FA shows speckled hyperfluorescence consistent with basal laminar drusen with a radiating pattern out in the far periphery and hyperfluorescence in the macula of the left eye, consistent with geographic atrophy. There is no evidence of any neovascularization in either eye.
IMPRESSION: 1. BASAL LAMINAR DRUSEN – BOTH EYES
2. FOVEAL GEOGRAPHIC ATROPHY – LEFT EYE
3. DRY MACULAR DEGENERATION – BOTH EYES
DISCUSSION: I explained to the patient the left eye does unfortunately have increasing retinal atrophy. At the moment there is no treatment for that, but in time there may be something we can offer.
