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432 views
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Free Floating Dislocated Lens in Vitreous432 viewsPatient comes in aphakic with dislocated lens floating to the back of the eye when laying down. Lens is laying up against the endothelium of the cornea when patient is right side up..
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Mtehylenetetrahydrofolate reductase c677T homozygous CRVO pregnant woman (MTHFR)432 viewsVision improved from 20/50 to 20/16 in one month following ozurdex injections. 38 year old woman with only one eye. The left eye was removed as a child for retinoblastoma.
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Vitrectomy with membrane peel432 viewsIntraoperative images showing the peeling of an epiretinal membrane - macular pucker - with a 25 gauge forcepts.
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Spontaneously Peeled Macular Pucker 20/20432 views
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets432 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 months
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Juxtapapillary CNVM - Hemorrhage432 views83 year old female VA 20/200 improved to 20/32 within 2 months with Lucentis
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Angioid Streaks - CNVM OS with vision loss432 views48 year old soccer player. Prior trauma OS (with soccer ball). Vision loss for 3 weeks to 20/60 - with Lucentis vision improved to 20/30
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432 views
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Vitreomacular Traction -> Macular Hole -> Aborted Macular hole432 viewsProgression of VMT in both eyes over time
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Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive432 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16
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Severe PDR with preretinal fibrosis432 views71 year old female untreated for a year following injections because of hurricane Irma. VA 20/30 OD and 5/200 OS. Sudden vision loss 1 month ago left eye was likely an ischemic event. Right eye is being treated with injections and PRP laser.
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Spontaneously Re-attached Asymptomatic Chronic Retinal Detachment432 views47 year old female The vision has been gradually worsening for a few years. The two eyes have always been different. She has no knowledge of having had a retinal detachment - She now has mild CME.
VA OD: Dcc20/32 NscJ2
VA OS: Dcc20/20 NscJ1
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Multifocal Choroiditis and Subretinal Fibrosis with new Subretinal Neovascular Membrane432 views26 year old African American Girl Saw me at age 10 (16 years ago) with acute multifocal choroiditis and panuveitis which evolved into subretinal fibrosis. She was initially treated with 3 years of methotrexate. Vision ended up 20/20 in both eyes. Her eyes have been inactive since and she was lost to follow-up.
A week ago she noticed sudden decreased vision in the right eye. Within the past few weeks there are more floaters in the right eye.
VA OD: sc6’/200 PHNI
VA OS: sc20/16
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Multifocal Choroiditis and Subretinal Fibrosis with new Subretinal Neovascular Membrane432 views26 year old African American Girl Saw me at age 10 (16 years ago) with acute multifocal choroiditis and panuveitis which evolved into subretinal fibrosis. She was initially treated with 3 years of methotrexate. Vision ended up 20/20 in both eyes. Her eyes have been inactive since and she was lost to follow-up.
A week ago she noticed sudden decreased vision in the right eye. Within the past few weeks there are more floaters in the right eye.
VA OD: sc6’/200 PHNI
VA OS: sc20/16
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Macular Telangiectasis - Mild - Retinal Crystals432 views58 year old man with long term mild vision loss. Considering Cataract surgery. VA 20/50 OD and 20/63 OS - Moderate cataract are present
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Rapid macular atrophy with anti-VEGF therapy for myopic CNVM432 views64 year old female with 20/32 vision and distortion in the left and better eye. She was treated with monthly lucentis and her vision declined to 20/100. Medicine was stopped and she improved a little to 20/80.
