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a scan right eye 0 degree deviation 220 views10-year-old child has uveitis in both eyes. She probably has tubulointerstitial nephritis-uveitis syndrome, and she apparently also independently has idiopathic elevated intracranial pressure. VISUAL ACUITY: Vision OU is 20/20.
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Central Serous Retinopathy153 viewsRed Free photo
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Central Serous Retinopathy158 viewsLater FA
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Central Serous Retinopathy149 viewsEarly FA
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Central Serous Retinopathy158 viewsFundus photo showing serous RD
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Central Serous Retinopathy163 viewsOCT scan showing serous RD
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Subfoveal CNVM wet AMD early fa (contrast enhanced with photoshop)260 viewsShe has noticed decreased vision in the left eye. It is hard to say for how long, maybe a few months. She had her last eye exam about a year ago. She thoughts perhaps it was cataracts, but you saw a problem with the macula and suggested she come here for evaluation.

VISUAL ACUITY: Vision OD is 20/25, OS is 2/200
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Old Branch Retinal Vein Occlusion- Severe CME - Pucker - Diabetic Fundus Photo304 views61-year old man has diabetic retinopathy in the right eye. He also had a macular pucker and macular edema. I did a vitrectomy on September 5th. His vision was initially improving. His vision in the right eye seems to be a little more foggy.

VISUAL ACUITY: OD: 20/200
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Old Branch Retinal Vein Occlusion- Severe CME - Pucker - Diabetic Map OCT260 views61-year old man has diabetic retinopathy in the right eye. He also had a macular pucker and macular edema. I did a vitrectomy on September 5th. His vision was initially improving. His vision in the right eye seems to be a little more foggy.

VISUAL ACUITY: OD: 20/200
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Old Branch Retinal Vein Occlusion- Severe CME - Pucker - Diabetic Early FA139 views61-year old man has diabetic retinopathy in the right eye. He also had a macular pucker and macular edema. I did a vitrectomy on September 5th. His vision was initially improving. His vision in the right eye seems to be a little more foggy.

VISUAL ACUITY: OD: 20/200
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Old Branch Retinal Vein Occlusion- Severe CME - Pucker - Diabetic Early FA155 views61-year old man has diabetic retinopathy in the right eye. He also had a macular pucker and macular edema. I did a vitrectomy on September 5th. His vision was initially improving. His vision in the right eye seems to be a little more foggy.

VISUAL ACUITY: OD: 20/200
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Old Branch Retinal Vein Occlusion- Severe CME - Pucker - Diabetic Late FA143 views61-year old man has diabetic retinopathy in the right eye. He also had a macular pucker and macular edema. I did a vitrectomy on September 5th. His vision was initially improving. His vision in the right eye seems to be a little more foggy.

VISUAL ACUITY: OD: 20/200
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy line os177 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy 182 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
59-year-old woman had a blood pressure spike to 170/90 and was on medications for tha
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy 191 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy 151 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy very early fa133 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy early fa254 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy early fa90 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy early fa112 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy early fa97 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy mid fa134 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy mid fa108 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy late fa159 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
fshdystroph_eldi.jpg
Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy late fa132 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy OCT right eye line scan182 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
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Myopic Macular Degeneration - Dry 486 views55-year-old woman has myopic macular degeneration in both eyes with vision and an Amsler grid change starting a few days ago in the left eye.
VISUAL ACUITY: OD: 20/60. PH: 20/25. OS: 20/200. PH: 20/30.
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Myopic Macular Degeneration - Dry 378 views55-year-old woman has myopic macular degeneration in both eyes with vision and an Amsler grid change starting a few days ago in the left eye.
VISUAL ACUITY: OD: 20/60. PH: 20/25. OS: 20/200. PH: 20/30.
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Myopic Macular Degeneration - Dry 379 views55-year-old woman has myopic macular degeneration in both eyes with vision and an Amsler grid change starting a few days ago in the left eye.
VISUAL ACUITY: OD: 20/60. PH: 20/25. OS: 20/200. PH: 20/30.
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Myopic Macular Degeneration - Dry 283 views55-year-old woman has myopic macular degeneration in both eyes with vision and an Amsler grid change starting a few days ago in the left eye.
VISUAL ACUITY: OD: 20/60. PH: 20/25. OS: 20/200. PH: 20/30.
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Myopic Macular Degeneration - Dry 187 views55-year-old woman has myopic macular degeneration in both eyes with vision and an Amsler grid change starting a few days ago in the left eye.
VISUAL ACUITY: OD: 20/60. PH: 20/25. OS: 20/200. PH: 20/30.
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Myopic Macular Degeneration - Dry 214 views55-year-old woman has myopic macular degeneration in both eyes with vision and an Amsler grid change starting a few days ago in the left eye.
VISUAL ACUITY: OD: 20/60. PH: 20/25. OS: 20/200. PH: 20/30.
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Myopic Macular Degeneration - Dry 188 views55-year-old woman has myopic macular degeneration in both eyes with vision and an Amsler grid change starting a few days ago in the left eye.
VISUAL ACUITY: OD: 20/60. PH: 20/25. OS: 20/200. PH: 20/30.
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Myopic Macular Degeneration - Dry 199 views55-year-old woman has myopic macular degeneration in both eyes with vision and an Amsler grid change starting a few days ago in the left eye.
VISUAL ACUITY: OD: 20/60. PH: 20/25. OS: 20/200. PH: 20/30.
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Myopic Macular Degeneration - Dry 198 views55-year-old woman has myopic macular degeneration in both eyes with vision and an Amsler grid change starting a few days ago in the left eye.
VISUAL ACUITY: OD: 20/60. PH: 20/25. OS: 20/200. PH: 20/30.
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Myopic Macular Degeneration - Dry OCT OS327 views55-year-old woman has myopic macular degeneration in both eyes with vision and an Amsler grid change starting a few days ago in the left eye.
VISUAL ACUITY: OD: 20/60. PH: 20/25. OS: 20/200. PH: 20/30.
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female Macula OS 2 months post rx396 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.

2 months post-rx with posterior subtenons kenalog and intravitreal avastin - va os 20/30 and lesion has retracted and organized. It never subsequently grew over 2 years follow-up
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female Montage Initial Visit308 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.

2 months post-rx with posterior subtenons kenalog and intravitreal avastin - va os 20/30 and lesion has retracted and organized. It never subsequently grew over 2 years follow-up
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Asteroid Hyalosis - Benign Calcified Deposits in the Vitreous703 views75 year old woman with 20/30 vision and dense asteroid haylosis
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Asteroid Hyalosis - Benign Calcified Deposits in the Vitreous469 views75 year old woman with 20/30 vision and dense asteroid haylosis
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AMD Dry Hydrophilic Drusen and Geographic Atrophy 63 year old man - Color Photos Showing Large Yellow Drusen327 views63-year-old man was told ten or eleven years ago that he had age-related macular degeneration. He has noticed for the last month or two an Amsler grid change in the right eye and comes in for an evaluation because of that. VISUAL ACUITY: OD 20/40, OS 20/30.
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AMD Dry Hydrophilic Drusen and Geographic Atrophy 63 year old man - Red Free Photo Showing Drusen and Atrophy149 views63-year-old man was told ten or eleven years ago that he had age-related macular degeneration. He has noticed for the last month or two an Amsler grid change in the right eye and comes in for an evaluation because of that. VISUAL ACUITY: OD 20/40, OS 20/30.
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AMD Dry Hydrophilic Drusen and Geographic Atrophy 63 year old man - Red Free Image Right Eye Showing Drusen122 views63-year-old man was told ten or eleven years ago that he had age-related macular degeneration. He has noticed for the last month or two an Amsler grid change in the right eye and comes in for an evaluation because of that. VISUAL ACUITY: OD 20/40, OS 20/30.
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AMD Dry Hydrophilic Drusen and Geographic Atrophy - Very Early Fluorescein Shows Window Defects in Retinal Pigment Epithelium117 views63-year-old man was told ten or eleven years ago that he had age-related macular degeneration. He has noticed for the last month or two an Amsler grid change in the right eye and comes in for an evaluation because of that. VISUAL ACUITY: OD 20/40, OS 20/30.
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AMD Dry Hydrophilic Drusen and Geographic Atrophy 63 year old man - Early Fluorescein Shows Window Defects and Some Staining152 views63-year-old man was told ten or eleven years ago that he had age-related macular degeneration. He has noticed for the last month or two an Amsler grid change in the right eye and comes in for an evaluation because of that. VISUAL ACUITY: OD 20/40, OS 20/30.
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AMD Dry Hydrophilic Drusen and Geographic Atrophy - Mid Phase (peak) FA shows briskly staining drusen and window defects123 views63-year-old man was told ten or eleven years ago that he had age-related macular degeneration. He has noticed for the last month or two an Amsler grid change in the right eye and comes in for an evaluation because of that. VISUAL ACUITY: OD 20/40, OS 20/30.
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AMD Dry Hydrophilic Drusen and Geographic Atrophy 63 year old man - Mid Phase FA left eye shows staining drusen158 views63-year-old man was told ten or eleven years ago that he had age-related macular degeneration. He has noticed for the last month or two an Amsler grid change in the right eye and comes in for an evaluation because of that. VISUAL ACUITY: OD 20/40, OS 20/30.
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AMD Dry Hydrophilic Drusen and Geographic Atrophy 63 year old man - Late FA161 views63-year-old man was told ten or eleven years ago that he had age-related macular degeneration. He has noticed for the last month or two an Amsler grid change in the right eye and comes in for an evaluation because of that. VISUAL ACUITY: OD 20/40, OS 20/30.
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AMD Dry Hydrophilic Drusen and Geographic Atrophy 63 year old man - Late FA121 views63-year-old man was told ten or eleven years ago that he had age-related macular degeneration. He has noticed for the last month or two an Amsler grid change in the right eye and comes in for an evaluation because of that. VISUAL ACUITY: OD 20/40, OS 20/30.
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AMD Dry Hydrophilic Drusen and Geographic Atrophy 63 year old man - Small Yellow Spots are Drusen Color Photo Right Eye201 views63-year-old man was told ten or eleven years ago that he had age-related macular degeneration. He has noticed for the last month or two an Amsler grid change in the right eye and comes in for an evaluation because of that. VISUAL ACUITY: OD 20/40, OS 20/30.
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Birdshot Chorioretinitis Mild - Asymptomatic298 views59-year-old man has birdshot chorioretinopathy in both eyes. Vision OD 20/25, OS 20/20. IOP: OD 16, OS 14. The right eye has a posterior chamber intraocular lens in good position. There is 1+ posterior capsular opacity. The left eye has 2+ nuclear sclerosis.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ration is 0.8. There is patchy depigmented lesion in the nasal periphery. The retina is attached with peripheral laser.
OS: Vertical C/D ratio is 0.4. There are peripheral punched out lesions in the periphery
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Birdshot Chorioretinitis Mild - Asymptomatic339 views59-year-old man has birdshot chorioretinopathy in both eyes. Vision OD 20/25, OS 20/20. IOP: OD 16, OS 14. The right eye has a posterior chamber intraocular lens in good position. There is 1+ posterior capsular opacity. The left eye has 2+ nuclear sclerosis.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ration is 0.8. There is patchy depigmented lesion in the nasal periphery. The retina is attached with peripheral laser.
OS: Vertical C/D ratio is 0.4. There are peripheral punched out lesions in the periphery
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Birdshot Chorioretinitis Mild - Asymptomatic381 views59-year-old man has birdshot chorioretinopathy in both eyes. Vision OD 20/25, OS 20/20. IOP: OD 16, OS 14. The right eye has a posterior chamber intraocular lens in good position. There is 1+ posterior capsular opacity. The left eye has 2+ nuclear sclerosis.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ration is 0.8. There is patchy depigmented lesion in the nasal periphery. The retina is attached with peripheral laser.
OS: Vertical C/D ratio is 0.4. There are peripheral punched out lesions in the periphery
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Birdshot Chorioretinitis Mild - Asymptomatic327 views59-year-old man has birdshot chorioretinopathy in both eyes. Vision OD 20/25, OS 20/20. IOP: OD 16, OS 14. The right eye has a posterior chamber intraocular lens in good position. There is 1+ posterior capsular opacity. The left eye has 2+ nuclear sclerosis.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ration is 0.8. There is patchy depigmented lesion in the nasal periphery. The retina is attached with peripheral laser.
OS: Vertical C/D ratio is 0.4. There are peripheral punched out lesions in the periphery
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Birdshot Chorioretinitis Mild - Asymptomatic206 views59-year-old man has birdshot chorioretinopathy in both eyes. Vision OD 20/25, OS 20/20. IOP: OD 16, OS 14. The right eye has a posterior chamber intraocular lens in good position. There is 1+ posterior capsular opacity. The left eye has 2+ nuclear sclerosis.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ration is 0.8. There is patchy depigmented lesion in the nasal periphery. The retina is attached with peripheral laser.
OS: Vertical C/D ratio is 0.4. There are peripheral punched out lesions in the periphery
birdshot_libr_28529.png
Birdshot Chorioretinitis Mild - Asymptomatic276 views59-year-old man has birdshot chorioretinopathy in both eyes. Vision OD 20/25, OS 20/20. IOP: OD 16, OS 14. The right eye has a posterior chamber intraocular lens in good position. There is 1+ posterior capsular opacity. The left eye has 2+ nuclear sclerosis.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ration is 0.8. There is patchy depigmented lesion in the nasal periphery. The retina is attached with peripheral laser.
OS: Vertical C/D ratio is 0.4. There are peripheral punched out lesions in the periphery
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Asteroid Hyalosis - Asymptomatic214 views80-year-old woman her vision is not bothering her, you noticed a problem with the retina. Her left eye tests worse than the right eye today, but she says that it has been like that for a long time and she is not bothered by any floaters or change in central vision.
VISUAL ACUITY: OD is 20/25, OS 20/40
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Asteroid Hyalosis - Asymptomatic165 views80-year-old woman her vision is not bothering her, you noticed a problem with the retina. Her left eye tests worse than the right eye today, but she says that it has been like that for a long time and she is not bothered by any floaters or change in central vision.
VISUAL ACUITY: OD is 20/25, OS 20/40
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Asteroid Hyalosis - Asymptomatic190 views80-year-old woman her vision is not bothering her, you noticed a problem with the retina. Her left eye tests worse than the right eye today, but she says that it has been like that for a long time and she is not bothered by any floaters or change in central vision.
VISUAL ACUITY: OD is 20/25, OS 20/40
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Asteroid Hyalosis - Asymptomatic192 views80-year-old woman her vision is not bothering her, you noticed a problem with the retina. Her left eye tests worse than the right eye today, but she says that it has been like that for a long time and she is not bothered by any floaters or change in central vision.
VISUAL ACUITY: OD is 20/25, OS 20/40
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Asteroid Hyalosis - Asymptomatic167 views80-year-old woman her vision is not bothering her, you noticed a problem with the retina. Her left eye tests worse than the right eye today, but she says that it has been like that for a long time and she is not bothered by any floaters or change in central vision.
VISUAL ACUITY: OD is 20/25, OS 20/40
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Choroidal Rupture and small Hemorrhage - Assault584 views34 year old man. The patient reports he was assaulted by a couple of adolescents near downtown St. Petersburg about forty-eight hours ago. He reports the pain in the left eye has significantly improved, but his vision is a little fuzzy and he sees some floaters in the left eye. 20/125 OD, 20/20 OS. Pinhole improves in the right eye to 20/50. IOP: 15 OD, 13 OS.
SLIT LAMP EXAMINATION: Biomicroscopy reveals 3+ pupillary reaction OD, 2+ OS with no afferent pupillary defect. EXTENDED OPHTHALMOSCOPY: Extended funduscopy with Volk 90-diopter lens and fundus drawings of both eyes reveal a clear view with no posterior vitreous separation. C/D ratio is 0.2. There is no vitreous debris or hemorrhage. Large retinal vessels and macula are healthy. The retinal periphery, inspected with scleral depression for 360° shows no retinal tears, breaks, or detachments.
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Choroidal Rupture and small Hemorrhage - Assault391 views34 year old man. The patient reports he was assaulted by a couple of adolescents near downtown St. Petersburg about forty-eight hours ago. He reports the pain in the left eye has significantly improved, but his vision is a little fuzzy and he sees some floaters in the left eye. 20/125 OD, 20/20 OS. Pinhole improves in the right eye to 20/50. IOP: 15 OD, 13 OS.
SLIT LAMP EXAMINATION: Biomicroscopy reveals 3+ pupillary reaction OD, 2+ OS with no afferent pupillary defect. EXTENDED OPHTHALMOSCOPY: Extended funduscopy with Volk 90-diopter lens and fundus drawings of both eyes reveal a clear view with no posterior vitreous separation. C/D ratio is 0.2. There is no vitreous debris or hemorrhage. Large retinal vessels and macula are healthy. The retinal periphery, inspected with scleral depression for 360° shows no retinal tears, breaks, or detachments.
choroidalrupturechdo_28229.jpg
Choroidal Rupture and small Hemorrhage - Assault256 views34 year old man. The patient reports he was assaulted by a couple of adolescents near downtown St. Petersburg about forty-eight hours ago. He reports the pain in the left eye has significantly improved, but his vision is a little fuzzy and he sees some floaters in the left eye. 20/125 OD, 20/20 OS. Pinhole improves in the right eye to 20/50. IOP: 15 OD, 13 OS.
SLIT LAMP EXAMINATION: Biomicroscopy reveals 3+ pupillary reaction OD, 2+ OS with no afferent pupillary defect. EXTENDED OPHTHALMOSCOPY: Extended funduscopy with Volk 90-diopter lens and fundus drawings of both eyes reveal a clear view with no posterior vitreous separation. C/D ratio is 0.2. There is no vitreous debris or hemorrhage. Large retinal vessels and macula are healthy. The retinal periphery, inspected with scleral depression for 360° shows no retinal tears, breaks, or detachments.
choroidalrupturechdo_28329.jpg
Choroidal Rupture and small Hemorrhage - Assault262 views34 year old man. The patient reports he was assaulted by a couple of adolescents near downtown St. Petersburg about forty-eight hours ago. He reports the pain in the left eye has significantly improved, but his vision is a little fuzzy and he sees some floaters in the left eye. 20/125 OD, 20/20 OS. Pinhole improves in the right eye to 20/50. IOP: 15 OD, 13 OS.
