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Idiopathic Cystoid Macular Edema - Mid Phase Fluorescein Angiogram Showing Leakage of Dye into Center of Macula899 views49-year-old man had a flu two weeks ago the right eye has been throbbing and his vision in the right eye has been foggy. OD 20/80, OS 20/40. IOP: 14 OU.
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Choroidal Melanoma899 viewsPost op Radioactive Implant with hard exudates surrounding the Melanoma with hemorrhage present.
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - FA Very Slow Filling CRA899 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
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Ciliary Body Melanoma899 views71-year old male who was recently diagnosed with a large ciliary body melanoma that is pushing into the anterior chamber of the left eye. Patient is going to proceed with proton therapy.
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Band Keratopathy899 views78 yrs old female presents with decrease vision in ? AMD OD secondary to Corneal dystrophy OU.
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy898 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Retinal Detachment Under Oil with Inferior Retinectomy898 views
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)898 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25
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Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child898 views14-year-old was with optic nerve swelling asymptomatic - picked up during routine eye exam. OD 20/20, OS 20/32
SD-OCT is used to differentiate optic disc edema from optic nerve head drusen (which are not yet calcified in children).
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Idiopathic CNVM in 6 year old girl898 viewsCNVM in OD of a 6 yr old girl
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Posterior Polar Annular Choroidal Dystrophy898 views68 year old woman with know macular irregularities for over 20 years. She has since been followed another 6 years and her vision remains 20/25.
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Unilateral Acute Idiopathic Maculopathy (UAIM)898 views1 week later eye looks better (after initial scan) 41 year old with serous retinal detachment OS and sudden vision loss. He had a viral prodrome. Coxscackie IgG was high but no acute infection was documented. Vision improved in about 2 months without therapy. - Right eye has spot nasal to the optic nerve
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Vitreomacular Traction - Macular Pucker - 20/50 Vision897 views75-year-old woman decreasing vision in the right eye a few months ago. She had her cataract removed and unfortunately her vision is still hazy in the right eye. Her left eye seems a little hazy from the cataract.
VISUAL ACUITY: OD 20/50, OS 20/20. IOP: OD 17, OS 18.
SLIT-LAMP EXAMINATION
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Retinal Arterial Macroaneurysm - Ruptured - Vitreous Hemorrhage (Fresh) 5/200 Vision897 views80-year-old woman has a retinal arterial macroaneurysm in the right eye I saw two years ago. She noticed the sudden onset of vision loss last night. OD is 5/200.
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Plaquenil (Hydroxycholorquine) Toxicity - Bull's Eye Maculopathy - 73 year old womand 25 Years therapy - 64 inches tall - 110 lbs896 views73-year-old woman has been on Plaquenil for twenty five years. She noticed loss of paracentral vision a few months ago. VISUAL ACUITY: OD 20/70, OS 20/30. Her color vision was 0 out 10 correct in both eyes and she also missed the controls.
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Mild Clinically Significant Diabetic Macular Edema896 views58-year-old woman diabetic for 20 years who has diabetic macular edema in both eyes. She has had waxing and waning edema in the past and I thought it might improve on its own but it did not. She notices her vision is still a little hazy.
VISUAL ACUITY: Vision OD is 20/30, OS is 20/25.
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Acute Central Serous Retinopathy - CSR - Steroid Induced (probably) - Good Vision - Fundus HyperAutofluorescence Serous Retinal Detachment896 views42-year-old man was seen in the office on October 5, 2011. He had noticed starting in August after a course of antibiotic and steroids, that he developed new spots in his vision in the right eye. He may have had an episode like this sometime in the past. He did take steroids a few years ago and his vision did change at that time, but then returned.
VISUAL ACUITY: OD 20/32, OS 20/32. The OCT scan of the right eye confirms subretinal fluid.
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Ocular Trauma with Retinal Detachment896 viewsPatient suffered blunt force trauma to the eye resulting total retinal detachment. The retina is visible in the pupillary space.
