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Last additions - Massive Subretinal Hemorrhage Polypoidal Choroidal Vasculopathy

56 year old Asian male - The patient noticed a shadow superiorly about a week ago and then his vision dropped in the right eye. The left eye is OK. Medical Hx: Hypertension, Systemic. Hyperlipidemia. Pre-Diabetes (H1Ac 6.5; not dx yet still monitoring). Surgical Hx: Noncontributory. Systemic Meds: HCTZ. Lisinopril. ATORVASTATIN. Aspirin 81 mg. CYCLOBENZAPRINE HCL. VA OD: HM, OS: 20/40 IOP OD: 11, OS: 13 He ultimately had a vitrectomy in the right eye. The left eye failed to respond to Avastin but did beautifully with PDT. Anterior segment: 1+ NS OU Posterior Pole: OD: Vitreous hemorrhage Right eye – hemorrhagic RD 1/20/21 OD Vitreous heme, Massive Subretinal Hemorrhage (3/4 of retina), Cataract - PPV, PPL, Transscleral Biopsy of SR Heme 1/5/22 OD PPV - Suture Akreos 25.00 Akreos PCIOL Left eye - IPCV Avastin monthly – PED growing despite 7 monthly injections PDT 7/27/21 and 12/7/21 – great response

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Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy251 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
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Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy307 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
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Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy276 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
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Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy267 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv4_030822_dahuy_02.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy248 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv4_030822_dahuy_05.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy251 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv4_030822_dahuy_01.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy238 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv4_030822_dahuy_04.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy288 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv4_030822_dahuy_03.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy245 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
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Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy263 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv3_072721_dahuy_20.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy250 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv3_072721_dahuy_19.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy271 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv3_072721_dahuy_18.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy250 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv3_072721_dahuy_17.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy271 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv3_072721_dahuy_16.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy254 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv3_072721_dahuy_15.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy270 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv3_072721_dahuy_14.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy268 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv3_072721_dahuy_13.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy254 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv3_072721_dahuy_01.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy269 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv3_072721_dahuy_12.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy273 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv3_072721_dahuy_11.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy219 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
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Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy227 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv3_072721_dahuy_09.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy263 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv3_072721_dahuy_08.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy238 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv3_072721_dahuy_05.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy258 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv3_072721_dahuy_04.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy258 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv3_072721_dahuy_02.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy242 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv3_072721_dahuy_03.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy269 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
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Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy268 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv1_dahuy_012121_28.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy276 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
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Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy243 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
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Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy254 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv1_dahuy_012121_24.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy259 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv1_dahuy_012121_23.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy273 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv1_dahuy_012121_25.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy266 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv1_dahuy_012121_22.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy307 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv1_dahuy_012121_21.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy242 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv1_dahuy_012121_20.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy259 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv1_dahuy_012121_19.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy261 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv1_dahuy_012121_18.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy264 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv1_dahuy_012121_17.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy251 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv1_dahuy_012121_16.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy243 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv1_dahuy_012121_15.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy262 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv1_dahuy_012121_14.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy262 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv1_dahuy_012121_04.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy260 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv1_dahuy_012121_12.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy254 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv1_dahuy_012121_13.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy249 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv1_dahuy_012121_11.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy256 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv1_dahuy_012121_05.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy258 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv1_dahuy_012121_03.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy250 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv1_dahuy_012121_02.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy241 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv1_dahuy_012121_01.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy255 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv0_dahuy-preopb-scan-011821_05.png
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy249 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv0_dahuy-preopb-scan-011821_04.png
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy224 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv0_dahuy-preopb-scan-011821_03.png
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy234 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv0_dahuy-preopb-scan-011821_02.png
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy243 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
ipcv0_dahuy-preopb-scan-011821_01.png
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy260 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.Dec 12, 2022
     
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56 year old Asian male - The patient noticed a shadow superiorly about a week ago and then his vision dropped in the right eye. The left eye is OK. Medical Hx: Hypertension, Systemic. Hyperlipidemia. Pre-Diabetes (H1Ac 6.5; not dx yet still monitoring). Surgical Hx: Noncontributory. Systemic Meds: HCTZ. Lisinopril. ATORVASTATIN. Aspirin 81 mg. CYCLOBENZAPRINE HCL. VA OD: HM, OS: 20/40 IOP OD: 11, OS: 13 He ultimately had a vitrectomy in the right eye. The left eye failed to respond to Avastin but did beautifully with PDT. Anterior segment: 1+ NS OU Posterior Pole: OD: Vitreous hemorrhage Right eye – hemorrhagic RD 1/20/21 OD Vitreous heme, Massive Subretinal Hemorrhage (3/4 of retina), Cataract - PPV, PPL, Transscleral Biopsy of SR Heme 1/5/22 OD PPV - Suture Akreos 25.00 Akreos PCIOL Left eye - IPCV Avastin monthly – PED growing despite 7 monthly injections PDT 7/27/21 and 12/7/21 – great response