72-year-old man has age-related macular degeneration in both eyes. He also has diabetic retinopathy. He has had macular and peripheral laser done in the past. I have been seeing him for years now and I have not done any treatment. He takes Alphagan for his glaucoma. He was last here two years ago and he noticed his vision, although limited, seems about stable to him. He is diabetic for 22 years. VISUAL ACUITY: Vision OD is 20/160, OS is 20/160. IOP: OD 15, OS 14. Posterior chamber intraocular lens is in good position in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.5. There is extensive macular and peripheral scarring. OS: Vertical C/D ratio is 0.5. There is extensive macular and peripheral scarring. OCT SCAN: The OCT scan shows retinal atrophy. PHOTOGRAPHS: Photos confirm clinical findings. FLUORESCEIN ANGIOGRAPHY: FA shows predominantly hypofluorescence corresponding to the laser spots and geographic atrophy. There is no staining or leakage in either eye nor is there any sign of any diabetic retinopathy. IMPRESSION: 1. QUIESCENT DIABETIC RETINOPATHY 2. MACULAR AND PERIPHERAL LASER – BOTH EYES 3. GEOGRAPHIC ATROPHY – LEFT EYE DISCUSSION: I explained to the patient the macular scarring all looks about stable to me. |
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72-year-old man has age-related macular degeneration in both eyes. He also has diabetic retinopathy. He has had macular and peripheral laser done in the past. I have been seeing him for years now and I have not done any treatment. He takes Alphagan for his glaucoma. He was last here two years ago and he noticed his vision, although limited, seems about stable to him. He is diabetic for 22 years. VISUAL ACUITY: Vision OD is 20/160, OS is 20/160. IOP: OD 15, OS 14. Posterior chamber intraocular lens is in good position in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.5. There is extensive macular and peripheral scarring. OS: Vertical C/D ratio is 0.5. There is extensive macular and peripheral scarring. OCT SCAN: The OCT scan shows retinal atrophy. PHOTOGRAPHS: Photos confirm clinical findings. FLUORESCEIN ANGIOGRAPHY: FA shows predominantly hypofluorescence corresponding to the laser spots and geographic atrophy. There is no staining or leakage in either eye nor is there any sign of any diabetic retinopathy. IMPRESSION: 1. QUIESCENT DIABETIC RETINOPATHY 2. MACULAR AND PERIPHERAL LASER – BOTH EYES 3. GEOGRAPHIC ATROPHY – LEFT EYE DISCUSSION: I explained to the patient the macular scarring all looks about stable to me.
