CASE 17

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History

A 87-year-old man has noticed a gradual, painless decrease in vision in both eyes over the past year; otherwise, he is in good health. He remains ambulatory but is having increasing difficulty with reading. The fundus photograph demonstrates the condition of both eyes.

Questions

1. Describe the ophthalmoscopic findings and suggest and explanation for the patient's symptoms.

 

2. What is the diagnosis?

 

3. Can this condition be treated? If so, outline your course of management.