Drusen - Basal Laminar and Equatorial
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70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. I saw her back in April of 2008.
VISUAL ACUITY: Her vision is OD 20/16, OS 10/200. IOP: OD 17, OS 19. The posterior chamber intraocular lens is in good position in both eyes. The left eye has an open capsule.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.1. There are 2+ macular drusen. There is no subretinal fluid, hemorrhage, or exudate.
OS: Vertical C/D ratio is 0.1. There are 2+ macular drusen. There is an area of geographic atrophy, 2-disc areas in size, centered temporal to the fovea which involves the foveal center.
OCT SCAN: There is no intraretinal or subretinal fluid in either eye. There is, however, retinal atrophy, more in the left eye than the right.
PHOTOGRAPHS: Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAPHY: FA shows speckled hyperfluorescence consistent with basal laminar drusen with a radiating pattern out in the far periphery and hyperfluorescence in the macula of the left eye, consistent with geographic atrophy. There is no evidence of any neovascularization in either eye.
IMPRESSION: 1. BASAL LAMINAR DRUSEN – BOTH EYES
2. FOVEAL GEOGRAPHIC ATROPHY – LEFT EYE
3. DRY MACULAR DEGENERATION – BOTH EYES
DISCUSSION: I explained to the patient the left eye does unfortunately have increasing retinal atrophy. At the moment there is no treatment for that, but in time there may be something we can offer.
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Macular Photo Right Eyevaatamisi: 161270 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 143870 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Photo Equatorvaatamisi: 92170 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 108070 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Optic Nerve Photo Right Eyevaatamisi: 83870 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Photo Montage Right Eyevaatamisi: 117370 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(1 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Photo Montage Left Eyevaatamisi: 66070 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(1 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman Fundus Photo - Geographic Atrophyvaatamisi: 65170 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Fundus Photo Left Eyevaatamisi: 49970 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 44370 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 46270 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 46170 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - OCT Mapvaatamisi: 53370 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - OCT Line Scan Right Eyevaatamisi: 43970 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman Line Scan Left Eyevaatamisi: 40070 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 41170 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 37770 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 38970 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 37770 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Early FA Shows Cuticular Drusen like Starsvaatamisi: 62070 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 39170 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 46770 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 41270 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 37170 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 38970 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 41570 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 40570 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 41170 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 37870 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 45870 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 39970 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vaatamisi: 52070 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Fluorescein Angiogram Montage Right Eyevaatamisi: 54470 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Fluorescein Angiogram Montage Left Eyevaatamisi: 64370 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
(0 hinnangut)
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70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. I saw her back in April of 2008.
VISUAL ACUITY: Her vision is OD 20/16, OS 10/200. IOP: OD 17, OS 19. The posterior chamber intraocular lens is in good position in both eyes. The left eye has an open capsule.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.1. There are 2+ macular drusen. There is no subretinal fluid, hemorrhage, or exudate.
OS: Vertical C/D ratio is 0.1. There are 2+ macular drusen. There is an area of geographic atrophy, 2-disc areas in size, centered temporal to the fovea which involves the foveal center.
OCT SCAN: There is no intraretinal or subretinal fluid in either eye. There is, however, retinal atrophy, more in the left eye than the right.
PHOTOGRAPHS: Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAPHY: FA shows speckled hyperfluorescence consistent with basal laminar drusen with a radiating pattern out in the far periphery and hyperfluorescence in the macula of the left eye, consistent with geographic atrophy. There is no evidence of any neovascularization in either eye.
IMPRESSION: 1. BASAL LAMINAR DRUSEN – BOTH EYES
2. FOVEAL GEOGRAPHIC ATROPHY – LEFT EYE
3. DRY MACULAR DEGENERATION – BOTH EYES
DISCUSSION: I explained to the patient the left eye does unfortunately have increasing retinal atrophy. At the moment there is no treatment for that, but in time there may be something we can offer.
