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Central Retinal Artery Occlusion - 2 months old by history1299 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 history693 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.
craoacutedoca_28129.jpg
Central Retinal Artery Occlusion - 2 months old by history1383 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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Diabetic Retinopathy - Non-Perfusion - Possible Central Retinal Vein Occlusion613 views68-year-old woman OD 20/70, OS 20/200 CYSTOID MACULAR EDEMA, POSSIBLE EITHER OCULAR ISCHEMIC SYNDROME IN THE RIGHT EYE OR OCCULT CENTRAL RETINAL VEIN OCCLUSION IN THE RIGHT EYE,S EVERE NON-PerfUSION WITH DIABETIC RETINOPATHY IN THE LEFT EYE.
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Diabetic Retinopathy - Non-Perfusion - Possible Central Retinal Vein Occlusion556 views68-year-old woman OD 20/70, OS 20/200 CYSTOID MACULAR EDEMA, POSSIBLE EITHER OCULAR ISCHEMIC SYNDROME IN THE RIGHT EYE OR OCCULT CENTRAL RETINAL VEIN OCCLUSION IN THE RIGHT EYE,S EVERE NON-PerfUSION WITH DIABETIC RETINOPATHY IN THE LEFT EYE.
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Diabetic Retinopathy - Non-Perfusion - Possible Central Retinal Vein Occlusion787 views68-year-old woman OD 20/70, OS 20/200 CYSTOID MACULAR EDEMA, POSSIBLE EITHER OCULAR ISCHEMIC SYNDROME IN THE RIGHT EYE OR OCCULT CENTRAL RETINAL VEIN OCCLUSION IN THE RIGHT EYE,S EVERE NON-PerfUSION WITH DIABETIC RETINOPATHY IN THE LEFT EYE.
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Diabetic Retinopathy - Non-Perfusion - Possible Central Retinal Vein Occlusion526 views68-year-old woman OD 20/70, OS 20/200 CYSTOID MACULAR EDEMA, POSSIBLE EITHER OCULAR ISCHEMIC SYNDROME IN THE RIGHT EYE OR OCCULT CENTRAL RETINAL VEIN OCCLUSION IN THE RIGHT EYE,S EVERE NON-PerfUSION WITH DIABETIC RETINOPATHY IN THE LEFT EYE.
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Diabetic Retinopathy - Non-Perfusion - Possible Central Retinal Vein Occlusion639 views68-year-old woman OD 20/70, OS 20/200 CYSTOID MACULAR EDEMA, POSSIBLE EITHER OCULAR ISCHEMIC SYNDROME IN THE RIGHT EYE OR OCCULT CENTRAL RETINAL VEIN OCCLUSION IN THE RIGHT EYE,S EVERE NON-PerfUSION WITH DIABETIC RETINOPATHY IN THE LEFT EYE.
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Diabetic Retinopathy - Non-Perfusion - Possible Central Retinal Vein Occlusion382 views68-year-old woman OD 20/70, OS 20/200 CYSTOID MACULAR EDEMA, POSSIBLE EITHER OCULAR ISCHEMIC SYNDROME IN THE RIGHT EYE OR OCCULT CENTRAL RETINAL VEIN OCCLUSION IN THE RIGHT EYE,S EVERE NON-PerfUSION WITH DIABETIC RETINOPATHY IN THE LEFT EYE.
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Diabetic Retinopathy - Non-Perfusion - Possible Central Retinal Vein Occlusion419 views68-year-old woman OD 20/70, OS 20/200 CYSTOID MACULAR EDEMA, POSSIBLE EITHER OCULAR ISCHEMIC SYNDROME IN THE RIGHT EYE OR OCCULT CENTRAL RETINAL VEIN OCCLUSION IN THE RIGHT EYE,S EVERE NON-PerfUSION WITH DIABETIC RETINOPATHY IN THE LEFT EYE.
