26-year-old man has choroideremia. He has noticed some swirling lights in the peripheral vision, more in the left eye than the right eye. VISUAL ACUITY: Vision OU is 20/60. IOP: 17 OD, 13 OS. There is 1+ nuclear sclerosis OU. EXTENDED OPHTHALMOSCOPY: OU: Vertical C/D ratio is 0.2. The macula has a small area that is not atrophic and there is severe peripheral atrophy. Photos confirm clinical findings. IMPRESSION: 1. CHOROIDEREMIA – BOTH EYES DISCUSSION: I explained to the patient that his choroideremia does look stable. I asked him to return for check in 6-12 months, sooner should he notice any problem. |
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26-year-old man has choroideremia. He has noticed some swirling lights in the peripheral vision, more in the left eye than the right eye. VISUAL ACUITY: Vision OU is 20/60. IOP: 17 OD, 13 OS. There is 1+ nuclear sclerosis OU. EXTENDED OPHTHALMOSCOPY: OU: Vertical C/D ratio is 0.2. The macula has a small area that is not atrophic and there is severe peripheral atrophy. Photos confirm clinical findings. IMPRESSION: 1. CHOROIDEREMIA – BOTH EYES DISCUSSION: I explained to the patient that his choroideremia does look stable. I asked him to return for check in 6-12 months, sooner should he notice any problem.