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Acute Bilateral Central Serous Chorioretinopathy - Female - Smokestack432 views39 year old female She had no prior epsisodes of vision loss and then a week ago she noticed decreased vision in the right eye. She has not had any health problems and she is not pregnant. Phendimetrazine started 3 months ago. She is not on steroids. VA OD: sc20/63-1 NscJ16 VA OS: sc20/125-1 Dcc20/80 NscJ16 IOP: TP: OD:14 OS:14 Time:11:23 AM
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PDR and DME and VH432 views57 year old diabetic man with vision loss in the left eye for several months. He has DME in the left eye and VH in the left eye and PDR in both eyes. He has been started in the left eye on Anti-VEGF therapy. VA on presentation was 20/25 OD and 20/200 OS
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Concentric Geographic Atrophy - 76 year old man432 viewsGradual vision loss, worse at night. VA 20/40 OU.
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Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood432 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis
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Retinitis Pigmentosa - Autosomal Recessive - 20/25 Vision432 views49 year old man 15 years ago he noticed decreased night vision.
VA OD: sc20/25 NscJ2
VA OS: sc20/25-2 NscJ2-1
IOP: TP: OD:17 OS:19
Genetic testing showed heterozygous for RPE65 - Probably not clinically important
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PDR and Vitreous Hemorrhage - High Risk Left Eye - Low Risk Right Eye432 views50 year old man with type I diabetes mellitus for 26 years. New Vitreous Hemorrhage in the left eye. Both eyes have NVE. Both also have foveal hypoplasia
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PDR and Vitreous Hemorrhage - High Risk Left Eye - Low Risk Right Eye432 views50 year old man with type I diabetes mellitus for 26 years. New Vitreous Hemorrhage in the left eye. Both eyes have NVE. Both also have foveal hypoplasia
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Cystoid Macular Edema and Macular Pucker432 viewshas been particular bad for 3 years. She has a macular pucker and severe CME.
VA 20/160 left eye
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Perifoveal Microaneurysm - Not Diabetic (also reticular pseudodrusen)432 views87 year old female with fluctuating macular edema in the right eye from a perifoveal MA. (no treatment). VA 20/40 OU
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Macular Telangiectasi - Stage V - CNVM OU432 views60 year old female who has been treated with injections for 5 years starting in the left eye. She had no treatment 6 months prior to this visit and her vision has been getting worse. Her vision is 20/100 OD, 20/32 OS. Vision improved with intravitreal Avastin to 20/30 OU.
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432 views
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Retinitis Pigmentosa - Autosomal Dominant - Good Vision432 views55 year old female was diagnosed in 1990 with RP and the vision has been stable for the last 10 years. Her mother and her two brothers and her grandmother and the patient and her two sisters all have confirmed RP. No one has been tested. VA 20/25 OU
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Cilioretinal Artery Occlusion - Nasal (not macular)432 views77 year old female There is a shadow in the top half of her temporal vision in the left eye that came on suddenly yesterday morning. It has not changed since then and the right eye is OK. She has had sinus headaches. She had no focal neurological changes. Â
VA OD: Dcc20/32
VA OS: Dcc20/16-1
IOP: TP: OD:18 OS:19Â
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Stellate non-hereditary idiopathic foveomacular retinoschisis (SNIFR) and optic nerve drusen432 views84 year old man No visual complaints. Not diabetic, cataract surgery 8 years ago. Meds: Omeprazole, Tamsulosin (Flomax)
VA 20/32 OD, 20/20 OS
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Hydroxychloroquine retinopathy - Plaquenil - Moderate432 views51 year old female on with trouble driving at night for a year. No eye examination for several years. 2009 (11 years ago) Plaquenil 300 then up to 400 a few years ago now down to 300 - 5'2" 135 lbs
VA 20/20 OD, 20/25 OS
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Peripheral reticular pigment degeneration - pavingstone degeneration - age-related macular degeneration432 views60 year old healthy man with intermediate AMD and peripheral pigment degeneration and pavinstone degeneration. Vision is 20/20 OU and the patient is asymptomatic. No significant history of AMD and he is a non-smoker.
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ABCA4 positive - Stargardt Disease432 views24 year old female She has worn glasses since she was a kid. Since she became an adult her vision started to deteriorate more rapidly. This seems to have been happening since she entered the accounting department for the last two years. Her vision is worse in the light especially when she is driving. She can see green lights in the night but not in the day. She sees better on a dark background than on a light background.
