|
|
Asymptomatic wet AMD OS - never treated345 viewsVision remains 20/20 at 6 year follow-up with no treatment
|
|
Central Serous Retinopathy344 viewsPatient comes in with blurred vision. Patient also had a lung transplant. VA was 20/150 with pinhole correction to 20/60 in the right eye. Fundus exam in the right eye shows a great amount of sub retinal fluid over the macula. Will monitor to see if it goes away on its own, if not then will consider laser treatment.
|
|
Spontaneously Re-attached Asymptomatic Chronic Retinal Detachment344 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
|
|
Traction retinal detachment both eyes. Proliferative Diabetic Retinopathy344 views40 year old man came in with vision loss OD and rubeosis in both eyes. Was treated with Avastin monthly and laser OD then lost to follow-up for 6 months. Came back with table top traction in the left macula (second set of images). Vision had dropped OS from 20/20 to HM. He had PPV ERM peel OS and vision improved to 5/200.
OD stabilized to 20/20 with PRP laser. Now on 6 month checks.
|
|
Branch Retinal Vein Occlusion with Neovascularization Elsewhere and Vitreous Hemorrhage344 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
|
|
Elevated Episcleral Venous Pressure and Retinal Hemorrhages in both eyes344 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
|
|
Familial Exudative Vitreoretinopathy - FEVR - Stage 1-b both eyes344 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
|
|
Coats' Disease - 8-year-old boy - Asymptomatic344 viewsNormal vision - Lesion picked up on examination
|
|
Macular Telangiectasis (MacTel) Both Eye - Stage IV - Pigment Spots344 views63 year old female with Type II DM x 4 years. Vision is 20/40 both eyes.
|
|
Punctate Inner Choroidopathy and Choroidal Neovascular Membrane (CNVM)344 views24 year old female She was doing fine until 4 days ago when the right eye fogged up on her. The left eye is seeing fine. In the end of January (3 months ago) she went to the doctor and got checked for everything and it was negative. She had a bad cough at the time and no fevers that she knows of. Â
VA OD: sc20/200+1, VA OS: sc20/25 - Uveitis work up was negative. VA improved to 20/40 with a single avastin treatment and then the patient was lost to follow-up
|
|
Geographic Atrophy with recent vision loss left eye344 views80 year old Recent vision loss in the left eye for about 6 weeks.
Hyperlipidemia, HTN, Angina, history of TIA’s
ASA daily
VA 20/25 OD, 20/63 OS (was 20/40 5/3/21 at patients first visit)
AC pseudophakic
|
|
Occult Choroidal Neovascular Membrane344 views66 year old man with vision loss in the left eye for 2 months
VA 20/20 OD, 20/63 OS
|
|
Proliferative Diabetic Retinopathy with Panretinal Photocoagulation344 views57 year old female Type 1 DM with prior laser about 10 years ago in Chicago.
HTN, Thyroid cancer and removal, Cardiovascular disease
Meds: ASA 325 mg /day, etc
Recent new floaters in the right eye:
VA 20/50 OD, 20/40 OS
|
|
Proliferative Diabetic Retinopathy with Panretinal Photocoagulation344 views57 year old female Type 1 DM with prior laser about 10 years ago in Chicago.
HTN, Thyroid cancer and removal, Cardiovascular disease
Meds: ASA 325 mg /day, etc
Recent new floaters in the right eye:
VA 20/50 OD, 20/40 OS
|
|
Dry AMD geographic atrophy and cystoid macular edema344 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.
|
|
Dry AMD geographic atrophy and cystoid macular edema344 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.
|
|
Bilateral Choroidal Tumors - Metastatic Breast Cancer344 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
|
|
Torpedo Maculopathy - Small Lesion344 viewsAsymptomatic 77 year old female
|
|
Age-related macular degeneration - Geographic Atrophy - Intermittent CME left eye from CRVO, Anemia, Diabetes344 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)
|
|
Nonproliferative Diabetic Retinopathy and Good Vision344 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
|
|
ABCA4 positive - Stargardt Disease344 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
|
|
Central Retinal Vein Occlusion following Cataract Surgery344 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
|
|
RPE tear following single treatment of vabysmo in the left eye344 views80 year old patient with HemiCRVO and wet AMD in the left eye. The right eye has recent vision loss from 20/40 - 20/100. She has a high PED and wet AMD. She was given one treatment of half-dose vabysmo and presented next visit with a PED tear and vision of 4/200.
|
|
343 views
|
|
Bilateral Acute Central Serous Chorioretinopathy - Evidence of old disease OS343 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
|
|
343 views
|
|
Familial Exudative Vitreoretinopathy - FEVR - Stage 1-b both eyes343 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
|
|
Papilledema following carotid endarterectomy - Cerebral Reperfusion Injury343 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
|
|
Proliferative Diabetic Retinopathy with Panretinal Photocoagulation343 views57 year old female Type 1 DM with prior laser about 10 years ago in Chicago.
