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Temporal Pallor - Optic Atrophy - Multiple Sclerosis378 x angesehen42 year old man - Starting about 2 weeks ago he noticed when coming in from walking a dog from bright to dark and when looking at a piece of mail there was a yellow outline on the text that would only last for a few minutes. The patient has been legally blind for about 6-7 years. He is legally blind from MS.
VA OD: DccCF 4ft NccJ16
VA OS: Dcc20/200 PHNI NccJ16
IOP: TP: OD:17 OS:14
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Choroidal Folds - Idiopathic (hyperope)378 x angesehen75 year old female with no visual complaints
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Peripheral reticular pigment degeneration - pavingstone degeneration - age-related macular degeneration378 x angesehen60 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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Dry AMD geographic atrophy and cystoid macular edema378 x angesehen79 year old vision is in for a checkup with no visual complaints in the left eye. This is her better eye. VA 20/200 OD, 20/50 OS. 3 years ago she had a CRVO in the left eye. She is also diabetic for 20 years, has carotid insufficiency and anemia. Left eye shows CME. This was not treated and the vision improved to 20/40 over the next year although mild edema persisted.
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Pigment migration in dry age-related macular degeneration378 x angesehen80 year old female. Dry AMD with GA in the left eye and pigment migration visible on OCT scan.
VA 20/40 OD, 20/160 OS
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Pan Retinal Laser from original DRS study in the 1970s - 50 years later378 x angesehen67 year old female with diabetes since age 8. She had heavy PRP laser to both eyes in the 1970s by Lloyd M. Aiello, M.D, the father of PRP laser. Her vision is poor now, 1/200 OD and 20/200 OS.
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Central Retinal Artery Occlusion - Fluorescein Angiogram Video378 x angesehen63 year old man Sudden severe vision loss in the left eye for 3 days. Six months following macula off retinal detachment repair, Pneumatic then PPV, then PPV buckle. VA was 20/63 on 4/2021 (3 months post RD repair).
PMHx – HTN. Meds: HCT, Meloxicam
VA OD 20/25, OS HM
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Asymptomatic exudative wet age-related macular degeneration378 x angesehen78 year old man with scar in the left eye being treated regularly and returns with new lesions in the right eye which is not symptomatic. Vision is 20/25 right eye and 20/125 left eye. The lesion was treated and responded to anti-VEGF therapy
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378 x angesehen
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Pattern Dystrophy - Adult Vitelliform Dystrophy - Macular Degeneration377 x angesehen 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
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377 x angesehen
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Combined Artery and Vein Occlusion377 x angesehenPatient 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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377 x angesehen
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Angioid Streaks - CNVM OS with vision loss377 x angesehen48 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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Polypoidal Choroidal Vasculopathy - Right Eye377 x angesehen83 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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Hyperpigmented Vasoproliferative Tumor on Buckle with New Serous Retinal Detachment 20 years post RD Repair377 x angesehen67 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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Choroideremia - Adult377 x angesehen69 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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Polypiodal Choroidal Vasculopathy - Temporal Macula - Left eye377 x angesehen82 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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Choroidal folds right eye more than left377 x angesehen68 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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Sclerochoroidal Calcification and Peripheral Exudative Hemorrhagic Chorioretinopathy377 x angesehen67 year old man with asymptomatic peripheral subretinal hemorrhage associated with sclerochoroidal calcification.
VA 20/32 OU
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Eales Disease and fresh vitreous hemorrhage - 20 year old man377 x angesehen20 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.
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Acquired Toxoplasmosis Retinitis Para Foveal - Following Venison Consumption377 x angesehen56 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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Acquired Toxoplasmosis Retinitis Para Foveal - Following Venison Consumption377 x angesehen56 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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Branch Retinal Vein Occlusion with Edema - Failed avastin (bevacizumab) and did well with Eylea (Aflibercept)377 x angesehen67 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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Severe Geographic Atrophy from Dry Age-Related Macular Degeneration377 x angesehen90 year old female with severe vision loss over the last few years.
