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65 year old man - Starting about 10 days ago he was sitting in bed reading a book and then when he went to check his email he noticed a shimmering light all around the edges of his eye that was only at night and then the next morning he didn't feel well and had a headache with a migraine (first one in 20 years) and then the central vision went bad the day after the shimmery scotoma. The left eye is OK. VA OD: sc20/200-1 PHNI NscJ5 VA OS: sc20/50-2 PH20/20 NscJ1 IOP: TP: OD:14 OS:13 Further testing showed carotid stenosis on the right side and history of stroke - had endarterectomy ( testing done for headache)

macular-heme-intraretinal_panad_102318_03.png
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_02.png
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_01.png
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_04.png
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_07.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_05.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_08.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_10.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_09.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_06.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_12.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_11.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_13.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_14.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_16.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_17.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_18.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_15.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_19.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_20.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_21.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_22.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_24.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_23.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_25.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_26.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_28.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_27.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_30.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_31.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_29.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_32.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_33.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_36.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_35.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
macular-heme-intraretinal_panad_102318_34.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
Valsalva-_1_year_fu.jpg
Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood2 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis00000
(0 votes)
     
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65 year old man - Starting about 10 days ago he was sitting in bed reading a book and then when he went to check his email he noticed a shimmering light all around the edges of his eye that was only at night and then the next morning he didn't feel well and had a headache with a migraine (first one in 20 years) and then the central vision went bad the day after the shimmery scotoma. The left eye is OK. VA OD: sc20/200-1 PHNI NscJ5 VA OS: sc20/50-2 PH20/20 NscJ1 IOP: TP: OD:14 OS:13 Further testing showed carotid stenosis on the right side and history of stroke - had endarterectomy ( testing done for headache)