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Central Retinal Vein Occlusion following Cataract Surgery356 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 Surgery356 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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Choroidal Excavation left eye356 views63 year old vision with right eye vision loss at age 27 possibly from histoplasmosis. Left eye has a choroidal excavation
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Central Serous Retinopathy355 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.
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Choroidal Neovascular Membrane following Prior Central Serous Chorioretinopathy - OCT-A355 views67 year old female with CSR in the left eye first 20 years ago. She was managed with out therapy and has had a few episodes since. Now ther eis distortion in the left eye for a few days. She had a steroid shot in her shoulder 5 months ago.
VA 20/20 OD, 20/50 OS- ICG and OCT-A confirm CNVM in the left eye
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Congenital Hydrocephalus - 21 year old - Papilledema355 views21 year old man The patient had a v-p shunt removed in January 2017. He has not had escalating headaches. The shunt was put in in 2015. He was born with hydrocephalus. The shunt was possibly overdraining for 5 years so there were problems with slipped ventricles and low CSR pressure. The pressure was checked today and it was perfect. There is still a bulb so the CSF pressure can be checked. There was eye examination in November showing possible papilledema.
VA OD: sc20/40+2 NscJ5
VA OS: sc20/32+2 NscJ1
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Traction retinal detachment both eyes. Proliferative Diabetic Retinopathy355 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.
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Bilateral Acute Central Serous Chorioretinopathy - Evidence of old disease OS355 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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355 views
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355 views
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Elevated Episcleral Venous Pressure and Retinal Hemorrhages in both eyes355 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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Punctate Inner Choroidopathy and Choroidal Neovascular Membrane (CNVM)355 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
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Wet age-related macular degeneration - Classic Juxtafoveal Choroidal Neovascular Membrane355 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
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Proliferative Diabetic Retinopathy with Panretinal Photocoagulation355 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
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Idiopathic Intracranial Hypertension - Papilledema355 views37 year old obese female Was on for an eye examination and a problem was noted. Her vision is normal. She has mild headaches which are from TMJ.
PMhx: Polycystic Ovary Syndrome (not diabetic)
Meds: Metformin, Vitamin D, Spironolactone
VA 20/12 OD, 20/16 OS
Opening ICP on spinal tap was 30 CM water.
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Dry AMD geographic atrophy and cystoid macular edema355 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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Bilateral Choroidal Tumors - Metastatic Breast Cancer355 views51 year old female. First 3 sets of images show lesions growing despite systemic chemotherapy. She eventually had external beam radiation x 15 sessions and the tumors shrunk in the last two sets of images
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Pan Retinal Laser from original DRS study in the 1970s - 50 years later355 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.
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Branch Retinal Vein Occlusion with Venous Macroaneurysm (collateral)355 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 Venous Macroaneurysm (collateral)355 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 Venous Macroaneurysm (collateral)355 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 Venous Macroaneurysm (collateral)355 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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Neuroretinitis left eye - recovered with no therapy - possible B pertussis355 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 ozurdex355 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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Bilateral Diffuse Melanocytic Proliferation (BDUMP)355 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.
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Retinal Arterial Macroaneurysm treated with Laser355 views89 year old female with peripapillary CNVM treated with Lucentis. Vision was 20/25 OS 3 weeks ago. She noticed vision loss OS. Vision had dropped to 20/60. She had a fresh MA and was treated with laser.
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Retinal detachment with choroidal effusions and RPE tear355 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.
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Dry AMD - Pigment - AREDS risk score of 4355 views65 year old woman with 20/32 vision. A little blurred. Pigment and large drusen in each eye. AREDS risk score of four.
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Severe diabetic tractional retinal detachment one year following diagnosis of type II Diabetes Mellitus355 views44 year old man The vision in the left eye started to decline about 4 days ago. Prior to that the left eye was the better eye. He was diagnosed with diabetes a year ago.Â
VA OD: Dcc20/50-1 OS: Dcc20/125-2, TP: OD:12 OS:13
Following two surgeries in each eye, silicone oil remaining forever, monthly anti-VEGF for severe DME - BCVA OU 20/200 at 3 years
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Optic Disc Melanocytoma - Atypical355 views45 year old female with normal vision and optic nerve lesion in the left eye. VA 20/16 OU. Extensive testing was normal including brain and orbit MRI. The lesion has been stable for 5 years.
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Central Serous Retinopathy354 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.
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Proliferative Diabetic Retinopathy and vitreous hemorrhage left eye354 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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Traction retinal detachment both eyes. Proliferative Diabetic Retinopathy354 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.
