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Derniers ajouts - Drusen - Basal Laminar and Equatorial 70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. I saw her back in April of 2008. VISUAL ACUITY: Her vision is OD 20/16, OS 10/200. IOP: OD 17, OS 19. The posterior chamber intraocular lens is in good position in both eyes. The left eye has an open capsule. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.1. There are 2+ macular drusen. There is no subretinal fluid, hemorrhage, or exudate. OS: Vertical C/D ratio is 0.1. There are 2+ macular drusen. There is an area of geographic atrophy, 2-disc areas in size, centered temporal to the fovea which involves the foveal center. OCT SCAN: There is no intraretinal or subretinal fluid in either eye. There is, however, retinal atrophy, more in the left eye than the right. PHOTOGRAPHS: Photos confirm clinical findings. FLUORESCEIN ANGIOGRAPHY: FA shows speckled hyperfluorescence consistent with basal laminar drusen with a radiating pattern out in the far periphery and hyperfluorescence in the macula of the left eye, consistent with geographic atrophy. There is no evidence of any neovascularization in either eye. IMPRESSION: 1. BASAL LAMINAR DRUSEN – BOTH EYES 2. FOVEAL GEOGRAPHIC ATROPHY – LEFT EYE 3. DRY MACULAR DEGENERATION – BOTH EYES DISCUSSION: I explained to the patient the left eye does unfortunately have increasing retinal atrophy. At the moment there is no treatment for that, but in time there may be something we can offer.
Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Fluorescein Angiogram Montage Left Eyevu 614 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Fluorescein Angiogram Montage Right Eyevu 500 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vu 481 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vu 352 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011
Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vu 424 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vu 336 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vu 383 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vu 372 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011
Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vu 366 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vu 361 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vu 339 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vu 388 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011
Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vu 417 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vu 364 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Early FA Shows Cuticular Drusen like Starsvu 590 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vu 351 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011
Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vu 363 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vu 351 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vu 371 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman Line Scan Left Eyevu 358 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011
Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - OCT Line Scan Right Eyevu 398 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - OCT Mapvu 470 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vu 424 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vu 431 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011
Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vu 390 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Fundus Photo Left Eyevu 474 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman Fundus Photo - Geographic Atrophyvu 612 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Photo Montage Left Eyevu 614 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011
Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Photo Montage Right Eyevu 1110 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Optic Nerve Photo Right Eyevu 788 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vu 1034 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Photo Equatorvu 886 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011
Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vu 1378 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Macular Photo Right Eyevu 1561 fois70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.18 Septembre 2011
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70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. I saw her back in April of 2008. VISUAL ACUITY: Her vision is OD 20/16, OS 10/200. IOP: OD 17, OS 19. The posterior chamber intraocular lens is in good position in both eyes. The left eye has an open capsule. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.1. There are 2+ macular drusen. There is no subretinal fluid, hemorrhage, or exudate. OS: Vertical C/D ratio is 0.1. There are 2+ macular drusen. There is an area of geographic atrophy, 2-disc areas in size, centered temporal to the fovea which involves the foveal center. OCT SCAN: There is no intraretinal or subretinal fluid in either eye. There is, however, retinal atrophy, more in the left eye than the right. PHOTOGRAPHS: Photos confirm clinical findings. FLUORESCEIN ANGIOGRAPHY: FA shows speckled hyperfluorescence consistent with basal laminar drusen with a radiating pattern out in the far periphery and hyperfluorescence in the macula of the left eye, consistent with geographic atrophy. There is no evidence of any neovascularization in either eye. IMPRESSION: 1. BASAL LAMINAR DRUSEN – BOTH EYES 2. FOVEAL GEOGRAPHIC ATROPHY – LEFT EYE 3. DRY MACULAR DEGENERATION – BOTH EYES DISCUSSION: I explained to the patient the left eye does unfortunately have increasing retinal atrophy. At the moment there is no treatment for that, but in time there may be something we can offer.