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Nonproliferative Diabetic Retinopathy8303 views65-year old female with diabetes. Has had cataract surgery in the left eye with VA 20/25. She has had laser in the past. Fundus examination shows microaneurysms with retinal hemorrahages and exudates in the left eye.
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Nonproliferative Diabetic Retinopathy7638 views65-year old female with diabetes. Has had cataract surgery in the left eye with VA 20/25. She has had laser in the past. Fundus examination shows microaneurysms with retinal hemorrahages and exudates in the left eye.
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Nonproliferative Diabetic Retinopathy6753 views65-year old female with diabetes. Has had cataract surgery in the left eye with VA 20/25. She has had laser in the past. Fundus examination shows microaneurysms with retinal hemorrahages and exudates in the left eye.
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Optic disc swelling6141 views56 year old woman
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Nonproliferative Diabetic Retinopathy5901 views65-year old female with diabetes. Has had cataract surgery in the left eye with VA 20/25. She has had laser in the past. Fundus examination shows microaneurysms with retinal hemorrahages and exudates in the left eye.
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Nonproliferative Diabetic Retinopathy5826 views65-year old female with diabetes. Has had cataract surgery in the left eye with VA 20/25. She has had laser in the past. Fundus examination shows microaneurysms with retinal hemorrahages and exudates in the left eye.
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Amelanotic - Light Colored CHRPE - Congenital Hypertrophy of the Pigment Epithelium5165 views56-year-old woman nov vision problems. OD is 20/20, OS is 20/16
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Juvenile Onset Diabetic - Proliferative Diabetic retinopathy with NVE and NVD4625 viewsProliferative Diabetic Retinopathy with Neovascularization of the Disc and Neovascularization Elsewhere.
James L. Perron, C.R.A.
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Nonproliferative Diabetic Retinopathy4487 views65-year old female with diabetes. Has had cataract surgery in the left eye with VA 20/25. She has had laser in the past. Fundus examination shows microaneurysms with retinal hemorrahages and exudates in the left eye.
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PVD with Weiss Ring /Optic Nerve in Background4450 views
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago SD-OCT (Spectral domain optical coherence tomography)4281 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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Purtscher's Retinopathy - Motor Vehicle Accident4198 viewsNerve Fiber Layer Inflammation and retinal hemorrhages due to severe trauma. Patient was a teenage boy that got into a car accident.
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Type 1 Retinal Arteriovenous Malformation4140 views42 year old female VA 20/32 OD, 20/20 OS MRI was negative.
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CHRPE - Gardner Syndrome - FAMILIAL COLORECTAL POLYPOSIS - 11 year old female4077 views11-year-old child with CHRPE OS has six undescended adult teeth and also she has had a cyst removed from her arm pit and she has three more in her arm pit and one on her face and she is seeing a dermatologist for that in the near future. The mother reports no health problems, however, the patient’s grandmother does have a history of intestinal polyps, as does the patient’s grandmother’s brothers son.
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Wyburn Mason Syndrome4045 views28 year old female, visual acuity OS 20/200
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Optic Nerve Tumor3846 views21 year old male: Presents with a history of Von Hippel-Lindau Syndrome, diagnosed in 2005 affecting his left Optic Nerve, Brain, Spine, Kidney and Pancreas. He has undergone Laser for Retinal Hemangioma measuring 2/3-4/5DD -vs_ 1/3DD when originally diagnosed. However his visual acuity remains good 20/25. Patient has also undergone Neurosurgery in 2005 and Spinal cord in 2006. Recent MRI of spinal cord hemangioma showed stable tumors.
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago SD-OCT (Spectral domain optical coherence tomography)3750 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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Sarcoidosis Multifocal Choroiditis3708 views66 year old man with dense cataracts and recurrent uveitis. Images show multifocal choroidal granulomas from sarcoidosis more in the right eye than the left eye.
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Occult Metallic Intraocular Foreign Body - WINNER JANUARY 2011 - BEST IMAGE3622 viewsFundus photograph of a 28 year old male who presented with intermittent, painless, blurred vision of his left eye secondary to an occult metallic intraocular foreign body with old vitreous hemorrhage. He later admitted to feeling a mild gritty sensation of his affected eye while working with a circular saw the previous year. He was then misdiagnosed as having a subconjunctival hemorrhage from the emergency physician. He later underwent successful pars plana vitrectomy and foreign body removal.
