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a scan right eye 0 degree deviation 375 views10-year-old child has uveitis in both eyes. She probably has tubulointerstitial nephritis-uveitis syndrome, and she apparently also independently has idiopathic elevated intracranial pressure. VISUAL ACUITY: Vision OU is 20/20.
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Central Serous Retinopathy366 viewsRed Free photo
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Central Serous Retinopathy341 viewsLater FA
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Central Serous Retinopathy321 viewsEarly FA
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Central Serous Retinopathy308 viewsFundus photo showing serous RD
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Central Serous Retinopathy321 viewsOCT scan showing serous RD
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Subfoveal CNVM wet AMD early fa (contrast enhanced with photoshop)490 viewsShe has noticed decreased vision in the left eye. It is hard to say for how long, maybe a few months. She had her last eye exam about a year ago. She thoughts perhaps it was cataracts, but you saw a problem with the macula and suggested she come here for evaluation.

VISUAL ACUITY: Vision OD is 20/25, OS is 2/200
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Old Branch Retinal Vein Occlusion- Severe CME - Pucker - Diabetic Fundus Photo471 views61-year old man has diabetic retinopathy in the right eye. He also had a macular pucker and macular edema. I did a vitrectomy on September 5th. His vision was initially improving. His vision in the right eye seems to be a little more foggy.

VISUAL ACUITY: OD: 20/200
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Old Branch Retinal Vein Occlusion- Severe CME - Pucker - Diabetic Map OCT411 views61-year old man has diabetic retinopathy in the right eye. He also had a macular pucker and macular edema. I did a vitrectomy on September 5th. His vision was initially improving. His vision in the right eye seems to be a little more foggy.

VISUAL ACUITY: OD: 20/200
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Old Branch Retinal Vein Occlusion- Severe CME - Pucker - Diabetic Early FA282 views61-year old man has diabetic retinopathy in the right eye. He also had a macular pucker and macular edema. I did a vitrectomy on September 5th. His vision was initially improving. His vision in the right eye seems to be a little more foggy.

VISUAL ACUITY: OD: 20/200
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Old Branch Retinal Vein Occlusion- Severe CME - Pucker - Diabetic Early FA267 views61-year old man has diabetic retinopathy in the right eye. He also had a macular pucker and macular edema. I did a vitrectomy on September 5th. His vision was initially improving. His vision in the right eye seems to be a little more foggy.

VISUAL ACUITY: OD: 20/200
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Old Branch Retinal Vein Occlusion- Severe CME - Pucker - Diabetic Late FA252 views61-year old man has diabetic retinopathy in the right eye. He also had a macular pucker and macular edema. I did a vitrectomy on September 5th. His vision was initially improving. His vision in the right eye seems to be a little more foggy.

VISUAL ACUITY: OD: 20/200
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy line os384 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy 408 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
59-year-old woman had a blood pressure spike to 170/90 and was on medications for tha
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy 408 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy 346 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy very early fa303 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy early fa437 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
fshdystroph_eldi_28729.jpg
Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy early fa234 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy early fa243 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy early fa284 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy mid fa324 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy mid fa239 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy late fa309 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
fshdystroph_eldi.jpg
Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy late fa308 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy OCT right eye line scan355 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
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Myopic Macular Degeneration - Dry 675 views55-year-old woman has myopic macular degeneration in both eyes with vision and an Amsler grid change starting a few days ago in the left eye.
VISUAL ACUITY: OD: 20/60. PH: 20/25. OS: 20/200. PH: 20/30.
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Myopic Macular Degeneration - Dry 595 views55-year-old woman has myopic macular degeneration in both eyes with vision and an Amsler grid change starting a few days ago in the left eye.
VISUAL ACUITY: OD: 20/60. PH: 20/25. OS: 20/200. PH: 20/30.
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Myopic Macular Degeneration - Dry 558 views55-year-old woman has myopic macular degeneration in both eyes with vision and an Amsler grid change starting a few days ago in the left eye.
VISUAL ACUITY: OD: 20/60. PH: 20/25. OS: 20/200. PH: 20/30.
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Myopic Macular Degeneration - Dry 461 views55-year-old woman has myopic macular degeneration in both eyes with vision and an Amsler grid change starting a few days ago in the left eye.
VISUAL ACUITY: OD: 20/60. PH: 20/25. OS: 20/200. PH: 20/30.
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Myopic Macular Degeneration - Dry 321 views55-year-old woman has myopic macular degeneration in both eyes with vision and an Amsler grid change starting a few days ago in the left eye.
VISUAL ACUITY: OD: 20/60. PH: 20/25. OS: 20/200. PH: 20/30.
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Myopic Macular Degeneration - Dry 355 views55-year-old woman has myopic macular degeneration in both eyes with vision and an Amsler grid change starting a few days ago in the left eye.
VISUAL ACUITY: OD: 20/60. PH: 20/25. OS: 20/200. PH: 20/30.
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Myopic Macular Degeneration - Dry 326 views55-year-old woman has myopic macular degeneration in both eyes with vision and an Amsler grid change starting a few days ago in the left eye.
VISUAL ACUITY: OD: 20/60. PH: 20/25. OS: 20/200. PH: 20/30.
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Myopic Macular Degeneration - Dry 327 views55-year-old woman has myopic macular degeneration in both eyes with vision and an Amsler grid change starting a few days ago in the left eye.
VISUAL ACUITY: OD: 20/60. PH: 20/25. OS: 20/200. PH: 20/30.
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Myopic Macular Degeneration - Dry 330 views55-year-old woman has myopic macular degeneration in both eyes with vision and an Amsler grid change starting a few days ago in the left eye.
VISUAL ACUITY: OD: 20/60. PH: 20/25. OS: 20/200. PH: 20/30.
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Myopic Macular Degeneration - Dry OCT OS537 views55-year-old woman has myopic macular degeneration in both eyes with vision and an Amsler grid change starting a few days ago in the left eye.
VISUAL ACUITY: OD: 20/60. PH: 20/25. OS: 20/200. PH: 20/30.
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female Macula OS 2 months post rx616 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.

