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Drusen - Basal Laminar and Equatorial 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.
Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Macular Photo Right Eyevista 1609 veces70 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 votos)	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vista 1435 veces70 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 votos)	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Photo Equatorvista 918 veces70 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 votos)	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vista 1078 veces70 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 votos)
Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Optic Nerve Photo Right Eyevista 835 veces70 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 votos)	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Photo Montage Right Eyevista 1171 veces70 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 votos)	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Photo Montage Left Eyevista 659 veces70 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 votos)	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman Fundus Photo - Geographic Atrophyvista 648 veces70 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 votos)
Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Fundus Photo Left Eyevista 498 veces70 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 votos)	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vista 442 veces70 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 votos)	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vista 461 veces70 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 votos)	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vista 460 veces70 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 votos)
Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - OCT Mapvista 530 veces70 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 votos)	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - OCT Line Scan Right Eyevista 436 veces70 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 votos)	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman Line Scan Left Eyevista 399 veces70 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 votos)	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vista 410 veces70 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 votos)
Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vista 376 veces70 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 votos)	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vista 388 veces70 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 votos)	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vista 375 veces70 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 votos)	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Early FA Shows Cuticular Drusen like Starsvista 618 veces70 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 votos)
Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vista 389 veces70 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 votos)	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vista 466 veces70 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 votos)	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vista 411 veces70 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 votos)	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vista 370 veces70 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 votos)
Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vista 388 veces70 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 votos)	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vista 413 veces70 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 votos)	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vista 404 veces70 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 votos)	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vista 410 veces70 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 votos)
Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vista 376 veces70 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 votos)	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vista 457 veces70 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 votos)	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vista 398 veces70 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 votos)	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vista 518 veces70 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 votos)
Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Fluorescein Angiogram Montage Right Eyevista 543 veces70 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 votos)	Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Fluorescein Angiogram Montage Left Eyevista 641 veces70 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 votos)
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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.