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Elevated Episcleral Venous Pressure and Retinal Hemorrhages in both eyes425 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
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Diabetic Macular Edema with Circinate Exudate 424 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
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Chronic Central Serous Retinopathy - Gutter in Both Eyes - Treated with PDT - Visudyne424 views69-year-old man with blurred vision in the right eye for about three weeks. He had a similar episode about twenty years ago which lasted about six weeks. He is not taking any steroids. He takes Lupron injections for his prostate cancer every three months.
VISUAL ACUITY: Vision OD is 20/80
FU: Treated with PDT after 6 months of observation with success. Treatment was done to area between nerve and fovea at 1/2 fluence.
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Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye424 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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424 views
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424 views
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Severe Pseudoexfoliation Ring, Left Eye424 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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Syphilitic Optic Neuritis - possible Gumma424 views82 year old woman with vision loss in the left eye 20/32 and positive FTA-ABS (negative RPR). - this may be a gumma
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Cardiac Catheterization induced Cilioretinal Artery Occlusion - Paracentral Acute Middle Maculopathy424 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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Normal right eye - 4 years later gets CRAO424 views
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Choroidal Thickening424 views78 year old man followed for 4 months with choroidal thickening. Cursory systemic evaluation with no imaging shows no cancer. Vision is stable or improving.
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets424 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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MacTel - Juxtafoveal Telangiectasis424 views56 year old man with a lot of difficulty adjusting to vision loss
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Polypoidal Choroidal Vasculopathy - Right Eye424 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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Birdshot Chorioretintis and PAMM424 viewsPatient presented with paracentral acute middle maculopathy as the presenting symptom of birdshot. This case was published. RETINAL CASES & BRIEF REPORTS 10:151–153, 2016.
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Nanophthalmous with Choroidal Folds424 views71 year old female with 20/20 vision and worsening cataracts. There is also a CHRPE lesion in the periphery
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Diabetic Macular Edema - One eye treated with Eylea and 2 weeks later both were improved424 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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Moderate PDR424 views43 year old man 20/32 vision in both eyes. Being started on Anti-VEGF injections which will be followed by PRP.
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Punctate Inner Choroidopathy (PIC) Mild424 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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Choroideremia - Adult424 views69 year old man with no family history of choroideremia and gradual vision loss in both eyes. VVA 20/125 OD; 20/63 OS
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Rapid macular atrophy with anti-VEGF therapy for myopic CNVM424 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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Rapid macular atrophy with anti-VEGF therapy for myopic CNVM424 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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Rapid macular atrophy with anti-VEGF therapy for myopic CNVM424 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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Polypiodal Choroidal Vasculopathy - Temporal Macula - Left eye424 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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Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood424 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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Choroidal folds right eye more than left424 views68 year old man with prior laser corrective refractive surgery. VA OD 20/125 PH 20/32 OS 20/16 - Possible nanophthalmous
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Macular Hole with Limited Retinal Detachment424 views87 year old female with decreased vision in the left eye for 2 months. VA 5/200. Initial three images are pre-op. Then there is 3 months 6 months and 9 months post-op scans. VA improved at 1 year to 20/50. Surgery was done with Brilliant Blue.
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Acquired Toxoplasmosis Retinitis Para Foveal - Following Venison Consumption424 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
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Retinitis Pigmentosa - Simplex - 16 year old female good vision424 viewsDifficulty with night vision
No family history
VA 20/25 OD, 20/16 OS
Negative for RPE65
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Choroidal Folds - Nanophthalmous - Axial length 20424 views67 year old female Decreased Vision OU with choriodal folds. Axial length is 20. There is a CHRPE lesion in the left eye.
VA 20/25 OU. Has already had cataract and glaucoma surgery.
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Neuroretinitis Left Eye424 views29 year old female - The left eye blurred up and she had double vision back in 2/2019 and March. It has gradually improved so this past month the vision in the left eye is getting better. Her MRI scan of her orbits with and without contrast was normal. She had no pain in the eye with or without eye movement when the vision was blurred. She has a cat for over 5 years. She has no exposure to kittens or stray cats and her cat is an indoor cat.
VA OD: sc20/12
VA OS: sc20/16-1
All uveitis testing was negative (cat scratch, RPR, FTA-ABS, Sarcoid test, lyme test, TB testing. She later developed recurrent uveitis without optic nerve involvement.
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Non-ischemic Central Retinal Vein Occlusion with Macular Edema424 views62 year old man The vision in the right eye started to decline about 10 days ago. Prior to that the two eyes were about the same.
VA OD: Dcc20/125 PH20/50-2
VA OS: Dcc20/20
IOP: TP: OD:21 OS:21
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Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye423 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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Central Retinal Vein Occlusion with Macular Edema423 viewsPatient notices decreased vision in the left eye. VA is 20/60, left eye. Fundus and Fluorescence Angiogram shows CRVO in the left eye with scattered hemorrhages throughout the retina.
