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Last additions - Unknown - Macular Dystrophy 59-year-old man has macular dystrophy in both eyes. He saw Dr. Gass in 1989, at which time Dr. Gass thought it might be post inflammatory. Interestingly, at this point he still does not have a diagnosis other than macular dystrophy. His vision since he was here last is reasonably stable. He has been diabetic for eight years. He had LASIK surgery done in 1998. He was a high myope, about a -10 and now he is about a -3. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. Dr. Gass felt maybe this was an atypical case of previous AMPPE. Otherwise he is in good health. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. VISUAL ACUITY: Vision OD is 20/25, OS is 20/30. IOP: OD 14, OS 13. The lenses are clear. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.2. There are no vitreous cells. The retinal vessels are slightly attenuated. The retina is very thin looking. OS: Vertical C/D ratio is 0.2. Again, the retinal vessels are attenuated. The retina does appear to be thin looking. OCT SCAN: The OCT scan shows retinal atrophy in both eyes. IMPRESSION: 1. RETINAL ATROPHY – BOTH EYES DISCUSSION: I explained to the patient his maculae are thin and have a dystrophic appearance. At this point it is of some nonacademic interest to learn what exactly is wrong with his maculae because there are now genetic therapies for a small subset of retinal diseases.
Non-specific (uncharaterized / unknown) Macular Dystrophy - ICG602 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013	Non-specific (uncharaterized / unknown) Macular Dystrophy - ICG538 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013	Non-specific (uncharaterized / unknown) Macular Dystrophy - ICG516 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013	Non-specific (uncharaterized / unknown) Macular Dystrophy - ICG473 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013
Non-specific (uncharaterized / unknown) Macular Dystrophy - ICG502 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013	Non-specific (uncharaterized / unknown) Macular Dystrophy - ICG530 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013	Non-specific (uncharaterized / unknown) Macular Dystrophy - ICG494 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013	Non-specific (uncharaterized / unknown) Macular Dystrophy - ICG443 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013
Non-specific (uncharaterized / unknown) Macular Dystrophy - ICG498 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013	Non-specific (uncharaterized / unknown) Macular Dystrophy 450 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013	Non-specific (uncharaterized / unknown) Macular Dystrophy 479 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013	Non-specific (uncharaterized / unknown) Macular Dystrophy 485 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013
Non-specific (uncharaterized / unknown) Macular Dystrophy 495 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013	Non-specific (uncharaterized / unknown) Macular Dystrophy 501 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013	Non-specific (uncharaterized / unknown) Macular Dystrophy 556 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013	Non-specific (uncharaterized / unknown) Macular Dystrophy 540 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013
Non-specific (uncharaterized / unknown) Macular Dystrophy 501 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013	Non-specific (uncharaterized / unknown) Macular Dystrophy 447 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013	Non-specific (uncharaterized / unknown) Macular Dystrophy 468 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013	Non-specific (uncharaterized / unknown) Macular Dystrophy 433 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013
Non-specific (uncharaterized / unknown) Macular Dystrophy 428 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013	Non-specific (uncharaterized / unknown) Macular Dystrophy 468 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013	Non-specific (uncharaterized / unknown) Macular Dystrophy 461 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013	Non-specific (uncharaterized / unknown) Macular Dystrophy 484 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013
Non-specific (uncharaterized / unknown) Macular Dystrophy VIDEO TAKES TIME TO LOAD512 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013	Non-specific (uncharaterized / unknown) Macular Dystrophy VIDEO TAKES TIME TO LOAD476 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013	Non-specific (uncharaterized / unknown) Macular Dystrophy 509 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013	Non-specific (uncharaterized / unknown) Macular Dystrophy 517 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013
Non-specific (uncharaterized / unknown) Macular Dystrophy - FAF566 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013	Non-specific (uncharaterized / unknown) Macular Dystrophy - FAF568 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013	Non-specific (uncharaterized / unknown) Macular Dystrophy 523 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013	Non-specific (uncharaterized / unknown) Macular Dystrophy 498 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013
Non-specific (uncharaterized / unknown) Macular Dystrophy 584 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013	Non-specific (uncharaterized / unknown) Macular Dystrophy 742 views59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. 20/25, 20/30Feb 04, 2013
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59-year-old man has macular dystrophy in both eyes. He saw Dr. Gass in 1989, at which time Dr. Gass thought it might be post inflammatory. Interestingly, at this point he still does not have a diagnosis other than macular dystrophy. His vision since he was here last is reasonably stable. He has been diabetic for eight years. He had LASIK surgery done in 1998. He was a high myope, about a -10 and now he is about a -3. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. Dr. Gass felt maybe this was an atypical case of previous AMPPE. Otherwise he is in good health. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital. VISUAL ACUITY: Vision OD is 20/25, OS is 20/30. IOP: OD 14, OS 13. The lenses are clear. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.2. There are no vitreous cells. The retinal vessels are slightly attenuated. The retina is very thin looking. OS: Vertical C/D ratio is 0.2. Again, the retinal vessels are attenuated. The retina does appear to be thin looking. OCT SCAN: The OCT scan shows retinal atrophy in both eyes. IMPRESSION: 1. RETINAL ATROPHY – BOTH EYES DISCUSSION: I explained to the patient his maculae are thin and have a dystrophic appearance. At this point it is of some nonacademic interest to learn what exactly is wrong with his maculae because there are now genetic therapies for a small subset of retinal diseases.