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago SD-OCT (Spectral domain optical coherence tomography)3614 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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Peripheral Bullous Retinoschisis Spectral Domain Optical Coherence Tomography (SD-OCT)3266 views64-year-old man with peripheral retinal problem noted during comprehensive eye examination. OD 20/32, OS 20/25
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Proliferative Diabetic Retinopathy with Macular Hole3160 viewsPatitent with diabetes diagnosed 12 years ago and low visual acuity.
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Reticular Macular Disease - Reticular Pseudodrusen and Soft Macular Drusen - 57 Year Old Woman3082 views57-year-old woman was seen in the office on 2/22/2011. She has macular drusen in both eyes. I saw her back in 2006. Since then she does notice slight increased distortion. OD is 20/25, OS is 20/25
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Macular fold after PPV for RD3036 viewsA 53-year-old man with a macula-off RD underwent left eye pars plana vitrectomy with air-fluid exchange, laser retinopexy, and injection of 14% SF6 gas. There were 4 retinal breaks between 10 o’clock and 12 o’clock including one large tear. He was compliant with facedown positioning. On the 8th post-operative day, a retinal fold along the 4-10 o’clock meridian was seen coursing through his central macula. He underwent repeat PPV but multiple attempts to lift and flatten the retina were unsuccessful.
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Non-Ischemic Central Retinal Vein Occlusion in Young Man (30 years) - Many Cotton Wool Spots3034 views30-year-old man with a history of a central retinal vein occlusion for which he was first examined on 2 months ago and his vision then was 4/200. He responded nicely to two Avastin treatments. OD is 20/20, OS is 20/60
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CAVERNOUS HEMONGIOMA2923 views28 year old male w/ 20/200 vision at time of exam. Patient c/o poor vision since childhood. No significant medical history or family medical history. A problem was only noted when patient enlisted in the Army.
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Nonproliferative Diabetic Retinopathy2899 views65-year old female with diabetes. Has had cataract surgery in the left eye with VA 20/25. She has had laser in the past. Fundus examination shows microaneurysms with retinal hemorrahages and exudates in the left eye.
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Combined hamartoma of the retina and RPE2844 views16 year old female, diagnosed with a combined hamartoma of the retina and the retinal pigment epithelium.
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Prominent Posterior Hyaloid with Background Diabetic Retinopathy2835 viewsDiabetic patient comes in for follow up for her Background Diabetic Retinopathy and glaucoma. VA is 20/30. left eye. Fundus exam shows posterior Hyaloid with hemorrhage inferiorily.
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago SD-OCT (Spectral domain optical coherence tomography)2816 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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Amelanotic - Light Colored CHRPE - Congenital Hypertrophy of the Pigment Epithelium2795 views56-year-old woman nov vision problems. OD is 20/20, OS is 20/16
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Acute Macula Neuroretinopathy2791 views39yr old male: Presents with Inferior Temporal Scotoma in his left eye, x 10 days with no change in shape or size, Visual acuity 20/25.
Most common sysptoms are described as sudden onset of one or more paracentral scotomas. {with the tip pointing toward the Fovea} without any other visual symptoms. Currently no treatment recommended.
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Asymptomatic Hollenhorst Plaque - Cholesterol Embolis2670 views71-year-old woman is not noticing any vision change. She does take pressure-lowering drops for glaucoma, both Timolol and Xalatan.
VISUAL ACUITY: Vision OD is 20/30, OS is 20/16
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Anterior Ischemic Optic Neuropathy - Non-Arteritic - AION2655 views72-year-old woman sudden vision loss in the right eye about four days ago. She also has noticed that things are dim out of that eye. She has no headaches. She does feel a little tired. She has no pain in her jaw when she chews and she has no fevers.
OD is 20/80, PH 20/25; OS is 20/25
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago Fundus Autofluorescence2652 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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Horseshoe Retinal Tear with bridging blood vessel2618 views
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Correctopia - post laser iridoplasty - 20/20 vision2612 views1 month after the iridoplasty, her vision was 20/20. She began to improve on the drive home from the treatment. The laser setting were : green argon 500 microns, 500 mw, 500 msec.
