95-year-old man was seen in the office on November 14, 2011. He was in for a comprehensive evaluation with you recently and you saw a spot in his macula and suggest he come here for an evaluation. He is in excellent health and he doesn’t notice a vision problem. He had ReSTOR intraocular lenses done at a local large ophthalmology practice. VISUAL ACUITY: OD 20/32, OS 20/80. IOP: OD 11, OS 7. SLIT EXAMINATION: ReSTOR intraocular lenses in good position in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.3. There is no posterior vitreous separation. There is an 800 micron yellow pigment spot under the fovea. OS: Vertical C/D ratio is 0.3. There is no posterior vitreous separation. There is an 800 micron yellow pigment spot under the fovea. SPECTRALIS-SD-OCT SCAN: The OCT scan shows pigment epithelium thickening in each eye. There is no intraretinal or subretinal fluid. Photos confirm clinical findings. IMPRESSION: 1. PATTERN DYSTROPHY TYPE MACULAR DEGENERATION – BOTH EYES