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Diabetic Retinopathy - Non-Perfusion - Possible Central Retinal Vein Occlusion469 views68-year-old woman OD 20/70, OS 20/200 CYSTOID MACULAR EDEMA, POSSIBLE EITHER OCULAR ISCHEMIC SYNDROME IN THE RIGHT EYE OR OCCULT CENTRAL RETINAL VEIN OCCLUSION IN THE RIGHT EYE,S EVERE NON-PerfUSION WITH DIABETIC RETINOPATHY IN THE LEFT EYE.
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Diabetic Retinopathy - Non-Perfusion - Possible Central Retinal Vein Occlusion470 views68-year-old woman OD 20/70, OS 20/200 CYSTOID MACULAR EDEMA, POSSIBLE EITHER OCULAR ISCHEMIC SYNDROME IN THE RIGHT EYE OR OCCULT CENTRAL RETINAL VEIN OCCLUSION IN THE RIGHT EYE,S EVERE NON-PerfUSION WITH DIABETIC RETINOPATHY IN THE LEFT EYE.
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Diabetic Retinopathy - Non-Perfusion - Possible Central Retinal Vein Occlusion382 views68-year-old woman OD 20/70, OS 20/200 CYSTOID MACULAR EDEMA, POSSIBLE EITHER OCULAR ISCHEMIC SYNDROME IN THE RIGHT EYE OR OCCULT CENTRAL RETINAL VEIN OCCLUSION IN THE RIGHT EYE,S EVERE NON-PerfUSION WITH DIABETIC RETINOPATHY IN THE LEFT EYE.
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Diabetic Retinopathy - Non-Perfusion - Possible Central Retinal Vein Occlusion419 views68-year-old woman OD 20/70, OS 20/200 CYSTOID MACULAR EDEMA, POSSIBLE EITHER OCULAR ISCHEMIC SYNDROME IN THE RIGHT EYE OR OCCULT CENTRAL RETINAL VEIN OCCLUSION IN THE RIGHT EYE,S EVERE NON-PerfUSION WITH DIABETIC RETINOPATHY IN THE LEFT EYE.
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Diabetic Retinopathy - Non-Perfusion - Possible Central Retinal Vein Occlusion527 views68-year-old woman OD 20/70, OS 20/200 CYSTOID MACULAR EDEMA, POSSIBLE EITHER OCULAR ISCHEMIC SYNDROME IN THE RIGHT EYE OR OCCULT CENTRAL RETINAL VEIN OCCLUSION IN THE RIGHT EYE,S EVERE NON-PerfUSION WITH DIABETIC RETINOPATHY IN THE LEFT EYE.
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Diabetic Retinopathy - Non-Perfusion - Possible Central Retinal Vein Occlusion445 views68-year-old woman OD 20/70, OS 20/200 CYSTOID MACULAR EDEMA, POSSIBLE EITHER OCULAR ISCHEMIC SYNDROME IN THE RIGHT EYE OR OCCULT CENTRAL RETINAL VEIN OCCLUSION IN THE RIGHT EYE,S EVERE NON-PerfUSION WITH DIABETIC RETINOPATHY IN THE LEFT EYE.
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Diabetic Retinopathy - Non-Perfusion - Possible Central Retinal Vein Occlusion448 views68-year-old woman OD 20/70, OS 20/200 CYSTOID MACULAR EDEMA, POSSIBLE EITHER OCULAR ISCHEMIC SYNDROME IN THE RIGHT EYE OR OCCULT CENTRAL RETINAL VEIN OCCLUSION IN THE RIGHT EYE,S EVERE NON-PerfUSION WITH DIABETIC RETINOPATHY IN THE LEFT EYE.
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Diabetic Retinopathy - Non-Perfusion - Possible Central Retinal Vein Occlusion424 views68-year-old woman OD 20/70, OS 20/200 CYSTOID MACULAR EDEMA, POSSIBLE EITHER OCULAR ISCHEMIC SYNDROME IN THE RIGHT EYE OR OCCULT CENTRAL RETINAL VEIN OCCLUSION IN THE RIGHT EYE,S EVERE NON-PerfUSION WITH DIABETIC RETINOPATHY IN THE LEFT EYE.
