Unknown - Macular Dystrophy
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59-year-old man has macular dystrophy in both eyes. He saw Dr. Gass in 1989, at which time Dr. Gass thought it might be post inflammatory. Interestingly, at this point he still does not have a diagnosis other than macular dystrophy. His vision since he was here last is reasonably stable.
He has been diabetic for eight years. He had LASIK surgery done in 1998. He was a high myope, about a -10 and now he is about a -3. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. Dr. Gass felt maybe this was an atypical case of previous AMPPE. Otherwise he is in good health. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/30. IOP: OD 14, OS 13. The lenses are clear.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.2. There are no vitreous cells. The retinal vessels are slightly attenuated. The retina is very thin looking.
OS: Vertical C/D ratio is 0.2. Again, the retinal vessels are attenuated. The retina does appear to be thin looking.
OCT SCAN: The OCT scan shows retinal atrophy in both eyes.
IMPRESSION:
1. RETINAL ATROPHY – BOTH EYES
DISCUSSION: I explained to the patient his maculae are thin and have a dystrophic appearance. At this point it is of some nonacademic interest to learn what exactly is wrong with his maculae because there are now genetic therapies for a small subset of retinal diseases.
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Non-specific (uncharaterized / unknown) Macular Dystrophy vu 711 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy vu 555 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy vu 477 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy vu 498 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy - FAFvu 545 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy - FAFvu 540 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy vu 490 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy vu 496 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy VIDEO TAKES TIME TO LOADvu 455 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy VIDEO TAKES TIME TO LOADvu 472 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy vu 460 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy vu 431 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy vu 451 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy vu 412 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy vu 416 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy vu 429 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy vu 432 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy vu 482 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy vu 506 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy vu 526 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy vu 483 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy vu 474 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy vu 469 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy vu 461 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy vu 426 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy - ICGvu 478 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy - ICGvu 423 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy - ICGvu 479 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy - ICGvu 518 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy - ICGvu 477 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy - ICGvu 460 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy - ICGvu 502 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy - ICGvu 501 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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Non-specific (uncharaterized / unknown) Macular Dystrophy - ICGvu 585 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
(0 votes)
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59-year-old man has macular dystrophy in both eyes. He saw Dr. Gass in 1989, at which time Dr. Gass thought it might be post inflammatory. Interestingly, at this point he still does not have a diagnosis other than macular dystrophy. His vision since he was here last is reasonably stable.
He has been diabetic for eight years. He had LASIK surgery done in 1998. He was a high myope, about a -10 and now he is about a -3. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. Dr. Gass felt maybe this was an atypical case of previous AMPPE. Otherwise he is in good health. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/30. IOP: OD 14, OS 13. The lenses are clear.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.2. There are no vitreous cells. The retinal vessels are slightly attenuated. The retina is very thin looking.
OS: Vertical C/D ratio is 0.2. Again, the retinal vessels are attenuated. The retina does appear to be thin looking.
OCT SCAN: The OCT scan shows retinal atrophy in both eyes.
IMPRESSION:
1. RETINAL ATROPHY – BOTH EYES
DISCUSSION: I explained to the patient his maculae are thin and have a dystrophic appearance. At this point it is of some nonacademic interest to learn what exactly is wrong with his maculae because there are now genetic therapies for a small subset of retinal diseases.