Her mother and father both have inherited retinal diseases. His mother was diagnosed 23 years ago with Stargardts genetically confirmed in Boston. The father has Retinitis Pigmentosa. The mother has seven brothers and sisters and four have Stargardts and they are legally blind. Also one cousin has it.
PMHx benign, Meds: vitamins.
VA OD: Dcc20/160
VA OS: Dcc20/160
IOP: TP: OD:20 OS:21
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Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye431 views84-year-old woman has polypoidal choroidal vasculopathy in both eyes with macular degeneration. She has macular scars in both eyes and she remains with remarkably good vision in the right eye despite the scarring.
VISUAL ACUITY: OD 20/30, OS 1/200
Avastin Rx OD
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431 views
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CRVO431 views58 year old male with present CRVO OU. Visual Acuity 20/30 OD 20/200 OS. Pt. recently underwent surgery for cancer of the bladder and has other blood and hemoglobin issues. Pt sent for further blood work and see a neurologist.
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Hypertensive Retinopathy431 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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Pseudoexfoliation with Cortical Cataract Changes431 viewsPatient comes in for eval on cataract surgery for the right eye. Slit lamp exam shows pseudoexfoliation (XFS) scattered on the lens in the right eye. Patient will be followed for glaucoma suspect and to schedule cataract surgery in the future...
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Mtehylenetetrahydrofolate reductase c677T homozygous CRVO pregnant woman (MTHFR)431 viewsVision improved from 20/50 to 20/16 in one month following ozurdex injections. 38 year old woman with only one eye. The left eye was removed as a child for retinoblastoma.
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Adult Vitelliform Macular Dystrophy - Pattern Dystrophy431 views
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431 views
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Dry AMD - Confluent Drusen Sparing Center of Macula which has Atrophy431 views65 year old woman, VA 20/40 OD; 20/80 OS. The center of the macula has few or no drusen with predominantly non-geographic atrophy
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Submacular Hemorrhage - wet AMD431 views84 year old man with 20/200 from submacular hemorrhage. Vision improved to 20/32 with only Avastin therapy (no surgical intervention). The initial FAF is interesting because parts of the blood hyper auto fluoresce.
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Pattern Dystrophy - Adult Vitellifrom (Best)431 views71 year old female - lesions nasal to the fovea in both eyes. (20/40 OU)
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets431 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 months
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Coats' Disease -51 year old asymptomatic male431 views20/20 vision - had laser to non-perfusion because of proliferation.
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Outer Retinal Tubulation431 views78 year old man chronic wet AMD - 20/200
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Outer Retinal Tubulation431 views78 year old man chronic wet AMD - 20/200
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Pattern Dystrophy - Foveal Atrophy431 views73 year old female with vision loss - looks like macular hole
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Diabetic Macular Edema with Exudates431 viewsPatient did not want injection therapy and did well with laser
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Angioid Streaks - CNVM OS with vision loss431 views48 year old soccer player. Prior trauma OS (with soccer ball). Vision loss for 3 weeks to 20/60 - with Lucentis vision improved to 20/30
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431 views
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431 views
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Microaneursyms and Macular Edema Not Diabetic431 views85 year old man has been tested about 2-3 times and is always negative for diabetes
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White Retinal Artiole Left eye - Inferotemporal431 views31 year old female with migraines and headaches for the last 12-13 years. Sometimes she gets the visual symptoms with the migraine. When she gets the migraines the pain is on the left side of her head. She gets the problem a few times a month, sometimes more. They usually last 5-6 hours. She has not had a permanent vision change. When she gets a vision change there are spotty dots of blue neon lights in her vision. With her glasses her two eyes are about the same. VA 20/16 in Each Eye
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Macular Telangiectasis - Very Mild431 views52 year old female with normal vision and suspicious OCT referred. Multimodal imaging shows very mild mactel (loss of macular pigment, ring on multicolor image and very mild OCT findings)
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Macular Telangiectasis - Very Mild431 views52 year old female with normal vision and suspicious OCT referred. Multimodal imaging shows very mild mactel (loss of macular pigment, ring on multicolor image and very mild OCT findings)
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Sickle Retinopathy - Chronic retinal detachment OS - Proliferation OD431 views40 year old with known SC disease. Failed to return 4 years ago for treatment and lost ision in the left eye. Then returned for one visit and refused further treatment.