HTN, Thyroid cancer and removal, Cardiovascular disease
Meds: ASA 325 mg /day, etc
Recent new floaters in the right eye:
VA 20/50 OD, 20/40 OS
|
|
Amelanotic Choroidal Nevus343 views60 year old man. Nevus is stable over 6 years. Images are Photo, FAF, OCT, FA, ICG, and B-Scan
|
|
Bilateral Choroidal Tumors - Metastatic Breast Cancer343 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
|
|
Choroidal Neovascular Membrane (CNVM) secondary to laser scar from TTT for choroidal melanoma 20 years earlier343 views71-year old female - Vision loss in the right eye for 1 week. She had transpupillary thermotherapy 20 years ago in the right eye for choroidal melanoma.
VA 4/200 OD, 20/20 OS
|
|
Branch Retinal Vein Occlusion with Venous Macroaneurysm (collateral)343 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
|
|
Age-related macular degeneration - Geographic Atrophy - Intermittent CME left eye from CRVO, Anemia, Diabetes343 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)
|
|
Central Retinal Artery Occlusion - Fluorescein Angiogram Video343 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
|
|
Pregnant - 25 weeks - new onset PDR and DME both eyes - Treated with PRP and ozurdex343 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
|
|
Sectoral Retinitis Pigmentosa - Asymptomatic343 views56-year-old female - The patient was in for an annual checkup because of her diabetes. No visual complaints (no night vision trouble)
PMHx DM sine 2015, Asthma, Thyroid Disease, HTN
MEDS: Metformin, Levothyroxine, Lisinopril,, Inhaler
ROS Negative
VA OD: sc20/32-1 VA OS: sc20/32-1
IOP: TP: OD:18 OS:17
293 Invitae genetic panel - negative
|
|
Central Serous Chorioretinopathy in a child343 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
|
|
Macular Scars from Presumed Ocular Histoplasmosis Syndrome343 views85 year old man
He sometimes sees double vision. When he sees people walking they are sometimes double for about 6 months.
VA OD: sc20/25 PH20/20 NccJ3
VA OS: sc20/20-2 NccJ2
IOP: TP: OD:12 OS:14
|
|
Nonproliferative Diabetic Retinopathy and Good Vision343 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
|
|
Central Retinal Vein Occlusion following Cataract Surgery343 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
|
|
Central Retinal Vein Occlusion following Cataract Surgery343 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
|
|
Pattern Dystrophy - Adult Vitelliform Dystrophy - Macular Degeneration342 views 78 Year Old Woman with vision has diminished in the right eye over the past couple of years, but the diminishment has been slow.
20/60+1 OD, 20/25 OS
|
|
Retinal Hemorrhage342 viewsPatient has history of Macular Degeneration (WET). Also has had vitrectomy in the left eye for a retinal detachment. Chief complaint was a spot in vision, right eye. Patient's VA was hand motion in the right eye. Retinal Hemorrhage was present. Avastin Injection was carried out and patient will have a follow up in one month.
|
|
Macular Telangiectasi - Stage V - CNVM OU342 views60 year old female who has been treated with injections for 5 years starting in the left eye. She had no treatment 6 months prior to this visit and her vision has been getting worse. Her vision is 20/100 OD, 20/32 OS. Vision improved with intravitreal Avastin to 20/30 OU.
|
|
Retinitis Pigmentosa - X-linked Recessive342 views60 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.
|
|
Elevated Episcleral Venous Pressure and Retinal Hemorrhages in both eyes342 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
|
|
Coats' Disease - 8-year-old boy - Asymptomatic342 viewsNormal vision - Lesion picked up on examination
|
|
Punctate Inner Choroidopathy and Choroidal Neovascular Membrane (CNVM)342 views24 year old female She was doing fine until 4 days ago when the right eye fogged up on her. The left eye is seeing fine. In the end of January (3 months ago) she went to the doctor and got checked for everything and it was negative. She had a bad cough at the time and no fevers that she knows of. Â
VA OD: sc20/200+1, VA OS: sc20/25 - Uveitis work up was negative. VA improved to 20/40 with a single avastin treatment and then the patient was lost to follow-up
|
|
Amelanotic Choroidal Nevus342 views60 year old man. Nevus is stable over 6 years. Images are Photo, FAF, OCT, FA, ICG, and B-Scan
|
|
Severe Proliferative Diabetic Retinopathy and Good Vision342 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.
