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Punctate Inner Choroidopathy and Choroidal Neovascular Membrane386 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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Punctate Inner Choroidopathy and Choroidal Neovascular Membrane386 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 - Mild386 views56 year old female with good vision and mild macular telangiectasia. VA 20/40 OD 20/16 OS
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Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood386 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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Perifoveal Microaneurysm - Not Diabetic (also reticular pseudodrusen)386 views87 year old female with fluctuating macular edema in the right eye from a perifoveal MA. (no treatment). VA 20/40 OU
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Macular Telangiectasi - Stage V - CNVM OU386 views60 year old female who has been treated with injections for 5 years starting in the left eye. She had no treatment 6 months prior to this visit and her vision has been getting worse. Her vision is 20/100 OD, 20/32 OS. Vision improved with intravitreal Avastin to 20/30 OU.
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Macular Telangiectasi - Stage V - CNVM OU386 views60 year old female who has been treated with injections for 5 years starting in the left eye. She had no treatment 6 months prior to this visit and her vision has been getting worse. Her vision is 20/100 OD, 20/32 OS. Vision improved with intravitreal Avastin to 20/30 OU.
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Acquired Toxoplasmosis Retinitis Para Foveal - Following Venison Consumption386 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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Acquired Toxoplasmosis Retinitis Para Foveal - Following Venison Consumption386 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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Acquired Toxoplasmosis Retinitis Para Foveal - Following Venison Consumption386 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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Acquired Toxoplasmosis Retinitis Para Foveal - Following Venison Consumption386 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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Branch Retinal Vein Occlusion with Edema - Failed avastin (bevacizumab) and did well with Eylea (Aflibercept)386 views67 year old female The vision in the left eye was good until about 4 months ago. Prior to that it was OK. The vision in the right eye is fine. She is not sure if she has had strokes from studies taken in December. She was, at that time, sent to the ER for high blood pressure. Â
VA OD: Dcc20/40 OS: 20/100
Four treatments with Avastin she was still 20/100 with edema. With two Eylea treatments she improved to 20/32 and has remained dry and with good vision
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Branch retinal vein occlusion with macular edema386 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
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Proliferative Diabetic Retinopathy and vitreous hemorrhage left eye386 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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Congenital Hydrocephalus - 21 year old - Papilledema386 views21 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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Choroidal Folds - Idiopathic (hyperope)386 views75 year old female with no visual complaints
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Choroidal Folds - Idiopathic (hyperope)386 views75 year old female with no visual complaints
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Peripheral reticular pigment degeneration - pavingstone degeneration - age-related macular degeneration386 views60 year old healthy man with intermediate AMD and peripheral pigment degeneration and pavinstone degeneration. Vision is 20/20 OU and the patient is asymptomatic. No significant history of AMD and he is a non-smoker.
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Normal Fluorescein Angiogram 02386 views
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Retinoschisis confirmed with optical coherence tomography (OCT)386 views82 year old man with normal vision and peripheral retinoschisis confirmed with OCT scan.
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Branch Retinal Vein Occlusion with Venous Macroaneurysm (collateral)386 views66 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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Branch Retinal Vein Occlusion with NVE and vitreous hemorrhage and non-perfusion386 views50 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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Age-related macular degeneration - Geographic Atrophy - Intermittent CME left eye from CRVO, Anemia, Diabetes386 views79 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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Central Retinal Artery Occlusion - Fluorescein Angiogram Video386 views63 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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Central Retinal Artery Occlusion - Fluorescein Angiogram Video386 views63 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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Pregnant - 25 weeks - new onset PDR and DME both eyes - Treated with PRP and ozurdex386 views29 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 retinopathy386 views43 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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Central Serous Chorioretinopathy in a child386 views12-year-old African American Female A few weeks ago she felt like something was covering the right eye and she couldn't see well. She was told that she had a swollen optic nerve. She had a recent diagnosis of sinus infection. She also recently had onset menarche on August 7th. Eye problem started about a week before menarche. She's been getting some headaches, partly because of sinus infection. They started about a month ago and now are getting better. She is on zytrhomax for the sinus problem. Patient is hypothyroid and is on thyroid supplementation and that has been stable. She has no eye pain.
MEDS: Synthroid, Flonase
PMHx - Thyroid Disease
VA OD: Dcc20/400 PH20/125 NccJ10
VA OS: Dcc20/20 NccJ1+
IOP: TP: OD:14 OS:21
Macular detachments resolved in 1 month with no treatment and vision returned to 20/20 in one month and 20/16 in 2 months
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Nonproliferative Diabetic Retinopathy and Good Vision386 views59 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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Retinal Arterial Macroaneurysm treated with Laser386 views89 year old female with peripapillary CNVM treated with Lucentis. Vision was 20/25 OS 3 weeks ago. She noticed vision loss OS. Vision had dropped to 20/60. She had a fresh MA and was treated with laser.
