Last additions - Drusen - Basal Laminar Drusen 60 Year Old Woman 60-year-old woman was seen in the office on 11/30/2010. She has been having some problem with her vision. She was in to see you for comprehensive evaluation recently and you saw a problem with the macula and suggested she come here for an evaluation. She has a new prescription and will probably check back with you because her vision is a little bit hazy.
VISUAL ACUITY: Vision OD is 20/30, PH 20/25; OS is 20/40. IOP: OD 15, OS 14.
AMSLER GRID: Normal in both eyes
SLIT LAMP EXAM: There is 2+ nuclear sclerosis in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.1. There is no posterior vitreous separation. There are pigment epithelial irregularities centrally.
OS: Vertical C/D ratio is 0.1. There is no posterior vitreous separation. There are pigment epithelial irregularities centrally.
OCT SCAN: The OCT scan shows some disruption of the pigment epithelial layer with some loss of photoreceptor integrity. There is no intraretinal or subretinal fluid.
PHOTOGRAPHS: Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAPHY: FA shows immediate hyperfluorescence from the macular drusen, which are mostly basal laminar drusen.
IMPRESSION:
1. BASAL LAMINAR DRUSEN – BOTH EYES
2. DRY AGE-RELATED MACULAR DEGENERATION – BOTH EYES
3. CATARACT
4. HISTORY OF PRISMS IN THE GLASSES
DISCUSSION: I explained to the patient that she does have dry macular degeneration in both eyes but a type that does not generally cause severe vision loss.
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Basal Laminar (cuticular) Drusen both eyes 60 Year Old Woman516 views60-year-old woman with minimal vision loss. Vision OD is 20/30 OS 20/40Jun 20, 2011
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Basal Laminar (cuticular) Drusen both eyes 60 Year Old Woman475 views60-year-old woman with minimal vision loss. Vision OD is 20/30 OS 20/40Jun 20, 2011
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Basal Laminar (cuticular) Drusen both eyes 60 Year Old Woman416 views60-year-old woman with minimal vision loss. Vision OD is 20/30 OS 20/40Jun 20, 2011
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Basal Laminar (cuticular) Drusen both eyes 60 Year Old Woman441 views60-year-old woman with minimal vision loss. Vision OD is 20/30 OS 20/40Jun 20, 2011
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Basal Laminar (cuticular) Drusen both eyes 60 Year Old Woman465 views60-year-old woman with minimal vision loss. Vision OD is 20/30 OS 20/40Jun 20, 2011
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Basal Laminar (cuticular) Drusen both eyes 60 Year Old Woman466 views60-year-old woman with minimal vision loss. Vision OD is 20/30 OS 20/40Jun 20, 2011
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Basal Laminar (cuticular) Drusen both eyes 60 Year Old Woman582 views60-year-old woman with minimal vision loss. Vision OD is 20/30 OS 20/40Jun 20, 2011
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Basal Laminar (cuticular) Drusen both eyes 60 Year Old Woman551 views60-year-old woman with minimal vision loss. Vision OD is 20/30 OS 20/40Jun 20, 2011
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Basal Laminar (cuticular) Drusen both eyes 60 Year Old Woman700 views60-year-old woman with minimal vision loss. Vision OD is 20/30 OS 20/40Jun 20, 2011
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60-year-old woman was seen in the office on 11/30/2010. She has been having some problem with her vision. She was in to see you for comprehensive evaluation recently and you saw a problem with the macula and suggested she come here for an evaluation. She has a new prescription and will probably check back with you because her vision is a little bit hazy.
VISUAL ACUITY: Vision OD is 20/30, PH 20/25; OS is 20/40. IOP: OD 15, OS 14.
AMSLER GRID: Normal in both eyes
SLIT LAMP EXAM: There is 2+ nuclear sclerosis in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.1. There is no posterior vitreous separation. There are pigment epithelial irregularities centrally.
OS: Vertical C/D ratio is 0.1. There is no posterior vitreous separation. There are pigment epithelial irregularities centrally.
OCT SCAN: The OCT scan shows some disruption of the pigment epithelial layer with some loss of photoreceptor integrity. There is no intraretinal or subretinal fluid.
PHOTOGRAPHS: Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAPHY: FA shows immediate hyperfluorescence from the macular drusen, which are mostly basal laminar drusen.
IMPRESSION:
1. BASAL LAMINAR DRUSEN – BOTH EYES
2. DRY AGE-RELATED MACULAR DEGENERATION – BOTH EYES
3. CATARACT
4. HISTORY OF PRISMS IN THE GLASSES
DISCUSSION: I explained to the patient that she does have dry macular degeneration in both eyes but a type that does not generally cause severe vision loss.