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Central Retinal Vein Occlusion - No macular edema - Pre-foveal opercula431 views62 year old female with 20/20 vision. She had been seeing a spot out of the left eye for 4 years and then noticed splotches in her vision. She never devleoped edema or NV
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Severe PDR with preretinal fibrosis431 views71 year old female untreated for a year following injections because of hurricane Irma. VA 20/30 OD and 5/200 OS. Sudden vision loss 1 month ago left eye was likely an ischemic event. Right eye is being treated with injections and PRP laser.
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Macroaneurysm - Macular Hemorrhage - Branch Retinal Aterial Occlusion431 views62 year old African American female with chronic hypertension and vision loss for 2 weeks. VA is 20/400
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Hyperpigmented Vasoproliferative Tumor on Buckle with New Serous Retinal Detachment 20 years post RD Repair431 views67 year old female RD repair OU 1999 then severe (20/400) macular pucker OD removed 3 months later (twin sister also had bilateral RD’s with PVR). Then dislocated IOL surgery right eye 9/2012. New vision loss in the right eye with serous retinal detachment. Argon laser to dark tumor led to resolution of subretinal fluid within a month.
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Lung Cancer Metastasis to Right Eye431 views63 year old female with vision loss for 6 weeks. She had been scheduled for cataract surgery and then a tumor was found. She was ultimately diagnosed with lung cancer. Vision is 20/100
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Punctate Inner Choroidopathy (PIC) Mild431 views24 year old female with high myopia. Noticing some distortion on grid. Vision 20/20 OU. Was followed frequently for several months with no progression and no CNVM.
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Central Retinal Vein Occlusion with Macular Edema431 views74 year old female The vision in the left eye has gotten worse over the last 3 weeks.
VA OD: Dcc20/25
VA OS: DccCF 3ft
IOP: TP: OD:16 OS:14
Vision improved to 20/40 in 3 months with monthly Aflibercept
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Acute Bilateral Central Serous Chorioretinopathy - Female - Smokestack431 views39 year old female She had no prior epsisodes of vision loss and then a week ago she noticed decreased vision in the right eye. She has not had any health problems and she is not pregnant. Phendimetrazine started 3 months ago. She is not on steroids. VA OD: sc20/63-1 NscJ16 VA OS: sc20/125-1 Dcc20/80 NscJ16 IOP: TP: OD:14 OS:14 Time:11:23 AM
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Peripheral Exudative Hemorrhagic Chorioretinopathy431 views93 year old female with shadow in side vision in the left eye. Referred for retinal detachment - Exudative lesion subsided in about 6 months without treatment.
Vision 20/63 OD and 20/100 OS (from dry AMD)
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Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood431 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis
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PDR and Vitreous Hemorrhage - High Risk Left Eye - Low Risk Right Eye431 views50 year old man with type I diabetes mellitus for 26 years. New Vitreous Hemorrhage in the left eye. Both eyes have NVE. Both also have foveal hypoplasia
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Cilioretinal Artery Occlusion - Good vision431 views67 year old female - 5 days ago she was getting ready for bed and closed one eye (she had worked for an optometrist for 20 years) and she noticed a spot in the vision in the right eye and came in. She has no focal neurological problems. She once in a while gets some weakness. She has a neurologist and there are some brain lesions. Father had stroke at age 52.
