Last additions - Macular Pucker Good Vision (20/30) 64-year-old woman was seen in the office on 5/24/11. She has noticed decreased vision in the left eye for about six months. You saw a wrinkle on the eye and suggested she come in here for an evaluation. She had radial keratotomy done 20 years ago.
VISUAL ACUITY: OD 20/25, OS 20/30. IOP: OD 17, OS 15. She has radial keratotomy cuts in both eyes with 3+ nuclear sclerosis.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.3. There is no posterior vitreous separation. The macula and periphery look healthy.
OS: Vertical C/D ratio is 0.3. There is posterior vitreous separation and 1+ epiretinal membrane.
OCT SCAN: The OCT scan does show a macular pucker in the left eye. The average central foveal thickness in the right eye is 210 microns and the left eye is 374 microns.
Photos confirm clinical findings.
IMPRESSION:
1. MACULAR PUCKER – LEFT EYE
DISCUSSION: I explained to the patient she does have a macular pucker but with vision of 20/30, the risk of surgery is unlikely to have potential benefit. I asked her to return one more time in about four months. I assured her only about 10% of macular puckers progress.
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Macular Pucker 20/30 Good Vision 497 views64-year-old woman decreased vision in the left eye for about six months. You saw a wrinkle on the eye and suggested she come in here for an evaluation. She had radial keratotomy done 20 years ago.
VISUAL ACUITY: OD 20/25, OS 20/30Jun 27, 2011
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Macular Pucker 20/30 Good Vision 587 views64-year-old woman decreased vision in the left eye for about six months. You saw a wrinkle on the eye and suggested she come in here for an evaluation. She had radial keratotomy done 20 years ago.
VISUAL ACUITY: OD 20/25, OS 20/30Jun 27, 2011
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Macular Pucker 20/30 Good Vision 571 views64-year-old woman decreased vision in the left eye for about six months. You saw a wrinkle on the eye and suggested she come in here for an evaluation. She had radial keratotomy done 20 years ago.
VISUAL ACUITY: OD 20/25, OS 20/30Jun 27, 2011
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Macular Pucker 20/30 Good Vision 509 views64-year-old woman decreased vision in the left eye for about six months. You saw a wrinkle on the eye and suggested she come in here for an evaluation. She had radial keratotomy done 20 years ago.
VISUAL ACUITY: OD 20/25, OS 20/30Jun 27, 2011
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Macular Pucker 20/30 Good Vision 578 views64-year-old woman decreased vision in the left eye for about six months. You saw a wrinkle on the eye and suggested she come in here for an evaluation. She had radial keratotomy done 20 years ago.
VISUAL ACUITY: OD 20/25, OS 20/30Jun 27, 2011
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64-year-old woman was seen in the office on 5/24/11. She has noticed decreased vision in the left eye for about six months. You saw a wrinkle on the eye and suggested she come in here for an evaluation. She had radial keratotomy done 20 years ago.
VISUAL ACUITY: OD 20/25, OS 20/30. IOP: OD 17, OS 15. She has radial keratotomy cuts in both eyes with 3+ nuclear sclerosis.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.3. There is no posterior vitreous separation. The macula and periphery look healthy.
OS: Vertical C/D ratio is 0.3. There is posterior vitreous separation and 1+ epiretinal membrane.
OCT SCAN: The OCT scan does show a macular pucker in the left eye. The average central foveal thickness in the right eye is 210 microns and the left eye is 374 microns.
Photos confirm clinical findings.
IMPRESSION:
1. MACULAR PUCKER – LEFT EYE
DISCUSSION: I explained to the patient she does have a macular pucker but with vision of 20/30, the risk of surgery is unlikely to have potential benefit. I asked her to return one more time in about four months. I assured her only about 10% of macular puckers progress.
