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428 views38-year old male presents with decreased vision in the left eye. VA was 20/20-right eye and 20/70-left eye with pinhole no improvement. Fundus exam shows exudates near the macula and also exudates with small hemorrhages, superior nasally in the left eye.

Vitreomacular traction - recent vision loss Right Eye 428 views

Severe Pseudoexfoliation Ring, Left Eye428 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.

428 views

Wet AMD OD and Lamellar Macular hole OS428 viewsWet AMD in right and better eye failed extend to 2 months but was able to stop therapy once he started on systemic Avastin for cancer. The last image shows the macula dry 9 months without local therapy. The left eye has a lamellar macular hole.

428 views

Macular Telangiectasis with Symptomatic Blind Spots428 views55 year old man with non-neovascular MacTel. VA 20/20 right eye 20/50 left eye. The color images show gray areas temporally. The FAF shows decreased macular pigment. The OCT shows outer retinal atrophy.

Normal Vision - Chronic Central Serous Chorioretinopathy428 views67 year old man - never had any symptoms - 20/16 vision in each eye. Lesions spare the fovea

Polypoidal Choroidal Vasculopathy Left Eye428 views74 year old man with vision loss to 20/100 over a few months. He improved to 20/20 with Lucentis. The color and ICG show the polyps.

Stage 4 Macular Hole428 views57 year old female with 20/160 vision and stage 4 macular hole

MacTel - Juxtafoveal Telangiectasis428 views56 year old man with a lot of difficulty adjusting to vision loss

428 views

White Retinal Artiole Left eye - Inferotemporal428 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

Ischemic CRVO OD and Arterial Macroaneurysm OS428 views83 year old female post PPV, Laser, Ahmed valve for CRVO with vitreous heme and NVG in the right eye. VA was 20/160 3 months following vitrectomy. Left eye has MA which was not treated and involuted post-heme

Central Retinal Vein Occlusion - No macular edema - Pre-foveal opercula428 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

Outer retinal holes and cataract from YAG laser vitreolysis428 views44 year old man with 7 year history of multiple lasers for floaters. FAF and OCT show outer retinal holes and lens has focal defects

Nanophthalmous with Choroidal Folds428 views71 year old female with 20/20 vision and worsening cataracts. There is also a CHRPE lesion in the periphery

Late Onset Cone Dystrophy - Very Mild428 viewsOnly IR and OCT show very mild bull's eye. 67 year old female with difficulty seeing in bright light

Central Serous Chorioretinopathy - Moderate428 views49 year old man with episodes in 2011, 2017, and 2018 - now with some paracentral vision loss in the right eye and subretinal fluid.

Hyperpigmented Vasoproliferative Tumor on Buckle with New Serous Retinal Detachment 20 years post RD Repair428 views67 year old female RD repair OU 1999 then severe (20/400) macular pucker OD removed 3 months later (twin sister also had bilateral RDâ€™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.

Chronic BRAO with Hemorrhages - Sclerosed Vessel428 views95 year old female with blurred vision in both eyes in for a checkup. History of perpapillary CNVM in the left eye 2 years prior not treated. History of stroke with multiple emboli 1 year ago.
Vision 20/32 OD, 20/40 OS

Choroideremia - Adult428 views69 year old man with no family history of choroideremia and gradual vision loss in both eyes. VVA 20/125 OD; 20/63 OS

Subtle Branch Retinal Artery Occlusion428 views68 year old man with shadow in the left eye yesterday. IR and OCT show subtle retinal swelling. FA is normal

Recurrent Toxoplasmosis - Resolves with no treatment428 views36 year old man with recent vision loss. He has a sulfa allergy. The eye was NOT treated and the uveitis resolved in about 6 weeks.

Punctate Inner Choroidopathy and Choroidal Neovascular Membrane428 views27 year old female with vision loss for 4 months. VA was 20/200. She had a CNVM which was extrafoveal with no subretinal fluid. Her vision improved over 6 months to 20/50 with Ranibizumab injections (she might have improved without treatment)

Polypiodal Choroidal Vasculopathy - Temporal Macula - Left eye428 views82 year old man with asymptomatic PCV in the left eye. Vision 20/50 OD, 20/32 OS did well with Lucentis

Perifoveal Microaneurysm - Not Diabetic (also reticular pseudodrusen)428 views87 year old female with fluctuating macular edema in the right eye from a perifoveal MA. (no treatment). VA 20/40 OU

Acquired Toxoplasmosis Retinitis Para Foveal - Following Venison Consumption428 views56 year old man who became very sick after eating venison at the end of December 2019. Presented 6 weeks later with a scotoma. Initial photos show presentation with 20/63 vision. Vision dropped to 5/200. All tests (including PCR of anterior chamber tap) were negative except serum toxoplasmosis IgG and IgM. Vision improved to 20/32 but the scotoma remained on oral trimetheprim/sulfa

Hydroxychloroquine retinopathy - Plaquenil - Moderate428 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

Amelanotic Choroidal Nevus - Multimodal Imaging428 views61 year old man with amelanotic choroidal nevus. Vision Normal - Stable over 4 years.