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OCT Macular Hole 423 viewsMacular Hole OCT
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Severe Pseudoexfoliation Ring, Left Eye423 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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Recurrent MEWDS Left Eye - Teenage Girl423 viewsPatient presented in 2014 (first images) 2 months following vision loss left eye. Vision went from 20/60 - 20/20. OCT showed outer retinal irregularities which normalized. Then 3 years later in 2017 she had full blown MEWDS. She presented acutely and all the images are typical. Both episodes where in the same time of year, about 3 months after her flu shot for sports.
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Multifocal Choroiditis Panuveitis with Subretinal Fibrosis Acute Phase423 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
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Multifocal Choroiditis Panuveitis with Subretinal Fibrosis Acute Phase423 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
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Juxtapapillary CNVM - Hemorrhage423 views83 year old female VA 20/200 improved to 20/32 within 2 months with Lucentis
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Central Retinal Artery Occlusion then Neovascular Glaucoma423 views81 year old male with sudden vision loss. 2 months later developed NVG
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Macular Hole - Asymptomatic423 views71 year old female did not notice 20/200 macular hole. Post surgery vision improved to 20/30
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Choroideremia - Complete CHM gene deletion423 viewsVision loss since age 20 - now age 36 VA 20/160 (about) OU
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Macroaneurysm - Resolved without treatment423 views87 year old female with vision loss OD. Initial FA showed no leakage so no treatment was done and the fluid absorbed over 4 months. Initial VA 20/100, Final VA 20/80
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Vitreomacular Traction -> Macular Hole -> Aborted Macular hole423 viewsProgression of VMT in both eyes over time
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Polypoidal Choroidal Vasculopathy - Right Eye423 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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Central Retinal Vein Occlusion - No macular edema - Pre-foveal opercula423 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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Non-central vitreomacular traction423 views
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Multifocal Choroiditis and Subretinal Fibrosis with new Subretinal Neovascular Membrane423 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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Plaquenil Toxicity - 4 years use423 views47 year old female She started plaquenil 4 years ago for lupus with cutaneous findings. She has never been on the plaquenil before. Her renal function is normal (her husband is an internist) and she is not on Tamoxifen. Stopped the medication about 2.5 weeks ago. She noticed vision when she started the depacote. She is also myopic. (-9.50)
Her dose was 6.3 mg/kg. She is 5'1" tall.
VA 20/25 OU
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Atypical High Risk Choroidal Nevus vs Macular Melanoma423 views70 year old female with vision loss in the left eye for a few weeks. She was referred to a tumor center and being managed as an "atypical high risk choroidal nevus". The size is 6 mm x 6.5 mm x 1.6 mm (elevated).
Vision 20/40 - having serial avastin injections.
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Punctate Inner Choroidopathy and Choroidal Neovascular Membrane423 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)
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Macular Telangiectasia - Mild423 views56 year old female with good vision and mild macular telangiectasia. VA 20/40 OD 20/16 OS
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Acute Branch Retinal Vein Occlusion - 20/200423 views66 year old female with 3 weeks of vision loss in the left eye. VA 20/20 OD 20/200 OS
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Acute Branch Retinal Vein Occlusion - 20/200423 views66 year old female with 3 weeks of vision loss in the left eye. VA 20/20 OD 20/200 OS
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Choroidal Nevus with Drusen423 views82 year old female with flat nevus for 3 years.
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Myopic CNVM in the left eye. New Classic subfoveal lesion423 views64 year old female. She had retinal detachment repair in the right eye in 1996 (25 years ago). The left eye has new distortion for a week or two.
VA 20/40 OU.
Left eye has a very small subfoveal CNVM
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Myopic CNVM in the left eye. New Classic subfoveal lesion423 views64 year old female. She had retinal detachment repair in the right eye in 1996 (25 years ago). The left eye has new distortion for a week or two.
VA 20/40 OU.
Left eye has a very small subfoveal CNVM
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Myopic CNVM in the left eye. New Classic subfoveal lesion423 views64 year old female. She had retinal detachment repair in the right eye in 1996 (25 years ago). The left eye has new distortion for a week or two.
VA 20/40 OU.
Left eye has a very small subfoveal CNVM
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Perifoveal Microaneurysm - Not Diabetic (also reticular pseudodrusen)423 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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Acquired Toxoplasmosis Retinitis Para Foveal - Following Venison Consumption423 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
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423 views
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Cilioretinal Artery Occlusion - Nasal (not macular)423 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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Cilioretinal Artery Occlusion - Nasal (not macular)423 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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Cilioretinal Artery Occlusion - Nasal (not macular)423 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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Foveal Red Spot Syndrome Left Eye423 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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Hydroxychloroquine retinopathy - Plaquenil - Moderate423 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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Neuroretinitis Left Eye423 views29 year old female - The left eye blurred up and she had double vision back in 2/2019 and March. It has gradually improved so this past month the vision in the left eye is getting better. Her MRI scan of her orbits with and without contrast was normal. She had no pain in the eye with or without eye movement when the vision was blurred. She has a cat for over 5 years. She has no exposure to kittens or stray cats and her cat is an indoor cat.
