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Multifocal Pattern Dystrophy921 views51 year old with normal vision - images look a lot like fundus flavimaculatus
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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome920 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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Equatorial Drusen Right Eye920 views
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Choroidal Metastases - Both Eyes - Exudative Retinal Detachment920 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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CHRPE lesion in the left eye - Irregular pigmentation919 views63 year old female with normal vision and CHRPE lesion in the right eye.
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Giant Retinal Diaylsis Retinal Detachment - Previous Inflammatory Retinitis - Small Inferior Retinal Holes919 views25-year-old man vision loss for three days. He had a previous episode in this eye in 3 years ago with a strange sort of inflammatory lesion. He had laser in that eye and a pneumatic retinopexy at the time for a retinal detachment. That same area has a giant dialysis retinal detachment. OD 20/400, OS is 20/20
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Acute Non-arteritic Anterior Ischemic Optic Neuropathy Right Eye - Previous NA-AION left eye 919 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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Optic Nerve (Disc) Drusen - Spectral Domain Optical Coherence Tomography Line Scan919 views34 Year Old woman no headaches normal vision
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Retinitis Pigmentosa 32 Year Old Woman - 20/25 vision both eyes918 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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Gyrate Atrophy - 15 year old male - 20/25 vision both eyes - Positive Family History918 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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Radioactive Plaque Placement for Choroidal Melanoma Transillumination of Globe to Localize Melanoma 917 views
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Twig Branch Retinal Vein Occlusion - Recurrent Macular Edema with extended interval Lucentis Therapy after first 6 monthly Injections917 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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Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child917 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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Large Choroidal Melanoma with Retinal Detachment917 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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Pattern Dystrophy - Adult Vitelliform - 95 Year Old Man with Good Vision916 views95-year-old man in excellent health and he doesn’t notice a vision problem. OD 20/32, OS 20/80
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Asymptomatic Retinal Detachment Confirmed with Optical Coherence Tomography (OCT)916 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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Disciform Scar after Photodynamic Laser - Macular Hemorrhage and Vitrectomy915 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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Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement915 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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Mild Clinically Significant Diabetic Macular Edema915 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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Occult Maculopathy - Thin Fovea on OCT and Normal Color VA, Photos, FA VA 20/80 OU914 views45-year-old man Normal FA
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Dense Vitreous Floater (opacity) from Vitreous Separation 914 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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Pattern Dystrophy - Adult Vitelliform Macular Degeneration914 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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Amelanotic Nevus - 1 year Follow-up Visit - No Change914 views
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Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE 914 viewsFA shows leakage from neovascularization and dark areas in periphery from non-perfusion
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Retinal Detachment with Macula Detached913 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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Punctate Inner Choroidopathy - PIC and Choroidal Neovascular Membrane - Right Eye - SD OCT912 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 Detachment with Macula Detached.912 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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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy911 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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Optic Nerve Edema with Retinal Hemorrhages.911 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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Fundus Albipunctatus911 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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Toxocariasis910 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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Radioactive Plaque Placement for Choroidal Melanoma Transillumination of Globe to Localize Melanoma 910 views
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Endophthalmitis910 views
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Corneal Foreign Body910 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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Choroidal Rupture - Hit with Branch - 11 Year Old Boy909 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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Superior Retinal Detachment - Bullous - Macula-off909 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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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Wet AMD OS - Dry AMD OD InfraRed909 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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Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child909 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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Retinitis Pigmentosa 32 Year Old Woman - 20/25 vision both eyes908 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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80 year old woman with Reticular Drusen (pseudodrusen) 20/30 Vision908 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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Geographic Atrophy 20/160 Vision908 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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Central Serous Retinopathy Acute - Enhanced Depth Imaging OCT - Thickened Choriod908 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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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fundus Photo - Color908 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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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Sequential color photos show progression908 viewsVision in right eye dropped to 5/200 by the last photo.
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Asymptomatic Retinal Detachment Confirmed with Optical Coherence Tomography (OCT)908 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.
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Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS907 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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Retinal Arterial Macroaneurysm - Normal Vision (2 Years before rupture)907 views78-year-old woman has a retinal arterial macroaneurysm in the right eye. VA 20/25 (pre-rupture photos)
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Intraocular Self injection907 viewsThe treatment of wet macular degeneration was revolutionized in late 2013 when Geneneron introduced its innovative and inexpensive take-home kit. Now, millions of patients around the world treat themselves on a PRN basis, using instructions written in 10 different languages.
April Fool!
