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Central Retinal Artery Occlusion385 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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Intermediate Dry Age-Related Macular Degeneration - Soft Drusen385 views70-year-old Left eye worse than the right. Both eyes see distortion in the amsler grid for a few months
HTN, High Lipids, Osteoporosis
Meds: Lutein once daily, Calcium, Fish oil, Red Yeast Rice, CoQ10, Magnesium, MVI, Xanax
VA 20/16 OU
2+NS cataract
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Papilledema following carotid endarterectomy - Cerebral Reperfusion Injury385 views77 year old man His vision has been a little fuzzy for the last few weeks. He was examined by another eye doctor who was concerned about the optic nerves. The patient has also had double vision for 6 weeks which is improving
PMHx – HTN,
Surgery – Carotic Endarterectomy 6 weeks ago (both sides)
VA 20/25 OD, 20/20 OS
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Branch Retinal Vein Occlusion with Venous Macroaneurysm (collateral)385 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-perfusion385 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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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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Juxtapapillary CNVM - Hemorrhage384 views83 year old female VA 20/200 improved to 20/32 within 2 months with Lucentis
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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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Acute Bilateral Central Serous Chorioretinopathy - Female - Smokestack384 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
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Punctate Inner Choroidopathy and Choroidal Neovascular Membrane384 views27 year old female with vision loss for 4 months. VA was 20/200. She had a CNVM which was extrafoveal with no subretinal fluid. Her vision improved over 6 months to 20/50 with Ranibizumab injections (she might have improved without treatment)
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Polypiodal Choroidal Vasculopathy - Temporal Macula - Left eye384 views82 year old man with asymptomatic PCV in the left eye. Vision 20/50 OD, 20/32 OS did well with Lucentis
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Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal 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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Proliferative Diabetic Retinopathy and vitreous hemorrhage left eye384 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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PDR and Vitreous hemorrhage - Second FA is following PRP laser384 views42 year old man (date 2018): Prior to 2 months ago the vision in the right eye was good. This started with a glob in the vision and then the vision got better. Then the string came back down and is getting bigger and bigger. The last time he had bleeding in the left eye he had surgery in 2009. The left eye is now doing OK other than there is a cataract. The right eye had some laser treatment done in 2009. The vitrectomy and laser were done at William Beaumont.
VA OD: sc3'/200 NscUnable
VA OS: sc20/40 NscJ2-1
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Branch Retinal Vein Occlusion - Both Eyes - Edema OD and NVE OS - Severe Non-perfusion Both Eyes384 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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Familial Exudative Vitreoretinopathy - FEVR - Stage 1-b both eyes384 viewsShe was born at term.   No family history of eye disease.
VA OD: Dcc20/25, VA OS: Dcc20/200+1 Ncc20/400
Anterior segment normal – clear lenses
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Coloboma - Iris, Lens, Chorioretinal384 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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Severe Proliferative Diabetic Retinopathy and Good Vision384 views49 year old man with vision loss in the right eye for 2 weeks. VA 20/40 OD, 20/63 OS. DM x 15 years and HTN.
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Dry AMD geographic atrophy and cystoid macular edema384 views79 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 degeneration384 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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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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Pregnant - 25 weeks - new onset PDR and DME both eyes - Treated with PRP and ozurdex384 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 Vision384 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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Central Retinal Vein Occlusion following Cataract Surgery384 views79 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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Combined Artery and Vein Occlusion383 viewsPatient comes in with decreased vision in both eyes. VA 20/200-OD, 20/60-OS. Fundus exam shows great amount of macular edema due to artery and vein occlusions. There is some neovascularization on the optic nerve in the right eye. Patient was treated with Eylea Injection in the left eye today and will return for Eylea Injection in the right eye.
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Central Retinal Vein Occlusion with Macular Edema and Retinal Hemorrhages 383 viewsFemale patient of 86-years of age presents a central retinal vein occlusion with macular edema in the right eye. Patient's VA was 20/70 in the right eye. Proceeded with laser treatment to the right eye.
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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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Lamellar Macular Hole - Evoluation over 5 years383 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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Bilateral Acute Central Serous Chorioretinopathy - Evidence of old disease OS383 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 eyes383 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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Coats' Disease - 8-year-old boy - Asymptomatic383 viewsNormal vision - Lesion picked up on examination
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Coloboma - Iris, Lens, Chorioretinal383 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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Amelanotic Choroidal Nevus383 views60 year old man. Nevus is stable over 6 years. Images are Photo, FAF, OCT, FA, ICG, and B-Scan
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Branch Retinal Vein Occlusion with NVE and vitreous hemorrhage and non-perfusion383 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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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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Ocular Lymphoma - Initially presented like auto-immune retinopathy383 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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Nonproliferative Diabetic Retinopathy and Good Vision383 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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ABCA4 positive - Stargardt Disease383 views24 year old female She has worn glasses since she was a kid. Since she became an adult her vision started to deteriorate more rapidly. This seems to have been happening since she entered the accounting department for the last two years. Her vision is worse in the light especially when she is driving. She can see green lights in the night but not in the day. She sees better on a dark background than on a light background.