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Best Disease for 30 Years - 20/50 Vision both eyes - 61 Year Old Woman895 views61-year-old woman was diagnosed with Best’s disease about 30 years ago. She and her many family members were tested, both at the VA Hospital and then at USF. OD 20/50, OS 20/50
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Ruptured Retinal Arterial Macroaneurysm - Submacular Hemorrhage - Vision 20/400 never recovered - Hypertension 205/94894 views
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Prefoveal Opercula after Aborted Stage 2 Macular Hole - Present for 1 Year - VA 20/20 - OCT894 viewsThis pleasant 61-year-old man had a small Stage 2 macular hole, which spontaneously close 12 months ago. He is still bothered by a pre-foveal opercula. OD 20/20.
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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Fundus Autofluorescence (FAF)894 views48-year-old woman noticed when she was blinking there was a white flash in the left eye starting about a month ago. She sees it temporally. OD 20/16, OS 20/20. There is a serous retinal detachment superotemporal to the optic nerve falling short of the fovea. Her blood pressure 165/120.
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CMV secondary to HIV894 views36 yr old Female Presents for reassessment of decreased vision after starting antiviral medication. OD Va @ onset was LP> OS Va stable 20/20.
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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fluorescein Angiogram893 views 25-year-old man with one and half weeks ago he woke up with night chills. Also around that time his joints started hurting him. He also has headaches, although the headache at this point is not severe. His vision has been changing for about the last week and a half. He sees some spots in his vision and they are blurred spots. They are not in the central vision.
VISUAL ACUITY: OD 20/32, OS 20/32
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Acute Multifocal Placoid Pigment Epitheliopathy893 views
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Ghost Cell Glaucoma893 viewsPost cataract surgery, patient presents with ghost cell in the anterior chamber after hemorrhage cleared. A small hyphema still is visible in the anterior chamber with a whitish ball appearance.
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Pathology - Central Retinal Artery Occlusion - 6 weeks old - Inner Retinal Atrophy - Macular Pucker892 viewspatient died about 6 to 8 weeks after the artery occlusion, and he had no history of glaucoma. The inner retina atrophy, which looks very similar to that caused by COAG, is due to recent infarct.
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Presumed Ocular Histoplasmosis with new CNVM in right and better eye - VA 20/80 OD; 20/800 OS892 viewsNew subretinal hemorrhage in better eye
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Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion892 views79 year old man He has had hairy cell leukemia since 2002. He is in remission. His last blood tests were 9/2018. He just moved down here and needs a new leukemia doctor. His vision is fine.
VA OD: Dcc20/25
VA OS: Dcc20/25
IOP: TP: OD:12 OS:12
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Myelinated Nerve Fiber Layer - Optic Nerve892 viewsRight eye subtle and inferior - left eye obvious
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Sclopteria Chorioretinitis - 16 Year Old Girl - Pellet Injury890 views
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Acute Zonal Occult Outer Retinopathy890 views45-year-old man noticed a few years ago peripheral vision blurriness in the left eye and also some central vision loss. Previous to that, as far as he knows, the two eyes were okay.
VISUAL ACUITY: OD: 20/20; OS: 20/40.
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Retinoma - Retinocytoma - B Scan Ultrasound890 viewsUltrasound shows shadowing from the calcifications in the tumor.
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Shotgun wound to face with Perforating Pellet - Final Vision 20/400 890 views18-year-old had a gunshot wound to the left eye. He had surgery on December 31st (1 week post injury) and February 4th and his vision has remarkably done well.
VISUAL ACUITY: Vision OS is 3/200.
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AION Color890 views
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Polychromatic "Christmas Tree" Cataract890 viewsPatient comes in for annual eye exam. Eval on cataracts. VA is 20/20, right eye, 20/40, left eye. Slit Lamp exam shows polychromatic christmas tree cataract in the left eye.
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Myopic Degeneration - Staphyloma - Atrophy889 views53-year-old man was a -15.00 myope. He is aphakic. His left eye also had a retinal detachment repair and unfortunately the left eye does not see well. He is on Timolol in both eyes for glaucoma. VISUAL ACUITY: OD 20/50, OS: Faint light perception.
