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Pattern Dystrophy - Adult Vitelliform - 95 Year Old Man with Good Vision960 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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Plaquenil (Hydroxycholorquine) Toxicity - Bull's Eye Maculopathy - 73 year old womand 25 Years therapy - 64 inches tall - 110 lbs959 views73-year-old woman has been on Plaquenil for twenty five years. She noticed loss of paracentral vision a few months ago. VISUAL ACUITY: OD 20/70, OS 20/30. Her color vision was 0 out 10 correct in both eyes and she also missed the controls.
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Choroidal Rupture - Hit with Branch - 11 Year Old Boy959 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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Retinal Flap Tear - Horseshoe - Cystic Retinal Tuft on Flap959 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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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangioma959 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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69 Year Old Woman Normal Fundus Photograph958 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
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Giant Retinal Tear958 views
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Intraocular Self injection958 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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Drusen Maculopathy - Confluent Subfoveal Soft Hydrophobic Drusen - AMD OU Red Free Image shows Confluent Drusen 957 views73-year-old woman. She is diabetic for thirteen years. She is also on Coumadin for her heart disease.
VISUAL ACUITY: OD 20/25, OS 20/50.
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Branch Retinal Vein Occlusion with Macular Edema956 viewsCentral foveal thickness came to normal after laser and intravitreal Kenalog
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Retinal Pigment Epithelial Dysgenesis956 views
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago956 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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Proliferative Diabetic Retinopathy both Eyes Neovascularization of the Disc955 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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Corneal Abrasion with Foreign Body Present 955 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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Retinal Flap Tear - Horseshoe - Cystic Retinal Tuft on Flap954 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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Optic Nerve (Disc) Drusen vs. Disc Edema Vs. AION - Spectral Domain Optical Coherence Tomography Line Scan954 views
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Stage 2 Macular Hole with 20/70 Vision953 views57-year-old woman blurred central vision in the right eye for about two to three weeks. OD 20/70
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Post-Op Vitrectomy with Membrane Stripping and Laser953 viewsPatient had surgery to help clear up some vision in the left eye. Pre-op VA was count fingers at 1-ft. Post op VA was 20/200 in the left eye. Patient will return in 3-months for follow-up.
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Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE 953 viewsVenous beading, vascular loops and NVE are visible on photos
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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fundus Photo - Color952 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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Choroidal Nevus with Drusen952 viewsLow risk choroidal nevus with many overlying drusen
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Proliferative Sickle Retinopathy - Hemoglobin SC951 views53-year-old woman with a new spider-like floater in the right eye for about six days. She sees one big floater and another little one. She does have hemoglobin SC hemoglobinopathy. VISUAL ACUITY: Vision OD is 20/20; OS is 20/50, PH is 20/20.
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - FA Very Slow Filling CRA951 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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Asymptomatic Retinal Detachment Confirmed with Optical Coherence Tomography (OCT)951 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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Melanoma - Large Ciliary Body Photo shows tumor visible throught the pupil950 views
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69 Year Old Woman Normal Fluorescein Angiogram949 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
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949 views
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Giant Retinal Diaylsis Retinal Detachment - Previous Inflammatory Retinitis - Small Inferior Retinal Holes949 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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69 Year Old Woman Normal Red Free948 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
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Pigmented Peripheral Retinal Degeneration948 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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Diabetic Retinopathy948 viewsAnnual diabetic exam. VA 20/30, right eye and 20/50, left eye. Fundus photos shows hemorrhages with cotton wool spots. Exudates are visible around the macula in the right eye. Scattered hemorrhages in the left eye.
