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Fundus Albipunctatus1008 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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80 year old woman with Reticular Drusen (pseudodrusen) 20/30 Vision - Before Vitrectomy1007 views80 year old woman with asteroid hyalosis and macular degeneration.
OPHTHALMIC EXAMINATION: Visual acuity with correction 20/30-3 OD and 20/30-2
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Fresh Macular Fold following Macula On Superior Retinal Detachment Repair1007 viewsMacular fold after pneumatic retinopexy for macula on superior retinal detachment. Visual acuity is 20/200
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Retinal Pigmintosa1007 views28-year old female with no light perception in the right eye.
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TID (Trans Illumination Defect) Christmas Tree Effect1007 viewsPatient who is followed up for glaucoma. Retro Illumination reveals the Christmas Tree Effect.
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Central Areolar Choroidal Dystrophy1007 viewsVision loss from early 60's. This 78 year old woman has choroidal atrophy centrally.
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Multifocal Pattern Dystrophy1007 views51 year old with normal vision - images look a lot like fundus flavimaculatus
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Radioactive Plaque Placement for Choroidal Melanoma Gold Plaque about the size of a Quarter1005 views
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Angioid Streaks - Pseudoxanthoma Elasticum - Supressed CNVM1005 views54-year-old woman had angioid streaks and macular degeneration in both eyes. She has had intravitreal Avastin in the right eye about every three months and her vision in that eye is good.
VISUAL ACUITY: Vision OD is 20/30, OS is 2/200
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Radioactive Plaque Placement for Choroidal Melanoma Plaque Sutured to Globe1004 views
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Retinal Detachment and Macular Pucker 1004 views76-year-old man has had a retinal detachment repair in the right eye. His vision was improving until just on the way over today and then his vision declined.
VISUAL ACUITY: OD 1/200
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Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes1004 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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Mild Clinically Significant Diabetic Macular Edema1004 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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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Photo Equator1004 views70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
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Optic Nerve Edema with Retinal Hemorrhages.1004 viewsFemale patient diagnosed with lupus a year ago, comes in with spot and decreased vision in the right eye. VA is 20/400 in the right eye and 20/40, in the left eye. Fundus photography shows multiple retinal hemorrhages and possible bilateral papilledema.
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Punctate Inner Choroidopathy - PIC and Choroidal Neovascular Membrane - Right Eye - Color Fundus Photograph1003 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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Best Disease, Vitelliform Macular Dystrophy - 6 year old child1002 viewsVISUAL ACUITY: Vision OD is 20/30, OS is 20/100.
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female Montage Initial Visit1002 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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Hyperpigmentation of the Retinal Pigment Epithelium in Dry AMD1002 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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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel 1002 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Valsalva Retinopathy1001 viewsSmall central hemorrhage due to straining
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Punctate Inner Choroidopathy - PIC and Choroidal Neovascular Membrane - Right Eye - SD OCT1001 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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Retinal Detachmet1001 views
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Corneal Foreign Body1001 viewsPatient comes in to the ER with foreign body sensation in his left eye. Patient was referred to Ophthalmology. Slit lamp shows metallic foreign body with rust ring nasally to the limbus in the left eye. Foreign body was removed with no complications..
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Subfoveal CNVM wet AMD color photo1000 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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Acute Zonal Occult Outer Retinopathy1000 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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Central Serous Retinopathy Acute - Enhanced Depth Imaging OCT - Thickened Choriod1000 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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Radioactive Plaque Placement for Choroidal Melanoma Lead Patch after Surgery999 views
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Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE 999 viewsVenous beading, vascular loops and NVE are visible on photos
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Central Retinal Vein Occlusion with Macular Edema999 viewsPatient notices decreased vision in the left eye. VA is 20/60, left eye. Fundus and Fluorescence Angiogram shows CRVO in the left eye with scattered hemorrhages throughout the retina.
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Acute Zonal Occult Outer Retinopathy998 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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Stage 2 Macular Hole with 20/70 Vision998 views57-year-old woman blurred central vision in the right eye for about two to three weeks. OD 20/70
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Retinal Detachment with Macula Detached.998 viewsPatient went to the ER over the weekend with loss of vision in the right eye. VA was count fingers in the right eye. Noticed a curtain in the right eye. Horseshoe tear was seen at 10-o'clock temporally, right eye. Proceeded with surgery the next day.
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Dense Vitreous Floater (opacity) from Vitreous Separation 997 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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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification997 views7-year-old child difficulty seeing the blackboard in school. She was checked for glasses and it was noted at that time that she had unusual looking optic nerves. Vision OU is 20/50.
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Retinal Tear with Vitreous Hemorrhage before and after Laser Photocoagulation997 views61-year-old man has noticed increased floaters in the right eye for about the last week. Vision OD is 20/160 There is 3+ vitreous hemorrhage with a retinal tear, about 2-disc diameters posterior to the equator at 10:00 o’clock over a retinal vessel.