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Diabetic Retinopathy - Non-Perfusion - Possible Central Retinal Vein Occlusion415 views68-year-old woman OD 20/70, OS 20/200 CYSTOID MACULAR EDEMA, POSSIBLE EITHER OCULAR ISCHEMIC SYNDROME IN THE RIGHT EYE OR OCCULT CENTRAL RETINAL VEIN OCCLUSION IN THE RIGHT EYE,S EVERE NON-PerfUSION WITH DIABETIC RETINOPATHY IN THE LEFT EYE.
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Diabetic Retinopathy - Non-Perfusion - Possible Central Retinal Vein Occlusion489 views68-year-old woman OD 20/70, OS 20/200 CYSTOID MACULAR EDEMA, POSSIBLE EITHER OCULAR ISCHEMIC SYNDROME IN THE RIGHT EYE OR OCCULT CENTRAL RETINAL VEIN OCCLUSION IN THE RIGHT EYE,S EVERE NON-PerfUSION WITH DIABETIC RETINOPATHY IN THE LEFT EYE.
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 1024 views80-year-old woman one month ago had vision loss and a vascular occlusion in the right eye. Vision loss occurred in the left eye about 9 years ago with cotton wool spots. Patients has a 30 year history of tinnitis.
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 638 views80-year-old woman one month ago had vision loss and a vascular occlusion in the right eye. Vision loss occurred in the left eye about 9 years ago with cotton wool spots. Patients has a 30 year history of tinnitis.
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 648 views80-year-old woman one month ago had vision loss and a vascular occlusion in the right eye. Vision loss occurred in the left eye about 9 years ago with cotton wool spots. Patients has a 30 year history of tinnitis.
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 580 views80-year-old woman one month ago had vision loss and a vascular occlusion in the right eye. Vision loss occurred in the left eye about 9 years ago with cotton wool spots. Patients has a 30 year history of tinnitis.
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 664 views80-year-old woman one month ago had vision loss and a vascular occlusion in the right eye. Vision loss occurred in the left eye about 9 years ago with cotton wool spots. Patients has a 30 year history of tinnitis.
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 515 views80-year-old woman one month ago had vision loss and a vascular occlusion in the right eye. Vision loss occurred in the left eye about 9 years ago with cotton wool spots. Patients has a 30 year history of tinnitis.
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 581 views80-year-old woman one month ago had vision loss and a vascular occlusion in the right eye. Vision loss occurred in the left eye about 9 years ago with cotton wool spots. Patients has a 30 year history of tinnitis.
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 479 views80-year-old woman one month ago had vision loss and a vascular occlusion in the right eye. Vision loss occurred in the left eye about 9 years ago with cotton wool spots. Patients has a 30 year history of tinnitis.
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 499 views80-year-old woman one month ago had vision loss and a vascular occlusion in the right eye. Vision loss occurred in the left eye about 9 years ago with cotton wool spots. Patients has a 30 year history of tinnitis.
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 471 views80-year-old woman one month ago had vision loss and a vascular occlusion in the right eye. Vision loss occurred in the left eye about 9 years ago with cotton wool spots. Patients has a 30 year history of tinnitis.
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 510 views80-year-old woman one month ago had vision loss and a vascular occlusion in the right eye. Vision loss occurred in the left eye about 9 years ago with cotton wool spots. Patients has a 30 year history of tinnitis.
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 493 views80-year-old woman one month ago had vision loss and a vascular occlusion in the right eye. Vision loss occurred in the left eye about 9 years ago with cotton wool spots. Patients has a 30 year history of tinnitis.
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 456 views80-year-old woman one month ago had vision loss and a vascular occlusion in the right eye. Vision loss occurred in the left eye about 9 years ago with cotton wool spots. Patients has a 30 year history of tinnitis.
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 482 views80-year-old woman one month ago had vision loss and a vascular occlusion in the right eye. Vision loss occurred in the left eye about 9 years ago with cotton wool spots. Patients has a 30 year history of tinnitis.
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 423 views80-year-old woman one month ago had vision loss and a vascular occlusion in the right eye. Vision loss occurred in the left eye about 9 years ago with cotton wool spots. Patients has a 30 year history of tinnitis.
