Last additions - Macular Pucker 20/50 Vision Preop 20/25 Postop Vitrectomy PREOP:
59-year-old man was seen in the office on 7/9/2010. He had new onset floaters about a year ago. Subsequent to that his vision was not quite right in the right eye and then he noticed, starting about three weeks ago, substantial change in the vision. In the morning he sees what he calls a small gray circle with a ring of fire around it and then subsequent to that the vision becomes more normal but not quite right. His vision in the left eye is fine. I appreciate the photos from your office which showed a macular pucker in the right eye and your notes documenting the vision change.
VISUAL ACUITY: Vision OD is 20/50, OS is 20/16. IOP: OD 20, OS not dilated. The right eye has 2+ nuclear sclerosis.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.3. There is a posterior vitreous separation and 2+ epiretinal membrane.
OCT SCAN: The OCT scan shows a macular pucker with an average central foveal thickness of 482 microns. The photoreceptors are slightly disrupted, but there is no subretinal fluid.
PHOTOGRAPHS: Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAPHY: FA shows excellent circulation with only minimal leakage consistent with a macular pucker.
IMPRESSION: 1. MACULAR PUCKER – RIGHT EYE
2. VITREOUS SEPARATION – RIGHT EYE
DISCUSSION: I explained to the patient he does have visually significant macular pucker in the right eye. With surgery there is an 80% chance of substantially improving his vision with relatively low risk. I have suggested he consider that within the next three to six months. There is no emergency to the surgery, but I would probably recommend he do it sooner than later. I asked him to see you back regularly. I warned him about the side effects of the surgery. He does obtain some care through the Veteran’s Administration and I do not think it would be unreasonable for him to consider having the surgery done there.
POST OP - 20/25:
6/21/2011. This pleasant 60-year-old man had vitrectomy for a macular pucker in the right eye a year ago. His vision is good.
VISUAL ACUITY: Vision OD is 20/25. IOP: OD 19. The posterior chamber intraocular lens is in good position.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.6. The macula looks flat. The retina is attached.
IMPRESSION:
1. STATUS POST VITRECTOMY FOR MACULAR PUCKER – RIGHT EYE
DISCUSSION: I explained to the patient the right eye looks lovely. I told him he does not need to return here unless you or he note further problems.
|
Macular Pucker - 3 Weeks Vision Loss - 20/50 Vision - Preoperative Images545 viewsPREOP:
59-year-old man new onset floaters about a year ago. Subsequent to that his vision was not quite right in the right eye and then he noticed, starting about three weeks ago, substantial change in the vision. VISUAL ACUITY: Vision OD is 20/50, OS is 20/16Jun 28, 2011
|
|
Macular Pucker - 3 Weeks Vision Loss - 20/50 Vision - Preoperative Images484 viewsPREOP:
59-year-old man new onset floaters about a year ago. Subsequent to that his vision was not quite right in the right eye and then he noticed, starting about three weeks ago, substantial change in the vision. VISUAL ACUITY: Vision OD is 20/50, OS is 20/16Jun 28, 2011
|
|
Macular Pucker - 3 Weeks Vision Loss - 20/50 Vision - Preoperative Images524 viewsPREOP:
59-year-old man new onset floaters about a year ago. Subsequent to that his vision was not quite right in the right eye and then he noticed, starting about three weeks ago, substantial change in the vision. VISUAL ACUITY: Vision OD is 20/50, OS is 20/16Jun 28, 2011
|
|
Macular Pucker - 3 Weeks Vision Loss - 20/50 Vision - Preoperative Images546 viewsPREOP:
59-year-old man new onset floaters about a year ago. Subsequent to that his vision was not quite right in the right eye and then he noticed, starting about three weeks ago, substantial change in the vision. VISUAL ACUITY: Vision OD is 20/50, OS is 20/16Jun 28, 2011
|
|
Macular Pucker - 3 Weeks Vision Loss - 20/50 Vision - Preoperative Images444 viewsPREOP:
59-year-old man new onset floaters about a year ago. Subsequent to that his vision was not quite right in the right eye and then he noticed, starting about three weeks ago, substantial change in the vision. VISUAL ACUITY: Vision OD is 20/50, OS is 20/16Jun 28, 2011
|
|
Macular Pucker - 3 Weeks Vision Loss - 20/50 Vision - Preoperative Images434 viewsPREOP:
59-year-old man new onset floaters about a year ago. Subsequent to that his vision was not quite right in the right eye and then he noticed, starting about three weeks ago, substantial change in the vision. VISUAL ACUITY: Vision OD is 20/50, OS is 20/16Jun 28, 2011
|
|
Macular Pucker - 3 Weeks Vision Loss - 20/50 Vision - Preoperative Images508 viewsPREOP:
59-year-old man new onset floaters about a year ago. Subsequent to that his vision was not quite right in the right eye and then he noticed, starting about three weeks ago, substantial change in the vision. VISUAL ACUITY: Vision OD is 20/50, OS is 20/16Jun 28, 2011
|
|
Macular Pucker - 3 Weeks Vision Loss - 20/50 Vision - Preoperative Images510 viewsPREOP:
59-year-old man new onset floaters about a year ago. Subsequent to that his vision was not quite right in the right eye and then he noticed, starting about three weeks ago, substantial change in the vision. VISUAL ACUITY: Vision OD is 20/50, OS is 20/16Jun 28, 2011
|
|
Macular Pucker - 1 year after Vitrectomy - 20/25 Vision - Postoperative Images494 views60-year-old man had vitrectomy for a macular pucker in the right eye a year ago. His vision is good.
