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Choroidal Rupture and small Hemorrhage - Assault1053 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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Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin OCT OD EDI1053 views66-year-old man with bilateral subfoveal fluid unresponsive to one year of monthly avastin therapy.
OD 20/160, Pinhole 20/80. OS 20/63, Pinhole 20/50. OCT scan shows subretinal fluid with normal choroidal thickness. Fluorescein angiogram shows cuticular/basal laminar drusen. ICG shows no foci of choriocapillaris leakage.
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Angioid Streaks - Peau D'Orange - Pseudoxanthoma Elasticum - Asymptomatic Extrafoveal Choroidal Neovascular Membrane1053 views60-year-old woman has pseudoxanthoma elasticum since 2008. Her sister has the same problem and lost vision in both eyes. She had a problem with blood vessel growth in the left eye for which she had injections of Avastin in August, September, and October of 2011 (5 months ago). Subsequent to that, the macula has been dry and you have just been watching her carefully. She is in Florida for a short time but will ultimately be spending nine months out of the year here. Both of her eyes have good vision at
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Stargardt's Dystrophy - Silent Choroid - Fluorscein Angiogram1053 views
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Idiopathic Cystoid Macular Edema - CME - Pre Treatment Optical Coherence Tomography Map Showing Thickened Right Macula1052 views49-year-old man had a flu two weeks ago the right eye has been throbbing and his vision in the right eye has been foggy. OD 20/80, OS 20/40. IOP: 14 OU.
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Proliferative Diabetic Retinopathy both Eyes Neovascularization of the Disc1052 views63-year-old woman has been diabetic for twenty one years who sees new floaters in the right eye. OD 20/40, OS 20/40.
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Myopic Macular Degeneration - Dry OCT OS1051 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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Retinal Flap Tear - Horseshoe - Cystic Retinal Tuft on Flap1051 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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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - FA Very Slow Filling CRA1051 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
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Pre retinal hemorrhage associated with partial PVD1051 views56 year old female in for checkup- no symptoms and normal vision - there is a hemorrhage by the nerve that could be vascular, tractional or from her mild glaucoma (which is controlled). The macular hemorrhage is preretinal.
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Plaquenil Toxicity - Bull's Eye Maculopathy - 25 Years Therapy OCT Line Scan1050 views73-year-old woman has been on Plaquenil for twenty five years. Plaquenil has now been stopped for 6 months. VA continues to decline as does visual function - 20/80 OD , 20/40 OS
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Gonioscopy; Scattered Peripheral Anterior Synechiae1050 viewsPatient comes in for evaluation for glaucoma. Patient also has a history of Uveitis. Last flare up was back in 1990. Patient's VA was 20/30, Right eye and 20/40-1, Left eye. Slit Lamp Gonioscopy reveals iris bow with scattered PAS around the angles of the anterior chamber. You can also see pigmentation in the trabecular meshwork. Patient will follow up in 3-months.
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Crystalline retinopathy associated with chronic retinal detachment (Macular Crystals)1049 views54-year-old man with an asymptomatic chronic inferotemporal retinal detachment (10 years old) OD 20/25, OS 20/30
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Retinal Detachment Secondary to Irregular Retinal Tear1049 viewsRetinal Detachment with Irregular Retinal Tear
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Amelanotic Nevus - 1 year Follow-up Visit - No Change1049 views
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Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE 1048 viewsVenous beading, vascular loops and NVE are visible on photos
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Nanopthalmous (Microphthalmous) Chorioretinal Folds and Choroidal Thickening Both Eyes B-Scan Ultrasound1047 views
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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fundus Autofluorescence1047 views 25-year-old man with one and half weeks ago he woke up with night chills. Also around that time his joints started hurting him. He also has headaches, although the headache at this point is not severe. His vision has been changing for about the last week and a half. He sees some spots in his vision and they are blurred spots. They are not in the central vision.
VISUAL ACUITY: OD 20/32, OS 20/32
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Central Arterial Occlusion with Embolism Present1047 viewsPatient comes in with CRAO in the right eye. VA was hand motion. Fundus photo shows white veil over the retina with 2-emboli in a branch artery temporal in the right eye. She will be evaluated for emboli and followed up in a month
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Fungal Endophthalmitis1046 views65-year-old woman had chronic endophthalmitis in the left eye 1 day post-op vitrectomy.