2 months post-rx with posterior subtenons kenalog and intravitreal avastin - va os 20/30 and lesion has retracted and organized. It never subsequently grew over 2 years follow-up
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female Montage Initial Visit491 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.

2 months post-rx with posterior subtenons kenalog and intravitreal avastin - va os 20/30 and lesion has retracted and organized. It never subsequently grew over 2 years follow-up
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Asteroid Hyalosis - Benign Calcified Deposits in the Vitreous1027 views75 year old woman with 20/30 vision and dense asteroid haylosis
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Asteroid Hyalosis - Benign Calcified Deposits in the Vitreous789 views75 year old woman with 20/30 vision and dense asteroid haylosis
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Birdshot Chorioretinitis Mild - Asymptomatic448 views59-year-old man has birdshot chorioretinopathy in both eyes. Vision OD 20/25, OS 20/20. IOP: OD 16, OS 14. The right eye has a posterior chamber intraocular lens in good position. There is 1+ posterior capsular opacity. The left eye has 2+ nuclear sclerosis.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ration is 0.8. There is patchy depigmented lesion in the nasal periphery. The retina is attached with peripheral laser.
OS: Vertical C/D ratio is 0.4. There are peripheral punched out lesions in the periphery
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Birdshot Chorioretinitis Mild - Asymptomatic508 views59-year-old man has birdshot chorioretinopathy in both eyes. Vision OD 20/25, OS 20/20. IOP: OD 16, OS 14. The right eye has a posterior chamber intraocular lens in good position. There is 1+ posterior capsular opacity. The left eye has 2+ nuclear sclerosis.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ration is 0.8. There is patchy depigmented lesion in the nasal periphery. The retina is attached with peripheral laser.
OS: Vertical C/D ratio is 0.4. There are peripheral punched out lesions in the periphery
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Birdshot Chorioretinitis Mild - Asymptomatic576 views59-year-old man has birdshot chorioretinopathy in both eyes. Vision OD 20/25, OS 20/20. IOP: OD 16, OS 14. The right eye has a posterior chamber intraocular lens in good position. There is 1+ posterior capsular opacity. The left eye has 2+ nuclear sclerosis.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ration is 0.8. There is patchy depigmented lesion in the nasal periphery. The retina is attached with peripheral laser.
OS: Vertical C/D ratio is 0.4. There are peripheral punched out lesions in the periphery
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Birdshot Chorioretinitis Mild - Asymptomatic501 views59-year-old man has birdshot chorioretinopathy in both eyes. Vision OD 20/25, OS 20/20. IOP: OD 16, OS 14. The right eye has a posterior chamber intraocular lens in good position. There is 1+ posterior capsular opacity. The left eye has 2+ nuclear sclerosis.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ration is 0.8. There is patchy depigmented lesion in the nasal periphery. The retina is attached with peripheral laser.
OS: Vertical C/D ratio is 0.4. There are peripheral punched out lesions in the periphery
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Birdshot Chorioretinitis Mild - Asymptomatic356 views59-year-old man has birdshot chorioretinopathy in both eyes. Vision OD 20/25, OS 20/20. IOP: OD 16, OS 14. The right eye has a posterior chamber intraocular lens in good position. There is 1+ posterior capsular opacity. The left eye has 2+ nuclear sclerosis.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ration is 0.8. There is patchy depigmented lesion in the nasal periphery. The retina is attached with peripheral laser.
OS: Vertical C/D ratio is 0.4. There are peripheral punched out lesions in the periphery
birdshot_libr_28529.png
Birdshot Chorioretinitis Mild - Asymptomatic511 views59-year-old man has birdshot chorioretinopathy in both eyes. Vision OD 20/25, OS 20/20. IOP: OD 16, OS 14. The right eye has a posterior chamber intraocular lens in good position. There is 1+ posterior capsular opacity. The left eye has 2+ nuclear sclerosis.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ration is 0.8. There is patchy depigmented lesion in the nasal periphery. The retina is attached with peripheral laser.
OS: Vertical C/D ratio is 0.4. There are peripheral punched out lesions in the periphery
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Asteroid Hyalosis - Asymptomatic396 views80-year-old woman her vision is not bothering her, you noticed a problem with the retina. Her left eye tests worse than the right eye today, but she says that it has been like that for a long time and she is not bothered by any floaters or change in central vision.
VISUAL ACUITY: OD is 20/25, OS 20/40
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Asteroid Hyalosis - Asymptomatic341 views80-year-old woman her vision is not bothering her, you noticed a problem with the retina. Her left eye tests worse than the right eye today, but she says that it has been like that for a long time and she is not bothered by any floaters or change in central vision.
VISUAL ACUITY: OD is 20/25, OS 20/40
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Asteroid Hyalosis - Asymptomatic403 views80-year-old woman her vision is not bothering her, you noticed a problem with the retina. Her left eye tests worse than the right eye today, but she says that it has been like that for a long time and she is not bothered by any floaters or change in central vision.
VISUAL ACUITY: OD is 20/25, OS 20/40