VISUAL ACUITY: Vision OD is 20/25 Eye is now pseudophakicJun 28, 2011
|
|
Macular Pucker - 1 year after Vitrectomy - 20/25 Vision - Postoperative Images535 views60-year-old man had vitrectomy for a macular pucker in the right eye a year ago. His vision is good.
VISUAL ACUITY: Vision OD is 20/25 Eye is now pseudophakicJun 28, 2011
|
|
Macular Pucker - 1 year after Vitrectomy - 20/25 Vision - Postoperative Images665 views60-year-old man had vitrectomy for a macular pucker in the right eye a year ago. His vision is good.
VISUAL ACUITY: Vision OD is 20/25 Eye is now pseudophakicJun 28, 2011
|
|
Macular Pucker - 1 year after Vitrectomy - 20/25 Vision - Postoperative Images585 views60-year-old man had vitrectomy for a macular pucker in the right eye a year ago. His vision is good.
VISUAL ACUITY: Vision OD is 20/25 Eye is now pseudophakicJun 28, 2011
|
|
Macular Pucker - 1 year after Vitrectomy - 20/25 Vision - Postoperative Images548 views60-year-old man had vitrectomy for a macular pucker in the right eye a year ago. His vision is good.
VISUAL ACUITY: Vision OD is 20/25 Eye is now pseudophakicJun 28, 2011
|
|
Macular Pucker - 1 year after Vitrectomy - 20/25 Vision - Postoperative Images600 views60-year-old man had vitrectomy for a macular pucker in the right eye a year ago. His vision is good.
VISUAL ACUITY: Vision OD is 20/25 Eye is now pseudophakicJun 28, 2011
|
|
Macular Pucker - 1 year after Vitrectomy - 20/25 Vision - Postoperative Images589 views60-year-old man had vitrectomy for a macular pucker in the right eye a year ago. His vision is good.
VISUAL ACUITY: Vision OD is 20/25 Eye is now pseudophakicJun 28, 2011
|
|
|
|
|
PREOP:
59-year-old man was seen in the office on 7/9/2010. He had new onset floaters about a year ago. Subsequent to that his vision was not quite right in the right eye and then he noticed, starting about three weeks ago, substantial change in the vision. In the morning he sees what he calls a small gray circle with a ring of fire around it and then subsequent to that the vision becomes more normal but not quite right. His vision in the left eye is fine. I appreciate the photos from your office which showed a macular pucker in the right eye and your notes documenting the vision change.
VISUAL ACUITY: Vision OD is 20/50, OS is 20/16. IOP: OD 20, OS not dilated. The right eye has 2+ nuclear sclerosis.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.3. There is a posterior vitreous separation and 2+ epiretinal membrane.
OCT SCAN: The OCT scan shows a macular pucker with an average central foveal thickness of 482 microns. The photoreceptors are slightly disrupted, but there is no subretinal fluid.
PHOTOGRAPHS: Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAPHY: FA shows excellent circulation with only minimal leakage consistent with a macular pucker.
IMPRESSION: 1. MACULAR PUCKER – RIGHT EYE
2. VITREOUS SEPARATION – RIGHT EYE
DISCUSSION: I explained to the patient he does have visually significant macular pucker in the right eye. With surgery there is an 80% chance of substantially improving his vision with relatively low risk. I have suggested he consider that within the next three to six months. There is no emergency to the surgery, but I would probably recommend he do it sooner than later. I asked him to see you back regularly. I warned him about the side effects of the surgery. He does obtain some care through the Veteran’s Administration and I do not think it would be unreasonable for him to consider having the surgery done there.
POST OP - 20/25:
6/21/2011. This pleasant 60-year-old man had vitrectomy for a macular pucker in the right eye a year ago. His vision is good.
VISUAL ACUITY: Vision OD is 20/25. IOP: OD 19. The posterior chamber intraocular lens is in good position.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.6. The macula looks flat. The retina is attached.
IMPRESSION:
1. STATUS POST VITRECTOMY FOR MACULAR PUCKER – RIGHT EYE
DISCUSSION: I explained to the patient the right eye looks lovely. I told him he does not need to return here unless you or he note further problems.
