Retina Gallery ~ Full Sized Retina Images

Library of Free, Non-Copyrighted Retina Images and Videos

Choose your language:



49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago. VISUAL ACUITY: OD 20/60, OS 20/25. IOP: OD 16, OS 13. SLIT EXAMINATION: Normal with clear lenses. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.4. There is no posterior vitreous separation. There is a mild hyperpigmented area inferior to the macula. OS: Vertical C/D ratio is 0.4. There is no posterior vitreous separation. The macula looks normal. OCT SCAN: The OCT scan from your office shows pigment epithelium thickening in the center of the right eye with subretinal fluid inferior to the fovea and some loss of photoreceptors. The left eye has a near normal scan. Photos confirm clinical findings. FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography shows an area of irregular hyperfluorescence just inferior to the macula in the right eye, which stains in late frames but does not leak, nor does the nerve stain. There are patchy spots, which may be drusen or may be manifestations of his hypertensive retinopathy. The retinal vessels are irregular, both the arterials and the veins. The left eye similarly has patchy hyperfluorescence. There is a staining area inferior to the fovea and the retinal vessels are irregular and narrow. IMPRESSION: 1. CHRONIC HYPERTENSIVE RETINOPATHY – BOTH EYES 2. CHRONIC SEROUS MACULAR DETACHMENT – RIGHT EYE DISCUSSION: I explained to the patient that chronic high blood pressure can cause subretinal fluid to build up and can cause vision loss. He is working on getting his blood pressure under control, probably through surgical treatment of the pheochromocytoma within the year and I am hopeful once his blood pressure normalizes the right macula will dry and at least there will be no further damage and possibly his vision will improve. I asked him to return here for a check in three months or sooner if he should notice a problem and to see you back regularly.

hypertensivechronic_jowe01.png
Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male323 views49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.

VISUAL ACUITY: OD 20/60, OS 20/25.
00000
(0 votes)
Add to Favorites
hypertensivechronic_jowe02.png
Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male183 views49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.

VISUAL ACUITY: OD 20/60, OS 20/25.
00000
(0 votes)
Add to Favorites
hypertensivechronic_jowe03.jpg
Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male363 views49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.

VISUAL ACUITY: OD 20/60, OS 20/25.
00000
(0 votes)
Add to Favorites
hypertensivechronic_jowe04.png
Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male180 views49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.

VISUAL ACUITY: OD 20/60, OS 20/25.
00000
(0 votes)
Add to Favorites
hypertensivechronic_jowe05.png
Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male122 views49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.

VISUAL ACUITY: OD 20/60, OS 20/25.
00000
(0 votes)
Add to Favorites
hypertensivechronic_jowe06.png
Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male171 views49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.

VISUAL ACUITY: OD 20/60, OS 20/25.
00000
(0 votes)
Add to Favorites
hypertensivechronic_jowe07.png
Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male79 views49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.

VISUAL ACUITY: OD 20/60, OS 20/25.
00000
(0 votes)
Add to Favorites
hypertensivechronic_jowe08.png
Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male78 views49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.

VISUAL ACUITY: OD 20/60, OS 20/25.
00000
(0 votes)
Add to Favorites
hypertensivechronic_jowe09.png
Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male109 views49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.

VISUAL ACUITY: OD 20/60, OS 20/25.
00000
(0 votes)
Add to Favorites
hypertensivechronic_jowe10.png
Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male186 views49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.

VISUAL ACUITY: OD 20/60, OS 20/25.
00000
(0 votes)
Add to Favorites
hypertensivechronic_jowe11.png
Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male92 views49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.

VISUAL ACUITY: OD 20/60, OS 20/25.
00000
(0 votes)
Add to Favorites
hypertensivechronic_jowe12.png
Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male115 views49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.

VISUAL ACUITY: OD 20/60, OS 20/25.
00000
(0 votes)
Add to Favorites
hypertensivechronic_jowe13.png
Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male77 views49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.

VISUAL ACUITY: OD 20/60, OS 20/25.
00000
(0 votes)
Add to Favorites
hypertensivechronic_jowe14.png
Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male83 views49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.

VISUAL ACUITY: OD 20/60, OS 20/25.
00000
(0 votes)
Add to Favorites
hypertensivechronic_jowe15.png
Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male55 views49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.

VISUAL ACUITY: OD 20/60, OS 20/25.
00000
(0 votes)
Add to Favorites
hypertensivechronic_jowe16.png
Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male67 views49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.

VISUAL ACUITY: OD 20/60, OS 20/25.
00000
(0 votes)
Add to Favorites
hypertensivechronic_jowe17.png
Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male54 views49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.

VISUAL ACUITY: OD 20/60, OS 20/25.
00000
(0 votes)
Add to Favorites
hypertensivechronic_jowe18.png
Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male72 views49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.

VISUAL ACUITY: OD 20/60, OS 20/25.
00000
(0 votes)
Add to Favorites
hypertensivechronic_jowe19.png
Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male103 views49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.

VISUAL ACUITY: OD 20/60, OS 20/25.
00000
(0 votes)
Add to Favorites
hypertensivechronic_jowe20.png
Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male123 views49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.

VISUAL ACUITY: OD 20/60, OS 20/25.
00000
(0 votes)
Add to Favorites
hypertensivechronic_jowe21.png
Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male115 views49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.

VISUAL ACUITY: OD 20/60, OS 20/25.
00000
(0 votes)
Add to Favorites
hypertensivechronic_jowe22.png
Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male169 views49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.

VISUAL ACUITY: OD 20/60, OS 20/25.
00000
(0 votes)
Add to Favorites
   
22 files on 1 page(s)
Favorites Actions
           

49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago. VISUAL ACUITY: OD 20/60, OS 20/25. IOP: OD 16, OS 13. SLIT EXAMINATION: Normal with clear lenses. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.4. There is no posterior vitreous separation. There is a mild hyperpigmented area inferior to the macula. OS: Vertical C/D ratio is 0.4. There is no posterior vitreous separation. The macula looks normal. OCT SCAN: The OCT scan from your office shows pigment epithelium thickening in the center of the right eye with subretinal fluid inferior to the fovea and some loss of photoreceptors. The left eye has a near normal scan. Photos confirm clinical findings. FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography shows an area of irregular hyperfluorescence just inferior to the macula in the right eye, which stains in late frames but does not leak, nor does the nerve stain. There are patchy spots, which may be drusen or may be manifestations of his hypertensive retinopathy. The retinal vessels are irregular, both the arterials and the veins. The left eye similarly has patchy hyperfluorescence. There is a staining area inferior to the fovea and the retinal vessels are irregular and narrow. IMPRESSION: 1. CHRONIC HYPERTENSIVE RETINOPATHY – BOTH EYES 2. CHRONIC SEROUS MACULAR DETACHMENT – RIGHT EYE DISCUSSION: I explained to the patient that chronic high blood pressure can cause subretinal fluid to build up and can cause vision loss. He is working on getting his blood pressure under control, probably through surgical treatment of the pheochromocytoma within the year and I am hopeful once his blood pressure normalizes the right macula will dry and at least there will be no further damage and possibly his vision will improve. I asked him to return here for a check in three months or sooner if he should notice a problem and to see you back regularly.