12/28/2023 0 Comments Hole in retina and cancer medsIt was readily apparent on the clinical exam that our patient had macular thickening due to CME. Change/discontinue chemotherapy medications. What do the fluorescein angiogram findings reveal?Ī. SD-OCT images (OD left, OS right)-what do these reveal?Ģ. Fundus autofluorescence (FAF), spectral domain optical coherence tomography (SD-OCT) and fluorescein angiogram (FA) were obtained.įundus photos (OD left, OS right) of our patient-what do you see in the macula? Of interest was the macula in each eye, which appeared thickened (see fundus photos). The vessels were normal caliber and her peripheral retinas were unremarkable. On dilated fundus exam, her optic nerves appeared healthy with small cups and good rim coloration and perfusion in both eyes. Intraocular pressure by applanation tonometry measured 17mm Hg in both eyes. The anterior segment was significant for nuclear sclerosis in each eye. Confrontation visual fields were full to careful finger counting in both eyes, and ocular motility was normal. Her pupils were equally round and reactive to light no afferent defect was seen. On examination, her best-corrected visual acuity measured 20/80 in her right eye and 20/200 in the left. She was on a course of chemotherapy with Abraxane (paclitaxel, Celgene) and Gemzar (gemcitabine, Eli Lilly). Her medical history is significant for pancreatic cancer, diagnosed seven months ago. She felt she was seeing well until about six months ago when she noticed her vision declining. Her last eye exam was approximately three years ago, and she was given glasses at that time. She explained that it was difficult to focus and her vision was hazy. A 64-year-old Hispanic female presented with complaints of blurred vision in both eyes for approximately six months.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |