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Nonproliferative Diabetic Retinopathy7338 views65-year old female with diabetes. Has had cataract surgery in the left eye with VA 20/25. She has had laser in the past. Fundus examination shows microaneurysms with retinal hemorrahages and exudates in the left eye.
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Nonproliferative Diabetic Retinopathy6805 views65-year old female with diabetes. Has had cataract surgery in the left eye with VA 20/25. She has had laser in the past. Fundus examination shows microaneurysms with retinal hemorrahages and exudates in the left eye.
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Nonproliferative Diabetic Retinopathy5970 views65-year old female with diabetes. Has had cataract surgery in the left eye with VA 20/25. She has had laser in the past. Fundus examination shows microaneurysms with retinal hemorrahages and exudates in the left eye.
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Nonproliferative Diabetic Retinopathy5142 views65-year old female with diabetes. Has had cataract surgery in the left eye with VA 20/25. She has had laser in the past. Fundus examination shows microaneurysms with retinal hemorrahages and exudates in the left eye.
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Nonproliferative Diabetic Retinopathy5128 views65-year old female with diabetes. Has had cataract surgery in the left eye with VA 20/25. She has had laser in the past. Fundus examination shows microaneurysms with retinal hemorrahages and exudates in the left eye.
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Amelanotic - Light Colored CHRPE - Congenital Hypertrophy of the Pigment Epithelium4194 views56-year-old woman nov vision problems. OD is 20/20, OS is 20/16
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Nonproliferative Diabetic Retinopathy3918 views65-year old female with diabetes. Has had cataract surgery in the left eye with VA 20/25. She has had laser in the past. Fundus examination shows microaneurysms with retinal hemorrahages and exudates in the left eye.
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PVD with Weiss Ring /Optic Nerve in Background3904 views
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago SD-OCT (Spectral domain optical coherence tomography)3772 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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Juvenile Onset Diabetic - Proliferative Diabetic retinopathy with NVE and NVD3631 viewsProliferative Diabetic Retinopathy with Neovascularization of the Disc and Neovascularization Elsewhere.
James L. Perron, C.R.A.
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Purtscher's Retinopathy - Motor Vehicle Accident3400 viewsNerve Fiber Layer Inflammation and retinal hemorrhages due to severe trauma. Patient was a teenage boy that got into a car accident.
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Optic Nerve Tumor3205 views21 year old male: Presents with a history of Von Hippel-Lindau Syndrome, diagnosed in 2005 affecting his left Optic Nerve, Brain, Spine, Kidney and Pancreas. He has undergone Laser for Retinal Hemangioma measuring 2/3-4/5DD -vs_ 1/3DD when originally diagnosed. However his visual acuity remains good 20/25. Patient has also undergone Neurosurgery in 2005 and Spinal cord in 2006. Recent MRI of spinal cord hemangioma showed stable tumors.
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Wyburn Mason Syndrome3013 views28 year old female, visual acuity OS 20/200
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago SD-OCT (Spectral domain optical coherence tomography)3010 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago SD-OCT (Spectral domain optical coherence tomography)2998 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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CHRPE - Gardner Syndrome - FAMILIAL COLORECTAL POLYPOSIS - 11 year old female2906 views11-year-old child with CHRPE OS has six undescended adult teeth and also she has had a cyst removed from her arm pit and she has three more in her arm pit and one on her face and she is seeing a dermatologist for that in the near future. The mother reports no health problems, however, the patient’s grandmother does have a history of intestinal polyps, as does the patient’s grandmother’s brothers son.
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Occult Metallic Intraocular Foreign Body - WINNER JANUARY 2011 - BEST IMAGE2895 viewsFundus photograph of a 28 year old male who presented with intermittent, painless, blurred vision of his left eye secondary to an occult metallic intraocular foreign body with old vitreous hemorrhage. He later admitted to feeling a mild gritty sensation of his affected eye while working with a circular saw the previous year. He was then misdiagnosed as having a subconjunctival hemorrhage from the emergency physician. He later underwent successful pars plana vitrectomy and foreign body removal.
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Peripheral Bullous Retinoschisis Spectral Domain Optical Coherence Tomography (SD-OCT)2885 views64-year-old man with peripheral retinal problem noted during comprehensive eye examination. OD 20/32, OS 20/25
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Non-Ischemic Central Retinal Vein Occlusion in Young Man (30 years) - Many Cotton Wool Spots2626 views30-year-old man with a history of a central retinal vein occlusion for which he was first examined on 2 months ago and his vision then was 4/200. He responded nicely to two Avastin treatments. OD is 20/20, OS is 20/60
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Reticular Macular Disease - Reticular Pseudodrusen and Soft Macular Drusen - 57 Year Old Woman2555 views57-year-old woman was seen in the office on 2/22/2011. She has macular drusen in both eyes. I saw her back in 2006. Since then she does notice slight increased distortion. OD is 20/25, OS is 20/25
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Proliferative Diabetic Retinopathy with Macular Hole2521 viewsPatitent with diabetes diagnosed 12 years ago and low visual acuity.
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago SD-OCT (Spectral domain optical coherence tomography)2455 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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Sarcoidosis Multifocal Choroiditis2439 views66 year old man with dense cataracts and recurrent uveitis. Images show multifocal choroidal granulomas from sarcoidosis more in the right eye than the left eye.
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Nonproliferative Diabetic Retinopathy2422 views65-year old female with diabetes. Has had cataract surgery in the left eye with VA 20/25. She has had laser in the past. Fundus examination shows microaneurysms with retinal hemorrahages and exudates in the left eye.
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Prominent Posterior Hyaloid with Background Diabetic Retinopathy2401 viewsDiabetic patient comes in for follow up for her Background Diabetic Retinopathy and glaucoma. VA is 20/30. left eye. Fundus exam shows posterior Hyaloid with hemorrhage inferiorily.
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Combined hamartoma of the retina and RPE2337 views16 year old female, diagnosed with a combined hamartoma of the retina and the retinal pigment epithelium.
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Anterior Ischemic Optic Neuropathy - Non-Arteritic - AION2313 views72-year-old woman sudden vision loss in the right eye about four days ago. She also has noticed that things are dim out of that eye. She has no headaches. She does feel a little tired. She has no pain in her jaw when she chews and she has no fevers.
OD is 20/80, PH 20/25; OS is 20/25
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CAVERNOUS HEMONGIOMA2277 views28 year old male w/ 20/200 vision at time of exam. Patient c/o poor vision since childhood. No significant medical history or family medical history. A problem was only noted when patient enlisted in the Army.
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago Fundus Autofluorescence2273 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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Correctopia - post laser iridoplasty - 20/20 vision2267 views1 month after the iridoplasty, her vision was 20/20. She began to improve on the drive home from the treatment. The laser setting were : green argon 500 microns, 500 mw, 500 msec.
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Corneal Abrasion with Foreign Body Present 2263 viewsER patient comes in with corneal abrasion in the left eye which was getting worst. VA 20/25. Slit lamp exam showed corneal abrasion superiorly at 2-o'clock. Flipped eyelid and foreign body appeared on the upper tarsal plate. Foreign body was removed.
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Macular fold after PPV for RD2212 viewsA 53-year-old man with a macula-off RD underwent left eye pars plana vitrectomy with air-fluid exchange, laser retinopexy, and injection of 14% SF6 gas. There were 4 retinal breaks between 10 o’clock and 12 o’clock including one large tear. He was compliant with facedown positioning. On the 8th post-operative day, a retinal fold along the 4-10 o’clock meridian was seen coursing through his central macula. He underwent repeat PPV but multiple attempts to lift and flatten the retina were unsuccessful.
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Amelanotic - Light Colored CHRPE - Congenital Hypertrophy of the Pigment Epithelium2192 views56-year-old woman nov vision problems. OD is 20/20, OS is 20/16
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Horseshoe Retinal Tear with bridging blood vessel2168 views
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Non-Ischemic Central Retinal Vein Occlusion in Young Man (30 years) - Many Cotton Wool Spots2162 views30-year-old man with a history of a central retinal vein occlusion for which he was first examined on 2 months ago and his vision then was 4/200. He responded nicely to two Avastin treatments. OD is 20/20, OS is 20/60
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Corneal Abrasion with Foreign Body Present 2126 viewsER patient comes in with corneal abrasion in the left eye which was getting worst. VA 20/25. Slit lamp exam showed corneal abrasion superiorly at 2-o'clock. Flipped eyelid and foreign body appeared on the upper tarsal plate. Foreign body was removed.
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Prominent Posterior Hyaloid with Background Diabetic Retinopathy2107 viewsDiabetic patient comes in for follow up for her Background Diabetic Retinopathy and glaucoma. VA is 20/30. left eye. Fundus exam shows posterior Hyaloid with hemorrhage inferiorily.
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Acute Macula Neuroretinopathy2103 views39yr old male: Presents with Inferior Temporal Scotoma in his left eye, x 10 days with no change in shape or size, Visual acuity 20/25.
Most common sysptoms are described as sudden onset of one or more paracentral scotomas. {with the tip pointing toward the Fovea} without any other visual symptoms. Currently no treatment recommended.
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Retinal Vasculitis due to Lupus (color)2040 viewsSystemic Lupus Erythematosis - Vasculitis
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Anterior Ischemic Optic Neuropathy - Non-Arteritic - AION2036 views72-year-old woman sudden vision loss in the right eye about four days ago. She also has noticed that things are dim out of that eye. She has no headaches. She does feel a little tired. She has no pain in her jaw when she chews and she has no fevers.
OD is 20/80, PH 20/25; OS is 20/25
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Serous Choroidal Effusions2031 viewsSerous choroidal effusions following anterior segment surgery. Final visual outcome was 20/20.
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Nonproliferative Diabetic Retinopathy2002 views65-year old female with diabetes. Has had cataract surgery in the left eye with VA 20/25. She has had laser in the past. Fundus examination shows microaneurysms with retinal hemorrahages and exudates in the left eye.
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago Fundus Autofluorescence1976 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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Asymptomatic Hollenhorst Plaque - Cholesterol Embolis1948 views71-year-old woman is not noticing any vision change. She does take pressure-lowering drops for glaucoma, both Timolol and Xalatan.
VISUAL ACUITY: Vision OD is 20/30, OS is 20/16
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)1938 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago SD-OCT (Spectral domain optical coherence tomography)1901 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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Reticular Macular Disease - Reticular Pseudodrusen and Soft Macular Drusen - 57 Year Old Woman1869 views57-year-old woman was seen in the office on 2/22/2011. She has macular drusen in both eyes. I saw her back in 2006. Since then she does notice slight increased distortion. OD is 20/25, OS is 20/25
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Combined schisis-rhegmatogenous RD1859 viewsMultiple outer layer and inner layer holes
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"Jelly Bumps" Soft Contact Lens1826 viewsYoung female patient comes in wearing overnight contact lenses. Complains of irritation in both eyes. Denies sleeping in SCL. Slit lamp exam shows little jelly bumps underneath the contact lens in both eyes. Was issued a new pair and lectured on handling them.
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Fundus Autofluorescence od1822 views61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.
Pisciform Lesions and Macular Atrophy
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Peripheral Bullous Retinoschisis Fundus Photo (superotemporal)1821 views64-year-old man with peripheral retinal problem noted during comprehensive eye examination. OD 20/32, OS 20/25
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Astrocytic Hamartoma1785 viewsCalcified astrocytic hamartoma of the optic nerve
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OD Albinism with foveal hypoplasia1783 views28 year old female latina with vision of 20/400
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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome1775 views80-year-old man vision loss for one year. He died about one year after these photos from Metastatic Poorly Differentiated Large Cell Carcinoma of unknown primary. He was a smoker.
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Retinal Flap Tear - Horseshoe - Cystic Retinal Tuft on Flap1761 views73-year-old woman who noticed two days ago she was bending over and had a sudden “ribbon†in her
vision which looked to her like blood. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20.
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Reticular Macular Disease - Reticular Pseudodrusen and Soft Macular Drusen - 57 Year Old Woman1759 views57-year-old woman was seen in the office on 2/22/2011. She has macular drusen in both eyes. I saw her back in 2006. Since then she does notice slight increased distortion. OD is 20/25, OS is 20/25
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Optic disc swelling1748 views56 year old woman
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Large mac hole OCT1740 views76 yof with large mac hole
VA: CF at 3ft
chance of spontaneous closure low; surgery option available
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Diabetic Macular Edema and Hypertensive Retinopathy - Circinate Exudate (Ring Exudate) 1735 views55-year-old woman diabetic for fifteen years and high blood pressure, especially over the last few months. She has had problems with nosebleeds, headaches, and there has been some difficulty bringing her blood pressure down. She said now the blood pressure is under control but it was running 220/120 mmHg for some time. Her vision in the right eye has been poor for four weeks with a spot in the central vision and both eyes have been blurred.
VISUAL ACUITY: Vision OD is 20/160, OS is 20/60
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Weiss Ring -Vogt Ring - Posterior Vitreous Detachment1723 viewsChronic Floater - 10 years
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CAVERNOUS HEMONGIOMA1722 views28 year old male. FA
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Pigment migration in dry age-related macular degeneration1718 views80 year old female. Dry AMD with GA in the left eye and pigment migration visible on OCT scan.
VA 20/40 OD, 20/160 OS
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old - SD - OCT OS1716 views61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.
Pisciform Lesions and Macular Atrophy
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ANGIOID STREAKS1714 viewsA 29 year old woman was referred to the ophthalmologist for an eye exam since the dermatologist had noted “chicken-skin†papules in the neck skin. PAD showed for pseudoxathoma elasticum typical pathology. The eye exam disclosed angioid streaks, asymptomatic so far.
Magnus Gjötterberg MD
International membrer 1440
S:t Erik Eye Hospital
SE-11282
Stockholm
Sweden
magnusgjotterberg@hem.utfors.se
magnus.gjotterberg@sankterik.se.
Photographer/technician
Malin Langhals
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1703 viewsElschnig Spots
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Myelinated Nerve Fiber Layer Right Eye (white area)1683 views62-year-old man myelinated nerve fiber layer in the right eye. OD 20/25, OS 20/30.
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago SD-OCT (Spectral domain optical coherence tomography)1665 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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Stargardt's Juvenille Macular Dystrophy - Fundus Flavimaculatus - Famlial1653 views55-year-old woman was seen in the office on 11/18/08. She has a half sister with Stargardt’s disease and seven other siblings who are fine. 20/120 OD, 20/160 OS.
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Malattia leventinese1652 viewsBasal laminar drusen in a perifoveal radial distribution are noted in this rare condition. Inheritance is AD with variable expressivity but full penetrance.
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CHRPE - Gardner Syndrome - FAMILIAL COLORECTAL POLYPOSIS - 11 year old female1629 views11-year-old child with CHRPE OS has six undescended adult teeth and also she has had a cyst removed from her arm pit and she has three more in her arm pit and one on her face and she is seeing a dermatologist for that in the near future. The mother reports no health problems, however, the patient’s grandmother does have a history of intestinal polyps, as does the patient’s grandmother’s brothers son.
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Anterior Ischemic Optic Neuropathy - Non-Arteritic - AION1628 views72-year-old woman sudden vision loss in the right eye about four days ago. She also has noticed that things are dim out of that eye. She has no headaches. She does feel a little tired. She has no pain in her jaw when she chews and she has no fevers.
OD is 20/80, PH 20/25; OS is 20/25
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Retinoblastoma1628 viewsYoung male who has a retinal tumor inferior with a calcium core in the left eye. This is a regressed retinoblastoma.
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Retinal Tear After Laser1625 views65-year-old woman new onset floaters for 1 week. She initially saw flashing lights and then the flashing lights subsided and then she had the floaters VISUAL ACUITY: OD 20/25, OS 20/50
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Uveitis - Iris Nodule - Koeppe Nodule1619 views29-year-old woman has had problems with uveitis in the right eye for about the last two years. Her symptoms are usually floaters. Occasionally the eye gets red, it has not been very uncomfortable, and it has always been in the right eye. Has had Iris Nodule like one in photo in left eye and Right eye. They clear with or without steroids after about a month.
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago Fundus Autofluorescence1616 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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Dilated Conjunctival Blood Vessels1615 viewsPatient comes in for routine eye exam. VA 20/20 in both eyes. Fundus exam was normal. Dilated blood vessels are shown temporal inferiorly in the left eye.
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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangioma1608 views61-year-old man with Sturge-Weber syndrome with a hemangioma on the left side of his face.
VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19.
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1604 viewsElschnig Spots
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Correctopia - post laser iridoplasty - 20/20 vision1602 views1 month after the iridoplasty, her vision was 20/20. She began to improve on the drive home from the treatment. The laser setting were : green argon 500 microns, 500 mw, 500 msec.
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Retinal Tear After Laser1599 views65-year-old woman new onset floaters for 1 week. She initially saw flashing lights and then the flashing lights subsided and then she had the floaters VISUAL ACUITY: OD 20/25, OS 20/50
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Recurrent Macula Off Retinal Detachment - Corrugated Shallow Appearance1598 views62-year-old man shadow a week ago.
VISUAL ACUITY: Vision OS is 20/60. RECURRENT RETINAL DETACHMENT
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Conjunctival Cyst1598 viewsPatient comes in with mechanical irritation in the right eye. No foreign body was found. Slit lamp photo shows conjunctival cyst was found temporal in the right eye. Patient will proceed with steroid/antibiotic drops and will stay out of contact lenses.
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TRD w/ fibrovascular proliferation and sub retinal PVR OD1597 views41 year old african american female with tractional retinal detachment, fibrovascular proliferation, old vitreous hemorrhage, disc neovascularization, and proliferative vitreoretinopathy. Pt has a vision of 20/200
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Coats' Disease in 14 Year Old Boy Treated with Cryotherapy and Avastin1593 views14 Year Old Boy with Coats Disease
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Best Disease - Left Eye Treated Previously, Elsewhere, with PDT and Avastin1575 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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Dilated Conjunctival Blood Vessels1575 viewsPatient comes in for routine eye exam. VA 20/20 in both eyes. Fundus exam was normal. Dilated blood vessels are shown temporal inferiorly in the left eye.
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago Fundus Autofluorescence1568 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Wet AMD OS - Dry AMD OD SD-OCT1568 views84-year-old woman has wet age-related macular degeneration in the left eye and dry macular degeneration in the right eye. She takes the eye vitamins and her vision is stable since she was treated three months ago with Avastin. OD 20/50, OS 20/32
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Acute Posterior Vitreous Detachment - Weiss Ring - Vogt Ring1565 views
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Ectopia Lentis - Marfan's Syndrome - Intermittent Pupillary Block Glaucoma Right Eye1561 views41-year-old woman decreased vision right eye and intermittent pupillary block glaucoma for 6 months from a dislocated natural lens in the eye, probably associated with Marfan syndrome.Vision OD is 20/160, PH 20/40; OS is 20/30, PH 20/25
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Amelanotic Choroidal Nevus 1546 views45-year-old man OD 20/20, OS 20/20. 5x5 mm flat, yellow choroidal lesion just inferonasal to the optic nerve, two disc-diameters from the nerve with scalloped edges. It looks like a confluent drusen, but it is not elevated.
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CHRPE lesion in the left eye - Irregular pigmentation1543 views63 year old female with normal vision and CHRPE lesion in the right eye.
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1539 views
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Retinal Pigment Epithelial Dysgenesis1536 views
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Acute Posterior Vitreous Detachment - Weiss Ring - Vogt Ring1534 views
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Myelinated Nerve Fiber Layer Right Eye (white area)1531 views62-year-old man myelinated nerve fiber layer in the right eye. OD 20/25, OS 20/30.
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Wyburn-Mason Syndrome 1529 views28 year old female, diagnosed with Wyburn-Mason Syndrome at age 7. At time of exam, vision in the left eye was 4/200.
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Progressive Outer Retinal Necrosis 77 Year Old Woman with CLL (Acute Retinal Necrosis) (PORN - ARN)1528 views77-year-old woman with CLL who had shingles on the left side of her face about 6 weeks ago then she developed a dendrite in the cornea which was treating about four weeks ago. She noticed severe vision loss in the left eye just a few days ago and you saw retinitis and she comes in because of that. Vision OD is 20/25, OS is hand motion
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Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child - Line Scan over Nerve Shows Retinal Edema1521 views14-year-old was with optic nerve swelling asymptomatic - picked up during routine eye exam. OD 20/20, OS 20/32
SD-OCT is used to differentiate optic disc edema from optic nerve head drusen (which are not yet calcified in children).
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Berlin's Edema - Post Bungee Cord Injury Right Eye1521 views20/50 vision - 2 days post-injury
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