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Pseudoexfoliation Material Peeling.385 viewsPatient 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 Eye385 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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Hyperpigmented Vasoproliferative Tumor on Buckle with New Serous Retinal Detachment 20 years post RD Repair385 views67 year old female RD repair OU 1999 then severe (20/400) macular pucker OD removed 3 months later (twin sister also had bilateral RD’s with PVR). Then dislocated IOL surgery right eye 9/2012. New vision loss in the right eye with serous retinal detachment. Argon laser to dark tumor led to resolution of subretinal fluid within a month.
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Choroideremia - Adult385 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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Punctate Inner Choroidopathy and Choroidal Neovascular Membrane385 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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Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood385 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 left385 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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385 views
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Acquired Toxoplasmosis Retinitis Para Foveal - Following Venison Consumption385 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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Branch Retinal Vein Occlusion with Edema - Failed avastin (bevacizumab) and did well with Eylea (Aflibercept)385 views67 year old female The vision in the left eye was good until about 4 months ago. Prior to that it was OK. The vision in the right eye is fine. She is not sure if she has had strokes from studies taken in December. She was, at that time, sent to the ER for high blood pressure. Â
VA OD: Dcc20/40 OS: 20/100
Four treatments with Avastin she was still 20/100 with edema. With two Eylea treatments she improved to 20/32 and has remained dry and with good vision
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Cilioretinal Artery Occlusion - Nasal (not macular)385 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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Sclerochoroidal Calcification - Large Lesion385 views77 year old white male retired physician. The patient was noticing a change in vision and saw you for a checkup. He used to see better from a distance without glasses and now he takes his glasses off to read. There is a mass in the right eye. Â
VA OD: Dcc20/50-1 PH20/40-1 NccJ1
VA OS: Dcc20/32+1 NccJ1-1
IOP: TP: OD:14 OS:15
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Recurrent Toxoplasmosis Right eye then Left eye 8 years later385 views33 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 later385 views33 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 Neovascularization Elsewhere and Vitreous Hemorrhage385 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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Branch Retinal Vein Occlusion with Neovascularization Elsewhere and Vitreous Hemorrhage385 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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Branch Retinal Vein Occlusion with Neovascularization Elsewhere and Vitreous Hemorrhage385 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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Coloboma - Iris, Lens, Chorioretinal385 views15 year old with poor vision since birth. Noticing new flashes in the left eye. There is an iris - lens coloboma as well.
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Coloboma - Iris, Lens, Chorioretinal385 views15 year old with poor vision since birth. Noticing new flashes in the left eye. There is an iris - lens coloboma as well.
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Pigment migration in dry age-related macular degeneration385 views80 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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Pregnant - 25 weeks - new onset PDR and DME both eyes - Treated with PRP and ozurdex385 views29 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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Nonproliferative Diabetic Retinopathy and Good Vision385 views59 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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Pigment epithelial detachment with cholesterol crystals385 viewsOnion sign
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384 views
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Spontaneously Re-attached Asymptomatic Chronic Retinal Detachment384 views47 year old female The vision has been gradually worsening for a few years. The two eyes have always been different. She has no knowledge of having had a retinal detachment - She now has mild CME.
VA OD: Dcc20/32 NscJ2
VA OS: Dcc20/20 NscJ1
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Hyperpigmented Vasoproliferative Tumor on Buckle with New Serous Retinal Detachment 20 years post RD Repair384 views67 year old female RD repair OU 1999 then severe (20/400) macular pucker OD removed 3 months later (twin sister also had bilateral RD’s with PVR). Then dislocated IOL surgery right eye 9/2012. New vision loss in the right eye with serous retinal detachment. Argon laser to dark tumor led to resolution of subretinal fluid within a month.
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Concentric Geographic Atrophy - 76 year old man384 viewsGradual vision loss, worse at night. VA 20/40 OU.
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Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood384 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-A384 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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Macular Telangiectasi - Stage V - CNVM OU384 views60 year old female who has been treated with injections for 5 years starting in the left eye. She had no treatment 6 months prior to this visit and her vision has been getting worse. Her vision is 20/100 OD, 20/32 OS. Vision improved with intravitreal Avastin to 20/30 OU.
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Acquired Toxoplasmosis Retinitis Para Foveal - Following Venison Consumption384 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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Acquired Toxoplasmosis Retinitis Para Foveal - Following Venison Consumption384 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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Cilioretinal Artery Occlusion - Nasal (not macular)384 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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Lamellar Macular Hole - Evoluation over 5 years384 views65 year old man with Sturge weber and a choroidal hemangioma in the left eye. (See other images under sturge weber on this website). Has ongoing problem with his left eye. Now with Blurred vision in the right eye gradually worse the last few weeks. He has had a vitrectomy in the right eye 4 years ago for floaters. Laser for tears and cryo in the right eye 5 years ago. He is on Dorzolamide and Lumigan for glaucoma.