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Punctate Inner Choroidopathy - PIC and Choroidal Neovascular Membrane - Right Eye - ICG Angiogram947 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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Retinitis Pigmentosa Sine Pigmento 947 views
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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome946 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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Silicone Oil in Anterior Chamber and Band Keratopathy 8 Years Post Complex Retinal Detachment Repair946 views81-year-old man had complex retinal detachment repairs in both eyes with silicone oil 8 years ago. The left eye has an oil fill. He had a retinotomy very near to the macula and he has had silicone oil in the eye for a few years. His eye is comfortable and the vision is stable. OD is 20/200, OS is light perception
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Pre retinal hemorrhage associated with partial PVD946 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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Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes945 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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Diabetic and Pseudophakic Cystoid Macular Edema Pretreatment Fundus Photo944 views56-year-old woman has diabetic retinopathy in both eyes and macular edema. She is recently pseudophakic. OD 20/80, OS 20/200.
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Sectoral Optic Atrophy from an old Branch Retinal Artery Occlusion 944 views74-year-old woman had cataract surgery 3 months ago. Her vision in the right eye has been abnormal since. She notices a shadow in the inferior vision in the right eye. OD is 20/60, OS is 20/50
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Ocular Histoplasmosis both Eyes - Laser Right Eye Only Fundus Autofluoresence944 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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Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin 944 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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6mm x 11mm Melanoma944 views76 year old male present with a 6mm x 1mm melanoma. Large melanoma very nasal OS. Asteroid Hyalosis present OS only. VA 20/40 OD 20/40 OS.
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Idiopathic Cystoid Macular Edema - CME - Close up of Late Fluorescein Angiogram Showing Leakage into Foveal Cysts943 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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Atypical Birdshot Chorioretinitis and Retinal Arterial Macroaneurysm Right Eye - HLA-B29 Positive943 views55-year-old woman has multifocal choroiditis in both eyes because she was HLA A-29 positive. She has presumptive birdshot chorioretinopathy. She has not noticed any vision changes. OD 20/40, OS 20/20.
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Focal Laser for diabetic macular edema942 views66 year old female with diabetes for 45 years. VA 20/20 OU. Extrafoveal edema in the left eye treated with light focal laser.
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Myopic Degeneration - Staphyloma - Atrophy942 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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Closed Funnel Retinal Detachment Under Silicone Oil - NLP Vision942 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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Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin 942 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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SF6 Gas Bubble 942 views
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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Fluorescein Angiogram942 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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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 942 views
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Choroidal Melanoma - Exudative Retinal Detachment 82 Year Old Man B Scan Ultrasound Transverce941 views82-year-old man who had 3 falls 2 weeks ago. After the falls he started checking his vision and noticed there was a veil over the left eye, which he had seen for about two weeks in the superior visual field. OD 20/25, OS 20/40
(patient was medically never well enough for brachytherapy and died 6 months later from heart disease)
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Cilia and Cement Intraocular Foreign Body941 viewsConstruction worker jack-hammering 3 months prior to pictures. Asymptomatic. 20/20 OU. Corneal wound seen superiorly (not in pictures)
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Proliferative Diabetic Retinopathy - Vitreous Hemorrhage and Tractional Retinal Detachment Left Eye940 views52-year-old man has been diabetic for nineteen years developed substantial vision loss over the last month or two. OD 20/70, OS 20/200.
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Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS940 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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Myopic Traction Maculopathy - Vitreoretinal Traction - Possible Occult Neovascular Membrane940 views58-year-old woman was seen in the office on June 30, 2011. In 2002, her vision was 20/30. Subsequent to that she had her left eye made her distance eye, which was dominate. She had LASIK surgery on the right eye to make that her near eye and she was getting along well until about a year ago when she noticed substantial vision loss in the left eye only. VISUAL ACUITY: The near eye is 20/200, but she reads J2. OS 20/100- and J16.
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Prefoveal Opercula after Aborted Stage 2 Macular Hole - Present for 1 Year - VA 20/20 - OCT940 viewsThis pleasant 61-year-old man had a small Stage 2 macular hole, which spontaneously close 12 months ago. He is still bothered by a pre-foveal opercula. OD 20/20.
