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Central Retinal Artery Occlusion - 2 months old by history324 views77-year-old man was doing fine. His left eye was a little worse than the right eye, and then in the 2 months ago he had sudden severe vision loss in the right eye. Vision OD is 3/200; OS is 20/60. IOP: OD 30, OS 15.
OD: Vertical C/D ratio is 0.4. The macula is white from ischemia. The arteries are narrow.
Photos confirm clinical findings.
OCT SCAN: OCT scan of the right eye shows retinal thickening, consistent with macular edema associated with a central retinal artery occlusion. The left eye has severe inferior retinal thinning, consistent with an old hemicentral retinal artery occlusion in the left eye. The fovea in the left eye is a little bit thin but not too bad.

IMPRESSION: 1. CENTRAL RETINAL ARTERY OCCLUSION RIGHT EYE
2 OLD HEMICENTRAL RETINAL ARTERY OCCLUSION LEFT EYE
3 DIABETES WITHOUT RETINOPATHY
4 ELEVATED INTRAOCULAR PRESSURE RIGHT EYE STATUS POST INJECTION RIGHT EYE A WEEK AGO

DISCUSSION: I explained to the patient that the right eye unfortunately has had a central retinal artery and unfortunately we do not have anything to treat that. His vision will probably improve some over time. He needs to be watched though. It is possible he is developing rubeotic glaucoma, although it is probable the intraocular pressure is high from the injection last week. I asked him to restart the Alphagan, to stop the other two drops, and to return here in three weeks to make sure his pressure is more acceptable.

At this point, having lost almost all the retinal circulation in the right eye and half of the retinal circulation in the left eye, he only has half a retina in the left eye he is working off of. I told him it is very important he keep seeing you and anything that can be done to keep his blood pressure low and his cholesterol reasonable would be helpful to what remains of his retinal circulation.
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Best Disease - Left Eye Treated Previously, Elsewhere, with PDT and Avastin364 views11-year-old has Best’s disease that runs in his family on his mothers side. At another retina specialists office, he had photodynamic laser in April of 2009 and Avastin subsequently in June of 2009. Unfortunately with that his vision is substantially declining. OD 20/30, OS 20/100
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Best Disease - Left Eye Treated Previously, Elsewhere, with PDT and Avastin724 views11-year-old has Best’s disease that runs in his family on his mothers side. At another retina specialists office, he had photodynamic laser in April of 2009 and Avastin subsequently in June of 2009. Unfortunately with that his vision is substantially declining. OD 20/30, OS 20/100
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Best Disease - Left Eye Treated Previously, Elsewhere, with PDT and Avastin524 views11-year-old has Best’s disease that runs in his family on his mothers side. At another retina specialists office, he had photodynamic laser in April of 2009 and Avastin subsequently in June of 2009. Unfortunately with that his vision is substantially declining. OD 20/30, OS 20/100
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Best Disease - Left Eye Treated Previously, Elsewhere, with PDT and Avastin566 views11-year-old has Best’s disease that runs in his family on his mothers side. At another retina specialists office, he had photodynamic laser in April of 2009 and Avastin subsequently in June of 2009. Unfortunately with that his vision is substantially declining. OD 20/30, OS 20/100
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Best Disease - Left Eye Treated Previously, Elsewhere, with PDT and Avastin498 views11-year-old has Best’s disease that runs in his family on his mothers side. At another retina specialists office, he had photodynamic laser in April of 2009 and Avastin subsequently in June of 2009. Unfortunately with that his vision is substantially declining. OD 20/30, OS 20/100
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Best Disease - Left Eye Treated Previously, Elsewhere, with PDT and Avastin488 views11-year-old has Best’s disease that runs in his family on his mothers side. At another retina specialists office, he had photodynamic laser in April of 2009 and Avastin subsequently in June of 2009. Unfortunately with that his vision is substantially declining. OD 20/30, OS 20/100
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Branch Retinal Vein Occlusion with Macular Edema192 viewsCentral foveal thickness came to normal after laser and intravitreal Kenalog
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Diabetic Macular Edema Left Eye - Post Laser411 views82-year-old woman diabetic for many years, last eye exam 5 years ago with gradual vision loss. OD 20/60, OS 20/70. IOP: OD 16, OS 17.
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BESTS Disease177 views
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BESTS Disease142 views
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BDR - Mild Macular Edema - Laser Therapy Macular FA - Arrows show area of edema leaky MA's391 views69-year-old man has diabetic retinopathy in both eyes. His vision is doing pretty well. Recently he is noticing that he can see pretty well without his glasses. When I have been watching the last few visits, there is a patch of edema in the right eye, which looks to be possibly worsening. I saw him last four months ago.
VISUAL ACUITY: (without correction): OD: 20/25
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Vitreomacular Traction 3 months - VIDEO - Takes Time to Load (be patient)148 views80-year-old man has a macular pucker in the right eye with vitreomacular traction and vision loss for 3 months. His vision seems about stable to him. OD 20/60.
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Idiopathic Cystoid Macular Edema - CME - Close up of Late Fluorescein Angiogram Showing Leakage into Foveal Cysts230 views49-year-old man had a flu two weeks ago the right eye has been throbbing and his vision in the right eye has been foggy. OD 20/80, OS 20/40. IOP: 14 OU.
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