Branch retinal vein occlusion with macular edema428 views71 year old man Starting about 2 weeks ago the left eye was blurred. The right eye is seeing well.
VA OD: sc20/25+2 NccJ1+
VA OS: sc20/63+2 PH20/50-2 Ncc20/400
IOP: TP: OD:19 OS:16

Papilledema Lateral Sinus Thrombosis428 views35 year old female Noticed blurred vision when waking up in the morning. Also, vision blacks out for a few seconds when she gets up quickly. About 3 months ago she had a history of intermittent vomiting.

VA 20/20 OD, 20/25 OS

MRI normal, MRA showed lateral sinus thrombosis. Lupus anticoagulant was positive

Acute Syphilitic Posterior Placoid Chorioretinitis428 views40 year old man About 10 days ago the patient woke up with a dark circle in the middle of the left eye that blocks his vision.Â He thought it might be from fatigue.Â The month of March was very stressful.Â After a few days the spot in the left eye got darker and he could not drive at night.Â During the last week while not going to work and sleeping more his vision is better but not normal.Â He has never had vision loss in the past.Â Â
PMHx: Benign, Meds: Multivitamin
VA OD: sc20/16 NscJ1+VA OS: sc20/32+2 NscJ4
IOP: TP: OD:12 OS:12

Macular Pre-Retinal Hemorrhage 427 viewsPatient complains of loss of vision in his left eye. Patient is diabetic. VA was 20/20, right eye and 20/150, left eye with no improvement pinhole. Fundus exam reveals very large pre retinal hemorrhage in the left eye. Embolism located inferior, nasally just off the optic nerve in the left eye. Patient underwent PRP for treatment of the hemorrhage.

CRVO, Left Eye427 viewsPatient comes in with central retinal vein occlusion in the left eye. VA was count fingers in the left eye. Fundus photo shows scattered hemorrhages with cotton wool spots. Patient was treated with Avastin in the left eye.

427 views

Macular Telangiectasis with Symptomatic Blind Spots427 views55 year old man with non-neovascular MacTel. VA 20/20 right eye 20/50 left eye. The color images show gray areas temporally. The FAF shows decreased macular pigment. The OCT shows outer retinal atrophy.

Submacular Hemorrhage - wet AMD427 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.

Spontaneously Peeled Macular Pucker 20/20427 views

Multifocal Choroiditis Panuveitis with Subretinal Fibrosis Acute Phase427 views36 year old latin american female 3 weeks of vision loss and new headaches. MRI was normal. VA initially 20/32 OD; 20/20 OS Final vision was 20/63 OD; 20/20 OS

Central Retinal Artery Occlusion then Neovascular Glaucoma427 views81 year old male with sudden vision loss. 2 months later developed NVG

Macular Hole - Asymptomatic427 views71 year old female did not notice 20/200 macular hole. Post surgery vision improved to 20/30

Angioid Streaks - CNVM OS with vision loss427 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

Chronic Central Serous Chorioretinopathy427 views77 year old man was seen at uveitis clinic and tested positive to Anti-retinal antibody against 35 kDa and anti-optic nerve antibody. He did not have EDI OCT, FAF, or ICG. All testing was consistent with Chronic CSR. His immunosuppresives were stopped and he did fine for 3 years.

Vitreomacular Traction -> Macular Hole -> Aborted Macular hole427 viewsProgression of VMT in both eyes over time

Punctate Inner Choroidopathy - New CNVM right eye427 views42 year old female with recent vision loss in the right eye - Right eye is 20/80 - Vision improved to 20/16 with Ranabizumab injections over 3 months

Vitreous Hemorrhage with no evidence of PDR in the left eye427 views74 year old man with vision loss OS for about a week. The FA shows no PDR in the left eye but the right eye has very mild NVD. Diabetes for 40 years now on insulin.

Central Retinal Vein Occlusion - No macular edema - Pre-foveal opercula427 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

Outer retinal holes and cataract from YAG laser vitreolysis427 views44 year old man with 7 year history of multiple lasers for floaters. FAF and OCT show outer retinal holes and lens has focal defects

Moderate PDR427 views43 year old man 20/32 vision in both eyes. Being started on Anti-VEGF injections which will be followed by PRP.

Multifocal Choroiditis and Subretinal Fibrosis with new Subretinal Neovascular Membrane427 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: sc6â€™/200 PHNI
VA OS: sc20/16

Hyperpigmented Vasoproliferative Tumor on Buckle with New Serous Retinal Detachment 20 years post RD Repair427 views67 year old female RD repair OU 1999 then severe (20/400) macular pucker OD removed 3 months later (twin sister also had bilateral RDâ€™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.

Macular Scars - Laser (1980s) Ocular Histoplasmosis427 views70 year old man who had laser at Wills, Wilmer and the Mayo clinic before better therapies were available for ocular histoplasmosis related CNVM

Acute Bilateral Central Serous Chorioretinopathy - Female - Smokestack427 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

Concentric Geographic Atrophy - 76 year old man427 viewsGradual vision loss, worse at night. VA 20/40 OU.