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Asteroid Hyalosis - Asymptomatic381 views80-year-old woman her vision is not bothering her, you noticed a problem with the retina. Her left eye tests worse than the right eye today, but she says that it has been like that for a long time and she is not bothered by any floaters or change in central vision.
VISUAL ACUITY: OD is 20/25, OS 20/40
asteroidjocr_28429.png
Asteroid Hyalosis - Asymptomatic334 views80-year-old woman her vision is not bothering her, you noticed a problem with the retina. Her left eye tests worse than the right eye today, but she says that it has been like that for a long time and she is not bothered by any floaters or change in central vision.
VISUAL ACUITY: OD is 20/25, OS 20/40
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Choroidal Rupture and small Hemorrhage - Assault876 views34 year old man. The patient reports he was assaulted by a couple of adolescents near downtown St. Petersburg about forty-eight hours ago. He reports the pain in the left eye has significantly improved, but his vision is a little fuzzy and he sees some floaters in the left eye. 20/125 OD, 20/20 OS. Pinhole improves in the right eye to 20/50. IOP: 15 OD, 13 OS.
SLIT LAMP EXAMINATION: Biomicroscopy reveals 3+ pupillary reaction OD, 2+ OS with no afferent pupillary defect. EXTENDED OPHTHALMOSCOPY: Extended funduscopy with Volk 90-diopter lens and fundus drawings of both eyes reveal a clear view with no posterior vitreous separation. C/D ratio is 0.2. There is no vitreous debris or hemorrhage. Large retinal vessels and macula are healthy. The retinal periphery, inspected with scleral depression for 360° shows no retinal tears, breaks, or detachments.
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Choroidal Rupture and small Hemorrhage - Assault625 views34 year old man. The patient reports he was assaulted by a couple of adolescents near downtown St. Petersburg about forty-eight hours ago. He reports the pain in the left eye has significantly improved, but his vision is a little fuzzy and he sees some floaters in the left eye. 20/125 OD, 20/20 OS. Pinhole improves in the right eye to 20/50. IOP: 15 OD, 13 OS.
SLIT LAMP EXAMINATION: Biomicroscopy reveals 3+ pupillary reaction OD, 2+ OS with no afferent pupillary defect. EXTENDED OPHTHALMOSCOPY: Extended funduscopy with Volk 90-diopter lens and fundus drawings of both eyes reveal a clear view with no posterior vitreous separation. C/D ratio is 0.2. There is no vitreous debris or hemorrhage. Large retinal vessels and macula are healthy. The retinal periphery, inspected with scleral depression for 360° shows no retinal tears, breaks, or detachments.
choroidalrupturechdo_28229.jpg
Choroidal Rupture and small Hemorrhage - Assault501 views34 year old man. The patient reports he was assaulted by a couple of adolescents near downtown St. Petersburg about forty-eight hours ago. He reports the pain in the left eye has significantly improved, but his vision is a little fuzzy and he sees some floaters in the left eye. 20/125 OD, 20/20 OS. Pinhole improves in the right eye to 20/50. IOP: 15 OD, 13 OS.
SLIT LAMP EXAMINATION: Biomicroscopy reveals 3+ pupillary reaction OD, 2+ OS with no afferent pupillary defect. EXTENDED OPHTHALMOSCOPY: Extended funduscopy with Volk 90-diopter lens and fundus drawings of both eyes reveal a clear view with no posterior vitreous separation. C/D ratio is 0.2. There is no vitreous debris or hemorrhage. Large retinal vessels and macula are healthy. The retinal periphery, inspected with scleral depression for 360° shows no retinal tears, breaks, or detachments.
choroidalrupturechdo_28329.jpg
Choroidal Rupture and small Hemorrhage - Assault434 views34 year old man. The patient reports he was assaulted by a couple of adolescents near downtown St. Petersburg about forty-eight hours ago. He reports the pain in the left eye has significantly improved, but his vision is a little fuzzy and he sees some floaters in the left eye. 20/125 OD, 20/20 OS. Pinhole improves in the right eye to 20/50. IOP: 15 OD, 13 OS.
SLIT LAMP EXAMINATION: Biomicroscopy reveals 3+ pupillary reaction OD, 2+ OS with no afferent pupillary defect. EXTENDED OPHTHALMOSCOPY: Extended funduscopy with Volk 90-diopter lens and fundus drawings of both eyes reveal a clear view with no posterior vitreous separation. C/D ratio is 0.2. There is no vitreous debris or hemorrhage. Large retinal vessels and macula are healthy. The retinal periphery, inspected with scleral depression for 360° shows no retinal tears, breaks, or detachments.
choroidalrupturechdo_28429.jpg
Choroidal Rupture and small Hemorrhage - Assault625 views34 year old man. The patient reports he was assaulted by a couple of adolescents near downtown St. Petersburg about forty-eight hours ago. He reports the pain in the left eye has significantly improved, but his vision is a little fuzzy and he sees some floaters in the left eye. 20/125 OD, 20/20 OS. Pinhole improves in the right eye to 20/50. IOP: 15 OD, 13 OS.
SLIT LAMP EXAMINATION: Biomicroscopy reveals 3+ pupillary reaction OD, 2+ OS with no afferent pupillary defect. EXTENDED OPHTHALMOSCOPY: Extended funduscopy with Volk 90-diopter lens and fundus drawings of both eyes reveal a clear view with no posterior vitreous separation. C/D ratio is 0.2. There is no vitreous debris or hemorrhage. Large retinal vessels and macula are healthy. The retinal periphery, inspected with scleral depression for 360° shows no retinal tears, breaks, or detachments.
choroidalrupturechdo_28529.jpg
Choroidal Rupture and small Hemorrhage - Assault444 views34 year old man. The patient reports he was assaulted by a couple of adolescents near downtown St. Petersburg about forty-eight hours ago. He reports the pain in the left eye has significantly improved, but his vision is a little fuzzy and he sees some floaters in the left eye. 20/125 OD, 20/20 OS. Pinhole improves in the right eye to 20/50. IOP: 15 OD, 13 OS.