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Corneal Abrasion with Foreign Body Present 2605 viewsER patient comes in with corneal abrasion in the left eye which was getting worst. VA 20/25. Slit lamp exam showed corneal abrasion superiorly at 2-o'clock. Flipped eyelid and foreign body appeared on the upper tarsal plate. Foreign body was removed.
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Prominent Posterior Hyaloid with Background Diabetic Retinopathy2510 viewsDiabetic patient comes in for follow up for her Background Diabetic Retinopathy and glaucoma. VA is 20/30. left eye. Fundus exam shows posterior Hyaloid with hemorrhage inferiorily.
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Dilated Conjunctival Blood Vessels2508 viewsPatient comes in for routine eye exam. VA 20/20 in both eyes. Fundus exam was normal. Dilated blood vessels are shown temporal inferiorly in the left eye.
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Retinal Vasculitis due to Lupus (color)2504 viewsSystemic Lupus Erythematosis - Vasculitis
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Serous Choroidal Effusions2477 viewsSerous choroidal effusions following anterior segment surgery. Final visual outcome was 20/20.
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"Jelly Bumps" Soft Contact Lens2419 viewsYoung female patient comes in wearing overnight contact lenses. Complains of irritation in both eyes. Denies sleeping in SCL. Slit lamp exam shows little jelly bumps underneath the contact lens in both eyes. Was issued a new pair and lectured on handling them.
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago Fundus Autofluorescence2415 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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Corneal Abrasion with Foreign Body Present 2410 viewsER patient comes in with corneal abrasion in the left eye which was getting worst. VA 20/25. Slit lamp exam showed corneal abrasion superiorly at 2-o'clock. Flipped eyelid and foreign body appeared on the upper tarsal plate. Foreign body was removed.
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Non-Ischemic Central Retinal Vein Occlusion in Young Man (30 years) - Many Cotton Wool Spots2407 views30-year-old man with a history of a central retinal vein occlusion for which he was first examined on 2 months ago and his vision then was 4/200. He responded nicely to two Avastin treatments. OD is 20/20, OS is 20/60
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OD Albinism with foveal hypoplasia2404 views28 year old female latina with vision of 20/400
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)2388 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25
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Nonproliferative Diabetic Retinopathy2380 views65-year old female with diabetes. Has had cataract surgery in the left eye with VA 20/25. She has had laser in the past. Fundus examination shows microaneurysms with retinal hemorrahages and exudates in the left eye.
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Dilated Conjunctival Blood Vessels2376 viewsPatient comes in for routine eye exam. VA 20/20 in both eyes. Fundus exam was normal. Dilated blood vessels are shown temporal inferiorly in the left eye.
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Anterior Ischemic Optic Neuropathy - Non-Arteritic - AION2364 views72-year-old woman sudden vision loss in the right eye about four days ago. She also has noticed that things are dim out of that eye. She has no headaches. She does feel a little tired. She has no pain in her jaw when she chews and she has no fevers.
OD is 20/80, PH 20/25; OS is 20/25
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Dilated Conjunctival Blood Vessels2351 viewsPatient comes in for routine eye exam. VA 20/20 in both eyes. Fundus exam was normal. Dilated blood vessels are shown temporal inferiorly in the left eye.
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Choroidal Nevus with Overlying Drusen2292 views48-year-old woman Vision OD is 20/16, OS is 20/20.
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CAVERNOUS HEMONGIOMA2286 views28 year old male. FA
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Combined schisis-rhegmatogenous RD2248 viewsMultiple outer layer and inner layer holes
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Reticular Macular Disease - Reticular Pseudodrusen and Soft Macular Drusen - 57 Year Old Woman2246 views57-year-old woman was seen in the office on 2/22/2011. She has macular drusen in both eyes. I saw her back in 2006. Since then she does notice slight increased distortion. OD is 20/25, OS is 20/25
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Fundus Autofluorescence od2246 views61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.
Pisciform Lesions and Macular Atrophy
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Large mac hole OCT2226 views76 yof with large mac hole
VA: CF at 3ft
chance of spontaneous closure low; surgery option available
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Astrocytic Hamartoma2221 viewsCalcified astrocytic hamartoma of the optic nerve
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago SD-OCT (Spectral domain optical coherence tomography)2219 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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Retinal Flap Tear - Horseshoe - Cystic Retinal Tuft on Flap2189 views73-year-old woman who noticed two days ago she was bending over and had a sudden “ribbon†in her
vision which looked to her like blood. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20.