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Toxocariasis1046 views15-year-old one year ago had pink eye then her vision has been abnormal. She recently went for a drivers’ test and failed, OD: 20/80; OS: 20/20.
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Juxtafoveal Telangiectasis - MacTel - Retinal Telangiectasis - Both Eyes - Crystals1046 views61-year-old man has idiopathic juxtafoveal retinal telangiectasis type II in both eyes OD is 20/40, OS is 20/25
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Mild Clinically Significant Diabetic Macular Edema1046 views58-year-old woman diabetic for 20 years who has diabetic macular edema in both eyes. She has had waxing and waning edema in the past and I thought it might improve on its own but it did not. She notices her vision is still a little hazy.
VISUAL ACUITY: Vision OD is 20/30, OS is 20/25.
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Juxtafoveal Retinal Telangiectasia (Telangiectasis) - MacTel - Striking Gray Ring in Macula1046 views59-year-old woman decreasing vision in the right eye for a few years. She has had diabetes for five years. OD 20/100, Pinhole 20/40. OS 20/20
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chronic RD w/ sub retinal fibrosis1046 views23 yr old male w/ a vision of 20/30 and a history of scleral buckle removal
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Birdshot Chorioretinitis Mild - Asymptomatic1045 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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Retinal Detachment with Retinal Tear1045 viewsPatient comes in with complaints of floaters in the right eye. VA was 20/40 with no improvement. Fundus exam shows retinal detachment from 9-12 o'clock with hole at 10:30 posteriorly. Pneumatic Retinopexy was performed with C3F8 Gas bubble and laser around the retinal tear in the right eye.
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Best Disease, Vitelliform Macular Dystrophy - 6 year old child1042 viewsVISUAL ACUITY: Vision OD is 20/30, OS is 20/100.
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Idiopathic Cystoid Macular Edema - CME - Responded to Subtenons Kenalog - Color Photo Showing Foveal Cysts1038 views49-year-old man had a flu two weeks ago the right eye has been throbbing and his vision in the right eye has been foggy. OD 20/80, OS 20/40. IOP: 14 OU.
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Radioactive Plaque Placement for Choroidal Melanoma Transillumination of Globe to Localize Melanoma Arrow Points to Tumor Shadow1038 views
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Superior Peripapillary Hemorrhage1038 viewsPatient was seen for acute vision loss in the right eye. Patient has glaucoma. VA was 20/70 in the right eye. Had Vitrectomy back in May 2012 for ERM stripping. Also had Trabectome with cataract surgery back in December of 2012. Fundus photos presents a Superior Peripapillary Hemorrhage of the optic nerve. Patient will be followed up in one month.
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Optic Nerve Tumor1037 viewsYoung male patient with a tumor present on the optic nerve in the right eye. VA is hand motion in the right eye
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Retinal Artery Occlusion1037 viewsPatient comes in for eval on artery occlusions in both eyes. VA is 20/400, right eye and NLP, left eye. Fundus photos show paniretinal scars in the right eye with arterial narrowing and the left eye has arterial narrowing as well.
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BRAO and PAMM1036 viewsLayers of retina are thickened showing ischemia to the middle retina (deep retinal capillary plexus)
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Occult Maculopathy - Thin Fovea on OCT and Normal Color VA, Photos, FA VA 20/80 OU1035 views45-year-old man his mother and his maternal grandmother each had vision loss at a relatively young age. LINE SCAN SHOW FOVEAL ATROPHY
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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy1035 views39-year-old man two days ago he noticed poor vision in his right eye OD: 8/200; OS: 20/20. BP is 240/120
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Nanopthalmous (Microphthalmous) Chorioretinal Folds and Choroidal Thickening Both Eyes B-Scan Ultrasound1035 views
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Amelanotic Choroidal Nevus 1034 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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Central Areolar Choroidal Sclerosis1034 viewsElderly man with poor central vision starting in his 50's
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Central Serous Retinopathy - Acute1033 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
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Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male1033 views49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.
VISUAL ACUITY: OD 20/60, OS 20/25.
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Punctate Inner Choroidopathy - PIC and Choroidal Neovascular Membrane - Right Eye - SD OCT1033 views34-year-old woman with a change in vision in the right eye about eight days ago. Her vision was hazy and she saw waviness in the vision. She does have a history of aches and pains and she was diagnosed with Sjogren’s and 2 months ago she had some fevers and some sinus drainage and that went on for about two months. She is a moderate myope. OD 20/25, OS 20/20.
