Drusen

• Retinal pigment epithelial mottling Other Diagnostic Tests

• Amsler's grid abnormalities indicate fluid in subretinal space (Figs. 63-4 and 63-5)

• Dilated fundus examination shows drusen and pigmentary abnormalities in the macula

• Rapid sequence fluorescein angiography shows leakage in the neovascular form Patient Encounter 3, Part 1

ET, a 60-year-old white male, presents with difficulty reading and says he is having trouble differentiating between red and orange.

PMH: Hypertension, diabetes mellitus for 12 years, congestive heart failure

SH: Smokes half a pack daily; denies any alcohol or drug use; married, one adult child who lives nearby

FH: Father died at age 57 from heart failure; mother blind from age 50, died at 62 from breast cancer

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