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 2156 viewsElschnig Spots
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Diabetic Macular Edema and Hypertensive Retinopathy - Circinate Exudate (Ring Exudate) 2153 views55-year-old woman diabetic for fifteen years and high blood pressure, especially over the last few months. She has had problems with nosebleeds, headaches, and there has been some difficulty bringing her blood pressure down. She said now the blood pressure is under control but it was running 220/120 mmHg for some time. Her vision in the right eye has been poor for four weeks with a spot in the central vision and both eyes have been blurred.
VISUAL ACUITY: Vision OD is 20/160, OS is 20/60
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Uveitis - Iris Nodule - Koeppe Nodule2121 views29-year-old woman has had problems with uveitis in the right eye for about the last two years. Her symptoms are usually floaters. Occasionally the eye gets red, it has not been very uncomfortable, and it has always been in the right eye. Has had Iris Nodule like one in photo in left eye and Right eye. They clear with or without steroids after about a month.
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CHRPE - Gardner Syndrome - FAMILIAL COLORECTAL POLYPOSIS - 11 year old female2115 views11-year-old child with CHRPE OS has six undescended adult teeth and also she has had a cyst removed from her arm pit and she has three more in her arm pit and one on her face and she is seeing a dermatologist for that in the near future. The mother reports no health problems, however, the patient’s grandmother does have a history of intestinal polyps, as does the patient’s grandmother’s brothers son.
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old - SD - OCT OS2101 views61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.
Pisciform Lesions and Macular Atrophy
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Wyburn-Mason Syndrome 2100 views28 year old female, diagnosed with Wyburn-Mason Syndrome at age 7. At time of exam, vision in the left eye was 4/200.
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Myelinated Nerve Fiber Layer Right Eye (white area)2099 views62-year-old man myelinated nerve fiber layer in the right eye. OD 20/25, OS 20/30.
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Peripheral Bullous Retinoschisis Fundus Photo (superotemporal)2091 views64-year-old man with peripheral retinal problem noted during comprehensive eye examination. OD 20/32, OS 20/25
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ANGIOID STREAKS2083 viewsA 29 year old woman was referred to the ophthalmologist for an eye exam since the dermatologist had noted “chicken-skin†papules in the neck skin. PAD showed for pseudoxathoma elasticum typical pathology. The eye exam disclosed angioid streaks, asymptomatic so far.
Magnus Gjötterberg MD
International membrer 1440
S:t Erik Eye Hospital
SE-11282
Stockholm
Sweden
magnusgjotterberg@hem.utfors.se
magnus.gjotterberg@sankterik.se.
Photographer/technician
Malin Langhals
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Amelanotic Choroidal Nevus 2069 views45-year-old man OD 20/20, OS 20/20. 5x5 mm flat, yellow choroidal lesion just inferonasal to the optic nerve, two disc-diameters from the nerve with scalloped edges. It looks like a confluent drusen, but it is not elevated.
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Conjunctival Cyst2065 viewsPatient comes in with mechanical irritation in the right eye. No foreign body was found. Slit lamp photo shows conjunctival cyst was found temporal in the right eye. Patient will proceed with steroid/antibiotic drops and will stay out of contact lenses.
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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome2061 views80-year-old man vision loss for one year. He died about one year after these photos from Metastatic Poorly Differentiated Large Cell Carcinoma of unknown primary. He was a smoker.
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Reticular Macular Disease - Reticular Pseudodrusen and Soft Macular Drusen - 57 Year Old Woman2050 views57-year-old woman was seen in the office on 2/22/2011. She has macular drusen in both eyes. I saw her back in 2006. Since then she does notice slight increased distortion. OD is 20/25, OS is 20/25
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Retinal Pigment Epithelial Dysgenesis2048 views
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Malattia leventinese2045 viewsBasal laminar drusen in a perifoveal radial distribution are noted in this rare condition. Inheritance is AD with variable expressivity but full penetrance.
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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Wet AMD OS - Dry AMD OD SD-OCT2031 views84-year-old woman has wet age-related macular degeneration in the left eye and dry macular degeneration in the right eye. She takes the eye vitamins and her vision is stable since she was treated three months ago with Avastin. OD 20/50, OS 20/32
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 2030 viewsElschnig Spots
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Red Free Hemangioma left eye2017 views
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CHRPE lesion in the left eye - Irregular pigmentation2015 views63 year old female with normal vision and CHRPE lesion in the right eye.