SLIT LAMP EXAMINATION: Biomicroscopy reveals 3+ pupillary reaction OD, 2+ OS with no afferent pupillary defect. EXTENDED OPHTHALMOSCOPY: Extended funduscopy with Volk 90-diopter lens and fundus drawings of both eyes reveal a clear view with no posterior vitreous separation. C/D ratio is 0.2. There is no vitreous debris or hemorrhage. Large retinal vessels and macula are healthy. The retinal periphery, inspected with scleral depression for 360° shows no retinal tears, breaks, or detachments.
craoacutedoca_28229.jpg
Central Retinal Artery Occlusion - 2 months old by history1016 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 history455 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 history910 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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Myopic Degeneration - Staphyloma - Atrophy526 views53-year-old man was a -15.00 myope. He is aphakic. His left eye also had a retinal detachment repair and unfortunately the left eye does not see well. He is on Timolol in both eyes for glaucoma. VISUAL ACUITY: OD 20/50, OS: Faint light perception.
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Myopic Degeneration - Staphyloma - Atrophy591 views53-year-old man was a -15.00 myope. He is aphakic. His left eye also had a retinal detachment repair and unfortunately the left eye does not see well. He is on Timolol in both eyes for glaucoma. VISUAL ACUITY: OD 20/50, OS: Faint light perception.
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Myopic Degeneration - Staphyloma - Atrophy465 views53-year-old man was a -15.00 myope. He is aphakic. His left eye also had a retinal detachment repair and unfortunately the left eye does not see well. He is on Timolol in both eyes for glaucoma. VISUAL ACUITY: OD 20/50, OS: Faint light perception.
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy562 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy432 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy392 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy335 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy410 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy407 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy334 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy330 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy262 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy396 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy360 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy320 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy281 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy386 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 432 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
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Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 443 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
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Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 324 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
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Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 281 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
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Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 393 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
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Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 243 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
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Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 265 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
crvocmerobi_28729.png
Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 257 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
crvocmerobi_28829.png
Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 252 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
crvocmerobi_28929.png
Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 274 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
crvocmerobi_281029.png
Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 243 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
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Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 244 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
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Disciform Scar after Photodynamic Laser - Macular Hemorrhage and Vitrectomy542 views84-year-old man has age-related macular degeneration in both eyes, with a disciform scar in the right eye. He had a subfoveal hemorrhage in that eye treated with vitrectomy and displacement on May 3, 2006. He previous to that had photodynamic laser. These photos are from October 2010. VA is 1/200.
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Disciform Scar after Photodynamic Laser - Macular Hemorrhage and Vitrectomy521 views84-year-old man has age-related macular degeneration in both eyes, with a disciform scar in the right eye. He had a subfoveal hemorrhage in that eye treated with vitrectomy and displacement on May 3, 2006. He previous to that had photodynamic laser. These photos are from October 2010. VA is 1/200.
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Macular Choroidal Nevus1241 views78-year-old woman has choroidal nevus in the macula of the left eye. You asked her to come in here for an evaluation and nevus was noted in the past about 7 years ago. She has not noticed any change in vision in that eye.

