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61 year old man - he had chemotherapy for his hairy cell leukemia in the middle of August. He started having trouble with light sensitivity after his diagnosis and he started seeing spots. Right now he feels like he is looking through a grid. He has a friend who is a pediatric hematologist up north. There was some concern that he might have retinal hemorrhages associated with the Leukemia. His white count was over 100,000. Now his white is low. His platelets are back to normal. His red count is also low. •VA OD: sc20/32 PHNI •VA OS: sc20/25-2 The images show extensive non-perfusion. The right eye developed proliferation and required PRP about 3 months after these photos were taken.

hairycell_frno_100115_01.png
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages72 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages95 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages45 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages56 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages52 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_06.png
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages46 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_07.png
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages42 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_08.png
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages60 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_09.png
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages57 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_10.png
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages55 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_11.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages73 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_12.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages80 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_13.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages41 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_14.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages75 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_15.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages53 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_16.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages57 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_17.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages69 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_18.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages84 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_19.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages83 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_20.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages33 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_21.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages46 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_22.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages52 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_23.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages35 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_24.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages45 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_25.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages69 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_26.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages55 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_27.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages39 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_28.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages41 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_29.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages30 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_30.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages31 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_31.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages35 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_32.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages46 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_33.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages81 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_34.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages51 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_35.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages73 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_36.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages51 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_37.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages34 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_38.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages31 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_39.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages31 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_40.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages46 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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hairycell_frno_100115_41.jpg
Leukemic Retinopathy - Non-perfusion - cotton wool spots - hemorrhages76 views61 year old man with Hairy Cell Leukemia WBC was 100,000 when vision got worse. Both eyes have extensive non-perfusion. The patient has very mild diabetes for less than 5 years and no history of diabetic retinopathy00000
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61 year old man - he had chemotherapy for his hairy cell leukemia in the middle of August. He started having trouble with light sensitivity after his diagnosis and he started seeing spots. Right now he feels like he is looking through a grid. He has a friend who is a pediatric hematologist up north. There was some concern that he might have retinal hemorrhages associated with the Leukemia. His white count was over 100,000. Now his white is low. His platelets are back to normal. His red count is also low. •VA OD: sc20/32 PHNI •VA OS: sc20/25-2 The images show extensive non-perfusion. The right eye developed proliferation and required PRP about 3 months after these photos were taken.