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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets407 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

Retinitis Pigmentosa - RP1 Mutation407 views78 year old man: 20/32 OD and 20/50 OS - RP1 Gene is Bad -- > RP with Novel Amino Acid Change in GLY723Stop sequence of the RP1 gene - consistent with AD RP

407 views

White Retinal Artiole Left eye - Inferotemporal407 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 Eye407 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

Central Retinal Vein Occlusion - No macular edema - Pre-foveal opercula407 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

Hydroxychloroquine Toxicity - Mild407 views71 year old female with 200 mg BID plaquenil for 25 years. Recent visual field showed abnomality. FAF shows hyper FAF temporally and OCT shows mild outer retinal atrophy

Spontaneously Re-attached Asymptomatic Chronic Retinal Detachment407 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

Hyperpigmented Vasoproliferative Tumor on Buckle with New Serous Retinal Detachment 20 years post RD Repair407 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.

Acute Bilateral Central Serous Chorioretinopathy - Female - Smokestack407 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

Polypiodal Choroidal Vasculopathy - Temporal Macula - Left eye407 views82 year old man with asymptomatic PCV in the left eye. Vision 20/50 OD, 20/32 OS did well with Lucentis

Peripheral Exudative Hemorrhagic Chorioretinopathy407 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)

Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood407 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

Choroidal folds right eye more than left407 views68 year old man with prior laser corrective refractive surgery. VA OD 20/125 PH 20/32 OS 20/16 - Possible nanophthalmous

Retinitis Pigmentosa - Simplex - 16 year old female good vision407 viewsDifficulty with night vision
No family history
VA 20/25 OD, 20/16 OS
Negative for RPE65

Choroidal Folds - Nanophthalmous - Axial length 20407 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.

Venous Anomaly - 80 year old female - normal vision407 views

Amelanotic Choroidal Nevus - Multimodal Imaging407 views61 year old man with amelanotic choroidal nevus. Vision Normal - Stable over 4 years.

Lamellar Macular Hole - Evoluation over 5 years407 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

Branch retinal vein occlusion with macular edema407 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

Bilateral Acute Central Serous Chorioretinopathy - Evidence of old disease OS407 views64 year old man noticed in the right eye that is a black spot 4 days ago. Also vertical lines in his kitchen were a little wavy. He is not on any steroid medications. He has vertigo.
VA OD: Dcc20/25-2 NccJ1+-3
VA OS: Dcc20/32-1 PHNI NccJ5-1
IOP: TP: OD:12 OS:15

Peripheral reticular pigment degeneration - pavingstone degeneration - age-related macular degeneration407 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.

Macular pucker in the left eye407 viewsVision was 20/125 pre-op and 20/25 post-op.

406 views

Total Dislocation of Intra Ocular Lens into the Vitreous406 views84-year old female comes in with blurred vision in the left eye. VA was 20/30, right eye and Count Fingers in the left eye. Fundus examination reveals dislocation of the IOL into the vitreous inferiorily @ 6-o'clock. Suggest surgery to fix the problem.

Hypertensive Retinopathy406 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.

406 views

Retinoschisis - Superotemporally406 viewsSome line scans show RD and some showed retinoschisis. Might have underlying RD that re-attached itself.

Juxtapapillary CNVM - Hemorrhage406 views83 year old female VA 20/200 improved to 20/32 within 2 months with Lucentis

MacTel - Juxtafoveal Telangiectasis406 views56 year old man with a lot of difficulty adjusting to vision loss

Angioid Streaks - CNVM OS with vision loss406 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 Chorioretinopathy406 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.

Vitreous Hemorrhage with no evidence of PDR in the left eye406 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.

Sickle Retinopathy - Chronic retinal detachment OS - Proliferation OD406 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 PAMM406 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.

