Scar - Radiating Chorioretinal Folds Disciform Scar
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79-year-old woman has wet age-related macular degeneration in both eyes. The left eye had intravitreal injections of Avastin starting in May of 2009. Her vision remains good in the left eye and poor in the right eye.
VISUAL ACUITY: OD 8/200, OS 20/60. IOP: OD 10, OS 11. The posterior chamber intraocular lens is in good position in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.5. There is a macular scar centrally.
OS: Vertical C/D ratio is 0.3. There are patchy hyperpigment spots in the macula. Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography of the right eye shows radiating chorioretinal folds around the macular scar. In the left eye there are hyperpigment spots around the macula with hyper and hypofluorescence. There is no evidence of any neovascularization.
IMPRESSION:
1. WET AGE-RELATED MACULAR DEGENERATION – LEFT EYE
2. INVOLUTED SUBFOVEAL CHOROIDAL NEOVASCULAR MEMBRANE – LEFT EYE
3. MACULAR SCAR – RIGHT EYE
DISCUSSION: I explained to the patient the macula in the left eye remains dry. I treated the left eye with intravitreal injection of Avastin (1.25 mg/0.05 ml) without any difficulty today. I asked her to return in two months or sooner if she should notice a problem and see you back periodically.
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Chorioretinal Scar with Radiating Chorioretinal Folds830 views79-year-old woman has wet age-related macular degeneration in both eyes. The left eye had intravitreal injections of Avastin starting in May of 2009. Her vision remains good in the left eye and poor in the right eye.
VISUAL ACUITY: OD 8/200, OS 20/60.
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Chorioretinal Scar with Radiating Chorioretinal Folds505 views79-year-old woman has wet age-related macular degeneration in both eyes. The left eye had intravitreal injections of Avastin starting in May of 2009. Her vision remains good in the left eye and poor in the right eye.
VISUAL ACUITY: OD 8/200, OS 20/60.
(0 votes)
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Wet AMD controlled with Avastin 20/60 Vision464 views79-year-old woman has wet age-related macular degeneration in both eyes. The left eye had intravitreal injections of Avastin starting in May of 2009. Her vision remains good in the left eye and poor in the right eye.
VISUAL ACUITY: OD 8/200, OS 20/60.
(0 votes)
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Wet AMD controlled with Avastin 20/60 Vision483 views79-year-old woman has wet age-related macular degeneration in both eyes. The left eye had intravitreal injections of Avastin starting in May of 2009. Her vision remains good in the left eye and poor in the right eye.
VISUAL ACUITY: OD 8/200, OS 20/60.
(0 votes)
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Chorioretinal Scar with Radiating Chorioretinal Folds590 views79-year-old woman has wet age-related macular degeneration in both eyes. The left eye had intravitreal injections of Avastin starting in May of 2009. Her vision remains good in the left eye and poor in the right eye.
VISUAL ACUITY: OD 8/200, OS 20/60.
(0 votes)
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Wet AMD controlled with Avastin 20/60 Vision409 views79-year-old woman has wet age-related macular degeneration in both eyes. The left eye had intravitreal injections of Avastin starting in May of 2009. Her vision remains good in the left eye and poor in the right eye.
VISUAL ACUITY: OD 8/200, OS 20/60.
(0 votes)
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Wet AMD controlled with Avastin 20/60 Vision426 views79-year-old woman has wet age-related macular degeneration in both eyes. The left eye had intravitreal injections of Avastin starting in May of 2009. Her vision remains good in the left eye and poor in the right eye.
VISUAL ACUITY: OD 8/200, OS 20/60.
(0 votes)
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Wet AMD controlled with Avastin 20/60 Vision439 views79-year-old woman has wet age-related macular degeneration in both eyes. The left eye had intravitreal injections of Avastin starting in May of 2009. Her vision remains good in the left eye and poor in the right eye.
VISUAL ACUITY: OD 8/200, OS 20/60.
(0 votes)
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Wet AMD controlled with Avastin 20/60 Vision395 views79-year-old woman has wet age-related macular degeneration in both eyes. The left eye had intravitreal injections of Avastin starting in May of 2009. Her vision remains good in the left eye and poor in the right eye.
VISUAL ACUITY: OD 8/200, OS 20/60.
(0 votes)
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Wet AMD controlled with Avastin 20/60 Vision459 views79-year-old woman has wet age-related macular degeneration in both eyes. The left eye had intravitreal injections of Avastin starting in May of 2009. Her vision remains good in the left eye and poor in the right eye.
VISUAL ACUITY: OD 8/200, OS 20/60.
(0 votes)
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Chorioretinal Scar with Radiating Chorioretinal Folds407 views79-year-old woman has wet age-related macular degeneration in both eyes. The left eye had intravitreal injections of Avastin starting in May of 2009. Her vision remains good in the left eye and poor in the right eye.
VISUAL ACUITY: OD 8/200, OS 20/60.
(0 votes)
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Chorioretinal Scar with Radiating Chorioretinal Folds426 views79-year-old woman has wet age-related macular degeneration in both eyes. The left eye had intravitreal injections of Avastin starting in May of 2009. Her vision remains good in the left eye and poor in the right eye.
VISUAL ACUITY: OD 8/200, OS 20/60.
(0 votes)
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Chorioretinal Scar with Radiating Chorioretinal Folds460 views79-year-old woman has wet age-related macular degeneration in both eyes. The left eye had intravitreal injections of Avastin starting in May of 2009. Her vision remains good in the left eye and poor in the right eye.
VISUAL ACUITY: OD 8/200, OS 20/60.
(0 votes)
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Chorioretinal Scar with Radiating Chorioretinal Folds529 views79-year-old woman has wet age-related macular degeneration in both eyes. The left eye had intravitreal injections of Avastin starting in May of 2009. Her vision remains good in the left eye and poor in the right eye.
VISUAL ACUITY: OD 8/200, OS 20/60.
(0 votes)
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79-year-old woman has wet age-related macular degeneration in both eyes. The left eye had intravitreal injections of Avastin starting in May of 2009. Her vision remains good in the left eye and poor in the right eye.
VISUAL ACUITY: OD 8/200, OS 20/60. IOP: OD 10, OS 11. The posterior chamber intraocular lens is in good position in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.5. There is a macular scar centrally.
OS: Vertical C/D ratio is 0.3. There are patchy hyperpigment spots in the macula. Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography of the right eye shows radiating chorioretinal folds around the macular scar. In the left eye there are hyperpigment spots around the macula with hyper and hypofluorescence. There is no evidence of any neovascularization.
IMPRESSION:
1. WET AGE-RELATED MACULAR DEGENERATION – LEFT EYE
2. INVOLUTED SUBFOVEAL CHOROIDAL NEOVASCULAR MEMBRANE – LEFT EYE
3. MACULAR SCAR – RIGHT EYE
DISCUSSION: I explained to the patient the macula in the left eye remains dry. I treated the left eye with intravitreal injection of Avastin (1.25 mg/0.05 ml) without any difficulty today. I asked her to return in two months or sooner if she should notice a problem and see you back periodically.