Her mother and father both have inherited retinal diseases. His mother was diagnosed 23 years ago with Stargardts genetically confirmed in Boston. The father has Retinitis Pigmentosa. The mother has seven brothers and sisters and four have Stargardts and they are legally blind. Also one cousin has it.
PMHx benign, Meds: vitamins.
VA OD: Dcc20/160
VA OS: Dcc20/160
IOP: TP: OD:20 OS:21
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Acute Syphilitic Posterior Placoid Chorioretinitis383 views40 year old man About 10 days ago the patient woke up with a dark circle in the middle of the left eye that blocks his vision. He thought it might be from fatigue. The month of March was very stressful. After a few days the spot in the left eye got darker and he could not drive at night. During the last week while not going to work and sleeping more his vision is better but not normal. He has never had vision loss in the past. Â
PMHx: Benign, Meds: Multivitamin
VA OD: sc20/16 NscJ1+VA OS: sc20/32+2 NscJ4
IOP: TP: OD:12 OS:12
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382 viewsearly phase (40 sec) fa of a 27 year old male with crvo os VA 20/20
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Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood382 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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Myopic CNVM in the left eye. New Classic subfoveal lesion382 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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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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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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hydroxychloroquine (Plaquenil) Toxicity - Taiwanese - 3 years post stopping382 views59 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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Choroidal Folds - Idiopathic (hyperope)382 views75 year old female with no visual complaints
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Bilateral Acute Central Serous Chorioretinopathy - Evidence of old disease OS382 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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Bilateral Acute Central Serous Chorioretinopathy - Evidence of old disease OS382 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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Bilateral Acute Central Serous Chorioretinopathy - Evidence of old disease OS382 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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Branch Retinal Vein Occlusion with Neovascularization Elsewhere and Vitreous Hemorrhage382 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, Chorioretinal382 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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Dry AMD geographic atrophy and cystoid macular edema382 views79 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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Horseshoe Retinal Tear Before and After Laser - 02382 views52 year old man with -10 myopia and floaters for a year. There is a fresh tear in the left eye which was lasered.
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Central Retinal Vein Occlusion following Cataract Surgery382 views79 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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Presumed ocular histoplasmosis syndrome and CNVM - responded to Avastin382 views62 year old female with 3 days of vision loss in the right eye. Vision is 20/40 OD, 5/200 OS. Left eye had been treated years ago elsewhere. She grew up in the Mississippi River valley.
She was treated with Avastin and the vision improved to 20/20 in 4 months. She continues, 3 years later, on every 2 months Avastin.
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Choroidal Hemorrhage following intraocular lens exchange surgery382 views68 year old man Patient is 1 week post IOL exchange with sutured Akreos PCIOL with PST Kenalog. IOP was 12 on POD 1 and 21 today (POD 7). Preop the IOP was 17.
He has a history of retinal detachment repair 12 years ago with PPV, Buckle, Laser and Gas.
VA OD: 20/200, OS: 20/50. IOP 21, 19
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Focal Scleral Nodule382 views49 year old white female with recent mild trauma to the right eye and 20/20 vision in both eyes. Left eye has a focal scleral nodule
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Combined Artery and Vein Occlusion381 viewsPatient comes in with decreased vision in both eyes. VA 20/200-OD, 20/60-OS. Fundus exam shows great amount of macular edema due to artery and vein occlusions. There is some neovascularization on the optic nerve in the right eye. Patient was treated with Eylea Injection in the left eye today and will return for Eylea Injection in the right eye.
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Severe Pseudoexfoliation Ring, Left Eye381 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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Angioid Streaks Scar and new CNVM381 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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Angioid Streaks Scar and new CNVM381 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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Angioid Streaks Scar and new CNVM381 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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Polypiodal Choroidal Vasculopathy - Temporal Macula - Left eye381 views82 year old man with asymptomatic PCV in the left eye. Vision 20/50 OD, 20/32 OS did well with Lucentis
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Choroidal Folds - Nanophthalmous - Axial length 20381 views67 year old female Decreased Vision OU with choriodal folds. Axial length is 20. There is a CHRPE lesion in the left eye.
VA 20/25 OU. Has already had cataract and glaucoma surgery.
