69-year-old woman has had decreasing vision recently. She has been seen every three months because there is a concern she may develop wet macular degeneration. Mostly her complaint is that she sees a dark spot centrally. When she looks at things she loses letters and numbers and is having more and more difficulty balancing her checkbook. She does take fish oil as well as vitamins because of the macular degeneration. VISUAL ACUITY: Vision OD is 20/80, OS is 20/40. IOP: OD 10, OS 12. SLIT LAMP EXAM: The posterior chamber intraocular lens is in good position in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.3. There is a posterior vitreous separation. There is an 800-micron yellow calcified druse right under the fovea. There are patchy drusen in the right eye. OS: Vertical C/D ratio is 0.2. There is a posterior vitreous separation. Again, there is an 800-micron yellow calcified drusen under the fovea and patchy drusen around it. IMPRESSION: 1. PATTERN DYSTROPHY-TYPE DRY MACULAR DEGENERATION – BOTH EYES 2. FOVEAL ATROPHY – BOTH EYES DISCUSSION: I explained to the patient she does have dry macular degeneration which unfortunately is foveally involved with central vision loss. I asked her to return for check in 3-6 months, sooner should she notice a problem. I asked her to continue taking her supplements and to return to see you back regularly. Thank you for allowing me to participate in her care. |
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69-year-old woman has had decreasing vision recently. She has been seen every three months because there is a concern she may develop wet macular degeneration. Mostly her complaint is that she sees a dark spot centrally. When she looks at things she loses letters and numbers and is having more and more difficulty balancing her checkbook. She does take fish oil as well as vitamins because of the macular degeneration. VISUAL ACUITY: Vision OD is 20/80, OS is 20/40. IOP: OD 10, OS 12. SLIT LAMP EXAM: The posterior chamber intraocular lens is in good position in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.3. There is a posterior vitreous separation. There is an 800-micron yellow calcified druse right under the fovea. There are patchy drusen in the right eye. OS: Vertical C/D ratio is 0.2. There is a posterior vitreous separation. Again, there is an 800-micron yellow calcified drusen under the fovea and patchy drusen around it. IMPRESSION: 1. PATTERN DYSTROPHY-TYPE DRY MACULAR DEGENERATION – BOTH EYES 2. FOVEAL ATROPHY – BOTH EYES DISCUSSION: I explained to the patient she does have dry macular degeneration which unfortunately is foveally involved with central vision loss. I asked her to return for check in 3-6 months, sooner should she notice a problem. I asked her to continue taking her supplements and to return to see you back regularly. Thank you for allowing me to participate in her care.
