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74-year-old woman was seen in the office on February 2, 2012. She has age-related macular degeneration in both eyes. She has been taking medicines since her cataract surgery in 2003 and then she was a passenger, she was driving along with her family member and at night she noticed the vision in the left eye had substantially changed a few months ago. She saw in the right eye things normally, like a headlight, but in the left eye headlights looked like a boomerang and then when things got closer they looked a little better. That is new and she is concerned about it. She is worried about losing her vision. She does a lot of crafts. She has lost some hearing and she would rather not lose her vision. VISUAL ACUITY: OD 20/25, OS 20/32. IOP: OD 16, OS 18. SLIT EXAMINATION: The posterior chamber intraocular lens is in good position in both eyes with 1+ posterior capsular opacity. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.5. There is posterior vitreous separation. There is non foveal geographic atrophy. There is no subretinal fluid, hemorrhage or exudate. There are calcified drusen. OS: Vertical C/D ratio is 0.5. There is posterior vitreous separation. There is non foveal geographic atrophy. There are calcified drusen. SPECTRALIS-SD-OCT SCAN: The OCT scan of the right eye shows no intraretinal or subretinal fluid. It does show the drusen and atrophy. The left eye shows no subretinal fluid. There is an epiretinal membrane. FUNDUS AUTO FLUORESCENCE: The fundus auto fluorescence shows about 4 mm2 of geographic atrophy in both eyes. The geographic atrophy in the left eye is very close to the fovea and she does have reticular pseudo drusen in both eyes. IMPRESSION: 1. DRY AGE-RELATED MACULAR DEGENERATION – BOTH EYES 2. NON FOVEAL GEOGRAPHIC ATROPHY – RIGHT EYE 3. FOVEAL TOUCHING GEOGRAPHIC ATROPHY – LEFT EYE 4. RETICULAR MACULAR DISEASE – BOTH EYES 5. POSTERIOR CAPSULAR OPACITIES 6. GLAUCOMA DISCUSSION: I explained to the patient she does have dry age-related macular degeneration with thinning of the retina, which is adversely affecting the central vision in the left eye. fortunately, the auto fluorescence pattern in her is relatively low risk and hopefully this will progress slowly. I did ask her to return for a check in two months, because of the recent symptom change in the left eye, just to make sure nothing is growing there.

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Calcified Macular Drusen - Age Related Macular Degeneration - Dry266 views74-year-old woman
OD 20/25, OS 20/32
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Calcified Macular Drusen - Age Related Macular Degeneration - Dry277 views74-year-old woman
OD 20/25, OS 20/32
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Calcified Macular Drusen - Age Related Macular Degeneration - Dry239 views74-year-old woman
OD 20/25, OS 20/32
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Calcified Macular Drusen - Age Related Macular Degeneration - Dry252 views74-year-old woman
OD 20/25, OS 20/32
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Calcified Macular Drusen - Age Related Macular Degeneration - Dry200 views74-year-old woman
OD 20/25, OS 20/32
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163 views74-year-old woman
OD 20/25, OS 20/32
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74-year-old woman was seen in the office on February 2, 2012. She has age-related macular degeneration in both eyes. She has been taking medicines since her cataract surgery in 2003 and then she was a passenger, she was driving along with her family member and at night she noticed the vision in the left eye had substantially changed a few months ago. She saw in the right eye things normally, like a headlight, but in the left eye headlights looked like a boomerang and then when things got closer they looked a little better. That is new and she is concerned about it. She is worried about losing her vision. She does a lot of crafts. She has lost some hearing and she would rather not lose her vision. VISUAL ACUITY: OD 20/25, OS 20/32. IOP: OD 16, OS 18. SLIT EXAMINATION: The posterior chamber intraocular lens is in good position in both eyes with 1+ posterior capsular opacity. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.5. There is posterior vitreous separation. There is non foveal geographic atrophy. There is no subretinal fluid, hemorrhage or exudate. There are calcified drusen. OS: Vertical C/D ratio is 0.5. There is posterior vitreous separation. There is non foveal geographic atrophy. There are calcified drusen. SPECTRALIS-SD-OCT SCAN: The OCT scan of the right eye shows no intraretinal or subretinal fluid. It does show the drusen and atrophy. The left eye shows no subretinal fluid. There is an epiretinal membrane. FUNDUS AUTO FLUORESCENCE: The fundus auto fluorescence shows about 4 mm2 of geographic atrophy in both eyes. The geographic atrophy in the left eye is very close to the fovea and she does have reticular pseudo drusen in both eyes. IMPRESSION: 1. DRY AGE-RELATED MACULAR DEGENERATION – BOTH EYES 2. NON FOVEAL GEOGRAPHIC ATROPHY – RIGHT EYE 3. FOVEAL TOUCHING GEOGRAPHIC ATROPHY – LEFT EYE 4. RETICULAR MACULAR DISEASE – BOTH EYES 5. POSTERIOR CAPSULAR OPACITIES 6. GLAUCOMA DISCUSSION: I explained to the patient she does have dry age-related macular degeneration with thinning of the retina, which is adversely affecting the central vision in the left eye. fortunately, the auto fluorescence pattern in her is relatively low risk and hopefully this will progress slowly. I did ask her to return for a check in two months, because of the recent symptom change in the left eye, just to make sure nothing is growing there.