VA OD: sc20/12
VA OS: sc20/16-1
All uveitis testing was negative (cat scratch, RPR, FTA-ABS, Sarcoid test, lyme test, TB testing. She later developed recurrent uveitis without optic nerve involvement.
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Proliferative Diabetic Retinopathy and vitreous hemorrhage left eye423 views44 year old man with type II diabetes for 14 years and no eye examinations in the last 5 years. VA 20/40 right eye and 20/60 left eye. Vision loss has been for about a week in the left eye.
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423 views
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Branch Retinal Vein Occlusion with Neovascularization Elsewhere and Vitreous Hemorrhage423 views57 year old man New floaters in the left eye about a month ago. Now they are getting better. PMHx A-Fib on Pradaxa
VA 20/32 OD, 20/40 OS
1+ NS OU
BP 137/77, 200LBs, 5’8â€
PRP laser was done
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Cytomeglovirus422 views25 year old male experiencing blurry vision OS for two days. Onset very rapid. VA 20/40 OS 20/30 OD. After HIV titer test, determined the pt. had HIV and Cytomeglovirus.
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Combined Artery and Vein Occlusion422 viewsPatient comes in with decreased vision in both eyes. VA 20/200-OD, 20/60-OS. Fundus exam shows great amount of macular edema due to artery and vein occlusions. There is some neovascularization on the optic nerve in the right eye. Patient was treated with Eylea Injection in the left eye today and will return for Eylea Injection in the right eye.
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Central Retinal Vein Occlusion with Macular Edema and Retinal Hemorrhages 422 viewsFemale patient of 86-years of age presents a central retinal vein occlusion with macular edema in the right eye. Patient's VA was 20/70 in the right eye. Proceeded with laser treatment to the right eye.
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Free Floating Dislocated Lens in Vitreous422 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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New wet AMD OS with subretinal hemorrhage and recent vision loss, Scar OD422 views
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Central Serous Retinopathy - Subretinal Fibrin422 views66 year old female with 20 year history of single episode of CSR. Now with vision loss for a month but improving - VA 20/63 OD; 20/32 OS
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Submacular Hemorrhage - wet AMD422 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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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets422 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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Stage II Macular Hole - PPV without ILM peel422 views77 year old man with 20/40 VA on presentation. Macular hole did not abort and vision dropped to 20/63. Post PPV vision was 20/25 within 6 months
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Outer Retinal Tubulation422 views78 year old man chronic wet AMD - 20/200
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Macroaneurysm - Resolved without treatment422 views87 year old female with vision loss OD. Initial FA showed no leakage so no treatment was done and the fluid absorbed over 4 months. Initial VA 20/100, Final VA 20/80
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Angioid Streaks - CNVM OS with vision loss422 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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CRVO 25 year old man - Heterozygous Factor V Leiden422 views20/100 initial vision. Improved to 20/30 with Lucentis which continued for 3 years, treat and extend, and stopped.
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Pseudophakic Cystoid Macular Edema Both Eyes422 views81 year old man with vision loss about 4 months following ECCE. Did not respond to topical therapy but did fine with PST kenalog
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Vitreomacular Traction -> Macular Hole -> Aborted Macular hole422 viewsProgression of VMT in both eyes over time
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Non-exudative wet AMD right eye (treatment naive quiescent)422 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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Punctate Inner Choroidopathy - New CNVM right eye422 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
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Polypoidal Choroidal Vasculopathy - Right Eye422 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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Birdshot Chorioretintis and PAMM422 viewsPatient presented with paracentral acute middle maculopathy as the presenting symptom of birdshot. This case was published. RETINAL CASES & BRIEF REPORTS 10:151–153, 2016.
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Severe PDR with preretinal fibrosis422 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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Central Serous Chorioretinopathy - Moderate422 views49 year old man with episodes in 2011, 2017, and 2018 - now with some paracentral vision loss in the right eye and subretinal fluid.
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Lung Cancer Metastasis to Right Eye422 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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Papilledema - Benign Intracranial hypertension - Idiopathic intracranial hypertension422 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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Atypical High Risk Choroidal Nevus vs Macular Melanoma422 views70 year old female with vision loss in the left eye for a few weeks. She was referred to a tumor center and being managed as an "atypical high risk choroidal nevus". The size is 6 mm x 6.5 mm x 1.6 mm (elevated).
Vision 20/40 - having serial avastin injections.
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Punctate Inner Choroidopathy and Choroidal Neovascular Membrane422 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)
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Polypiodal Choroidal Vasculopathy - Temporal Macula - Left eye422 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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Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood422 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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Choroidal Neovascular Membrane following Prior Central Serous Chorioretinopathy - OCT-A422 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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Sclerochoroidal Calcification and Peripheral Exudative Hemorrhagic Chorioretinopathy422 views67 year old man with asymptomatic peripheral subretinal hemorrhage associated with sclerochoroidal calcification.
VA 20/32 OU
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