VISUAL ACUITY: OU 20/30.
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Diabetic Patient with Macular Edema and Blood Pressure 200/95465 views49-year-old decreasing vision over the last year. OD is 20/80, OS 20/80. blood pressure which was 200/95.
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Diabetic Patient with Macular Edema and Blood Pressure 200/95438 views49-year-old decreasing vision over the last year. OD is 20/80, OS 20/80. blood pressure which was 200/95.
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Diabetic Patient with Macular Edema and Blood Pressure 200/95340 views49-year-old decreasing vision over the last year. OD is 20/80, OS 20/80. blood pressure which was 200/95.
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Diabetic Patient with Macular Edema and Blood Pressure 200/95258 views49-year-old decreasing vision over the last year. OD is 20/80, OS 20/80. blood pressure which was 200/95.
dmhypertensiveretin_61852sufr_28529.jpg
Diabetic Patient with Macular Edema and Blood Pressure 200/95241 views49-year-old decreasing vision over the last year. OD is 20/80, OS 20/80. blood pressure which was 200/95.
dmhypertensiveretin_61852sufr_28629.jpg
Diabetic Patient with Macular Edema and Blood Pressure 200/95250 views49-year-old decreasing vision over the last year. OD is 20/80, OS 20/80. blood pressure which was 200/95.
dmhypertensiveretin_61852sufr_28729.jpg
Diabetic Patient with Macular Edema and Blood Pressure 200/95230 views49-year-old decreasing vision over the last year. OD is 20/80, OS 20/80. blood pressure which was 200/95.
dmhypertensiveretin_61852sufr_28829.jpg
Diabetic Patient with Macular Edema and Blood Pressure 200/95238 views49-year-old decreasing vision over the last year. OD is 20/80, OS 20/80. blood pressure which was 200/95.
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