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Band Keratopathy/Neurotrophic Ulcer1032 viewsPatient comes in with blind painful left eye. Slit lamp photos shows corneal diffuse scarring, descemets folds, corneal striae, band keratopathy, left eye. Proceed with Jupiter contact lens fitting on the left eye.
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Wet AMD Fresh Submacular Hemorrhage - Displaced with Vitrectomy and Subretinal TPA1031 views85-year-old woman has wet age-related macular degeneration in her better eye and she was reading with it until two days ago when she had sudden severe vision loss in the eye. Post-surgical displacment vision was 20/120.
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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome1031 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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Diabetic Retinopathy - Non-Perfusion - Possible Central Retinal Vein Occlusion1030 views68-year-old woman OD 20/70, OS 20/200 CYSTOID MACULAR EDEMA, POSSIBLE EITHER OCULAR ISCHEMIC SYNDROME IN THE RIGHT EYE OR OCCULT CENTRAL RETINAL VEIN OCCLUSION IN THE RIGHT EYE,S EVERE NON-PerfUSION WITH DIABETIC RETINOPATHY IN THE LEFT EYE.
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Central Serous Retinopathy Acute - Fluorescein Angiogram1030 views42-year-old man was seen in the office on October 5, 2011. He had noticed starting in August after a course of antibiotic and steroids, that he developed new spots in his vision in the right eye. He may have had an episode like this sometime in the past. He did take steroids a few years ago and his vision did change at that time, but then returned.
VISUAL ACUITY: OD 20/32, OS 20/32
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Retinal Detachment with Macula Detached1030 viewsPatient had sudden loss of vision in the left eye. VA is 20/60 in the left eye. Fundus exam reveals retinal detachment inferiorly from 3-9 o'clock with tear at 3:30. Patient underwent scleral buckle in the left eye.
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Low Tension Glaucoma1029 views59-year-old woman has a history of glaucoma dating back to 1990. She had trabeculectomy in the left eye in 1998 and then persisted to lose vision despite normal intraocular pressures from low-tension glaucoma in the left eye. She is now on Cosopt and Travatan in both eyes.
Vision OD is 20/20, OS is 20/16. IOP: OD 9, OS 6.
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Hyperpigmentation of the Retinal Pigment Epithelium in Dry AMD1029 views87-year-old woman has wet age-related macular degeneration in the left eye. Vision OD is 20/25, OS is 20/400
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Retinal Torsion after Macula Off Retinal Detachment Repair with Inferior PVR1028 views37 year old with torsion of the retina after macula off retinal detachment repair with inferior PVR and membranes dragging the fovea inferiorly.
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Macular Scars - Laser (1980s) Ocular Histoplasmosis1028 views70 year old man who had laser at Wills, Wilmer and the Mayo clinic before better therapies were available for ocular histoplasmosis related CNVM
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Diabetic Patient with Macular Edema and Blood Pressure 200/951027 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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Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes1027 views69-year-old man has had vision loss in both eyes starting 20 years ago. He was diagnosed at one point with Stargardt’s macular dystrophy. When I saw him, he had retinal atrophy in each eye.
Vision is 20/200 in each eye
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Retinal Arterial Macroaneurysm - Increased Swelling after Laser 1026 views65-year-old woman was seen in the office on January 12, 2011. She has noticed decreased vision in the right eye for the last two or three weeks. She has had some discomfort in both eyes as well. She has a history of low blood pressure, but she does have high cholesterol.
VISUAL ACUITY: OD 20/60
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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fundus Autofluorescence1026 views 25-year-old man with one and half weeks ago he woke up with night chills. Also around that time his joints started hurting him. He also has headaches, although the headache at this point is not severe. His vision has been changing for about the last week and a half. He sees some spots in his vision and they are blurred spots. They are not in the central vision.
VISUAL ACUITY: OD 20/32, OS 20/32
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Asymptomatic Retinal Detachment Confirmed with Optical Coherence Tomography (OCT)1026 views24-year-old 20/20 vision in each eye. Patient referred for retinoschisis. OCT confirmed retinal detachment. Patient is very active and in military so the detachment was treated with laser demarcation.