VA 3/200 OD
1/200 OS
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Mild Central Serous Chorioretinopathy - Flonase related377 x angesehen58 year old man with vision loss in the left eye for 8 days. This has never happened before. He started taking flonase about a month ago. He stopped the flonase and the vision improved in less than a month. Initial vision was 20/20 OD, 20/40 OS
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Large and Extensive Macular Drusen377 x angesehen64 year old female with 20/25 vision taking vitamins in for a checkup.
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Retinitis Pigmentosa - X-linked Recessive377 x angesehen60 year old man The vision in the right eye is blurry recently. He has trouble with night vision for about 3 years. His brother has eye disease in Michigan.
VA OD: Dcc20/32-1 PHNI NccJ1-1
VA OS: Dcc20/20 NccJ1+-1
IOP: TP: OD:36 OS:18
He has pseudoexfoliative glaucoma in the right eye.
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Pigment migration in dry age-related macular degeneration377 x angesehen80 year old female. Dry AMD with GA in the left eye and pigment migration visible on OCT scan.
VA 20/40 OD, 20/160 OS
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Branch Retinal Vein Occlusion with NVE and vitreous hemorrhage and non-perfusion377 x angesehen50 year old man The right eye was fine and then there was a sudden change in the vision. When he is outside looking at something bright there are thousands of dots with squiggly lines through them.Â
PMHx: Type II DM (1 year), HTN, AnemiaÂ
VA OD: sc20/40 PH20/32 NscJ7
VA OS: sc20/160 PH20/25 NscJ2
Myelinate RNFL in the left eye
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Pregnant - 25 weeks - new onset PDR and DME both eyes - Treated with PRP and ozurdex377 x angesehen29 year old female. Patient is 25 weeks pregnant and having flare up of retinopathy in both eyes. She states it is worse in the left. Patient has trouble with distant vision. At most recent visit, 1 years ago, VA was 20/20 OU. Two years ago anterior uveitis x 1 episode with normal labs (HLAB27, FTA, ACE, Lyme). 2017-2020 – Lucentis for DME left eye only.
PMHx: Type I DM since teenager, hyperlipidemia
BP was normal
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Ocular Lymphoma - Initially presented like auto-immune retinopathy377 x angesehen43 year old man: initial presentation - The vision in the left eye is blurry and opaque for about 2 weeks. In the central of the vision, when he covers the right eye, in the center of the left eye there is a film with a light in the middle. This has never happened before. He has not been sick for the last few months. A few weeks ago he saw waves on the floor when looking down but that has gone away. Since the vision loss started the vision has not changed much. The central vision is not getting better. Â
PMHx – Borderline HTN
VA OD: Dcc20/20
VA OS: Dcc20/40-1 IOP: TP: OD:15 OS:19
1+ NS
No uveitis
Labs normal. One positive antiretinal antibody - Arrestin
VA improved over 2 months to normal. Then the patient had 2 more episodes of self-limited vision loss (no treatment). Then 2 years later he presented with a diagnosis of CNS lymphoma and later developed subretinal deposits (last images)
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376 x angesehen
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Severe Pseudoexfoliation Ring, Left Eye376 x angesehenPatient 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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Juxtapapillary CNVM - Hemorrhage376 x angesehen83 year old female VA 20/200 improved to 20/32 within 2 months with Lucentis
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376 x angesehen
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Chronic Central Serous Chorioretinopathy376 x angesehen77 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.
