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Most viewed - 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

ipcv1_dahuy_012121_22.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy332 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.
ipcv5_MAPS_02.JPG
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy329 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.
ipcv4_030822_dahuy_04.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy303 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.
ipcv1_dahuy_012121_28.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy300 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.
ipcv4_030822_dahuy_06.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy297 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.
ipcv5_MAPS_01.JPG
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy297 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.
ipcv1_dahuy_012121_23.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy295 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.
ipcv3_072721_dahuy_19.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy295 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.
ipcv3_072721_dahuy_12.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy293 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.
ipcv3_072721_dahuy_14.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy293 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.
ipcv3_072721_dahuy_15.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy293 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.
ipcv3_072721_dahuy_17.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy293 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.
ipcv3_072721_dahuy_21.PNG
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy292 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.
ipcv3_072721_dahuy_01.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy291 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.
ipcv1_dahuy_012121_18.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy289 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.
ipcv1_dahuy_012121_25.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy289 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.
ipcv0_dahuy-preopb-scan-011821_01.png
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy287 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.
ipcv1_dahuy_012121_05.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy287 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.
ipcv1_dahuy_012121_14.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy287 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.
ipcv1_dahuy_012121_29.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy287 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.
ipcv1_dahuy_012121_20.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy286 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.
ipcv1_dahuy_012121_24.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy286 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.
ipcv1_dahuy_012121_15.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy285 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.
ipcv1_dahuy_012121_04.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy284 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.
ipcv1_dahuy_012121_19.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy284 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.
ipcv3_072721_dahuy_03.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy284 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.
ipcv1_dahuy_012121_11.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy282 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.
ipcv1_dahuy_012121_26.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy281 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.
ipcv3_072721_dahuy_09.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy281 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.
ipcv3_072721_dahuy_16.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy280 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.
ipcv3_072721_dahuy_05.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy279 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.
ipcv1_dahuy_012121_01.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy278 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.
ipcv3_072721_dahuy_04.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy277 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.
ipcv1_dahuy_012121_12.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.
ipcv3_072721_dahuy_18.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy274 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.
ipcv4_030822_dahuy_05.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy274 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.
ipcv3_072721_dahuy_13.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.
ipcv5_MAPS_03.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.
ipcv1_dahuy_012121_03.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy272 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.
ipcv3_072721_dahuy_20.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.
ipcv1_dahuy_012121_17.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.
ipcv3_072721_dahuy_02.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.
ipcv0_dahuy-preopb-scan-011821_05.png
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.
ipcv4_030822_dahuy_03.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.
ipcv4_030822_dahuy_02.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.
ipcv1_dahuy_012121_13.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy265 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.
ipcv1_dahuy_012121_21.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy265 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.
ipcv1_dahuy_012121_27.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.
ipcv0_dahuy-preopb-scan-011821_02.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.
ipcv1_dahuy_012121_02.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.
ipcv4_030822_dahuy_01.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.
ipcv1_dahuy_012121_16.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.
ipcv3_072721_dahuy_08.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.
ipcv0_dahuy-preopb-scan-011821_03.png
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.
ipcv3_072721_dahuy_10.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.
ipcv3_072721_dahuy_11.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.
ipcv0_dahuy-preopb-scan-011821_04.png
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy239 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.
     
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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