Spontaneously Re-attached Asymptomatic Chronic Retinal Detachment406 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

Venous Macroaneurysm 6 year old CRVO - treated with focal laser406 views93 year old female with CRVO in the right eye 6 years ago. The visual potential is 20/100 and has recently subjectively and objectively declined. VA is 20/200 and she has new onset macular edema from a venous macroaneurysm that formed at a collateral vessel. This responded nicely to a single laser spot.

Retinitis Pigmentosa with Cystoid Macular Edema responsive to topical carbonic anhydrase inhibitors406 views67 year old female She thought it was time to have her glasses changed.She has no family history of reitnal disease and has never been diagnosed with a problem. She started having night vision trouble the last year. Two sisters and a brother with normal vision.
VA OD: Dcc20/40-2 NccJ3
VA OS: Dcc20/20 NccJ1
IOP: TP: OD:9

Multifocal Choroiditis and Subretinal Fibrosis with new Subretinal Neovascular Membrane406 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

Papilledema - Benign Intracranial hypertension - Idiopathic intracranial hypertension406 views35 year old obese female. Normal vision and headache. Opening pressure was 30 cm water (normal 10-20). Nerve swelling responded to diamox.

Macular Scars - Laser (1980s) Ocular Histoplasmosis406 views70 year old man who had laser at Wills, Wilmer and the Mayo clinic before better therapies were available for ocular histoplasmosis related CNVM

Rapid macular atrophy with anti-VEGF therapy for myopic CNVM406 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.

Autosomal Dominant Optic Atrophy - Son406 views12 year old man. His vision was not correctable to 20/20. There was concern about possible macula problem.Â His was diagnosed with Streff syndrome in NY.
VA OD: Dcc20/63 PH20/50-2 NccJ2
VA OS: Dcc20/63 PH20/50-2 NccJ3
IOP: TP: OD:10 OS:15 Time:02:24 PM
The diagnostic criteria for Streff syndrome are not well established, and the validity of this condition has not been recognized by The American Academy of Ophthalmology, The American Academy of Pediatric Ophthalmology, The American Academy of Optometry or The American academy of Pediatrics.

Punctate Inner Choroidopathy and Choroidal Neovascular Membrane406 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)

Concentric Geographic Atrophy - 76 year old man406 viewsGradual vision loss, worse at night. VA 20/40 OU.

Polypiodal Choroidal Vasculopathy - Temporal Macula - Left eye406 views82 year old man with asymptomatic PCV in the left eye. Vision 20/50 OD, 20/32 OS did well with Lucentis

Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood406 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

Choroidal folds right eye more than left406 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-A406 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

Sclerochoroidal Calcification and Peripheral Exudative Hemorrhagic Chorioretinopathy406 views67 year old man with asymptomatic peripheral subretinal hemorrhage associated with sclerochoroidal calcification.
VA 20/32 OU

Eales Disease and fresh vitreous hemorrhage - 20 year old man406 views20 year old mane with fresh vitreous hemorrhage in the right eye. At age 15 he had a PPV and laser in the left eye and laser in the right eye. The vision is OD 20/80 PH 20/25, OS 20/25. The left eye has a mild cataract. He had prior testing for coagulopathies which was negative. Testing done for syphillis and TB was negative. Additional laser was done to prevent further bleeding in the right eye.

Macular Telangiectasi - Stage V - CNVM OU406 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.

Retinitis Pigmentosa - Autosomal Dominant - Good Vision406 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

Acquired Toxoplasmosis Retinitis Para Foveal - Following Venison Consumption406 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

Enhanced S Cone Syndrome - Goldmann Favre - NR2E3 Mutation406 views82 year old man with poor vision for many years. VA HM OD, 5/200 OS. Diagnosed at age 12 with retinitis pigmentosa. Nystagmus.

406 views

Severe Geographic Atrophy from Dry Age-Related Macular Degeneration406 views90 year old female with severe vision loss over the last few years.
VA 3/200 OD
1/200 OS

Peripheral exudative hemorrhagic chorioretinopathy - PECHR - Subfoveal fluid406 views85 year old female with
Fluctuating vision in the right eye.
VA 20/200 OD, 20/32 OS

406 views

Non-ischemic Central Retinal Vein Occlusion with Macular Edema406 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

Proliferative Diabetic Retinopathy and vitreous hemorrhage left eye406 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.

