Ocular Ischemic Syndrome - Microaneurysms right eye (fellow eye old CRAO)
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66-year-old woman lost vision in the left eye from a central retinal artery occlusion. Vision OD is fine.
VISUAL ACUITY: OD 20/25, OS 20/50. IOP: OD 17, OS 19. There is 2+ nuclear sclerosis in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.1. There are patchy hemorrhages inferotemporal and superotemporal to the fovea.
OS: Vertical C/D ratio is 0.5. The nerve is pale. The macula is dry and atrophic.
PHOTOGRAPHS: Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAPHY: The FA shows clustered microaneurysms temporal to the fovea in the right eye which leak in the late frames. The left eye is angiographically normal.
IMPRESSION:
1. OCULAR ISCHEMIC SYNDROME WITH RETINAL ARTERIAL MICROANEURYSMS – RIGHT EYE
2. HISTORY OF CENTRAL RETINAL OCCLUSION – LEFT EYE
DISCUSSION: I explained to the patient unfortunately the right eye looks like it is manifesting ocular ischemic syndrome, which is troublesome because that is her better eye.
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year agovista 974 veces66-year-old woman lost vision in the left eye from a central retinal artery occlusion 1 year ago. Vision OD is fine. OD 20/25, OS 20/50
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year agovista 890 veces66-year-old woman lost vision in the left eye from a central retinal artery occlusion 1 year ago. Vision OD is fine. OD 20/25, OS 20/50
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year agovista 799 veces66-year-old woman lost vision in the left eye from a central retinal artery occlusion 1 year ago. Vision OD is fine. OD 20/25, OS 20/50
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year agovista 817 veces66-year-old woman lost vision in the left eye from a central retinal artery occlusion 1 year ago. Vision OD is fine. OD 20/25, OS 20/50
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year agovista 1252 veces66-year-old woman lost vision in the left eye from a central retinal artery occlusion 1 year ago. Vision OD is fine. OD 20/25, OS 20/50
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year agovista 692 veces66-year-old woman lost vision in the left eye from a central retinal artery occlusion 1 year ago. Vision OD is fine. OD 20/25, OS 20/50
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year agovista 701 veces66-year-old woman lost vision in the left eye from a central retinal artery occlusion 1 year ago. Vision OD is fine. OD 20/25, OS 20/50
(0 votos)
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year agovista 595 veces66-year-old woman lost vision in the left eye from a central retinal artery occlusion 1 year ago. Vision OD is fine. OD 20/25, OS 20/50
(0 votos)
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year agovista 746 veces66-year-old woman lost vision in the left eye from a central retinal artery occlusion 1 year ago. Vision OD is fine. OD 20/25, OS 20/50
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year agovista 749 veces66-year-old woman lost vision in the left eye from a central retinal artery occlusion 1 year ago. Vision OD is fine. OD 20/25, OS 20/50
(0 votos)
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year agovista 648 veces66-year-old woman lost vision in the left eye from a central retinal artery occlusion 1 year ago. Vision OD is fine. OD 20/25, OS 20/50
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| 11 archivos en 1 página(s) |
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66-year-old woman lost vision in the left eye from a central retinal artery occlusion. Vision OD is fine.
VISUAL ACUITY: OD 20/25, OS 20/50. IOP: OD 17, OS 19. There is 2+ nuclear sclerosis in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.1. There are patchy hemorrhages inferotemporal and superotemporal to the fovea.
OS: Vertical C/D ratio is 0.5. The nerve is pale. The macula is dry and atrophic.
PHOTOGRAPHS: Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAPHY: The FA shows clustered microaneurysms temporal to the fovea in the right eye which leak in the late frames. The left eye is angiographically normal.
IMPRESSION:
1. OCULAR ISCHEMIC SYNDROME WITH RETINAL ARTERIAL MICROANEURYSMS – RIGHT EYE
2. HISTORY OF CENTRAL RETINAL OCCLUSION – LEFT EYE
DISCUSSION: I explained to the patient unfortunately the right eye looks like it is manifesting ocular ischemic syndrome, which is troublesome because that is her better eye.