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Spontaneously Re-attached Asymptomatic Chronic Retinal Detachment376 x angesehen47 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 Membrane376 x angesehen26 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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Choroideremia - Adult376 x angesehen69 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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Macular Scars - Laser (1980s) Ocular Histoplasmosis376 x angesehen70 year old man who had laser at Wills, Wilmer and the Mayo clinic before better therapies were available for ocular histoplasmosis related CNVM
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Rapid macular atrophy with anti-VEGF therapy for myopic CNVM376 x angesehen64 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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Angioid Streaks Scar and new CNVM376 x angesehen49 y/o WF with decreased vision x 1 month. Her OD is 20/400 and her OS is seeing 20/70. No cutaneous lesions or Ehlers-Danlos. The FP and FA show a predominant classic CNV (with fibrosis) OD and an Occult CNV OS with what appears to be a RAP lesion.
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Punctate Inner Choroidopathy and Choroidal Neovascular Membrane376 x angesehen27 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 eye376 x angesehen82 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 Blood376 x angesehen65 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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Macular Telangiectasi - Stage V - CNVM OU376 x angesehen60 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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Macular Telangiectasi - Stage V - CNVM OU376 x angesehen60 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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Acquired Toxoplasmosis Retinitis Para Foveal - Following Venison Consumption376 x angesehen56 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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Amelanotic Choroidal Nevus - Multimodal Imaging376 x angesehen61 year old man with amelanotic choroidal nevus. Vision Normal - Stable over 4 years.
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Lamellar Macular Hole - Evoluation over 5 years376 x angesehen65 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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Branch Retinal Vein Occlusion with Neovascularization Elsewhere and Vitreous Hemorrhage376 x angesehen57 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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Amelanotic Choroidal Nevus376 x angesehen60 year old man. Nevus is stable over 6 years. Images are Photo, FAF, OCT, FA, ICG, and B-Scan
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Central Retinal Vein Occlusion following Cataract Surgery376 x angesehen79 year old man with decreased vision The patient had cataract surgery in the right eye 9 days ago and in the left eye 21 days ago and presents with vision loss in the right eye.
Meds: HCTZ, Garlic, Tumeric
VA 20/60 OD, 20/25 OS
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Macular pucker in the left eye376 x angesehenVision was 20/125 pre-op and 20/25 post-op.
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Central Retinal Vein Occlusion with Macular Edema and Retinal Hemorrhages 375 x angesehenFemale 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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Non-exudative wet AMD right eye (treatment naive quiescent)375 x angesehen82 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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Spontaneously Re-attached Asymptomatic Chronic Retinal Detachment375 x angesehen47 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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PDR and Vitreous Hemorrhage - High Risk Left Eye - Low Risk Right Eye375 x angesehen50 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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Choroidal Neovascular Membrane following Prior Central Serous Chorioretinopathy - OCT-A375 x angesehen67 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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375 x angesehen
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Choroidal Folds - Nanophthalmous - Axial length 20375 x angesehen67 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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Mild Central Serous Chorioretinopathy - Flonase related375 x angesehen58 year old man with vision loss in the left eye for 8 days. This has never happened before. He started taking flonase about a month ago. He stopped the flonase and the vision improved in less than a month. Initial vision was 20/20 OD, 20/40 OS
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Lamellar Macular Hole - Evoluation over 5 years375 x angesehen65 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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375 x angesehen
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Recurrent Toxoplasmosis Right eye then Left eye 8 years later375 x angesehen33 year old brazilian man. Initially presented with uveitis in the right eye in 2011. Then in the left eye in 2019. Since has had two more episodes.
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Branch Retinal Vein Occlusion with Venous Macroaneurysm (collateral)375 x angesehen66 year old female Did not notice vision loss in the right eye. The right eye has been a little worse than the left but now is much worse. Picked up during annual eye examination. VA had been 20/20 in 5 years ago.