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Ocular Histoplasmosis both Eyes - Laser Right Eye Only 1025 views58-year-old woman who lost vision as a child in the left eye from ocular histoplasmosis. She used to play in her attic and she was told by her pulmonary doctor that is probably where she picked it up. She had laser in the right eye for a leaky lesion back in 1990. OD 20/25, OS 20/200.
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CHRPE lesion in the left eye - Irregular pigmentation1024 views63 year old female with normal vision and CHRPE lesion in the right eye.
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Atypical Neuroretinitis - ?Ischemic - ?Paraneoplastic - Optic Nerve Swelling and Foveal Edema and Exudate1024 views74-year-old woman has stage 4 non-small cell lung carcinoma decreasing vision in the left eye for at least the last two weeks, VA 10/200. Trace APD OS. No pain
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Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child1024 views14-year-old was with optic nerve swelling asymptomatic - picked up during routine eye exam. OD 20/20, OS 20/32
SD-OCT is used to differentiate optic disc edema from optic nerve head drusen (which are not yet calcified in children).
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)1023 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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Central Serous Retinopathy Acute - Indocyanine Green Angiogram - Leakage Choriocapillaris 1023 views42-year-old man was seen in the office on October 5, 2011. He had noticed starting in August after a course of antibiotic and steroids, that he developed new spots in his vision in the right eye. He may have had an episode like this sometime in the past. He did take steroids a few years ago and his vision did change at that time, but then returned.
VISUAL ACUITY: OD 20/32, OS 20/32
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1023 viewsPHPV - right eye. Peripheral extension
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Twig Branch Retinal Vein Occlusion - Recurrent Macular Edema with extended interval Lucentis Therapy after first 6 monthly Injections1023 views39-year-old man has a macular branch retinal vein occlusion with macular edema. He had an excellent response to Lucentis for his first 6 treatments. He was last here 6 weeks ago and his vision seems OK to him. OD 20/40.
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Uveal Choroidal Melanoma1023 viewsPatient comes in for evaluation on a Choroidal Melanoma in the right eye. VA was 20/25 in both eyes. The melanoma is in the temporal aspect of the right eye. It measured at 0.7mm elevated after doing a BSCAN Ultrasound.
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Optic Nerve (Disc) Drusen - Infrared Reflectance1023 views34 Year Old woman no headaches normal vision
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Heavy Panretinal Photocoagulation for proliferative diabetic retinopathy (PRP for PDR)1023 views78 year old man who had laser for proliferative diabetic retinopathy in 1981. These photos are from 2020. The left eye also had multiple surgeries for diabetic traction retinal detachment. VA OD 20/32, OS HM
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1021 views
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Retinitis Pigmentosa - Leber's Congenital Amaurosis - 7 Year Old Child1021 views7-year-old child who trips over things that the other children do not have trouble seeing. She is the only person in the family tree that the mother knows has any vision problems. Vision is 20/20 in each eye
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Fresh Macular Fold following Macula On Superior Retinal Detachment Repair1021 viewsMacular fold after pneumatic retinopexy for macula on superior retinal detachment. Visual acuity is 20/200
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Non-Foveal Geographic Atrophy Both Eyes1021 views81-year-old man has age-related macular degeneration in both eyes. Vision OD is 20/40, OS is 20/80.
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Acute Non-arteritic Anterior Ischemic Optic Neuropathy Right Eye - Previous NA-AION left eye 1021 views69-year-old man previously lost vision in the left eye from nonarteritic anterior ischemic optic neuropathy in 2006. About a week ago and noticed blurred vision in the inferonasal part of the vision in the right eye.
VISUAL ACUITY: Vision OD is 20/16, OS is 20/40
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Nonprolific Diabetic Retinopathy with Circinate Ring1021 viewsNonprolific Diabetic Retinopathy with Circinate Ring
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Severe Pseudoexfoliation Ring, Left Eye1021 viewsPatient comes in for blurred vision. VA is 20/30 both eyes. Mostly at near which was corrected with refraction. Slit lamp photos show severe pseudoexfoliation in the left eye. Patient will be followed up for glaucoma eval in a few weeks.
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Retinitis Pigmentosa 32 Year Old Woman - 20/25 vision both eyes1020 views32-year-old woman was seen in the office on 6/26/2009. She has had retinitis pigmentosa since 2003. She has difficulty with night vision but overall she is doing pretty well.
Vision OU is 20/25.