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Macular Telangiectasia (MacTel) and Pattern Dystrophy381 views71 year old man with diabetes for 5 years and blurred vision in the left eye. VA 20/25 OD, 20/50 OS. OCT OS shows MacTel
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Retinal Arterial Macroaneurysm - Boat Shaped Hemorrhage381 views93 year old woman getting every 2 months Lucentis injection for wet AMD developed a ruptured MA. No treatment was done and the vision improved
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Choroidal Folds - Idiopathic (hyperope)381 views75 year old female with no visual complaints
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381 views
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Coloboma - Iris, Lens, Chorioretinal381 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, Chorioretinal381 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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Neuroretinitis left eye - recovered with no therapy - possible B pertussis381 views57 year old female The patient has had blurred vision in the left eye and there is a haze across the top of the vision. This started about 2 weeks ago. The right eye is OK. She has sleep apnea and uses the machine. The left eye is becoming more and more painful for the last two weeks. The pain is like a stabbing in the eye that comes and goes. She also has some pain on eye movement. The patient has been going to Moffit for possible reconstructive surgery for the lymphedema.
PMHx – Sleep apnea, Breast Cancer, Adult lymphedema,
Meds: GabapentinÂ
VA OD: Dcc20/25-1
VA OS: Dcc20/100-2
AC quiet OU. 1 + NS cataract OU
IOP: TP: OD:15 OS:17
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Pregnant - 25 weeks - new onset PDR and DME both eyes - Treated with PRP and ozurdex381 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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Asymptomatic exudative wet age-related macular degeneration381 views78 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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Central Retinal Vein Occlusion following Cataract Surgery381 views79 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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Central Retinal Vein Occlusion following Cataract Surgery381 views79 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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Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye380 views84-year-old woman has polypoidal choroidal vasculopathy in both eyes with macular degeneration. She has macular scars in both eyes and she remains with remarkably good vision in the right eye despite the scarring.
VISUAL ACUITY: OD 20/30, OS 1/200
Avastin Rx OD
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380 views
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Severe Pseudoexfoliation Ring, Left Eye380 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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Polypoidal Choroidal Vasculopathy - Right Eye380 views83 year old female presented in June 2013 with vision loss for 3 months. She had 2 injections elsewhere with no improvement (avastin). The first images show a peripapillary CNVM with polyps. I treated her once with PDT and she stayed dry with good vision for 5 years (2019). VA on presentation 20/80 OD. Improved to 20/40
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Chronic CSC Both Eyes - Recent vision loss Right Eye Treated with PDT380 views50 year old man The right eye has had vision loss for a few weeks. He had previous episodes seen by me in 2012 OS and 2008 OD. This was 2018. VA OS has been poor for several years.
VA OD: Dcc20/100
VA OS: Dcc20/200-3
The patient had PDT to leaky area superotemporal to the fovea 1/2 dose and within 3 months was back up to 20/25. The last two OCT scans show fluid absorbing
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Spontaneously Re-attached Asymptomatic Chronic Retinal Detachment380 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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Spontaneously Re-attached Asymptomatic Chronic Retinal Detachment380 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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Spontaneously Re-attached Asymptomatic Chronic Retinal Detachment380 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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Acute Bilateral Central Serous Chorioretinopathy - Female - Smokestack380 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
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Punctate Inner Choroidopathy and Choroidal Neovascular Membrane380 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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Perifoveal Microaneurysm - Not Diabetic (also reticular pseudodrusen)380 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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Choroidal Folds - Nanophthalmous - Axial length 20380 views67 year old female Decreased Vision OU with choriodal folds. Axial length is 20. There is a CHRPE lesion in the left eye.
VA 20/25 OU. Has already had cataract and glaucoma surgery.
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Tilted Disc Syndrome380 views56 year old female. Recent motor vehicle accident. Vision is 20/50 OD, 20/25 OS.
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Large and Extensive Macular Drusen380 views64 year old female with 20/25 vision taking vitamins in for a checkup.
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Recurrent Toxoplasmosis Right eye then Left eye 8 years later380 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 - Both Eyes - Edema OD and NVE OS - Severe Non-perfusion Both Eyes380 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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Bilateral Acute Central Serous Chorioretinopathy - Evidence of old disease OS380 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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Retinal Angioma380 views53 year old female with no-symptoms and no significant medical history (or family history)
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Amelanotic Choroidal Nevus380 views60 year old man. Nevus is stable over 6 years. Images are Photo, FAF, OCT, FA, ICG, and B-Scan
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Nonproliferative Diabetic Retinopathy and Good Vision380 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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379 views
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Macular Pre-Retinal Hemorrhage 379 viewsPatient complains of loss of vision in his left eye. Patient is diabetic. VA was 20/20, right eye and 20/150, left eye with no improvement pinhole. Fundus exam reveals very large pre retinal hemorrhage in the left eye. Embolism located inferior, nasally just off the optic nerve in the left eye. Patient underwent PRP for treatment of the hemorrhage.
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Chronic Central Serous Chorioretinopathy379 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.
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Spontaneously Re-attached Asymptomatic Chronic Retinal Detachment379 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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Myopic CNVM in the left eye. New Classic subfoveal lesion379 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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