History of brain and spinal cord radiation 1986 for T-cell lymphoma. Now with breast cancer, ablation for tachycardia, HTN
VA OD 6/200, OS 20/32
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Nonproliferative Diabetic Retinopathy and Good Vision375 x angesehen59 year old man Vision is good. Just referred following annual eye examination
PMHx: Type II DM, HTN, Cholesterol,
MEDS: Lantus, Metformin, lisinopril, atorvastatin, gabapentin
VA 20/20 OU
2+ NS OU
Observation
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Severe diabetic tractional retinal detachment one year following diagnosis of type II Diabetes Mellitus375 x angesehen44 year old man The vision in the left eye started to decline about 4 days ago. Prior to that the left eye was the better eye. He was diagnosed with diabetes a year ago.Â
VA OD: Dcc20/50-1 OS: Dcc20/125-2, TP: OD:12 OS:13
Following two surgeries in each eye, silicone oil remaining forever, monthly anti-VEGF for severe DME - BCVA OU 20/200 at 3 years
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Combined Artery and Vein Occlusion374 x angesehenPatient 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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Pseudoexfoliation Material Peeling.374 x angesehenPatient comes in for regular eye exam. Last exam was 8-years ago. Complains of decrease in VA. VA was 20/30, right eye and 20/40, left eye. Slit lamp photography shows pseudoexfoliation peeling of the lens within 360-degrees. Pseudoexfoliation ring is present centrally. IOP was normal. Will revisit in 3-months for follow up.
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Severe Pseudoexfoliation Ring, Left Eye374 x angesehenPatient 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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Persistent Subfoveal Fluid Following Retinal Detachment Repair374 x angesehenPatient had pneumatic retinopexy for macula off RD and subfoveal fluid persisted for 12 months but was gone at 18 months. IR images show pockets of fluid after the first week.
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Chronic Central Serous Chorioretinopathy374 x angesehen77 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.
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Central Retinal Vein Occlusion - No macular edema - Pre-foveal opercula374 x angesehen62 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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Spontaneously Re-attached Asymptomatic Chronic Retinal Detachment374 x angesehen47 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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Hyperpigmented Vasoproliferative Tumor on Buckle with New Serous Retinal Detachment 20 years post RD Repair374 x angesehen67 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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Punctate Inner Choroidopathy and Choroidal Neovascular Membrane374 x angesehen27 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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Punctate Inner Choroidopathy and Choroidal Neovascular Membrane374 x angesehen27 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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Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood374 x angesehen65 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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Perifoveal Microaneurysm - Not Diabetic (also reticular pseudodrusen)374 x angesehen87 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 Consumption374 x angesehen56 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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Choroidal Folds - Nanophthalmous - Axial length 20374 x angesehen67 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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Mild Central Serous Chorioretinopathy - Flonase related374 x angesehen58 year old man with vision loss in the left eye for 8 days. This has never happened before. He started taking flonase about a month ago. He stopped the flonase and the vision improved in less than a month. Initial vision was 20/20 OD, 20/40 OS
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Mild Central Serous Chorioretinopathy - Flonase related374 x angesehen58 year old man with vision loss in the left eye for 8 days. This has never happened before. He started taking flonase about a month ago. He stopped the flonase and the vision improved in less than a month. Initial vision was 20/20 OD, 20/40 OS
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Lamellar Macular Hole - Evoluation over 5 years374 x angesehen65 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 Lesion374 x angesehen77 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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hydroxychloroquine (Plaquenil) Toxicity - Taiwanese - 3 years post stopping374 x angesehen59 year old female on 400 mg plaquenil for 22 years. 3 years ago, when stopping plaquenil, VA 20/50 both eyes. Plaquenil was stopped. The vision in the left eye continued to deteriorate to 3/200. 5'2" 127 lb (6.6 mg/kg body weight) -- Vision in these images is 20/80 OD, 5/200 OS - Vision loss now seems stable.
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Recurrent Toxoplasmosis Right eye then Left eye 8 years later374 x angesehen33 year old brazilian man. Initially presented with uveitis in the right eye in 2011. Then in the left eye in 2019. Since has had two more episodes.
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Recurrent Toxoplasmosis Right eye then Left eye 8 years later374 x angesehen33 year old brazilian man. Initially presented with uveitis in the right eye in 2011. Then in the left eye in 2019. Since has had two more episodes.
