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Most viewed - 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 - BETTER264 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).
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Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy - NO THERAPY - BETTER219 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).
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Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy200 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).
nerve-pit_112919_121721_10.jpg
Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy195 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).
nerve-pit_112919_121721_20.jpg
Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy193 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).
nerve-pit_112919_121721_17.jpg
Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy192 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).
nerve-pit_112919_121721_21.jpg
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).
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Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy180 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).
nerve-pit_112919_121721_06.jpg
Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy175 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).
nerve-pit_112919_121721_02.JPG
Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy173 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).
nerve-pit_112919_121721_11.jpg
Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy171 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).
nerve-pit_112919_121721_08.jpg
Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy168 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).
nerve-pit_112919_121721_04.jpg
Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy163 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).
nerve-pit_112919_121721_12.jpg
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).
nerve-pit_112919_121721_07.jpg
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).
nerve-pit_112919_121721_14.jpg
Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy152 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).
nerve-pit_112919_121721_18.jpg
Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy152 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).
nerve-pit_112919_121721_09.jpg
Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy147 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).
nerve-pit_112919_121721_15.jpg
Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy146 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).
nerve-pit_112919_121721_13.jpg
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).
nerve-pit_112919_121721_03.jpg
Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy142 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).
nerve-pit_112919_121721_16.jpg
Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy138 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).
nerve-pit_112919_121721_01.JPG
Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy135 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).
 
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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.