VA OD: Dcc20/20 NccJ1
VA OS: Dcc20/16-2 NccJ1-2
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Foveal Red Spot Syndrome Left Eye431 viewsShe noticed on covering the right eye that she had distortion off center in the left eye a few weeks ago. She had a temporal paracentral scotoma intermittently visible on the eye examination. She does notice that the left eye is not as good as the right eye now that it has been brought to her attention. She has every now and then a little twitch in the left eye. She has no pain on eye motion. Â
VA OD: sc20/20 NccJ1+
VA OS: sc20/20-1
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Amelanotic Choroidal Nevus - Multimodal Imaging431 views61 year old man with amelanotic choroidal nevus. Vision Normal - Stable over 4 years.
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Lamellar Macular Hole - Evoluation over 5 years431 views65 year old man with Sturge weber and a choroidal hemangioma in the left eye. (See other images under sturge weber on this website). Has ongoing problem with his left eye. Now with Blurred vision in the right eye gradually worse the last few weeks. He has had a vitrectomy in the right eye 4 years ago for floaters. Laser for tears and cryo in the right eye 5 years ago. He is on Dorzolamide and Lumigan for glaucoma.
VA 20/32 OD, 20/40 OS
IOP 23 OD, 19 OS
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Sclerochoroidal Calcification - Large Lesion431 views77 year old white male retired physician. The patient was noticing a change in vision and saw you for a checkup. He used to see better from a distance without glasses and now he takes his glasses off to read. There is a mass in the right eye. Â
VA OD: Dcc20/50-1 PH20/40-1 NccJ1
VA OS: Dcc20/32+1 NccJ1-1
IOP: TP: OD:14 OS:15
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Diabetic Papillitis430 viewsPatient is about to undergo surgery for CNS Aneurysm. Patient woke up with little spots which never cleared up. Patients VA was 20/30-OD and 20/40-OS. Both eyes appeared to have disc edema with hemorrhages in the right eye. Ordered a CT of the brain to make sure the aneurysm didn't ruptured.
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430 views
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Cardiac Catheterization induced Cilioretinal Artery Occlusion - Paracentral Acute Middle Maculopathy430 views69 year old female with sudden vision loss on completing cardiac catheterization. The SD OCT shows a PAMM lesion and the lesion looks gray on color imaging. There is delayed filling of the cilioretinal artery.
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Pattern Dystrophy - Foveal Atrophy430 views73 year old female with vision loss - looks like macular hole
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Pattern Dystrophy - Foveal Atrophy430 views73 year old female with vision loss - looks like macular hole
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CRVO 25 year old man - Heterozygous Factor V Leiden430 views20/100 initial vision. Improved to 20/30 with Lucentis which continued for 3 years, treat and extend, and stopped.
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CRVO 25 year old man - Heterozygous Factor V Leiden430 views20/100 initial vision. Improved to 20/30 with Lucentis which continued for 3 years, treat and extend, and stopped.
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430 views
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Vitreomacular Traction -> Macular Hole -> Aborted Macular hole430 viewsProgression of VMT in both eyes over time
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Non-exudative wet AMD right eye (treatment naive quiescent)430 views82 year old man. ICG shows CNVM in the right eye. This stayed quiet for 3 years and then started leaking and responded well to Avastin.
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Polypoidal Choroidal Vasculopathy - Right Eye430 views83 year old female presented in June 2013 with vision loss for 3 months. She had 2 injections elsewhere with no improvement (avastin). The first images show a peripapillary CNVM with polyps. I treated her once with PDT and she stayed dry with good vision for 5 years (2019). VA on presentation 20/80 OD. Improved to 20/40
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Diabetic Macular Edema - One eye treated with Eylea and 2 weeks later both were improved430 views68 year old female with diabetic retinopathy and macular edema
VA OD: sc20/40 PH20/32
VA OS: sc20/40 PH20/32
IOP: TP: OD:14 OS:14 Time:12:45
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Hyperpigmented Vasoproliferative Tumor on Buckle with New Serous Retinal Detachment 20 years post RD Repair430 views67 year old female RD repair OU 1999 then severe (20/400) macular pucker OD removed 3 months later (twin sister also had bilateral RD’s with PVR). Then dislocated IOL surgery right eye 9/2012. New vision loss in the right eye with serous retinal detachment. Argon laser to dark tumor led to resolution of subretinal fluid within a month.
