Funduscopic examination shows a pigmented retina in the right eye, but no evidence of hemorrhage or optic disc cupping. This is the normal appearance, according to the mother. The left pupil is deviated medially with a steamy anterior chamber. He arrived in the ED today after developing pain behind his right eye yesterday.OBJECTIVE: Physical examination revealed no redness of the eye. SUBJECTIVE: 15-year-old male patient with previous diagnoses of congenital cataracts and retinal detachments had experienced an episode of orbital hemorrhage, which was treated in the past. Because the patient had transportation provided for her return home and a primary caregiver in the home, both eyes were treated with intravitreal injections of Lucentis, 0.1 mg, and follow-up evaluation was scheduled in 2 weeks. He discussed the FDA-approved intravitreal injection of Lucentis for this condition. Upon completion of the level 2 E/M service, the physician informed the patient of the diagnoses of advanced atrophic macular degeneration with subfoveal involvement of the left eye, and advanced atrophic macular degeneration of the right eye. The studies revealed loss of visual acuity of the left eye, blood pressure within normal limits, persistent central pigment epithelial detachment, trace fluid and hemorrhage along the nasal foveal margin, and prominent perifoveal indistinct drusen of the left eye. Visual acuity, blood pressure, slit lamp exam, tension, biomicroscopy, optical coherence tomography, and fluorescein angiogram studies were performed. The patient had noticed gradually worsening Amsler grid changes and central vision distortion since January. The ophthalmologist is a specialist in retinal-vitreous surgery, and he discussed with the patient treatment options for visual changes in her left eye. Outpatient-Physician's Office (Ophthalmology)ĭiagnoses: Advanced atrophic macular degeneration with subfoveal involvement, left eye advanced atrophic macular degeneration, right eyeĪ 72-year-old female, who was referred by her optometrist to an ophthalmologist, arrived for her 11 a.m.
0 kommentar(er)