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Traction retinal detachment both eyes. Proliferative Diabetic Retinopathy354 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.
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Retinitis Pigmentosa - X-linked Recessive354 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.
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Familial Exudative Vitreoretinopathy - FEVR - Stage 1-b both eyes354 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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Amelanotic Choroidal Nevus354 views60 year old man. Nevus is stable over 6 years. Images are Photo, FAF, OCT, FA, ICG, and B-Scan
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Bilateral Choroidal Tumors - Metastatic Breast Cancer354 views51 year old female. First 3 sets of images show lesions growing despite systemic chemotherapy. She eventually had external beam radiation x 15 sessions and the tumors shrunk in the last two sets of images
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Pan Retinal Laser from original DRS study in the 1970s - 50 years later354 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.
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Branch Retinal Vein Occlusion with Venous Macroaneurysm (collateral)354 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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Alcohol Amblyopia - Toxic Optic Neuropathy354 views59 year old man HPI: CC: Blurred Vision OU. Duration of Problem: about 7 months. Location: central vision. Context Onset/Aggravation: Started after using Accutane for 1 month. Associated Symptoms: no flashes or floaters.
HX TECH: EA
VA OD: sc20/100 PH20/80+1 Nsc20/400 PAM20/50+2
VA OS: sc20/100 PH20/80-2 NscJ16 PAM20/50+1
IOP 24 OD, 26 OS
B-12 and Folate were normal - Presumed ETOH amblyopia - improved to 20/63,20/80 after one year of B-12 supplements
IOP: TP: OD:24 OS:26 Time:02:08 PM
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Age-related macular degeneration - Geographic Atrophy - Intermittent CME left eye from CRVO, Anemia, Diabetes354 views79 year old female - 3 years post CRVO in the left eye (20/32 VA) with intermittent CME. Left eye is the better eye. Vision is stable since 2 years ago
PMHx: Type II DM x 20 years, Chronic Anemia, Hyperlipidemia
VA 20/200 OD, 20/50 OS (usually 20/40)
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Soft Drusen354 views63 year old female with 20/16 vision both eyes
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Ocular Lymphoma - Initially presented like auto-immune retinopathy354 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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Ocular Lymphoma - Initially presented like auto-immune retinopathy354 views43 year old man: initial presentation - The vision in the left eye is blurry and opaque for about 2 weeks. In the central of the vision, when he covers the right eye, in the center of the left eye there is a film with a light in the middle. This has never happened before. He has not been sick for the last few months. A few weeks ago he saw waves on the floor when looking down but that has gone away. Since the vision loss started the vision has not changed much. The central vision is not getting better. Â
PMHx – Borderline HTN
VA OD: Dcc20/20
VA OS: Dcc20/40-1 IOP: TP: OD:15 OS:19
1+ NS
No uveitis
Labs normal. One positive antiretinal antibody - Arrestin
VA improved over 2 months to normal. Then the patient had 2 more episodes of self-limited vision loss (no treatment). Then 2 years later he presented with a diagnosis of CNS lymphoma and later developed subretinal deposits (last images)
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Central Serous Chorioretinopathy in a child354 views12-year-old African American Female A few weeks ago she felt like something was covering the right eye and she couldn't see well. She was told that she had a swollen optic nerve. She had a recent diagnosis of sinus infection. She also recently had onset menarche on August 7th. Eye problem started about a week before menarche. She's been getting some headaches, partly because of sinus infection. They started about a month ago and now are getting better. She is on zytrhomax for the sinus problem. Patient is hypothyroid and is on thyroid supplementation and that has been stable. She has no eye pain.
MEDS: Synthroid, Flonase
PMHx - Thyroid Disease
VA OD: Dcc20/400 PH20/125 NccJ10
VA OS: Dcc20/20 NccJ1+
IOP: TP: OD:14 OS:21
Macular detachments resolved in 1 month with no treatment and vision returned to 20/20 in one month and 20/16 in 2 months
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Nonproliferative Diabetic Retinopathy and Good Vision354 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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Optic Disc Melanocytoma - Atypical354 views45 year old female with normal vision and optic nerve lesion in the left eye. VA 20/16 OU. Extensive testing was normal including brain and orbit MRI. The lesion has been stable for 5 years.
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Hydroxychloroquine (plaquenil) Toxicity - Advanced354 views78 year old female No visual complaints referred for evaluation
Medical Hx: Rheumatoid Arthritis. Atrial Fibrillation. Benign Intracranial Hypertension. Sjogrens Syndrome. Osteoporosis.