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 469 views80-year-old woman one month ago had vision loss and a vascular occlusion in the right eye. Vision loss occurred in the left eye about 9 years ago with cotton wool spots. Patients has a 30 year history of tinnitis.
susacmamer_281629.jpg
Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 485 views80-year-old woman one month ago had vision loss and a vascular occlusion in the right eye. Vision loss occurred in the left eye about 9 years ago with cotton wool spots. Patients has a 30 year history of tinnitis.
susacmamer_281729.jpg
Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 587 views80-year-old woman one month ago had vision loss and a vascular occlusion in the right eye. Vision loss occurred in the left eye about 9 years ago with cotton wool spots. Patients has a 30 year history of tinnitis.
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407 views
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Inferotemporal and Inferonasal BRAO1298 viewsBranch Retinal Artery Occlusions - Multiple
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BRVO559 views42 year old female VA 20/25
Branch Retinal Vein Occlusion - Hot Spot on Vein at Occlusion Site
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Vasular Anomalies405 viewsThis patient shows vasculopathy seen after an old vein occlusion.
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Classic BRVO661 viewsClassic branch retinal vein occlusion
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PVD with Weiss Ring /Optic Nerve in Background3988 views
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Cilioretinal artery occlusion534 viewsCilioretinal artery occlusion with early venous stasis retinopathy
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Central Retinal Vein Occlusion352 viewsCentral Retinal Vein Occlusion
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Branch Retinal Artery Occlusion with Hollenhorst Plaques444 viewsBranch Retinal Artery Occlusion with Hollenhorst Plaques
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Cilio-Retinal Artery Occlusion with "Box Carring" and Cherry Red Spot1316 viewsCilioretinal Artery Occlusion with Cherry Red Spot
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BRVO340 views50 yr old Female with a BRVO and ME in OS
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CRAO368 viewsCRAO in OD of a 37 yr old Male, Transit Phase
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Iris Neovascularization secondary to Central Retinal Artery Occlusion1037 views
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Central Retinal Venous Occlusion with Papilledema, Irtraretinal Hemorrhage and Vascular Tortuosity648 views
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Central Retinal Venous Occlusion with Papilledema, Intraretinal Hemorrhage and Macular Edema682 views
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Branch Retinal Vein Occlusion with worse macular edema from hypertension - FA shows Edema Right Eye420 views
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FA: CRAO620 viewsCRAO with cilio artery perfusion
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Branch Retinal Artery Occlusion with Hollenhorst Plaque481 views
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419 viewsLate Leakage on FA
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CRAO WITH SPARING OF CILIORETINAL ARTERY390 viewsThis patient was found to have retinal edema from a Central Retinal Artery Occlusion with sparing of the cilioretinal artery. There were no discernible Hollenhorst plaques
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Branch Retinal Artery Occlusion with Hollenhorst Plaque378 viewsThis patient was found to have retinal edema along the superotemporal arcade secondary to Branch Retinal Artery Occlusion. A Hollenhorst plaque is visible at the first bifurcation of central artery.
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branch retinal vein occlusion - fundus photo797 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.
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branch retinal vein occlusion - oct map756 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.
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brvo cme with small serous macular detachment 644 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.
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branch retinal vein occlusion - oct line scan628 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.
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branch retinal vein occlusion - red free photo690 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.
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BRVO arrow showing obstruction point with collateral vessels - red free photo684 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.
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branch retinal vein occlusion - fluorescein angiogram459 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.
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branch retinal vein occlusion - fluorescein angiogram579 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.
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branch retinal vein occlusion - fluorescein angiogram465 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.
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branch retinal vein occlusion - fluorescein angiogram - arrow shows obstruction point with collateral vessels723 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.
brvo59188_28729.png
branch retinal vein occlusion - fluorescein angiogram534 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.
brvo59188_28829.png
branch retinal vein occlusion - fluorescein angiogram542 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.
brvo59188_28929.png
branch retinal vein occlusion - fluorescein angiogram649 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.
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