Last additions - Geographic Atophy and Diabetic Macular Laser Scars (30 years old) 72-year-old man has age-related macular degeneration in both eyes. He also has diabetic retinopathy. He has had macular and peripheral laser done in the past. I have been seeing him for years now and I have not done any treatment. He takes Alphagan for his glaucoma. He was last here two years ago and he noticed his vision, although limited, seems about stable to him. He is diabetic for 22 years.
VISUAL ACUITY: Vision OD is 20/160, OS is 20/160. IOP: OD 15, OS 14. Posterior chamber intraocular lens is in good position in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.5. There is extensive macular and peripheral scarring.
OS: Vertical C/D ratio is 0.5. There is extensive macular and peripheral scarring.
OCT SCAN: The OCT scan shows retinal atrophy.
PHOTOGRAPHS: Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAPHY: FA shows predominantly hypofluorescence corresponding to the laser spots and geographic atrophy. There is no staining or leakage in either eye nor is there any sign of any diabetic retinopathy.
IMPRESSION: 1. QUIESCENT DIABETIC RETINOPATHY
2. MACULAR AND PERIPHERAL LASER – BOTH EYES
3. GEOGRAPHIC ATROPHY – LEFT EYE
DISCUSSION: I explained to the patient the macular scarring all looks about stable to me.
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Macular Atrophy - Macular Degeneration and Previous Diabetic Macular Laser 72 Year Old Man481 views72-year-old man has age-related macular degeneration who had macular and peripheral laser done 30 years ago for diabetic retinopathy. He has developed worsening macular atrophy in both eyesMay 13, 2011
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Macular Atrophy - Macular Degeneration and Previous Diabetic Macular Laser 72 Year Old Man457 views72-year-old man has age-related macular degeneration who had macular and peripheral laser done 30 years ago for diabetic retinopathy. He has developed worsening macular atrophy in both eyesMay 13, 2011
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Macular Atrophy - Macular Degeneration and Previous Diabetic Macular Laser 72 Year Old Man463 views72-year-old man has age-related macular degeneration who had macular and peripheral laser done 30 years ago for diabetic retinopathy. He has developed worsening macular atrophy in both eyesMay 13, 2011
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Macular Atrophy - Macular Degeneration and Previous Diabetic Macular Laser 72 Year Old Man442 views72-year-old man has age-related macular degeneration who had macular and peripheral laser done 30 years ago for diabetic retinopathy. He has developed worsening macular atrophy in both eyesMay 13, 2011
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Macular Atrophy - Macular Degeneration and Previous Diabetic Macular Laser 72 Year Old Man440 views72-year-old man has age-related macular degeneration who had macular and peripheral laser done 30 years ago for diabetic retinopathy. He has developed worsening macular atrophy in both eyesMay 13, 2011
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Macular Atrophy - Macular Degeneration and Previous Diabetic Macular Laser 72 Year Old Man435 views72-year-old man has age-related macular degeneration who had macular and peripheral laser done 30 years ago for diabetic retinopathy. He has developed worsening macular atrophy in both eyesMay 13, 2011
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Macular Atrophy - Macular Degeneration and Previous Diabetic Macular Laser 72 Year Old Man447 views72-year-old man has age-related macular degeneration who had macular and peripheral laser done 30 years ago for diabetic retinopathy. He has developed worsening macular atrophy in both eyesMay 13, 2011
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Macular Atrophy - Macular Degeneration and Previous Diabetic Macular Laser 72 Year Old Man424 views72-year-old man has age-related macular degeneration who had macular and peripheral laser done 30 years ago for diabetic retinopathy. He has developed worsening macular atrophy in both eyesMay 13, 2011
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Macular Atrophy - Macular Degeneration and Previous Diabetic Macular Laser 72 Year Old Man438 views72-year-old man has age-related macular degeneration who had macular and peripheral laser done 30 years ago for diabetic retinopathy. He has developed worsening macular atrophy in both eyesMay 13, 2011
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Macular Atrophy - Macular Degeneration and Previous Diabetic Macular Laser 72 Year Old Man448 views72-year-old man has age-related macular degeneration who had macular and peripheral laser done 30 years ago for diabetic retinopathy. He has developed worsening macular atrophy in both eyesMay 13, 2011
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Macular Atrophy - Macular Degeneration and Previous Diabetic Macular Laser 72 Year Old Man505 views72-year-old man has age-related macular degeneration who had macular and peripheral laser done 30 years ago for diabetic retinopathy. He has developed worsening macular atrophy in both eyesMay 13, 2011
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Macular Atrophy - Macular Degeneration and Previous Diabetic Macular Laser 72 Year Old Man447 views72-year-old man has age-related macular degeneration who had macular and peripheral laser done 30 years ago for diabetic retinopathy. He has developed worsening macular atrophy in both eyesMay 13, 2011
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Macular Atrophy - Macular Degeneration and Previous Diabetic Macular Laser 72 Year Old Man534 views72-year-old man has age-related macular degeneration who had macular and peripheral laser done 30 years ago for diabetic retinopathy. He has developed worsening macular atrophy in both eyesMay 13, 2011
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Macular Atrophy - Macular Degeneration and Previous Diabetic Macular Laser 72 Year Old Man606 views72-year-old man has age-related macular degeneration who had macular and peripheral laser done 30 years ago for diabetic retinopathy. He has developed worsening macular atrophy in both eyesMay 13, 2011
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Macular Atrophy - Macular Degeneration and Previous Diabetic Macular Laser 72 Year Old Man615 views72-year-old man has age-related macular degeneration who had macular and peripheral laser done 30 years ago for diabetic retinopathy. He has developed worsening macular atrophy in both eyesMay 13, 2011
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72-year-old man has age-related macular degeneration in both eyes. He also has diabetic retinopathy. He has had macular and peripheral laser done in the past. I have been seeing him for years now and I have not done any treatment. He takes Alphagan for his glaucoma. He was last here two years ago and he noticed his vision, although limited, seems about stable to him. He is diabetic for 22 years.
VISUAL ACUITY: Vision OD is 20/160, OS is 20/160. IOP: OD 15, OS 14. Posterior chamber intraocular lens is in good position in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.5. There is extensive macular and peripheral scarring.
OS: Vertical C/D ratio is 0.5. There is extensive macular and peripheral scarring.
OCT SCAN: The OCT scan shows retinal atrophy.
PHOTOGRAPHS: Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAPHY: FA shows predominantly hypofluorescence corresponding to the laser spots and geographic atrophy. There is no staining or leakage in either eye nor is there any sign of any diabetic retinopathy.
IMPRESSION: 1. QUIESCENT DIABETIC RETINOPATHY
2. MACULAR AND PERIPHERAL LASER – BOTH EYES
3. GEOGRAPHIC ATROPHY – LEFT EYE
DISCUSSION: I explained to the patient the macular scarring all looks about stable to me.