Macular Telangiectasia - Mild427 views56 year old female with good vision and mild macular telangiectasia. VA 20/40 OD 20/16 OS

Polypiodal Choroidal Vasculopathy - Temporal Macula - Left eye427 views82 year old man with asymptomatic PCV in the left eye. Vision 20/50 OD, 20/32 OS did well with Lucentis

Acute Branch Retinal Vein Occlusion - 20/200427 views66 year old female with 3 weeks of vision loss in the left eye. VA 20/20 OD 20/200 OS

Choroidal folds right eye more than left427 views68 year old man with prior laser corrective refractive surgery. VA OD 20/125 PH 20/32 OS 20/16 - Possible nanophthalmous

Choroidal Neovascular Membrane following Prior Central Serous Chorioretinopathy - OCT-A427 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

Perifoveal Microaneurysm - Not Diabetic (also reticular pseudodrusen)427 views87 year old female with fluctuating macular edema in the right eye from a perifoveal MA. (no treatment). VA 20/40 OU

Lamellar Macular Hole - Evoluation over 5 years427 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

Choroidal Folds - Idiopathic (hyperope)427 views75 year old female with no visual complaints

Elevated Episcleral Venous Pressure and Retinal Hemorrhages in both eyes427 views78 year old female with chronic red eye. The eyes are red all the time now. She is on Xeralto because of a history of blood clots in her lungs (2005 about). She has not had problems since. She has had floaters for many years. Ever since her eyes got funny she sees more floaters in both eyes. She had a brain scan over 6 months ago which was OK. She also had double vision when this first started which went away. She could not drive for a few months.
VA OD: Dcc20/32-1
VA OS: Dcc20/125
IOP: TP: OD:17 OS:16
Neuroimaging did not show a CC fistula

Diabetic Macular Edema with Circinate Exudate 426 views74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.

VISUAL ACUITY: Vision OD is 20/25, OS is 20/80

426 views

BRVO Inferiorly with Retinal Hemorrhages in the Left Eye426 viewsPatient comes in with complaint of "spot in vision", sort of a cloudy haze in the left eye. Patient's VA was 20/100-1 with no improvement with pinhole in the left eye. Fundus photos show multiple retinal hemorrhages scattered with a branch retinal vein occlusion inferiorily. Patient is also diabetic.

Central Retinal Vein Occlusion with Macular Edema426 viewsPatient notices decreased vision in the left eye. VA is 20/60, left eye. Fundus and Fluorescence Angiogram shows CRVO in the left eye with scattered hemorrhages throughout the retina.

Severe Pseudoexfoliation Ring, Left Eye426 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.

Submacular Hemorrhage - wet AMD426 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.

Chronic CSR with mild vision loss - Macular Atrophy Right Eye426 views55 year old man has not been to an eye doctor in years. VA 20/40 OD and 20/25 OS. OCT shows outer retinal atrophy and choroidal thickening. FAF shows guttering. FA shows no active lesions. ICG shows patchy mild leakage visible at about 5 minutes.

Normal right eye - 4 years later gets CRAO426 views

Neuroretinitis and Multifocal Retinitis426 views62 year old female with vision loss in the left eye to 20/160. Positive Bartonellas IgG. Vision recovered in 2 months. She was treated with Oral Erythromycin BID for 2 weeks.

Juxtapapillary CNVM - Hemorrhage426 views83 year old female VA 20/200 improved to 20/32 within 2 months with Lucentis

Punctate Inner Choroidopathy - New CNVM right eye426 views42 year old female with recent vision loss in the right eye - Right eye is 20/80 - Vision improved to 20/16 with Ranabizumab injections over 3 months

White Retinal Artiole Left eye - Inferotemporal426 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

Polypoidal Choroidal Vasculopathy - Right Eye426 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

Sickle Retinopathy - Chronic retinal detachment OS - Proliferation OD426 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.

Birdshot Chorioretintis and PAMM426 viewsPatient presented with paracentral acute middle maculopathy as the presenting symptom of birdshot. This case was published. RETINAL CASES & BRIEF REPORTS 10:151â€“153, 2016.

Central Retinal Vein Occlusion - No macular edema - Pre-foveal opercula426 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

Non-central vitreomacular traction426 views

Diabetic Macular Edema - One eye treated with Eylea and 2 weeks later both were improved426 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

Multifocal Vitelliform Macular Dystrophy426 views58 year old female with mild vision loss - 20/20 OU - extensive testing has shown no cancer. Case of Karina Findlay, MD

Lung Cancer Metastasis to Right Eye426 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

Punctate Inner Choroidopathy (PIC) Mild426 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.

Choroideremia - Adult426 views69 year old man with no family history of choroideremia and gradual vision loss in both eyes. VVA 20/125 OD; 20/63 OS

Papilledema - Benign Intracranial hypertension - Idiopathic intracranial hypertension426 views35 year old obese female. Normal vision and headache. Opening pressure was 30 cm water (normal 10-20). Nerve swelling responded to diamox.

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