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Punctate Inner Choroidopathy - PIC and Choroidal Neovascular Membrane - Right Eye - Color Fundus Photograph940 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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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female OCT map939 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.
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Chronic Central Serous Retinopathy treated with Photodynamic Laser and Visudyne939 views48-year-old man has had waxing and waning vision in the left eye for the last year from central serous retinopathy. OD is 20/16, OS is 20/30.
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Choroidal Neovascular Membrane - Optic Disc Drusen - Hemorrhage (Coumadin) 939 views82-year-old man with decreased vision in the left eye over about the last six to 12 months. He is also on Coumadin. OD 20/20, OS 20/80
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Central Serous Retinopathy Acute - Indocyanine Green Angiogram - Leakage Choriocapillaris 939 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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Conjunctival Vascular Anomaly939 viewsPatient presents a vascular pattern of blood vessels @ 10 o'clock of the superior-temporal quadrant of the right eye. Patient has had flare ups with anterior scleritis in the past which is controlled by Methotrexate. Patient's VA is currently 20/40 with PH 20/30, right eye.
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Optic Nerve Drusen - - Nerve Fiber Layer Scan938 views72-year-old woman has had optic nerve drusen for sometime and has visual field abnormalities. OD 20/32, OS 20/32.
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Subretinal Perfluoro-n-octane Droplets - Red Free938 viewsSubretinal Perfluoro-n-octane droplets
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Multiple Evanescent White Dot Syndrome - Atypical Yellow Foveal Spot Right Eye937 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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DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematode937 views
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Chronic Retinal Detachment - Pigment Line - Subretinal Fibrosis937 views60 year old with temporal macula-on chronic retinal detachment. No treatment was done.
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Lattice Degeneration937 views
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Best Disease - Color Fundus Photo936 views
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Occult Maculopathy - Thin Fovea on OCT and Normal Color VA, Photos, FA VA 20/80 OU935 views45-year-old man his mother and his maternal grandmother each had vision loss at a relatively young age. Retina OS normal
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Multiple Evanescent White Dot Syndrome - Atypical Yellow Foveal Spot Right Eye935 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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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangioma935 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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Anomalous Branch Retinal Artery 935 views59-year-old man OD 20/25, OS 20/25. TORTUOUS RETINAL ARTERY – LEF EYE
(POSSIBLE GROUP 2 WYBURN-MASON SYNDROME
POSSIBLE ACEPHALIC MIGRAINES )
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Ocular Histoplasmosis both Eyes - Laser Right Eye Only 935 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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Acute Zonal Occult Outer Retinopathy with Severe Peripheral Vision Loss Left Eye 934 views 58-year-old man developed a peripheral vision problem about 25 years ago. OD 20/30, OS 20/40.
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Retinal Detachment Under Oil with Inferior Retinectomy934 viewsVision 2/200 surgery 1 month ago.
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Pigmented Peripheral Retinal Degeneration934 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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Choroidal Rupture Secondary to Ocular Trauma934 views
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branch retinal vein occlusion - fluorescein angiogram - arrow shows obstruction point with collateral vessels933 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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Toxocariasis933 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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Preretinal Fibrosis - Tractional Retinal Detachment - Proliferative Diabetic Retinopathy 933 views33-year-old woman has proliferative diabetic retinopathy in the left eye with fibrosis and tractional retinal detachment. Her vision is hazy in that eye. VISUAL ACUITY: Vision OD is 20/30, OS 20/120
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Proliferative Diabetic Retinopathy933 viewsFundus photography shows severe fibrosis and arterial narrowing. Peripheral laser scars in both eyes. VA is 20/40, right eye and 20/50, left eye.
