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Central Retinal Artery Occlusion - 2 months old by history1181 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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Best Disease - Left Eye Treated Previously, Elsewhere, with PDT and Avastin794 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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Best Disease - Left Eye Treated Previously, Elsewhere, with PDT and Avastin1502 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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Best Disease - Left Eye Treated Previously, Elsewhere, with PDT and Avastin1066 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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Best Disease - Left Eye Treated Previously, Elsewhere, with PDT and Avastin1017 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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Best Disease - Left Eye Treated Previously, Elsewhere, with PDT and Avastin1004 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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Best Disease - Left Eye Treated Previously, Elsewhere, with PDT and Avastin995 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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Branch Retinal Vein Occlusion with Macular Edema658 viewsCentral foveal thickness came to normal after laser and intravitreal Kenalog
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Diabetic Macular Edema Left Eye - Post Laser1032 views82-year-old woman diabetic for many years, last eye exam 5 years ago with gradual vision loss. OD 20/60, OS 20/70. IOP: OD 16, OS 17.
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BESTS Disease436 views
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BESTS Disease393 views
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Focal Laser for diabetic macular edema993 views66 year old female with diabetes for 45 years. VA 20/20 OU. Extrafoveal edema in the left eye treated with light focal laser.
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Vitreomacular Traction 3 months - VIDEO - Takes Time to Load (be patient)355 views80-year-old man has a macular pucker in the right eye with vitreomacular traction and vision loss for 3 months. His vision seems about stable to him. OD 20/60.
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Idiopathic Cystoid Macular Edema - CME - Close up of Late Fluorescein Angiogram Showing Leakage into Foveal Cysts665 views49-year-old man had a flu two weeks ago the right eye has been throbbing and his vision in the right eye has been foggy. OD 20/80, OS 20/40. IOP: 14 OU.
   
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