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Macular Pucker Good Vision (20/30) 64-year-old woman was seen in the office on 5/24/11. She has noticed decreased vision in the left eye for about six months. You saw a wrinkle on the eye and suggested she come in here for an evaluation. She had radial keratotomy done 20 years ago. VISUAL ACUITY: OD 20/25, OS 20/30. IOP: OD 17, OS 15. She has radial keratotomy cuts in both eyes with 3+ nuclear sclerosis. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.3. There is no posterior vitreous separation. The macula and periphery look healthy. OS: Vertical C/D ratio is 0.3. There is posterior vitreous separation and 1+ epiretinal membrane. OCT SCAN: The OCT scan does show a macular pucker in the left eye. The average central foveal thickness in the right eye is 210 microns and the left eye is 374 microns. Photos confirm clinical findings. IMPRESSION: 1. MACULAR PUCKER – LEFT EYE DISCUSSION: I explained to the patient she does have a macular pucker but with vision of 20/30, the risk of surgery is unlikely to have potential benefit. I asked her to return one more time in about four months. I assured her only about 10% of macular puckers progress.
Macular Pucker 20/30 Good Vision 521 views64-year-old woman decreased vision in the left eye for about six months. You saw a wrinkle on the eye and suggested she come in here for an evaluation. She had radial keratotomy done 20 years ago. VISUAL ACUITY: OD 20/25, OS 20/30 (0 votes)	Macular Pucker 20/30 Good Vision 465 views64-year-old woman decreased vision in the left eye for about six months. You saw a wrinkle on the eye and suggested she come in here for an evaluation. She had radial keratotomy done 20 years ago. VISUAL ACUITY: OD 20/25, OS 20/30 (0 votes)	Macular Pucker 20/30 Good Vision 519 views64-year-old woman decreased vision in the left eye for about six months. You saw a wrinkle on the eye and suggested she come in here for an evaluation. She had radial keratotomy done 20 years ago. VISUAL ACUITY: OD 20/25, OS 20/30 (0 votes)	Macular Pucker 20/30 Good Vision 525 views64-year-old woman decreased vision in the left eye for about six months. You saw a wrinkle on the eye and suggested she come in here for an evaluation. She had radial keratotomy done 20 years ago. VISUAL ACUITY: OD 20/25, OS 20/30 (0 votes)
Macular Pucker 20/30 Good Vision 454 views64-year-old woman decreased vision in the left eye for about six months. You saw a wrinkle on the eye and suggested she come in here for an evaluation. She had radial keratotomy done 20 years ago. VISUAL ACUITY: OD 20/25, OS 20/30 (0 votes)
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64-year-old woman was seen in the office on 5/24/11. She has noticed decreased vision in the left eye for about six months. You saw a wrinkle on the eye and suggested she come in here for an evaluation. She had radial keratotomy done 20 years ago. VISUAL ACUITY: OD 20/25, OS 20/30. IOP: OD 17, OS 15. She has radial keratotomy cuts in both eyes with 3+ nuclear sclerosis. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.3. There is no posterior vitreous separation. The macula and periphery look healthy. OS: Vertical C/D ratio is 0.3. There is posterior vitreous separation and 1+ epiretinal membrane. OCT SCAN: The OCT scan does show a macular pucker in the left eye. The average central foveal thickness in the right eye is 210 microns and the left eye is 374 microns. Photos confirm clinical findings. IMPRESSION: 1. MACULAR PUCKER – LEFT EYE DISCUSSION: I explained to the patient she does have a macular pucker but with vision of 20/30, the risk of surgery is unlikely to have potential benefit. I asked her to return one more time in about four months. I assured her only about 10% of macular puckers progress.