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Birdshot Chorioretinitis Mild - Asymptomatic932 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 Pigment Epithelial Dysgenesis932 views
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Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS931 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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Macular Demarcation line and Symptomatic Distortion 3 years following Asymptomatic Retinal Detachment Repair931 views 41-year-old man had an asymptomatic retinal detachment repair in the left eye on New Years Eve in December of 2007 in Wake Forest, North Carolina (3 years ago). Since then he has had problems with distortion and pinching. When he looks at long words, the very center letters are abnormal.
OD is 20/20, OS is 20/80
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Optic Nerve Pit Retinal Detachment - Macular Detachment - 8 Year Old - 5/200 Vision OS930 views8-year-old child on two school exams that his vision was poor in the left eye and his last normal exam was in preschool.
VISUAL ACUITY: OD 20/30, OS 5/200. OS: Vertical C/D ratio is 0.2. There is a whitening on the temporal edge of the optic nerve consistent with an optic disc pit and there is a serous macular detachment.
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Acute Cytomegalovirus Retinitis930 views45 y/o male presents with newly diagnosed AIDS and retinal infiltrates.
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BRVO with collaterals and cystoid macular edema929 views66 Year Old Man with has had a branch retinal vein occlusion in the right eye with vision loss for the last few months. OD is 20/40, OS is 20/20. IOP: OD 18, OS 19. There is a superotemporal macular branch retinal vein occlusion with edema, hemorrhage, and exudate.
OCT SCAN: The right eye shows edema with a central foveal thickness of 354 microns FA: shows remodeling of the superotemporal vasculature. There are already venous-venous collaterals, suggesting the vein occlusion may be a little more than a few months old. There are multiple microaneurysms superotemporal to the fovea, and there is leakage in the late frames involving the fovea.
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Plaquenil Toxicity - Bulls Eye Maculopathy929 views70-year-old woman with systemic Lupus erythematosus and clotting problems. She was on the Plaquenil for about eight years and then off the Plaquenil for the last eight years because she developed macular toxicity. Although her vision was hazy, it was stable. Recent deceased vision left eye: OD 20/60, OS 20/100. IOP: OD 18, OS 19.
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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Wet AMD OS - Dry AMD OD FA and ICG late929 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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Multiple - Congenital Hypertrophy of the Pigment Epithelium - CHRPE - Gardner Syndrome929 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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Acute Non-arteritic Anterior Ischemic Optic Neuropathy Right Eye - Previous NA-AION left eye 929 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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Central Retinal Venous Occlusion with Papilledema, Intraretinal Hemorrhage and Macular Edema929 views
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Vitreomacular Traction - Closing Macular Hole - 20/40 Vision928 views75-year-old woman has a small macular hole in the right eye. It looked to be spontaneously closing, so I cancelled her surgery and I have been watching it. Her last visit was three months ago. She feels her vision is a little better and she is seeing some floaters.
VISUAL ACUITY: Vision OD is 20/40
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Birdshot Chorioretinitis Mild - Asymptomatic927 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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Peripapillary Choroidal Nevus927 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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BRVO with collaterals and cystoid macular edema926 views66 Year Old Man with has had a branch retinal vein occlusion in the right eye with vision loss for the last few months. OD is 20/40, OS is 20/20. IOP: OD 18, OS 19. There is a superotemporal macular branch retinal vein occlusion with edema, hemorrhage, and exudate.
OCT SCAN: The right eye shows edema with a central foveal thickness of 354 microns FA: shows remodeling of the superotemporal vasculature. There are already venous-venous collaterals, suggesting the vein occlusion may be a little more than a few months old. There are multiple microaneurysms superotemporal to the fovea, and there is leakage in the late frames involving the fovea.
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Chronic - Old Diabetic Tractional Retinal Detachment Left Eye926 views77-year-old woman Vision OD is 20/40, OS is 7/200OD: Vertical C/D ratio is 0.3. There is panretinal laser. The macula is flat and attached.
OS: Vertical C/D ratio is 0.3. There is panretinal laser. There is a tractional retinal detachment with preretinal fibrosis nasal to the optic nerves.
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