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Choroidal Folds Hyperope (+5.00)907 views
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69 Year Old Woman Normal fA906 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
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Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes905 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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Nanopthalmous (Microphthalmous) Chorioretinal Folds and Choroidal Thickening Both Eyes905 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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Cilia and Cement Intraocular Foreign Body905 viewsConstruction worker jack-hammering 3 months prior to pictures. Asymptomatic. 20/20 OU. Corneal wound seen superiorly (not in pictures)
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Retinal Tear Surrounded By Laser Border905 views
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Neovascularization, Rubiosis904 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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Melanoma - Large Ciliary Body B-Scan ultrasound shows tumore filling much of the eye903 views
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Retinal Flap Tear - Horseshoe - Cystic Retinal Tuft on Flap903 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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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo903 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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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - Line scan good eye903 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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14.5 seconds903 viewsCorresponding FA for Cilioretinal artery occlusion with early venous stasis retinopathy
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Fundus Albipunctatus903 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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Retinal Tear with Vitreous Hemorrhage before and after Laser Photocoagulation902 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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Sectoral Heterochromia Iridum - 3 year old boy902 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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Severe Pseudoexfoliation Ring, Left Eye902 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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Retinal Flap Tear - Horseshoe - Cystic Retinal Tuft on Flap901 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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Valsalva Retinopathy901 viewsSmall central hemorrhage due to straining
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Asymptomatic Laser Demarcated Retinal Detachment has Spontaneously Re-attached 6 Months After Laser901 viewsSpontaneously Re-attached Detached Retina
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Subretinal Perfluoro-n-octane Droplets - Red Free900 viewsSubretinal Perfluoro-n-octane droplets
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58 year old man with a Subhyaloid Hemorrhage900 views
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Subfoveal CNVM wet AMD color photo899 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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Papilledema from pseudotumor cerebri Pre Spinal Tap - VA 20/100899 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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Treated Choroidal Melanoma898 viewsFollow up patient for melanoma in the right eye that was treated with proton beam therapy. VA is 20/50 in the right eye. Fundus photo shows scattered hemorrhages inferiorly with tumor temporal inferior at 8-o'clock. Patient will be followed up in 6-months
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Punctate Inner Choroidopathy - PIC and Choroidal Neovascular Membrane - Right Eye - Color Fundus Photograph897 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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Pigmented Peripheral Retinal Degeneration897 views42-year old male comes in for routine eye exam and to follow up on peripheral retinal degeneration in both eyes. VA is 20/20, right eye and 20/25, left eye. Patient is asymptomatic with no visual complaints.
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Closed Funnel Retinal Detachment Under Silicone Oil - NLP Vision896 views15-year-old slowly developing cataract in the left eye over about the last three years. His cataract was already dense when it was removed August 3rd of 2009. The preoperative ultrasound suggested the retina might be abnormal and then once the retina was detached, it was clear that he had a retinal detachment. Because of the amount of scarring the retina was impossible to unfold and it was reattached in a closed funnel formation.
VISUAL ACUITY: OD 20/30, OS: NLP.
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896 views
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SF6 Gas Bubble 896 views
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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fluorescein Angiogram896 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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Giant Retinal Tear896 views
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Myopic Degeneration - Staphyloma - Atrophy895 views53-year-old man was a -15.00 myope. He is aphakic. His left eye also had a retinal detachment repair and unfortunately the left eye does not see well. He is on Timolol in both eyes for glaucoma. VISUAL ACUITY: OD 20/50, OS: Faint light perception.
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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Fluorescein Angiogram894 views48-year-old woman noticed when she was blinking there was a white flash in the left eye starting about a month ago. She sees it temporally. OD 20/16, OS 20/20. There is a serous retinal detachment superotemporal to the optic nerve falling short of the fovea. Her blood pressure 165/120.
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69 Year Old Woman Normal Fundus Photograph893 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
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Multiple Evanescent White Dot Syndrome - Atypical Yellow Foveal Spot Right Eye892 views12-year-old had decreased vision in the left eye from reported amblyopia since around the year 2000. His right eye was doing fine until two days ago, when he had sudden severe vision loss. He sees a blurred spot in the middle of the vision in the right eye wherever he looks.
OD 20/60 with eccentric movement, OS 20/200. Pinhole 20/70. IOP: OD 14, OS 10.
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Retinocytoma - Retinoma - Regressed Retinoblastoma 43 year old male incidental finding 892 views
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Peripapillary Choroidal Nevus892 views37-year-old woman was seen in the office on July 27, 2011. She has photographs from 2009 and 2010 showing a peripapillary choroidal nevus in the right eye. VISUAL ACUITY: OD 20/20
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Multiple - Congenital Hypertrophy of the Pigment Epithelium - CHRPE - Gardner Syndrome892 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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Optic Nerve (Disc) Drusen - Spectral Domain Optical Coherence Tomography Line Scan892 views34 Year Old woman no headaches normal vision
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Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE 892 viewsVenous beading, vascular loops and NVE are visible on photos
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Pyogenic Granuloma, Elevated Concretion, LUL892 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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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome891 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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Uveal Choroidal Melanoma891 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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Melanoma - Large Ciliary Body Photo shows tumor visible throught the pupil890 views
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Multiple Evanescent White Dot Syndrome - Atypical Yellow Foveal Spot Right Eye890 views12-year-old had decreased vision in the left eye from reported amblyopia since around the year 2000. His right eye was doing fine until two days ago, when he had sudden severe vision loss. He sees a blurred spot in the middle of the vision in the right eye wherever he looks.
OD 20/60 with eccentric movement, OS 20/200. Pinhole 20/70. IOP: OD 14, OS 10.
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Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes890 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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Central Retinal Vein Occlusion and Laser Induced Chorioretinal Anastomosis890 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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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago890 views66-year-old woman lost vision in the left eye from a central retinal artery occlusion 1 year ago. Vision OD is fine. OD 20/25, OS 20/50
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Papilledema Probable to Pseudo-tumor Cerebri890 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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Sclerochoroidal Calcification - 72 Year Old Woman 889 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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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification889 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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Choroidal Rupture - Hit with Branch - 11 Year Old Boy889 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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