Last additions - Macular Schisis - Presumed Optic Nerve Pit Maculopathy 73-year old female - She had no visual complaints. She did notice a gradual decline in vision in the left eye. She also had cataracts. She was seeing the optometrist for glasses so no scans were done. She was told there might have been a decline from the cataracts. This started about 3-4 years ago. She was first noted to have swelling in the left eye one year ago. There was a possibility of something else so the patient had 3-4 Eylea injections October - December of 2021. Since then, she has not had any treatment (this was one year ago). She has been watching the left eye for change. If the vision were to get worse, then further treatment, like vitrectomy, could be considered. She lost hearing in the right eye ear and has been on oral prednisone for that.
Medical Hx: Ear Steroid Injections x 5. Pure Hypercholesterolemia, Unspecified. Ocular Migraines. GERD. Gall Stones. Tinitis. Surgical Hx: Hysterectomy. Knee Surgery.
Systemic Meds: Valacyclovir 1 Gram BID. ATORVASTATIN. CLONAZEPAM. ESTRADIOL. Imitrex. Methocarbamol. Omega 3. OMEPRAZOLE. Topiramate.
VA 20/25 OD, 20/32 OS
IOP 23,23
3+ Nuclear sclerotic cataract
With 3 years follow-up the vision and the macula are stable.
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Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy - NO THERAPY - BETTER224 views73-year old female. Had treatment trial with Eylea with no benefit (4 months). Vision is 20/32 in left eye and has remained there (with a dense cataract).Apr 01, 2024
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Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy - NO THERAPY - BETTER274 views73-year old female. Had treatment trial with Eylea with no benefit (4 months). Vision is 20/32 in left eye and has remained there (with a dense cataract).Apr 01, 2024
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Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy194 views73-year old female. Had treatment trial with Eylea with no benefit (4 months). Vision is 20/32 in left eye and has remained there (with a dense cataract).Feb 10, 2024
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Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy203 views73-year old female. Had treatment trial with Eylea with no benefit (4 months). Vision is 20/32 in left eye and has remained there (with a dense cataract).Feb 10, 2024
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Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy187 views73-year old female. Had treatment trial with Eylea with no benefit (4 months). Vision is 20/32 in left eye and has remained there (with a dense cataract).Feb 10, 2024
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Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy156 views73-year old female. Had treatment trial with Eylea with no benefit (4 months). Vision is 20/32 in left eye and has remained there (with a dense cataract).Feb 10, 2024
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Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy199 views73-year old female. Had treatment trial with Eylea with no benefit (4 months). Vision is 20/32 in left eye and has remained there (with a dense cataract).Feb 10, 2024
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Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy145 views73-year old female. Had treatment trial with Eylea with no benefit (4 months). Vision is 20/32 in left eye and has remained there (with a dense cataract).Feb 10, 2024
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Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy155 views73-year old female. Had treatment trial with Eylea with no benefit (4 months). Vision is 20/32 in left eye and has remained there (with a dense cataract).Feb 10, 2024
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Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy160 views73-year old female. Had treatment trial with Eylea with no benefit (4 months). Vision is 20/32 in left eye and has remained there (with a dense cataract).Feb 10, 2024
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Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy151 views73-year old female. Had treatment trial with Eylea with no benefit (4 months). Vision is 20/32 in left eye and has remained there (with a dense cataract).Feb 10, 2024
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Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy166 views73-year old female. Had treatment trial with Eylea with no benefit (4 months). Vision is 20/32 in left eye and has remained there (with a dense cataract).Feb 10, 2024
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Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy141 views73-year old female. Had treatment trial with Eylea with no benefit (4 months). Vision is 20/32 in left eye and has remained there (with a dense cataract).Feb 10, 2024
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Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy177 views73-year old female. Had treatment trial with Eylea with no benefit (4 months). Vision is 20/32 in left eye and has remained there (with a dense cataract).Feb 10, 2024
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Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy204 views73-year old female. Had treatment trial with Eylea with no benefit (4 months). Vision is 20/32 in left eye and has remained there (with a dense cataract).Feb 10, 2024
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Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy151 views73-year old female. Had treatment trial with Eylea with no benefit (4 months). Vision is 20/32 in left eye and has remained there (with a dense cataract).Feb 10, 2024
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Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy174 views73-year old female. Had treatment trial with Eylea with no benefit (4 months). Vision is 20/32 in left eye and has remained there (with a dense cataract).Feb 10, 2024
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Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy179 views73-year old female. Had treatment trial with Eylea with no benefit (4 months). Vision is 20/32 in left eye and has remained there (with a dense cataract).Feb 10, 2024
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Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy164 views73-year old female. Had treatment trial with Eylea with no benefit (4 months). Vision is 20/32 in left eye and has remained there (with a dense cataract).Feb 10, 2024
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Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy185 views73-year old female. Had treatment trial with Eylea with no benefit (4 months). Vision is 20/32 in left eye and has remained there (with a dense cataract).Feb 10, 2024
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Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy209 views73-year old female. Had treatment trial with Eylea with no benefit (4 months). Vision is 20/32 in left eye and has remained there (with a dense cataract).Feb 10, 2024
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Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy177 views73-year old female. Had treatment trial with Eylea with no benefit (4 months). Vision is 20/32 in left eye and has remained there (with a dense cataract).Feb 10, 2024
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Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy157 views73-year old female. Had treatment trial with Eylea with no benefit (4 months). Vision is 20/32 in left eye and has remained there (with a dense cataract).Feb 10, 2024
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73-year old female - She had no visual complaints. She did notice a gradual decline in vision in the left eye. She also had cataracts. She was seeing the optometrist for glasses so no scans were done. She was told there might have been a decline from the cataracts. This started about 3-4 years ago. She was first noted to have swelling in the left eye one year ago. There was a possibility of something else so the patient had 3-4 Eylea injections October - December of 2021. Since then, she has not had any treatment (this was one year ago). She has been watching the left eye for change. If the vision were to get worse, then further treatment, like vitrectomy, could be considered. She lost hearing in the right eye ear and has been on oral prednisone for that.
Medical Hx: Ear Steroid Injections x 5. Pure Hypercholesterolemia, Unspecified. Ocular Migraines. GERD. Gall Stones. Tinitis. Surgical Hx: Hysterectomy. Knee Surgery.
Systemic Meds: Valacyclovir 1 Gram BID. ATORVASTATIN. CLONAZEPAM. ESTRADIOL. Imitrex. Methocarbamol. Omega 3. OMEPRAZOLE. Topiramate.
VA 20/25 OD, 20/32 OS
IOP 23,23
3+ Nuclear sclerotic cataract
With 3 years follow-up the vision and the macula are stable.