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Macular Telangiectasis (Group 2a Juxtafoveal Telangiectasis) Decreased Fundus Autofluorescence997 views63-year-old woman has juxtafoveal retinal telangiectasis in both eyes. She notices her vision a little worse with more distortion and change over the last six months.
VISUAL ACUITY: OD 20/40, OS 20/40.
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Dense Vitreous Floater (opacity) from Vitreous Separation 996 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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Retinitis Pigmentosa 32 Year Old Woman - 20/25 vision both eyes996 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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Concentric Annular Macular Dystrophy 4/200 2/200 vision 61 Year Old Macular Crystals996 views61-year-old woman has concentric annular macular dystrophy. She has had vision loss for 10 years who is no longer able to function even with the magnifiers and vision aids that she has. Her brother who is ten years younger than her, is recently diagnosed with the same macular dystrophy and her father and grandfather may have had similar problems in the past.
VISUAL ACUITY: OD 4/200, OS 2/200.
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Asymptomatic Retinal Detachment Confirmed with Optical Coherence Tomography (OCT)996 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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Hemangioma996 viewsFP Composite of Hemangioma in OD
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Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE 996 viewsVenous beading, vascular loops and NVE are visible on photos
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Flower Cataract996 viewsPatient with ahmed tube and flower cataract
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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Wet AMD OS - Dry AMD OD InfraRed995 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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Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE 995 viewsFA shows leakage from neovascularization and dark areas in periphery from non-perfusion
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Retinitis Pigmentosa Sine Pigmento 995 views
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Outer Retinal Holes - Probably Solar Retinopathy (history is negative)995 views
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Radioactive Plaque Placement for Choroidal Melanoma Transillumination of Globe to Localize Melanoma 994 views
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80 year old woman with Reticular Drusen (pseudodrusen) 20/30 Vision994 views80 year old woman with asteroid hyalosis and macular degeneration.
OPHTHALMIC EXAMINATION: Visual acuity with correction 20/30-3 OD and 20/30-2
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Hyperpigmentation of the Retinal Pigment Epithelium in Dry AMD994 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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Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement993 views33-year-old woman one week ago she awoke and saw a red spots flashing out of her right eye. She notices them to the right side, which is the temporal visual field out of the right eye, then they changed to bursts of white lights without colors and then she notices straight ahead a couple spots. She has headaches in the back of her head. OD 20/20, OS 20/20
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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome992 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 - Foveal Laser Scar Right Eye992 views74-year-old woman has diabetic retinopathy in both eyes. She has had focal laser in her right eye done elsewhere in the mid 90’s and unfortunately the laser was fairly close to the center and as time progressed she developed foveal atrophy around the scars. She has noticed her vision declining since she was here last a year ago. She does take Travatan in both eyes at night for glaucoma.
VISUAL ACUITY: OD 20/200, OS 20/40.
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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman992 viewsInitial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU.
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - Line scan good eye992 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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Neovascularization, Rubiosis992 viewsPatient comes in for GPCL fitting. VA is 20/50 w/GPCL. Slit lamp photography shows neovascularization on the iris in the right eye. Also iris atrophy, superiorly in the right eye.
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Occult Maculopathy - Thin Fovea on OCT and Normal Color VA, Photos, FA VA 20/80 OU991 views45-year-old man Normal FA
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Toxocariasis991 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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Twig Branch Retinal Vein Occlusion - Recurrent Macular Edema with extended interval Lucentis Therapy after first 6 monthly Injections991 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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Asymptomatic Retinal Detachment Confirmed with Optical Coherence Tomography (OCT)991 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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Central Retinal Vein Occlusion991 views
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990 views
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69 Year Old Woman Normal fA990 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
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Superior Retinal Detachment - Bullous - Macula-off990 views70-year-old man noticed a shadow creeping over the vision in the left eye and he no longer sees well out of that eye. He had cataract surgery two years ago and a YAG capsulotomy six months ago.
VISUAL ACUITY: OD 20/20, OS 1/200
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Geographic Atrophy 20/160 Vision990 views84-year-old woman has age-related macular degeneration in both eyes with foveal atrophy. She also has a central retinal vein occlusion
in the left eye for which she had intravitreal Kenalog and finally chorioretinal anastomosis laser a year
ago. VISUAL ACUITY: Vision OD is 20/160, OS is 7/200.
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Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child990 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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Choroidal Metastases - Both Eyes - Exudative Retinal Detachment989 views58-year-old man smoke a pack of cigarettes a day. He has had some ribcage pain for about the last two weeks. He also had a sinus infection for about two weeks, and he has also had hazy vision on the superior visual field in the left eye for about the last two weeks. vision is 20/25 in both eyes
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Cone Rod Dystrophy989 viewsCone Rod Dystrophy in OS of seven year old girl
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Optic Nerve (Disc) Drusen - Spectral Domain Optical Coherence Tomography Line Scan989 views34 Year Old woman no headaches normal vision
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Occult Maculopathy - Thin Fovea on OCT and Normal Color VA, Photos, FA VA 20/80 OU988 viewsOCT Scan Right Eye shows foveal thinning. OD is 20/80, PH 20/70; OS is 20/80, PH 20/70. His color vision is normal with 13 out of 14 correct in each eye. There is no afferent pupillary defect.