VA 20/32 OD, 20/40 OS
IOP 23 OD, 19 OS
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Neuroretinitis Left Eye384 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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Choroidal Folds - Idiopathic (hyperope)384 views75 year old female with no visual complaints
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Bilateral Acute Central Serous Chorioretinopathy - Evidence of old disease OS384 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
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Elevated Episcleral Venous Pressure and Retinal Hemorrhages in both eyes384 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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Normal Fluorescein Angiogram 04384 views
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Branch Retinal Vein Occlusion with NVE and vitreous hemorrhage and non-perfusion384 views50 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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Retinal Tear with Laser Treatment383 viewsPatient comes in with blurry vision and mild floaters in the left eye. Fundus photo shows retinal tear with fluid present in the superior nasal quadrant of the left eye. Laser Retinopexy was performed to fix the retinal tear.
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Angioid Streaks Scar and new CNVM383 views49 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 Membrane383 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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Choroidal folds right eye more than left383 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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Myopic CNVM in the left eye. New Classic subfoveal lesion383 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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Macular Telangiectasi - Stage V - CNVM OU383 views60 year old female who has been treated with injections for 5 years starting in the left eye. She had no treatment 6 months prior to this visit and her vision has been getting worse. Her vision is 20/100 OD, 20/32 OS. Vision improved with intravitreal Avastin to 20/30 OU.
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383 views
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Branch Retinal Vein Occlusion with Edema - Failed avastin (bevacizumab) and did well with Eylea (Aflibercept)383 views67 year old female The vision in the left eye was good until about 4 months ago. Prior to that it was OK. The vision in the right eye is fine. She is not sure if she has had strokes from studies taken in December. She was, at that time, sent to the ER for high blood pressure. Â
VA OD: Dcc20/40 OS: 20/100
Four treatments with Avastin she was still 20/100 with edema. With two Eylea treatments she improved to 20/32 and has remained dry and with good vision
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Mild Central Serous Chorioretinopathy - Flonase related383 views58 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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Proliferative Diabetic Retinopathy and vitreous hemorrhage left eye383 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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Sclerochoroidal Calcification - Large Lesion383 views77 year old white male retired physician. The patient was noticing a change in vision and saw you for a checkup. He used to see better from a distance without glasses and now he takes his glasses off to read. There is a mass in the right eye. Â
VA OD: Dcc20/50-1 PH20/40-1 NccJ1
VA OS: Dcc20/32+1 NccJ1-1
IOP: TP: OD:14 OS:15
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Recurrent Toxoplasmosis Right eye then Left eye 8 years later383 views33 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 later383 views33 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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Bilateral Choroidal Tumors - Metastatic Breast Cancer383 views51 year old female. First 3 sets of images show lesions growing despite systemic chemotherapy. She eventually had external beam radiation x 15 sessions and the tumors shrunk in the last two sets of images
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Normal Indocyanine Green Angiogram 05383 views
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Pigment migration in dry age-related macular degeneration383 views80 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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Pigment migration in dry age-related macular degeneration383 views80 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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Pregnant - 25 weeks - new onset PDR and DME both eyes - Treated with PRP and ozurdex383 views29 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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Spontaneously Re-attached Asymptomatic Chronic Retinal Detachment382 views47 year old female The vision has been gradually worsening for a few years. The two eyes have always been different. She has no knowledge of having had a retinal detachment - She now has mild CME.
VA OD: Dcc20/32 NscJ2
VA OS: Dcc20/20 NscJ1
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Rapid macular atrophy with anti-VEGF therapy for myopic CNVM382 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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Angioid Streaks Scar and new CNVM382 views49 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 Membrane382 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 Telangiectasi - Stage V - CNVM OU382 views60 year old female who has been treated with injections for 5 years starting in the left eye. She had no treatment 6 months prior to this visit and her vision has been getting worse. Her vision is 20/100 OD, 20/32 OS. Vision improved with intravitreal Avastin to 20/30 OU.
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Acquired Toxoplasmosis Retinitis Para Foveal - Following Venison Consumption382 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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Mild Central Serous Chorioretinopathy - Flonase related382 views58 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 related382 views58 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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Retinitis Pigmentosa - Autosomal Dominant - Rho Mutation382 views55 year old female 55 year old female Vision loss since age 25. It runs in the family big time. 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
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Branch Retinal Vein Occlusion - Both Eyes - Edema OD and NVE OS - Severe Non-perfusion Both Eyes382 views83 year old man with vision loss for 3 months not sure which eye. VA 20/100 OD and 20/50 OS. Tried avastin once without much improvement in the right eye and then lost to follow-up. FA in the left eye shows leaking NVE
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Branch Retinal Vein Occlusion - Both Eyes - Edema OD and NVE OS - Severe Non-perfusion Both Eyes382 views83 year old man with vision loss for 3 months not sure which eye. VA 20/100 OD and 20/50 OS. Tried avastin once without much improvement in the right eye and then lost to follow-up. FA in the left eye shows leaking NVE
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Central Retinal Artery Occlusion382 views80 Year old man Sudden severe vision loss about 2 weeks ago. Today he can see light for the first time. The right eye is OK. His neuroimaging showed a brain stroke along with the eye stroke. He was stepping in the shower and the vision was suddenly worse. He went, later, to the ER and had a full evaluation. VA 20/25 right eye, LP left eye
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