|
|
Severe Proliferative Diabetic Retinopathy and Good Vision342 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.
|
|
Bilateral Choroidal Tumors - Metastatic Breast Cancer342 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
|
|
Age-related macular degeneration - Geographic Atrophy - Intermittent CME left eye from CRVO, Anemia, Diabetes342 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)
|
|
Age-related macular degeneration - Geographic Atrophy - Intermittent CME left eye from CRVO, Anemia, Diabetes342 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)
|
|
Pregnant - 25 weeks - new onset PDR and DME both eyes - Treated with PRP and ozurdex342 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
|
|
Pregnant - 25 weeks - new onset PDR and DME both eyes - Treated with PRP and ozurdex342 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
|
|
Ocular Lymphoma - Initially presented like auto-immune retinopathy342 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)
|
|
Central Retinal Vein Occlusion following Cataract Surgery342 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
|
|
Central Retinal Vein Occlusion following Cataract Surgery342 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
|
|
Sticklers syndrome with Pierre Robin Sequence342 views9 year old child with father who had retinal detachment at age 10. History of cleft palate repair and teeth removal. VA 20/40 OU. Images show perivascular RPE and retinal changes especially nasally
|
|
Choroidal Excavation left eye342 views63 year old vision with right eye vision loss at age 27 possibly from histoplasmosis. Left eye has a choroidal excavation
|
|
Pseudophakic cystoid macular edema (CME)342 views66 year old female 4 months following cataract surgery. Never had very good vision after surgery. On PF QID for one month. VA 20/50 in both eyes.
|
|
Central Serous Retinopathy341 viewsPatient comes in with blurred vision. Patient also had a lung transplant. VA was 20/150 with pinhole correction to 20/60 in the right eye. Fundus exam in the right eye shows a great amount of sub retinal fluid over the macula. Will monitor to see if it goes away on its own, if not then will consider laser treatment.
|
|
Macular Telangiectasi - Stage V - CNVM OU341 views60 year old female who has been treated with injections for 5 years starting in the left eye. She had no treatment 6 months prior to this visit and her vision has been getting worse. Her vision is 20/100 OD, 20/32 OS. Vision improved with intravitreal Avastin to 20/30 OU.
|
|
Retinitis Pigmentosa - X-linked Recessive341 views60 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.
|
|
Bilateral Acute Central Serous Chorioretinopathy - Evidence of old disease OS341 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
|
|
Branch Retinal Vein Occlusion with Neovascularization Elsewhere and Vitreous Hemorrhage341 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
|
|
Geographic Atrophy with recent vision loss left eye341 views80 year old Recent vision loss in the left eye for about 6 weeks.
Hyperlipidemia, HTN, Angina, history of TIA’s
ASA daily
VA 20/25 OD, 20/63 OS (was 20/40 5/3/21 at patients first visit)
AC pseudophakic
|
|
Geographic Atrophy with recent vision loss left eye341 views80 year old Recent vision loss in the left eye for about 6 weeks.
Hyperlipidemia, HTN, Angina, history of TIA’s
ASA daily
VA 20/25 OD, 20/63 OS (was 20/40 5/3/21 at patients first visit)
AC pseudophakic
|
|
Wet age-related macular degeneration - Classic Juxtafoveal Choroidal Neovascular Membrane341 views80 year old female with mild vision loss. 20/40 OD, 20/25 OS. Avastin controlled disease. VA improved to 20/25 after 2 injections. At 1 year she is getting every 2 months treatment
|
|
Proliferative Diabetic Retinopathy with Panretinal Photocoagulation341 views57 year old female Type 1 DM with prior laser about 10 years ago in Chicago.
