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A 40 year old woman with decreased vision for one year
Digital Journal of Ophthalmology 2003
Volume 9, Number 2
June 23, 2003
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Manoj Thakker | Massachusetts Eye and Ear Infirmary
Distance vision: OD: 16/50, pinhole to 16/15-
OS: 16/70, pinhole to 16/15

Near vision: OU: J1+ without correction

Manifest refraction: OD: -0.75-0.50 x 170= 16/15
OS: -0.75-0.25 x 15 = 16/15

Pupils: + Afferent defect OS

Color vision: OD 10/10
OS 8/10
Amsler Grid: full OU

Motility: full OU
Exophthalmometry: 14mm OU
Intraocular pressure: 12mm Hg OU

Anterior segment: Anterior segment exam revealed no abnormalities

Posterior Segment: There are numerous angioid streaks which appear as tortuous, dark brown cracks at the level of Bruch's membrane and radiate peripherally from the optic nerve. The midperipheral fundus has a peau d'orange appearance. The left fundus demonstrates angioid streaks as well as optic nerve pallor

Skin: There was a waxy, papular, plucked chicken texture to the patient's skin.

Anterior Segment Exam

Posteior Segment Exam

Skin Examination