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Central Retinal Artery Occlusion - 2 months old by history697 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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Central Retinal Artery Occlusion - 2 months old by history262 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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Central Retinal Artery Occlusion - 2 months old by history499 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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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 636 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 247 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 231 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 210 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 156 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 123 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 139 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 88 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 98 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 92 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 134 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 117 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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217 views
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194 views
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Montage of Hemi-Central Retinal Artery Occlusion213 views
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Montage of Hemi-Central Retinal Artery Occlusion263 views
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CRAO126 viewsCRAO in OD of a 37 yr old Male, Transit Phase
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CRAO100 viewsCRAO in OD Late Phase of FA
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CRAO95 viewsCRAO in OD Tranisit Phase of FA
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CRAO99 viewsCRAO in OD Tranisit Phase of FA
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CRAO136 viewsCRAO Color Montage
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Iris Neovascularization secondary to Central Retinal Artery Occlusion381 views
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CRAO81 viewsCRAO in OD
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FA: CRAO183 viewsCRAO with cilio artery perfusion
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CRAO WITH SPARING OF CILIORETINAL ARTERY108 viewsThis patient was found to have retinal edema from a Central Retinal Artery Occlusion with sparing of the cilioretinal artery. There were no discernible Hollenhorst plaques
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion255 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion231 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion163 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion209 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion255 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion222 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion161 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion253 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion230 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion145 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion145 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion119 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion153 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion171 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion196 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion
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