HTN, Thyroid cancer and removal, Cardiovascular disease
Meds: ASA 325 mg /day, etc
Recent new floaters in the right eye:
VA 20/50 OD, 20/40 OS
|
|
Amelanotic Choroidal Nevus341 views60 year old man. Nevus is stable over 6 years. Images are Photo, FAF, OCT, FA, ICG, and B-Scan
|
|
Amelanotic Choroidal Nevus341 views60 year old man. Nevus is stable over 6 years. Images are Photo, FAF, OCT, FA, ICG, and B-Scan
|
|
Severe Proliferative Diabetic Retinopathy and Good Vision341 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.
|
|
Bilateral Choroidal Tumors - Metastatic Breast Cancer341 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
|
|
Branch Retinal Vein Occlusion with Venous Macroaneurysm (collateral)341 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
|
|
Neuroretinitis left eye - recovered with no therapy - possible B pertussis341 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
|
|
Ocular Lymphoma - Initially presented like auto-immune retinopathy341 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)
|
|
Central Serous Chorioretinopathy in a child341 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
|
|
Bilateral Diffuse Melanocytic Proliferation (BDUMP)341 views67 year old man
The patient started noticing dimming of the vision in November of 2020. He had rapidly worsening cataracts. He had the cataract surgery done in both eyes in April of 2021. The vision did not improve with the cataract surgery. On June 1 of 2021 he had immunotherapy for his renal cell carcinoma and then developed severe vision loss. The patient noticed that one of the commercials for nivolumab (checkpoint inhibitor targeting programmed death receptor-1) said it may cause vision loss. He recalled that he started the nivolumab in October of 2020 and had vision loss starting then.  A retinal evaluation showed subretinal fluid and vision loss.  The peripheral vision and central vision were pretty good. The vision did seem to get better off the nivolumab. Then when the patient returned to Florida in September and now the vision is getting worse. The patient did not have any treatments in either eye. The patient is now off the oncology treatment. He was then started on a TKI cabometex for the cancer which was dosed in mid June through mid July just for a month. It was stopped because of a skin rash and reactions. Â
VA OD: Dcc20/200-2 PHNI Ncc20/800
VA OS: Dcc20/63 PHNI NccJ7 He has been off the checkpoint inhibitor for a year.
|
|
Retinal Cavernous Hemangioma341 views27 year old female with normal vision - MRI was normal
|
|
Retinal detachment with choroidal effusions and RPE tear341 views83 year old man with chronic glaucoma presented with 10 days of vision loss in the left eye and a retinal detachment. He also has choroidal effusions and and RPE tear. He had a history of bladder cancer in remission. I did a biopsy of the choroidal lesions at the time of surgery which showed no cancer. Initial vision was HM and final vision was 20/80. The choroidal effusions may have occurred because of his age and prior history of glaucoma.
|
|
Punctate Inner Choroidopathy and Choroidal Neovascular Membrane340 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)
|
|
Congenital Hydrocephalus - 21 year old - Papilledema340 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
|
|
Branch Retinal Vein Occlusion with Neovascularization Elsewhere and Vitreous Hemorrhage340 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
|
|
Familial Exudative Vitreoretinopathy - FEVR - Stage 1-b both eyes340 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
|
|
Recurrent Toxoplasmosis - Extramacular340 viewsFirst episode 2016, recurrence in 2020 57 year old man with multiple myeloma
|
|
Wet age-related macular degeneration - Classic Juxtafoveal Choroidal Neovascular Membrane340 views80 year old female with mild vision loss. 20/40 OD, 20/25 OS. Avastin controlled disease. VA improved to 20/25 after 2 injections. At 1 year she is getting every 2 months treatment
|
|
Dry AMD geographic atrophy and cystoid macular edema340 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.
|
|
Bilateral Choroidal Tumors - Metastatic Breast Cancer340 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
|
|
Bilateral Choroidal Tumors - Metastatic Breast Cancer340 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
|
|
Pan Retinal Laser from original DRS study in the 1970s - 50 years later340 views67 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.
|
|
Branch Retinal Vein Occlusion with Venous Macroaneurysm (collateral)340 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
|
|
Branch Retinal Vein Occlusion with Venous Macroaneurysm (collateral)340 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
|
|
Branch Retinal Vein Occlusion with Venous Macroaneurysm (collateral)340 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
|
|
Neuroretinitis left eye - recovered with no therapy - possible B pertussis340 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
|
|
Neuroretinitis left eye - recovered with no therapy - possible B pertussis340 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
|
|
Age-related macular degeneration - Geographic Atrophy - Intermittent CME left eye from CRVO, Anemia, Diabetes340 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)
|
|
Soft Drusen340 views63 year old female with 20/16 vision both eyes
|
|
| 17965 files on 180 page(s) |
 |
|
|
|
|
139 | |
|
|
|
|