Large and Extensive Macular Drusen406 views64 year old female with 20/25 vision taking vitamins in for a checkup.

Peripheral reticular pigment degeneration - pavingstone degeneration - age-related macular degeneration406 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.

Normal Near-infra-red Reflelctance 01406 views

Lattice with tears - 3 months post-laser406 views

PDR OS with NVE405 views57-year-old man has diabetic retinopathy in both eyes.
Diabetic for 14 years with HgB A1C often over 10.
VISUAL ACUITY: OD 20/30, OS 20/40. PDR OS BDR OD

Pattern Dystrophy - Adult Vitelliform Dystrophy - Macular Degeneration405 views 78 Year Old Woman with vision has diminished in the right eye over the past couple of years, but the diminishment has been slow.
20/60+1 OD, 20/25 OS

405 views

CRVO405 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.

Combined Artery and Vein Occlusion405 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.

CRAO405 viewsCRAO in OD

Trans-Illumination Defect with Fuch's Dystrophy.405 viewsPatient comes in for eval on post cataract surgery. VA is 20/30 both eyes. Slit lamp exam shows Fuch's Dystrophy on the cornea on the right eye. IOL haptics are chaffing the iris therefore producing trans illumination defect in the right eye.

Submacular Hemorrhage - wet AMD405 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.

Retinitis Pigmentosa - RP1 Mutation405 views78 year old man: 20/32 OD and 20/50 OS - RP1 Gene is Bad -- > RP with Novel Amino Acid Change in GLY723Stop sequence of the RP1 gene - consistent with AD RP

Microaneursyms and Macular Edema Not Diabetic405 views85 year old man has been tested about 2-3 times and is always negative for diabetes

405 views

Hyperpigmented Vasoproliferative Tumor on Buckle with New Serous Retinal Detachment 20 years post RD Repair405 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.

Choroideremia - Adult405 views69 year old man with no family history of choroideremia and gradual vision loss in both eyes. VVA 20/125 OD; 20/63 OS

Rapid macular atrophy with anti-VEGF therapy for myopic CNVM405 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.

Acute Bilateral Central Serous Chorioretinopathy - Female - Smokestack405 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

PDR and DME and VH405 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

Acquired Toxoplasmosis Retinitis Para Foveal - Following Venison Consumption405 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

Branch Retinal Vein Occlusion with Edema - Failed avastin (bevacizumab) and did well with Eylea (Aflibercept)405 views67 year old female The vision in the left eye was good until about 4 months ago.Â Prior to that it was OK.Â The vision in the right eye is fine.Â She is not sure if she has had strokes from studies taken in December.Â She was, at that time, sent to the ER for high blood pressure.Â 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

Arteritic Anterior Ischmic Optic Neuropathy Left Eye405 views78 year old female with 5 day history of decreased vision in the left eye (sudden onset) She has been treated for GCA but her steroids were tapered down to 20 mg daily and she is not feeling well since the taper:
VA 20/20 OD, 20/25 OS ( APD OS)

Neuroretinitis Left Eye405 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.

Retinitis Pigmentosa - Autosomal Dominant - Rho Mutation405 views55 year old female 55 year old female Vision loss since age 25. It runs in the family big time.Â Paternal grandmother and one of her sisters, father had it, all three of his children had it and her biological nephew have RP. VA 20/80 OD, 20/125 OS

Proliferative Diabetic Retinopathy and vitreous hemorrhage left eye405 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.

Branch Retinal Vein Occlusion with Neovascularization Elsewhere and Vitreous Hemorrhage405 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, 5â€™8â€

PRP laser was done

Elevated Episcleral Venous Pressure and Retinal Hemorrhages in both eyes405 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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