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Last additions - Central Areolar Choroidal Sclerosis (Dystrophy - Degeneration) 61-year-old man has central areolar choroidal sclerosis. His vision is a little worse. VISUAL ACUITY: Vision without correction OD is 20/100, OS is 20/80. IOP: 15 OD, 14 OS. The right eye has a posterior chamber intraocular lens in good position. The left eye has 3+ nuclear sclerosis. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.2. There is macular atrophy. OS: Vertical C/D ratio is 0.2. There is macular atrophy. OCT SCAN: The OCT scan shows retinal atrophy. There is no intraretinal or subretinal fluid. IMPRESSION: 1. CENTRAL AREOLAR CHOROIDAL SCLEROSIS DISCUSSION: I explained to the patient the maculae are stable. I asked him to return in a year, sooner should he notice a problem. He is taking fish oil and I suggested lutein might be a good idea. I do not know if zinc is a good idea for him because of his cognitive function problems.
Central Areolar Choroidal Sclerosis1168 viewsElderly man with poor central vision starting in his 50'sDec 11, 2011	Central Areolar Choroidal Sclerosis989 viewsElderly man with poor central vision starting in his 50'sDec 11, 2011
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61-year-old man has central areolar choroidal sclerosis. His vision is a little worse. VISUAL ACUITY: Vision without correction OD is 20/100, OS is 20/80. IOP: 15 OD, 14 OS. The right eye has a posterior chamber intraocular lens in good position. The left eye has 3+ nuclear sclerosis. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.2. There is macular atrophy. OS: Vertical C/D ratio is 0.2. There is macular atrophy. OCT SCAN: The OCT scan shows retinal atrophy. There is no intraretinal or subretinal fluid. IMPRESSION: 1. CENTRAL AREOLAR CHOROIDAL SCLEROSIS DISCUSSION: I explained to the patient the maculae are stable. I asked him to return in a year, sooner should he notice a problem. He is taking fish oil and I suggested lutein might be a good idea. I do not know if zinc is a good idea for him because of his cognitive function problems.