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Toxoplasmosis - Inner Retinal - Recurrent - Treated with Bactrim DS 889 views43-year-old man has macular toxoplasmosis. He has responded nicely to Bactrim OS: 20/60
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Retinal Tear with Vitreous Hemorrhage before and after Laser Photocoagulation889 views61-year-old man has noticed increased floaters in the right eye for about the last week. Vision OD is 20/160 There is 3+ vitreous hemorrhage with a retinal tear, about 2-disc diameters posterior to the equator at 10:00 o’clock over a retinal vessel.
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Lamellar Hole Epiretinal Proliferation - LHEP889 views
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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome888 views80-year-old man vision loss for one year. He died about one year after these photos from Metastatic Poorly Differentiated Large Cell Carcinoma of unknown primary. He was a smoker.
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Choroidal Nevus in Macula 888 views
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Gyrate Atrophy - 15 year old male - 20/25 vision both eyes - Positive Family History888 views15 year old male was diagnosed with “retinitis pigmentosa†at age seven. The patient reports that his night vision is poor. He reports he does not notice a visual field change. He reports that his maternal grandfather has lost vision and a cousin has lost vision as well. He reports he has an uncle with some visual changes.
The most significantly affected relative is a 26-year-old legally blind cousin.
20/25+ OD, 20/25 OS.
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Juxtafoveal Telangiectasis - MacTel - Retinal Telangiectasis - Both Eyes - Crystals887 views61-year-old man has idiopathic juxtafoveal retinal telangiectasis type II in both eyes OD is 20/40, OS is 20/25
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Progressive Outer Retinal Necrosis 77 Year Old Woman with CLL (Acute Retinal Necrosis) (PORN - ARN)887 views77-year-old woman with CLL who had shingles on the left side of her face about 6 weeks ago then she developed a dendrite in the cornea which was treating about four weeks ago. She noticed severe vision loss in the left eye just a few days ago and you saw retinitis and she comes in because of that. Vision OD is 20/25, OS is hand motion
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Punctate Inner Choroidopathy - PIC and Choroidal Neovascular Membrane - Right Eye - SD OCT887 views34-year-old woman with a change in vision in the right eye about eight days ago. Her vision was hazy and she saw waviness in the vision. She does have a history of aches and pains and she was diagnosed with Sjogren’s and 2 months ago she had some fevers and some sinus drainage and that went on for about two months. She is a moderate myope. OD 20/25, OS 20/20.
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telangiectasia887 views20/20 pt with blurry area in va
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Morning Glory Syndrome, Optic Nerve887 viewsPatient comes in for cataract evaluation. VA 20/60, right eye and 20/150, left eye. Fundus photo shows "morning glory syndrome" of the optic nerve in the left eye.
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Presumed Ocular Histoplasmosis with new CNVM in right and better eye - VA 20/80 OD; 20/800 OS887 viewsMacular scar 20 years old
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Central Serous Retinopathy - Acute886 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
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Acute Zonal Occult Outer Retinopathy886 views45-year-old man noticed a few years ago peripheral vision blurriness in the left eye and also some central vision loss. Previous to that, as far as he knows, the two eyes were okay.
VISUAL ACUITY: OD: 20/20; OS: 20/40.
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Best Disease for 30 Years - 20/50 Vision both eyes - 61 Year Old Woman886 views61-year-old woman was diagnosed with Best’s disease about 30 years ago. She and her many family members were tested, both at the VA Hospital and then at USF. OD 20/50, OS 20/50
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Asteroid Hyalosis After Vitrectomy (also reticular drusen)886 views
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Congenital Achromatopsia 886 views26-year-old man was diagnosed with congenital achromatopsia by ERG as a child. He has family members who also have this disorder. OD 20/200, OS 20/200.
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Foreign Body "Rust Ring" 886 viewsPatient complained of redness and tearing with white discharge. Patient was working with a grinding wheel on a vehicle. Slit lamp exam shows a rust ring barley off center. FBS was removed with Algiers Brush.
