Last additions - Myopic Degeneration - Dry - Staphyloma Severe Atrophy 54-year-old man was seen in the office on 9/11/08. He is a high myope. He has posterior staphylomas. He has had gradually changing vision for the last month or two. He has noticed new onset floaters in the right eye starting about a week ago and is concerned about that because of his high myopia.
VISUAL ACUITY: Vision OD is 20/40, OS is 20/50. IOP: OD 13, OS 14. The posterior chamber intraocular lens is in good position in both eyes with open capsules.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.6. There is a posterior staphyloma/coloboma. There is a vitreous separation. There are no tears or detachments. There is pigment degeneration at 12:00 o’clock.
OS: Vertical C/D ratio is 0.5. The nerve is a little difficult to assess because there is a posterior staphyloma/coloboma.
PHOTOGRAPHS: The photos confirm clinical findings.
IMPRESSION: 1. MYOPIC MACULAR DEGENERATION – BOTH EYES
2. POSTERIOR STAPHYLOMA – BOTH EYES
3. VITREOUS SEPARATION – RIGHT EYE
DISCUSSION: I explained to the patient he has had a vitreous separation in the right eye. I warned him to return urgently should he notice increased floaters or shadows
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Posterior Staphyloma and Geographic Atrophy Myopic Degeneration1194 views54-year-old man . He is a high myope. He has posterior staphylomas. He has had gradually changing vision for the last month or two. OD is 20/40, OS is 20/50.Nov 21, 2010
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Posterior Staphyloma and Geographic Atrophy Myopic Degeneration1190 views54-year-old man . He is a high myope. He has posterior staphylomas. He has had gradually changing vision for the last month or two. OD is 20/40, OS is 20/50.Nov 21, 2010
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Posterior Staphyloma and Geographic Atrophy Myopic Degeneration1360 views54-year-old man . He is a high myope. He has posterior staphylomas. He has had gradually changing vision for the last month or two. OD is 20/40, OS is 20/50.Nov 21, 2010
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Posterior Staphyloma and Geographic Atrophy Myopic Degeneration1042 views54-year-old man . He is a high myope. He has posterior staphylomas. He has had gradually changing vision for the last month or two. OD is 20/40, OS is 20/50.Nov 21, 2010
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Posterior Staphyloma and Geographic Atrophy Myopic Degeneration1093 views54-year-old man . He is a high myope. He has posterior staphylomas. He has had gradually changing vision for the last month or two. OD is 20/40, OS is 20/50.Nov 21, 2010
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54-year-old man was seen in the office on 9/11/08. He is a high myope. He has posterior staphylomas. He has had gradually changing vision for the last month or two. He has noticed new onset floaters in the right eye starting about a week ago and is concerned about that because of his high myopia.
VISUAL ACUITY: Vision OD is 20/40, OS is 20/50. IOP: OD 13, OS 14. The posterior chamber intraocular lens is in good position in both eyes with open capsules.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.6. There is a posterior staphyloma/coloboma. There is a vitreous separation. There are no tears or detachments. There is pigment degeneration at 12:00 o’clock.
OS: Vertical C/D ratio is 0.5. The nerve is a little difficult to assess because there is a posterior staphyloma/coloboma.
PHOTOGRAPHS: The photos confirm clinical findings.
IMPRESSION: 1. MYOPIC MACULAR DEGENERATION – BOTH EYES
2. POSTERIOR STAPHYLOMA – BOTH EYES
3. VITREOUS SEPARATION – RIGHT EYE
DISCUSSION: I explained to the patient he has had a vitreous separation in the right eye. I warned him to return urgently should he notice increased floaters or shadows
