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Most viewed - 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 725 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, 20/30	Non-specific (uncharaterized / unknown) Macular Dystrophy - ICG596 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, 20/30	Non-specific (uncharaterized / unknown) Macular Dystrophy 574 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, 20/30	Non-specific (uncharaterized / unknown) Macular Dystrophy - FAF562 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, 20/30
Non-specific (uncharaterized / unknown) Macular Dystrophy - FAF560 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, 20/30	Non-specific (uncharaterized / unknown) Macular Dystrophy 551 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, 20/30	Non-specific (uncharaterized / unknown) Macular Dystrophy 533 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, 20/30	Non-specific (uncharaterized / unknown) Macular Dystrophy - ICG531 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, 20/30
Non-specific (uncharaterized / unknown) Macular Dystrophy - ICG527 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, 20/30	Non-specific (uncharaterized / unknown) Macular Dystrophy 518 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, 20/30	Non-specific (uncharaterized / unknown) Macular Dystrophy - ICG512 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, 20/30	Non-specific (uncharaterized / unknown) Macular Dystrophy 510 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, 20/30
Non-specific (uncharaterized / unknown) Macular Dystrophy 507 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, 20/30	Non-specific (uncharaterized / unknown) Macular Dystrophy VIDEO TAKES TIME TO LOAD502 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, 20/30	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, 20/30	Non-specific (uncharaterized / unknown) Macular Dystrophy - ICG497 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, 20/30
Non-specific (uncharaterized / unknown) Macular Dystrophy 494 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, 20/30	Non-specific (uncharaterized / unknown) Macular Dystrophy - ICG493 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, 20/30	Non-specific (uncharaterized / unknown) Macular Dystrophy 492 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, 20/30	Non-specific (uncharaterized / unknown) Macular Dystrophy - ICG491 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, 20/30
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, 20/30	Non-specific (uncharaterized / unknown) Macular Dystrophy 480 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, 20/30	Non-specific (uncharaterized / unknown) Macular Dystrophy 474 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, 20/30	Non-specific (uncharaterized / unknown) Macular Dystrophy 474 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, 20/30
Non-specific (uncharaterized / unknown) Macular Dystrophy VIDEO TAKES TIME TO LOAD470 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, 20/30	Non-specific (uncharaterized / unknown) Macular Dystrophy - ICG467 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, 20/30	Non-specific (uncharaterized / unknown) Macular Dystrophy 463 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, 20/30	Non-specific (uncharaterized / unknown) Macular Dystrophy 462 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, 20/30
Non-specific (uncharaterized / unknown) Macular Dystrophy 454 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, 20/30	Non-specific (uncharaterized / unknown) Macular Dystrophy 446 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, 20/30	Non-specific (uncharaterized / unknown) Macular Dystrophy 440 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, 20/30	Non-specific (uncharaterized / unknown) Macular Dystrophy - ICG436 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, 20/30
Non-specific (uncharaterized / unknown) Macular Dystrophy 426 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, 20/30	Non-specific (uncharaterized / unknown) Macular Dystrophy 425 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, 20/30
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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.