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Sclopteria Chorioretinitis - 16 Year Old Girl - Pellet Injury885 views
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Drusen Maculopathy - Confluent Subfoveal Soft Hydrophobic Drusen - AMD OU- OCT Line Scan Shows Thickening Under Retina with Retinal Thinning885 views73-year-old woman. She is diabetic for thirteen years. She is also on Coumadin for her heart disease.
VISUAL ACUITY: OD 20/25, OS 20/50.
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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome885 views80-year-old man vision loss for one year. He died about one year after these photos from Metastatic Poorly Differentiated Large Cell Carcinoma of unknown primary. He was a smoker.
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Acute Zonal Occult Outer Retinopathy885 views45-year-old man noticed a few years ago peripheral vision blurriness in the left eye and also some central vision loss. Previous to that, as far as he knows, the two eyes were okay.
VISUAL ACUITY: OD: 20/20; OS: 20/40.
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Retinal Pigment Epithelial Dysgenesis885 views
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Macular Pucker Post-OP 20/30885 views
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AIDS - HIV Retinopathy - Cotton Wool Spots885 views54-year-old woman HIV positive for 18 years. Her CD4 count is currently less than 50 and she was hospitalized for pneumocystis carinii pneumonia 5 months ago. She has noticed just for the last few weeks a few blind spots in the paracentral vision. Predominantly out of her right eye when she closes her left eye, she sees a few temporal blind spots. VA 20/25 in both eyes.
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Proliferative Diabetic Retinopathy and Mild Vitreous Hemorrhage884 views58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. Vision OD is 20/25, OS is 20/20
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Congenital Achromatopsia 884 views26-year-old man was diagnosed with congenital achromatopsia by ERG as a child. He has family members who also have this disorder. OD 20/200, OS 20/200.
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Purtscher's Retinopathy884 views19 year old female after pregnancy
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Chorioretinal Scar with Radiating Chorioretinal Folds883 views79-year-old woman has wet age-related macular degeneration in both eyes. The left eye had intravitreal injections of Avastin starting in May of 2009. Her vision remains good in the left eye and poor in the right eye.
VISUAL ACUITY: OD 8/200, OS 20/60.
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Conjunctival Vascular Anomaly883 viewsPatient presents a vascular pattern of blood vessels @ 10 o'clock of the superior-temporal quadrant of the right eye. Patient has had flare ups with anterior scleritis in the past which is controlled by Methotrexate. Patient's VA is currently 20/40 with PH 20/30, right eye.
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Glaucoma, Pseudoexfoliation Ring883 viewsSlit Lamp photography shows prominent pseudoexfoliation ring on the lens of the left eye. Patient will be followed up in 6-months...
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Ghost Cell Glaucoma883 viewsPost cataract surgery, patient presents with ghost cell in the anterior chamber after hemorrhage cleared. A small hyphema still is visible in the anterior chamber with a whitish ball appearance.
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Macular Laser Scars883 views86 year old man who had Laser done from 2010 - 2018 for diabetic retinopathy. The right eye lost vision immediately after laser was done a few years ago. VA 1/200 OD; 20/25 OS
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Stellate Non-heredtiary Idiopathic Foveomacular Retinoschisis (SNIFR)883 views77 year old man who is healthy and 6'6" tall with 20/40 vision and no complaints. OCT shows diffuse retinoschisis.
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Proliferative Diabetic Retinopathy both eyes Type I Diabetic for 25 years882 views47-year-old woman with diabetes for 25 years and decreased vision for 3 months. OD 20/40, OS 20/40
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69 Year Old Woman Normal Fluorescein Angiogram882 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
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69 Year Old Woman Normal OCT882 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
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Choroidal Rupture - Hit with Branch - 11 Year Old Boy882 views 11-year-old had a choroidal rupture in the left eye with a macular hemorrhage 4 months ago. He had a rupture globe repair. Vision has improved some. VISUAL ACUITY: OS 20/200.
1 year later Vision was 20/30
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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions882 viewsInitial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU.
