Last additions - Drusen - Soft Confluent Maculopathy - Hydrophobic 73-year-old woman who I saw in the office on December 15, 2008. She did not have any specific visual complaints, but in retrospect she noticed when she saw you the vision in the left eye was not as good as it had been, probably scratches in the cornea over the last two years. She is diabetic for thirteen years. She is also on Coumadin for her heart disease.
VISUAL ACUITY: OD 20/25, OS 20/50. IOP: 10 OU.
SLIT EXAMINATION: The posterior chamber intraocular lens is in good position in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.2. There is no posterior vitreous separation and there is 2+ macular drusen.
OS: Vertical C/D ration is 0.2. There is no posterior vitreous separation and there is 3+ macular drusen. There are confluent drusen under the fovea.
OCT SCAN: The OCT scan shows pigment epithelial thickening in both eyes, consistent with confluent drusen. There is no intraretinal or subretinal fluid. Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAM: The fluorescein angiogram shows predominately hypofluorescence in the macula. In the mid frames and the late frames there is minimal staining of the drusen, but there is no evidence of any choroidal neovascularization.
IMPRESSION:
1. DRY AGE-RELATED MACULAR DEGENERATION – BOTH EYES
2. DRUSEN MACUOPATHY – BOTH EYES
DISCUSSION: I explained to the patient because the vision in the left eye is worse than the right eye and because of the small possibility of a low-grade occult neovascular membrane in the left eye, I suggest she return for a check in three months. I asked her to take eye vitamins, Lutein, Zeaxanthan, and Omega III fatty acids.
I asked her to eat a healthy diet. She does need to watch that a little bit though, because of her Coumadin and abide by any restrictions placed on her by her Coumadin doctors. I asked her to return here for a check urgently should she notice any problem and to return here in three months and see you regularly.
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Drusen Maculopathy - Confluent Subfoveal Soft Hydrophobic Drusen - Yellow Drusen in Center of the Macula1363 viewsMar 29, 2011
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Drusen Maculopathy - Confluent Subfoveal Soft Hydrophobic Drusen - Early Fluorescein Angiogram Drusen do not yet stain904 views73-year-old woman. She is diabetic for thirteen years. She is also on Coumadin for her heart disease.
VISUAL ACUITY: OD 20/25, OS 20/50. Nov 03, 2010
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Drusen Maculopathy - Confluent Subfoveal Soft Hydrophobic Drusen - Mid Phase Fluorescein Angiogram Drusen Stain 736 views73-year-old woman. She is diabetic for thirteen years. She is also on Coumadin for her heart disease.
VISUAL ACUITY: OD 20/25, OS 20/50. Nov 03, 2010
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Drusen Maculopathy - Confluent Subfoveal Soft Hydrophobic Drusen - Early Fluorescein Angiogram Drusen do not yet Stain708 views73-year-old woman. She is diabetic for thirteen years. She is also on Coumadin for her heart disease.
VISUAL ACUITY: OD 20/25, OS 20/50. Nov 03, 2010
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Drusen Maculopathy - Confluent Subfoveal Soft Hydrophobic Drusen - Red Free Image shows Confluent Drusen 886 views73-year-old woman. She is diabetic for thirteen years. She is also on Coumadin for her heart disease.
VISUAL ACUITY: OD 20/25, OS 20/50. Nov 03, 2010
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Drusen Maculopathy - Confluent Subfoveal Soft Hydrophobic Drusen - AMD OU Red Free Image shows Confluent Drusen 792 views73-year-old woman. She is diabetic for thirteen years. She is also on Coumadin for her heart disease.
VISUAL ACUITY: OD 20/25, OS 20/50. Nov 03, 2010
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Drusen Maculopathy - Confluent Subfoveal Soft Hydrophobic Drusen - OCT Line Scan Shows Thickening Under Retina with Retinal Thinning755 views73-year-old woman. She is diabetic for thirteen years. She is also on Coumadin for her heart disease.
VISUAL ACUITY: OD 20/25, OS 20/50. Nov 03, 2010
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Drusen Maculopathy - Confluent Subfoveal Soft Hydrophobic Drusen - AMD OU- OCT Line Scan Shows Thickening Under Retina with Retinal Thinning748 views73-year-old woman. She is diabetic for thirteen years. She is also on Coumadin for her heart disease.
VISUAL ACUITY: OD 20/25, OS 20/50. Nov 03, 2010
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Drusen Maculopathy - Confluent Subfoveal Soft Hydrophobic Drusen - Yellow Drusen in Center of the Macula940 views73-year-old woman. She is diabetic for thirteen years. She is also on Coumadin for her heart disease.
VISUAL ACUITY: OD 20/25, OS 20/50. Nov 03, 2010
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Drusen Maculopathy - Confluent Subfoveal Soft Hydrophobic Drusen - Yellow Drusen in the Center of the Macula864 views73-year-old woman. She is diabetic for thirteen years. She is also on Coumadin for her heart disease.
VISUAL ACUITY: OD 20/25, OS 20/50. Nov 03, 2010
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Drusen Maculopathy - Confluent Subfoveal Soft Hydrophobic Drusen - Early Fluorescein Shows no Staining of Drusen670 views73-year-old woman. She is diabetic for thirteen years. She is also on Coumadin for her heart disease.
VISUAL ACUITY: OD 20/25, OS 20/50. Nov 03, 2010
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73-year-old woman who I saw in the office on December 15, 2008. She did not have any specific visual complaints, but in retrospect she noticed when she saw you the vision in the left eye was not as good as it had been, probably scratches in the cornea over the last two years. She is diabetic for thirteen years. She is also on Coumadin for her heart disease.
VISUAL ACUITY: OD 20/25, OS 20/50. IOP: 10 OU.
SLIT EXAMINATION: The posterior chamber intraocular lens is in good position in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.2. There is no posterior vitreous separation and there is 2+ macular drusen.
OS: Vertical C/D ration is 0.2. There is no posterior vitreous separation and there is 3+ macular drusen. There are confluent drusen under the fovea.
OCT SCAN: The OCT scan shows pigment epithelial thickening in both eyes, consistent with confluent drusen. There is no intraretinal or subretinal fluid. Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAM: The fluorescein angiogram shows predominately hypofluorescence in the macula. In the mid frames and the late frames there is minimal staining of the drusen, but there is no evidence of any choroidal neovascularization.
IMPRESSION:
1. DRY AGE-RELATED MACULAR DEGENERATION – BOTH EYES
2. DRUSEN MACUOPATHY – BOTH EYES
DISCUSSION: I explained to the patient because the vision in the left eye is worse than the right eye and because of the small possibility of a low-grade occult neovascular membrane in the left eye, I suggest she return for a check in three months. I asked her to take eye vitamins, Lutein, Zeaxanthan, and Omega III fatty acids.
I asked her to eat a healthy diet. She does need to watch that a little bit though, because of her Coumadin and abide by any restrictions placed on her by her Coumadin doctors. I asked her to return here for a check urgently should she notice any problem and to return here in three months and see you regularly.