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Lung Cancer Metastasis to Right Eye430 views63 year old female with vision loss for 6 weeks. She had been scheduled for cataract surgery and then a tumor was found. She was ultimately diagnosed with lung cancer. Vision is 20/100
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Lung Cancer Metastasis to Right Eye430 views63 year old female with vision loss for 6 weeks. She had been scheduled for cataract surgery and then a tumor was found. She was ultimately diagnosed with lung cancer. Vision is 20/100
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Macular Telangiectasis - Mild - Retinal Crystals430 views58 year old man with long term mild vision loss. Considering Cataract surgery. VA 20/50 OD and 20/63 OS - Moderate cataract are present
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Macular Telangiectasis - Mild - Retinal Crystals430 views58 year old man with long term mild vision loss. Considering Cataract surgery. VA 20/50 OD and 20/63 OS - Moderate cataract are present
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Polypiodal Choroidal Vasculopathy - Temporal Macula - Left eye430 views82 year old man with asymptomatic PCV in the left eye. Vision 20/50 OD, 20/32 OS did well with Lucentis
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Peripheral Exudative Hemorrhagic Chorioretinopathy430 views93 year old female with shadow in side vision in the left eye. Referred for retinal detachment - Exudative lesion subsided in about 6 months without treatment.
Vision 20/63 OD and 20/100 OS (from dry AMD)
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Choroidal Neovascular Membrane following Prior Central Serous Chorioretinopathy - OCT-A430 views67 year old female with CSR in the left eye first 20 years ago. She was managed with out therapy and has had a few episodes since. Now ther eis distortion in the left eye for a few days. She had a steroid shot in her shoulder 5 months ago.
VA 20/20 OD, 20/50 OS- ICG and OCT-A confirm CNVM in the left eye
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Choroidal Neovascular Membrane following Prior Central Serous Chorioretinopathy - OCT-A430 views67 year old female with CSR in the left eye first 20 years ago. She was managed with out therapy and has had a few episodes since. Now ther eis distortion in the left eye for a few days. She had a steroid shot in her shoulder 5 months ago.
VA 20/20 OD, 20/50 OS- ICG and OCT-A confirm CNVM in the left eye
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Perifoveal Microaneurysm - Not Diabetic (also reticular pseudodrusen)430 views87 year old female with fluctuating macular edema in the right eye from a perifoveal MA. (no treatment). VA 20/40 OU
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430 views
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Branch Retinal Vein Occlusion with Edema - Failed avastin (bevacizumab) and did well with Eylea (Aflibercept)430 views67 year old female The vision in the left eye was good until about 4 months ago. Prior to that it was OK. The vision in the right eye is fine. She is not sure if she has had strokes from studies taken in December. She was, at that time, sent to the ER for high blood pressure. Â
VA OD: Dcc20/40 OS: 20/100
Four treatments with Avastin she was still 20/100 with edema. With two Eylea treatments she improved to 20/32 and has remained dry and with good vision
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Cilioretinal Artery Occlusion - Nasal (not macular)430 views77 year old female There is a shadow in the top half of her temporal vision in the left eye that came on suddenly yesterday morning. It has not changed since then and the right eye is OK. She has had sinus headaches. She had no focal neurological changes. Â
VA OD: Dcc20/32
VA OS: Dcc20/16-1
IOP: TP: OD:18 OS:19Â
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