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ECTOPIC DISCIFORM SCAR/PERIPHERAL CHOROIDAL NEOVASCULAR MEMBRANE – EXUDATE –INFLAMMATION IN REACTION TO THE PERIPHERAL VASCULAR LESION 882 views53-year-old woman has noticed some blurred vision in the right eye for a few years. In retrospect, she thinks it is possible since she was a teenager the right eye was always the weaker eye and that the left eye has always been the better eye. VISUAL ACUITY: Vision OD is 20/400
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Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin - Fundus Autofluorescence OD882 views66-year-old man with bilateral subfoveal fluid unresponsive to one year of monthly avastin therapy.
OD 20/160, Pinhole 20/80. OS 20/63, Pinhole 20/50. OCT scan shows subretinal fluid with normal choroidal thickness. Fluorescein angiogram shows cuticular/basal laminar drusen. ICG shows no foci of choriocapillaris leakage.
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Purtscher's Retinopathy882 views19 year old female after pregnancy
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Accordioning Crystalline Lens with loss of Posterior Capsule882 views71-year old male complains of blurred vision in the left eye. VA 20/40, right eye and 20/400, left eye without correction. Slit lamp exam shows Crystalline lens, both eyes. Right eye IOL is aligned and centered. Left eye shows an accordion of the crystalline lens. Retro Illumination shows the IOL bent inward in the left eye. There was a 6-diopter difference of astigmatism between the right and left eye. Patient will have surgery to correct the issue.
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Outer Retinal Holes - Probably Solar Retinopathy (history is negative)882 views
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Subfoveal CNVM wet AMD early fa (contrast enhanced with photoshop)881 viewsShe has noticed decreased vision in the left eye. It is hard to say for how long, maybe a few months. She had her last eye exam about a year ago. She thoughts perhaps it was cataracts, but you saw a problem with the macula and suggested she come here for evaluation.
VISUAL ACUITY: Vision OD is 20/25, OS is 2/200
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day881 views
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Coats' Disease in 14 Year Old Boy Treated with Cryotherapy and Avastin881 views14 Year Old Boy with Coats Disease
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Classic BRVO881 viewsClassic branch retinal vein occlusion
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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fluorescein Angiogram881 views 25-year-old man with one and half weeks ago he woke up with night chills. Also around that time his joints started hurting him. He also has headaches, although the headache at this point is not severe. His vision has been changing for about the last week and a half. He sees some spots in his vision and they are blurred spots. They are not in the central vision.
VISUAL ACUITY: OD 20/32, OS 20/32
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Macular possible Cone Dystrophy - Fundus Autofluorescence881 views
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Choroidal Osteoma881 viewsYoung girl with vision loss from osteoma.
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Fundus Flavimaculatus - Asymptomatic - Color Photo881 views45 year old man was told to come in because of ‘white spots on their retina’.
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Choroidal Thickening881 views78 year old man followed for 4 months with choroidal thickening. Cursory systemic evaluation with no imaging shows no cancer. Vision is stable or improving.
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Plaquenil Toxicity - Bulls Eye Maculopathy880 views70-year-old woman with systemic Lupus erythematosus and clotting problems. She was on the Plaquenil for about eight years and then off the Plaquenil for the last eight years because she developed macular toxicity. Although her vision was hazy, it was stable. Recent deceased vision left eye: OD 20/60, OS 20/100. IOP: OD 18, OS 19.
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 880 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/400
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Three years after Injury - Optic Atrophy - Vision is 1/200 in each eye880 views
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Retinal Arterial Macroaneurysm - Ruptured and self Sealed - Vision Back to 20/80 after 6 Months880 views81-year-old woman vision improving 6 months following rupture of retinal arterial macroaneurysm. Vision OD is 20/80
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Horseshoe Retinal Tear with bridging blood vessel880 views
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NVD880 viewsDiabetic patient with NVD and NVE
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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome879 views80-year-old man vision loss for one year. He died about one year after these photos from Metastatic Poorly Differentiated Large Cell Carcinoma of unknown primary. He was a smoker.
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Retinal Pigment Epithelial Dysgenesis879 views
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 879 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/400
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Asteroid Hyalosis After Vitrectomy (also reticular drusen)879 views
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