This is a 61-year-old woman comes to the office because she was prescribed with Plaquenil and was advised to follow up with an ophthalmologist.
She refers she has very bad vision without glasses and it's been going on for many years.
Her refraction was OD -8.25+1.00x059 and OS -10.25+1.75x031
She is also a diabetic type II, treated with insulin.
During the examination, we noticed that the patient also has acne rosacea in both lids and cataracts.
CDR was 0.7 for both eyes. The patient has peripapillary atrophy on both eyes and we can observe a tessellated fundus, confirming the high refractive error in this patient.
No drusen or macular atrophy was seen in the OCT or fundus examination.
We discussed with the patient the possibility of getting cataract surgery to better her eyesight and get rid of the eyeglasses.