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Congenital Hydrocephalus - 21 year old - Papilledema374 x angesehen21 year old man The patient had a v-p shunt removed in January 2017. He has not had escalating headaches. The shunt was put in in 2015. He was born with hydrocephalus. The shunt was possibly overdraining for 5 years so there were problems with slipped ventricles and low CSR pressure. The pressure was checked today and it was perfect. There is still a bulb so the CSF pressure can be checked. There was eye examination in November showing possible papilledema.
VA OD: sc20/40+2 NscJ5
VA OS: sc20/32+2 NscJ1
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Retinitis Pigmentosa - X-linked Recessive374 x angesehen60 year old man The vision in the right eye is blurry recently. He has trouble with night vision for about 3 years. His brother has eye disease in Michigan.
VA OD: Dcc20/32-1 PHNI NccJ1-1
VA OS: Dcc20/20 NccJ1+-1
IOP: TP: OD:36 OS:18
He has pseudoexfoliative glaucoma in the right eye.
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Retinitis Pigmentosa - X-linked Recessive374 x angesehen60 year old man The vision in the right eye is blurry recently. He has trouble with night vision for about 3 years. His brother has eye disease in Michigan.
VA OD: Dcc20/32-1 PHNI NccJ1-1
VA OS: Dcc20/20 NccJ1+-1
IOP: TP: OD:36 OS:18
He has pseudoexfoliative glaucoma in the right eye.
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Amelanotic Choroidal Nevus374 x angesehen60 year old man. Nevus is stable over 6 years. Images are Photo, FAF, OCT, FA, ICG, and B-Scan
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Dry AMD geographic atrophy and cystoid macular edema374 x angesehen79 year old vision is in for a checkup with no visual complaints in the left eye. This is her better eye. VA 20/200 OD, 20/50 OS. 3 years ago she had a CRVO in the left eye. She is also diabetic for 20 years, has carotid insufficiency and anemia. Left eye shows CME. This was not treated and the vision improved to 20/40 over the next year although mild edema persisted.
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Normal Color Fundus Photo01374 x angesehen
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Pigment migration in dry age-related macular degeneration374 x angesehen80 year old female. Dry AMD with GA in the left eye and pigment migration visible on OCT scan.
VA 20/40 OD, 20/160 OS
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Age-related macular degeneration - Geographic Atrophy - Intermittent CME left eye from CRVO, Anemia, Diabetes374 x angesehen79 year old female - 3 years post CRVO in the left eye (20/32 VA) with intermittent CME. Left eye is the better eye. Vision is stable since 2 years ago
PMHx: Type II DM x 20 years, Chronic Anemia, Hyperlipidemia
VA 20/200 OD, 20/50 OS (usually 20/40)
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Ocular Lymphoma - Initially presented like auto-immune retinopathy374 x angesehen43 year old man: initial presentation - The vision in the left eye is blurry and opaque for about 2 weeks. In the central of the vision, when he covers the right eye, in the center of the left eye there is a film with a light in the middle. This has never happened before. He has not been sick for the last few months. A few weeks ago he saw waves on the floor when looking down but that has gone away. Since the vision loss started the vision has not changed much. The central vision is not getting better. Â
PMHx – Borderline HTN
VA OD: Dcc20/20
VA OS: Dcc20/40-1 IOP: TP: OD:15 OS:19
1+ NS
No uveitis
Labs normal. One positive antiretinal antibody - Arrestin
VA improved over 2 months to normal. Then the patient had 2 more episodes of self-limited vision loss (no treatment). Then 2 years later he presented with a diagnosis of CNS lymphoma and later developed subretinal deposits (last images)
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Nonproliferative Diabetic Retinopathy and Good Vision374 x angesehen59 year old man Vision is good. Just referred following annual eye examination
PMHx: Type II DM, HTN, Cholesterol,
MEDS: Lantus, Metformin, lisinopril, atorvastatin, gabapentin
VA 20/20 OU
2+ NS OU
Observation
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