SLIT LAMP EXAMINATION: Biomicroscopy reveals 3+ pupillary reaction OD, 2+ OS with no afferent pupillary defect. EXTENDED OPHTHALMOSCOPY: Extended funduscopy with Volk 90-diopter lens and fundus drawings of both eyes reveal a clear view with no posterior vitreous separation. C/D ratio is 0.2. There is no vitreous debris or hemorrhage. Large retinal vessels and macula are healthy. The retinal periphery, inspected with scleral depression for 360° shows no retinal tears, breaks, or detachments.
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Choroidal Rupture and small Hemorrhage - Assault252 views34 year old man. The patient reports he was assaulted by a couple of adolescents near downtown St. Petersburg about forty-eight hours ago. He reports the pain in the left eye has significantly improved, but his vision is a little fuzzy and he sees some floaters in the left eye. 20/125 OD, 20/20 OS. Pinhole improves in the right eye to 20/50. IOP: 15 OD, 13 OS.
SLIT LAMP EXAMINATION: Biomicroscopy reveals 3+ pupillary reaction OD, 2+ OS with no afferent pupillary defect. EXTENDED OPHTHALMOSCOPY: Extended funduscopy with Volk 90-diopter lens and fundus drawings of both eyes reveal a clear view with no posterior vitreous separation. C/D ratio is 0.2. There is no vitreous debris or hemorrhage. Large retinal vessels and macula are healthy. The retinal periphery, inspected with scleral depression for 360° shows no retinal tears, breaks, or detachments.
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Choroidal Rupture and small Hemorrhage - Assault297 views34 year old man. The patient reports he was assaulted by a couple of adolescents near downtown St. Petersburg about forty-eight hours ago. He reports the pain in the left eye has significantly improved, but his vision is a little fuzzy and he sees some floaters in the left eye. 20/125 OD, 20/20 OS. Pinhole improves in the right eye to 20/50. IOP: 15 OD, 13 OS.
SLIT LAMP EXAMINATION: Biomicroscopy reveals 3+ pupillary reaction OD, 2+ OS with no afferent pupillary defect. EXTENDED OPHTHALMOSCOPY: Extended funduscopy with Volk 90-diopter lens and fundus drawings of both eyes reveal a clear view with no posterior vitreous separation. C/D ratio is 0.2. There is no vitreous debris or hemorrhage. Large retinal vessels and macula are healthy. The retinal periphery, inspected with scleral depression for 360° shows no retinal tears, breaks, or detachments.
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Central Retinal Artery Occlusion - 2 months old by history669 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 history252 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 history468 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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Myopic Degeneration - Staphyloma - Atrophy315 views53-year-old man was a -15.00 myope. He is aphakic. His left eye also had a retinal detachment repair and unfortunately the left eye does not see well. He is on Timolol in both eyes for glaucoma. VISUAL ACUITY: OD 20/50, OS: Faint light perception.
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Myopic Degeneration - Staphyloma - Atrophy296 views53-year-old man was a -15.00 myope. He is aphakic. His left eye also had a retinal detachment repair and unfortunately the left eye does not see well. He is on Timolol in both eyes for glaucoma. VISUAL ACUITY: OD 20/50, OS: Faint light perception.
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Myopic Degeneration - Staphyloma - Atrophy288 views53-year-old man was a -15.00 myope. He is aphakic. His left eye also had a retinal detachment repair and unfortunately the left eye does not see well. He is on Timolol in both eyes for glaucoma. VISUAL ACUITY: OD 20/50, OS: Faint light perception.
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy327 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy211 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy164 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy140 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy180 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy217 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy175 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy129 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy115 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy166 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy156 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy128 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy136 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy220 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 209 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
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Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 277 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
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Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 155 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
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Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 125 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
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Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 217 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
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Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 107 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
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Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 134 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
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Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 99 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
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Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 105 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
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Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 101 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
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Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 118 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
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Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 121 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
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Disciform Scar after Photodynamic Laser - Macular Hemorrhage and Vitrectomy303 views84-year-old man has age-related macular degeneration in both eyes, with a disciform scar in the right eye. He had a subfoveal hemorrhage in that eye treated with vitrectomy and displacement on May 3, 2006. He previous to that had photodynamic laser. These photos are from October 2010. VA is 1/200.
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