Systemic Meds: PLAQUENIL (Stopped 2 months ago). Leflunomide. Lidocaine. Gabapentin. Vitamin D. Multaq. DILTIAZEM.
VA OD: Dcc20/32-2 NccJ2
VA OS: Dcc20/25+1 NccJ1-1
IOP: TP: OD:14 OS:15
Color Ishihara OD 9/11 correct, OS 9.5/11 correct
Weight 100 lbs, Height 4’ 2†tall.
1993 Plaquenil Initially 400 mg /day (9 mg/kg/day x 18 years) then 2011 200 mg daily - (4.6 mg/kg/day x 10 years) STOPPED 3/2021
The patient weighs 100 lbs and is 4’ 2†tall - Images are from 3/2021 and 5/2022
There was no progression 1 year after stopping plaquenil in this patient.
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Retinal Hemorrhage353 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.
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Traction retinal detachment both eyes. Proliferative Diabetic Retinopathy353 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.
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Elevated Episcleral Venous Pressure and Retinal Hemorrhages in both eyes353 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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Wet age-related macular degeneration - Classic Juxtafoveal Choroidal Neovascular Membrane353 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
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Occult Choroidal Neovascular Membrane353 views66 year old man with vision loss in the left eye for 2 months
VA 20/20 OD, 20/63 OS
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Occult Choroidal Neovascular Membrane353 views66 year old man with vision loss in the left eye for 2 months
VA 20/20 OD, 20/63 OS
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Dry AMD geographic atrophy and cystoid macular edema353 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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Branch Retinal Vein Occlusion with Venous Macroaneurysm (collateral)353 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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Retinal Arterial Macroaneurysm treated with Laser353 views89 year old female with peripapillary CNVM treated with Lucentis. Vision was 20/25 OS 3 weeks ago. She noticed vision loss OS. Vision had dropped to 20/60. She had a fresh MA and was treated with laser.
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Retinal Arterial Macroaneurysm treated with Laser353 views89 year old female with peripapillary CNVM treated with Lucentis. Vision was 20/25 OS 3 weeks ago. She noticed vision loss OS. Vision had dropped to 20/60. She had a fresh MA and was treated with laser.
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Central Retinal Vein Occlusion following Cataract Surgery353 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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352 views75 year old male seen for ARMD. Pt developed massive hemorrhage with lipid and macular edema.
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Recurrent Toxoplasmosis Right eye then Left eye 8 years later352 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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Congenital Hydrocephalus - 21 year old - Papilledema352 views21 year old man The patient had a v-p shunt removed in January 2017. He has not had escalating headaches. The shunt was put in in 2015. He was born with hydrocephalus. The shunt was possibly overdraining for 5 years so there were problems with slipped ventricles and low CSR pressure. The pressure was checked today and it was perfect. There is still a bulb so the CSF pressure can be checked. There was eye examination in November showing possible papilledema.
VA OD: sc20/40+2 NscJ5
VA OS: sc20/32+2 NscJ1
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Bilateral Acute Central Serous Chorioretinopathy - Evidence of old disease OS352 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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Familial Exudative Vitreoretinopathy - FEVR - Stage 1-b both eyes352 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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Coats' Disease - 8-year-old boy - Asymptomatic352 viewsNormal vision - Lesion picked up on examination
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Punctate Inner Choroidopathy and Choroidal Neovascular Membrane (CNVM)352 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
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Geographic Atrophy with recent vision loss left eye352 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
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Coloboma - Iris, Lens, Chorioretinal352 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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Proliferative Diabetic Retinopathy with Panretinal Photocoagulation352 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
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Proliferative Diabetic Retinopathy with Panretinal Photocoagulation352 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
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Retinal Angioma352 views53 year old female with no-symptoms and no significant medical history (or family history)
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Amelanotic Choroidal Nevus352 views60 year old man. Nevus is stable over 6 years. Images are Photo, FAF, OCT, FA, ICG, and B-Scan
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Severe Proliferative Diabetic Retinopathy and Good Vision352 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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Pigment migration in dry age-related macular degeneration352 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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Neuroretinitis left eye - recovered with no therapy - possible B pertussis352 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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Age-related macular degeneration - Geographic Atrophy - Intermittent CME left eye from CRVO, Anemia, Diabetes352 views79 year old female - 3 years post CRVO in the left eye (20/32 VA) with intermittent CME. Left eye is the better eye. Vision is stable since 2 years ago
