Ophthalmology & Optometry/Marks showing on retina

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Question
I am a 56 year old female and have just returned from an eye exam, where the optician found a mark on my left retina, for which he has referred me to  a specialist.  When  I questioned him on the 'mark' he said it was probably just a 'beauty spot' on the very outer peripheries of the retina and possibly been there for years, but I have regular eye checks and it has never been mentioned in the past. He also mentioned the term Pigmentosa.  I am no expert but I did not think that Pigmentosa would be described as a 'beauty spot'.  He also mentioned that I have the start of cataracts but would not be drawn on the prognosis. As I was adopted at birth there are no family records to check for eye complications, but in your considered opinion would the description of a 'beauty spot' be apt for the beginnings of Pigmentosa or is it more likely be a different condition?
I don't know if it is relevant but I suffer from Fibromyalgia, which has affected my visual acuity, vertigo, hypothyroidism and have also been suffering crippling headaches which can last 2 to 3 days.

Answer
Dear Helen. If you eye doctor saw a spot on the retina and referred you to a retinal specialist, he most likely saw a  choroidal    or retinal Nevus which is like a birthmark.  The standard of care in the United States is to photo document the size, elevation . Color, shape and symmetry of the lesion to make sure it doesn't develop into a melanoma,  also an ultrasound scan of that area is normal protocol .  In the genetic disorder retinitis pigmentosa,  bone-spicule appearance in the peripheral retina  and a degenerative breakdown on the retinal tissue leads to loss of
Peripheral vision  And what remains is a small amount of central vision  ( tunnel vision) for which there is no cure
 Hope this helps your understanding of his concern.  Dr Ken
NOTE:  fibromyalgia and headaches have no significance. To the retinal findings

Ophthalmology & Optometry

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DR. KENNETH BERGER

Expertise

Any and all questions with regard to ocular ailments, eye diseases as cataracts, glaucoma, macular degeneration, diabetic retinopathy, etc , eye and visual sympomatology, eyeglasses, contact lenses, low or subnormal vision, pediatric vision conditions,and special and unique ailments will be discussed.

Experience

36 years of clinical experience in opticianry and therapeutic optometry. Still in private practice with special interests in vision conditions, diagnosing and treating ocular ailments, prescibing treatment plans which include medicine, eyeglasses, and contact lenses primarily. Although surgery is not within the realm of my area of expertise, I co-manage many pre and post -op surgical cases which include Lasik and PRK procedures.

Organizations
New Jersey Society of Optometric Physicians American Optometric Association

Education/Credentials
B.A.,1968, Hunter College of the City University of New York B.S.,1970, Pennsylvania College of Optometry O.D.,1973, Pennsylvania College of Optometry Therapeutic Pharmaceutical Administration Certification, New Jersey 1992

Awards and Honors
Clinical Efficiency Award, 1973, Pennsylvaania College of Optometry

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