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Retinoblastoma2014 viewsYoung male who has a retinal tumor inferior with a calcium core in the left eye. This is a regressed retinoblastoma.
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Anterior Ischemic Optic Neuropathy - Non-Arteritic - AION2004 views72-year-old woman sudden vision loss in the right eye about four days ago. She also has noticed that things are dim out of that eye. She has no headaches. She does feel a little tired. She has no pain in her jaw when she chews and she has no fevers.
OD is 20/80, PH 20/25; OS is 20/25
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Correctopia - post laser iridoplasty - 20/20 vision2004 views1 month after the iridoplasty, her vision was 20/20. She began to improve on the drive home from the treatment. The laser setting were : green argon 500 microns, 500 mw, 500 msec.
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago SD-OCT (Spectral domain optical coherence tomography)1998 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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coats disease; exudative retinitis; retinal telangiectasis; leber multiple miliary aneurysm disease1998 viewsclassic coats
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Pigment migration in dry age-related macular degeneration1996 views80 year old female. Dry AMD with GA in the left eye and pigment migration visible on OCT scan.
VA 20/40 OD, 20/160 OS
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago Fundus Autofluorescence1984 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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Recurrent Macula Off Retinal Detachment - Corrugated Shallow Appearance1979 views62-year-old man shadow a week ago.
VISUAL ACUITY: Vision OS is 20/60. RECURRENT RETINAL DETACHMENT
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Conjunctival Cyst1978 viewsPatient comes in with mechanical irritation in the right eye. No foreign body was found. Slit lamp photo shows conjunctival cyst was found temporal in the right eye. Patient will proceed with steroid/antibiotic drops and will stay out of contact lenses.
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Weiss Ring -Vogt Ring - Posterior Vitreous Detachment1976 viewsChronic Floater - 10 years
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Ectopia Lentis - Marfan's Syndrome - Intermittent Pupillary Block Glaucoma Right Eye1971 views41-year-old woman decreased vision right eye and intermittent pupillary block glaucoma for 6 months from a dislocated natural lens in the eye, probably associated with Marfan syndrome.Vision OD is 20/160, PH 20/40; OS is 20/30, PH 20/25
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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangioma1964 views61-year-old man with Sturge-Weber syndrome with a hemangioma on the left side of his face.
VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19.
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Retinal Tear After Laser1961 views65-year-old woman new onset floaters for 1 week. She initially saw flashing lights and then the flashing lights subsided and then she had the floaters VISUAL ACUITY: OD 20/25, OS 20/50
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Multiple - Congenital Hypertrophy of the Pigment Epithelium - CHRPE - Gardner Syndrome1945 views63 Year Old woman with a history of colon cancer at age 32. She has also had thyroid cancer. Two of her 6 siblings died of cancer, one of sarcoma and one of lung cancer. Vision 20/30, 20/25. Fundus shows CHRPE in both eyes.
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Progressive Outer Retinal Necrosis 77 Year Old Woman with CLL (Acute Retinal Necrosis) (PORN - ARN)1943 views77-year-old woman with CLL who had shingles on the left side of her face about 6 weeks ago then she developed a dendrite in the cornea which was treating about four weeks ago. She noticed severe vision loss in the left eye just a few days ago and you saw retinitis and she comes in because of that. Vision OD is 20/25, OS is hand motion
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago Fundus Autofluorescence1941 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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Stargardt's Juvenille Macular Dystrophy - Fundus Flavimaculatus - Famlial1931 views55-year-old woman was seen in the office on 11/18/08. She has a half sister with Stargardt’s disease and seven other siblings who are fine. 20/120 OD, 20/160 OS.
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Peripheral reticular pigment degeneration - pavingstone degeneration - age-related macular degeneration1930 views60 year old healthy man with intermediate AMD and peripheral pigment degeneration and pavinstone degeneration. Vision is 20/20 OU and the patient is asymptomatic. No significant history of AMD and he is a non-smoker.
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Myelinated Nerve Fiber Layer Right Eye (white area)1917 views62-year-old man myelinated nerve fiber layer in the right eye. OD 20/25, OS 20/30.
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Acute Posterior Vitreous Detachment - Weiss Ring - Vogt Ring1914 views
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