PMHx: Type II DM x 20 years, Chronic Anemia, Hyperlipidemia
VA 20/200 OD, 20/50 OS (usually 20/40)
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Pregnant - 25 weeks - new onset PDR and DME both eyes - Treated with PRP and ozurdex352 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 retinopathy352 views43 year old man: initial presentation - The vision in the left eye is blurry and opaque for about 2 weeks. In the central of the vision, when he covers the right eye, in the center of the left eye there is a film with a light in the middle. This has never happened before. He has not been sick for the last few months. A few weeks ago he saw waves on the floor when looking down but that has gone away. Since the vision loss started the vision has not changed much. The central vision is not getting better. Â
PMHx – Borderline HTN
VA OD: Dcc20/20
VA OS: Dcc20/40-1 IOP: TP: OD:15 OS:19
1+ NS
No uveitis
Labs normal. One positive antiretinal antibody - Arrestin
VA improved over 2 months to normal. Then the patient had 2 more episodes of self-limited vision loss (no treatment). Then 2 years later he presented with a diagnosis of CNS lymphoma and later developed subretinal deposits (last images)
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Central Serous Chorioretinopathy in a child352 views12-year-old African American Female A few weeks ago she felt like something was covering the right eye and she couldn't see well. She was told that she had a swollen optic nerve. She had a recent diagnosis of sinus infection. She also recently had onset menarche on August 7th. Eye problem started about a week before menarche. She's been getting some headaches, partly because of sinus infection. They started about a month ago and now are getting better. She is on zytrhomax for the sinus problem. Patient is hypothyroid and is on thyroid supplementation and that has been stable. She has no eye pain.
MEDS: Synthroid, Flonase
PMHx - Thyroid Disease
VA OD: Dcc20/400 PH20/125 NccJ10
VA OS: Dcc20/20 NccJ1+
IOP: TP: OD:14 OS:21
Macular detachments resolved in 1 month with no treatment and vision returned to 20/20 in one month and 20/16 in 2 months
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Macular Scars from Presumed Ocular Histoplasmosis Syndrome352 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
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Non-exudative wet AMD - OCT angiogram352 views85 year old female with minimal visual complaints.
VA OD: sc20/80+1 PHNI NccJ3
VA OS: sc20/40-2 PH20/32+1 NccJ3
IOP: TP: OD:14 OS:16
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Bilateral Diffuse Melanocytic Proliferation (BDUMP)352 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.
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Retinal Arterial Macroaneurysm treated with Laser352 views89 year old female with peripapillary CNVM treated with Lucentis. Vision was 20/25 OS 3 weeks ago. She noticed vision loss OS. Vision had dropped to 20/60. She had a fresh MA and was treated with laser.
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Asymptomatic exudative wet age-related macular degeneration352 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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Retinal detachment with choroidal effusions and RPE tear352 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.
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Retinoschisis - Confirmed with optical coherence tomography (OCT)352 views70 year old female with no visual complaints. Retinoschisis is confirmed with OCT. Eyes were stable when checked 8 months later.
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Choroidal Excavation left eye352 views63 year old vision with right eye vision loss at age 27 possibly from histoplasmosis. Left eye has a choroidal excavation
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Central Serous Retinopathy351 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.
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351 views
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Spontaneously Re-attached Asymptomatic Chronic Retinal Detachment351 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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Macular Telangiectasi - Stage V - CNVM OU351 views60 year old female who has been treated with injections for 5 years starting in the left eye. She had no treatment 6 months prior to this visit and her vision has been getting worse. Her vision is 20/100 OD, 20/32 OS. Vision improved with intravitreal Avastin to 20/30 OU.
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Occult Choroidal Neovascular Membrane351 views66 year old man with vision loss in the left eye for 2 months
VA 20/20 OD, 20/63 OS
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Bilateral Choroidal Tumors - Metastatic Breast Cancer351 views51 year old female. First 3 sets of images show lesions growing despite systemic chemotherapy. She eventually had external beam radiation x 15 sessions and the tumors shrunk in the last two sets of images
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Pregnant - 25 weeks - new onset PDR and DME both eyes - Treated with PRP and ozurdex351 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 retinopathy351 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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Sectoral Retinitis Pigmentosa - Asymptomatic351 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
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Bilateral Diffuse Melanocytic Proliferation (BDUMP)351 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.
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Retinal Arterial Macroaneurysm treated with Laser351 views89 year old female with peripapillary CNVM treated with Lucentis. Vision was 20/25 OS 3 weeks ago. She noticed vision loss OS. Vision had dropped to 20/60. She had a fresh MA and was treated with laser.
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