FLUORESCEIN ANGIOGRAPHY: The FA is entirely normal.
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Sclerochoroidal Calcification - 72 Year Old Woman 988 views72-year-old woman who has spots on her lungs, which she has been told are scar tissue 20/30 OU
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Equatorial Drusen Right Eye988 views
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)988 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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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangioma988 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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Albinism and Foveal Hypoplasia987 views65-year-old man was told about twenty years ago by a retina specialist that he spent so much time in the sun that he burned out his maculae. He does have two brothers who have dark brown hair and he has always had white hair. He had eye exercises when he was eight or nine because of a lazy eye and his brothers, when he was little, used to call him an albino. He has been diagnosed by dermatologists as having possible albinism but he has been told by other people his skin is just fair.
VA 20/70 OU
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Radioactive Plaque Placement for Choroidal Melanoma Transillumination of Globe to Localize Melanoma 986 views
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Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS986 views63-year-old woman has serpiginous choroiditis (date - March 2011). The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/50
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Papilledema from pseudotumor cerebri Pre Spinal Tap - VA 20/100985 views24-year-old woman was seen in the office on 2/23/2010. She has had noticed positional blurring of her vision when she bends over since around November. When she bends over and stands up straight, she notices her vision is blurred. Vision OD is 20/100, PH 20/40; OS is 20/80, PH 20/30. IOP: 19 OU.
vision was 20/25 after tap
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Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes984 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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Outer Retinal Tubulation983 viewsPatient with a history of wet macular degeneration and glaucoma in both eyes. VA is 20/50, right eye, 20/80, left eye. Patient is treated with Eylea in both eyes. Enhanced Depth Imaging OCT reveals a small like form of a cyst which in fact isn't a cyst at all. This is called Outer Retinal Tubulation in which degenerating photo-receptors may become arranged in a circular or ovoid fashion. This is sometimes misdiagnosed as cystic changes in the retinal pigment epithelium or sub-retinal fluid.
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Retinal Tear Surrounded By Laser Border983 views
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Pyogenic Granuloma, Elevated Concretion, LUL983 viewsPatient comes in with unresolved chalazia in the left upper eyelid. Slit lamp photo shows pyogenic granuloma. Performed in office procedure to remove them.
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Sclerochoroidal Calcification - 72 Year Old Woman 982 views72-year-old woman who has spots on her lungs, which she has been told are scar tissue 20/30 OU
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Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE 982 viewsVenous beading, vascular loops and NVE are visible on photos
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branch retinal vein occlusion - oct map981 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.
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Nanopthalmous (Microphthalmous) Chorioretinal Folds and Choroidal Thickening Both Eyes981 views67-year-old woman with microphthalmos/nanophthalmos Her vision has gradually been getting a little bit worse, especially in the right eye. Also the anterior chamber is getting crowded and there is concern about the need for cataract surgery. She has one sister and one cousin who also have nanophthalmos.
VISUAL ACUITY: OD 20/50, OS 20/80.
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Chronic Retinal Detachment - Pigment Line - Subretinal Fibrosis981 views60 year old with temporal macula-on chronic retinal detachment. No treatment was done.
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Acute Non-arteritic Anterior Ischemic Optic Neuropathy Right Eye - Previous NA-AION left eye 981 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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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fluorescein Angiogram978 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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Papilledema Probable to Pseudo-tumor Cerebri978 viewsA 24-year old female who presents severe headaches and vision loss over the past 6-months. VA was 20/40 with pinhole 20/25, right eye and 20/25, left eye. Fundiscopic exam reveals 3-4 plus papilledema of both optic nerves. Patient has VF defects inferior, nasal-right eye and enlarged blind spot with an inferior arcuate defect present. Patient will get MRI and work-up with treatment in the hospital.
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Melanoma - Large Ciliary Body B-Scan ultrasound shows tumore filling much of the eye976 views
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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome975 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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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangioma975 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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Central Retinal Vein Occlusion and Laser Induced Chorioretinal Anastomosis975 views84-year-old woman has age-related macular degeneration in both eyes with foveal atrophy. She also has a central retinal vein occlusion
in the left eye for which she had intravitreal Kenalog and finally chorioretinal anastomosis laser a year
ago. VISUAL ACUITY: Vision OD is 20/160, OS is 7/200
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Choroidal Folds Hyperope (+5.00)975 views
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Diabetic Patient with Macular Edema and Blood Pressure 200/95974 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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Branch Retinal Vein Occlusion with Macular Edema974 viewsCentral foveal thickness came to normal after laser and intravitreal Kenalog
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Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes974 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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Choroidal Rupture - Hit with Branch - 11 Year Old Boy974 views 11-year-old had a choroidal rupture in the left eye with a macular hemorrhage 4 months ago. He had a rupture globe repair. Vision has improved some. VISUAL ACUITY: OS 20/200.
1 year later Vision was 20/30
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