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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fundus Photo - Color1020 views 25-year-old man with one and half weeks ago he woke up with night chills. Also around that time his joints started hurting him. He also has headaches, although the headache at this point is not severe. His vision has been changing for about the last week and a half. He sees some spots in his vision and they are blurred spots. They are not in the central vision.
VISUAL ACUITY: OD 20/32, OS 20/32
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Disciform Scar after Photodynamic Laser - Macular Hemorrhage and Vitrectomy1019 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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Radioactive Plaque Placement for Choroidal Melanoma Transillumination of Globe to Localize Melanoma 1019 views
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Calcified Drusen - Dry Age-related Macular Degeneration - Geographic Atrophy1019 views87 Year old woman with dry age-related macular degeneration in both eyes.With both eyes open she is fine, but when she closes the left eye, things are wavier.
VISUAL ACUITY: Vision OD is 20/100, OS is 20/40.
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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Ipsilateral Diffuse Choroidal Hemangioma1019 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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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo1019 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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Hypertensive Retinopathy1019 viewsPatient comes in complaining of spots in vision in both eyes. VA was 20/25 - right eye and 20/20- left eye. Fundus exam reveals little hemorrhages with cotton wool spots due to hypertension and anemia.
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1018 views
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Pattern Dystrophy - Adult Vitelliform Macular Degeneration1018 views72-year-old woman 2 months post ECCE with poor vision since surgery especially left eye.
VISUAL ACUITY: OD 20/50, OS 20/200
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Congenital Achromatopsia 1018 views26-year-old man was diagnosed with congenital achromatopsia by ERG as a child. He has family members who also have this disorder. OD 20/200, OS 20/200.
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female1018 viewsSD OCT shows disruption of the outer retina nasal to the fovea
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Radioactive Plaque Placement for Choroidal Melanoma Gold Plaque about the size of a Quarter1017 views
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Gyrate Atrophy - 15 year old male - 20/25 vision both eyes - Positive Family History1017 views15 year old male was diagnosed with “retinitis pigmentosa†at age seven. The patient reports that his night vision is poor. He reports he does not notice a visual field change. He reports that his maternal grandfather has lost vision and a cousin has lost vision as well. He reports he has an uncle with some visual changes.
The most significantly affected relative is a 26-year-old legally blind cousin.
20/25+ OD, 20/25 OS.
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Asymptomatic Laser Demarcated Retinal Detachment has Spontaneously Re-attached 6 Months After Laser1017 viewsSpontaneously Re-attached Detached Retina
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Optic Nerve (Disc) Drusen - Spectral Domain Optical Coherence Tomography Line Scan1017 views34 Year Old woman no headaches normal vision
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Acute Zonal Occult Outer Retinopathy1016 views45-year-old man noticed a few years ago peripheral vision blurriness in the left eye and also some central vision loss. Previous to that, as far as he knows, the two eyes were okay.
VISUAL ACUITY: OD: 20/20; OS: 20/40.
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Dense Vitreous Floater (opacity) from Vitreous Separation 1016 views71-year-old woman with a lamellar macular hole in the left eye and also a dense vision floater in the left eye. OD 20/30, OS 20/25
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Macular Scars - Laser (1980s) Ocular Histoplasmosis1016 views70 year old man who had laser at Wills, Wilmer and the Mayo clinic before better therapies were available for ocular histoplasmosis related CNVM
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Sectoral Heterochromia Iridum - 3 year old boy1016 views3-year-old child was seen in the office on September 14, 2011. Since he was an infant a white spot was noticed on the iris in the right eye, it seems to be growing and he comes in because of that.
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RD1016 viewsRD
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Fundus Albipunctatus1016 views12 year old female with normal vision. She has 4 siblings all of whom have either white spots or spots on IR. Genetic testing by parents was deferred.
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TID (Trans Illumination Defect) Christmas Tree Effect1015 viewsPatient who is followed up for glaucoma. Retro Illumination reveals the Christmas Tree Effect.
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Foreign Body "Rust Ring" 1015 viewsPatient complained of redness and tearing with white discharge. Patient was working with a grinding wheel on a vehicle. Slit lamp exam shows a rust ring barley off center. FBS was removed with Algiers Brush.
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Large Choroidal Melanoma with Retinal Detachment1014 viewsPatient notices a decline in her vision for the past 3-weeks in her right eye. VA was light perception in the right eye. Fundus photo shows a very large melanoma temporal to the optic nerve and retinal detachment inferiorly. Patient will under go proton beam therapy.
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