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Peripheral Exudative Hemorrhagic Chorioretinopathy893 views70 year old man with recurrent peripheral choroidal hemorrhages - no treatment - b-scan shows hemorrhage shrinking over a month
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Idiopathic Polypoidal Choroidal Vasculopathy - Fluorescein Angiogram893 views
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Choroidal Thickening893 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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Macular and Peripheral Retinal Scarring from Diabetic Laser Done 25 years previously892 views72-year-old man had macular and peripheral laser done in the past(1980's)(25 years ago). His vision, although limited, seems about stable to him. He is diabetic for 30 years. OD is 20/160, OS is 20/160.
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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Wet AMD OS - Dry AMD OD 892 views84-year-old woman has wet age-related macular degeneration in the left eye and dry macular degeneration in the right eye. She takes the eye vitamins and her vision is stable since she was treated three months ago with Avastin. OD 20/50, OS 20/32
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Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin - Fundus Autofluorescence OD892 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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Angioid Streaks - Peau D'Orange - Pseudoxanthoma Elasticum - Asymptomatic Extrafoveal Choroidal Neovascular Membrane892 views60-year-old woman has pseudoxanthoma elasticum since 2008. Her sister has the same problem and lost vision in both eyes. She had a problem with blood vessel growth in the left eye for which she had injections of Avastin in August, September, and October of 2011 (5 months ago). Subsequent to that, the macula has been dry and you have just been watching her carefully. She is in Florida for a short time but will ultimately be spending nine months out of the year here. Both of her eyes have good vision at
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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fluorescein Angiogram892 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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Cartwheel CNVM - Classic - wet AMD - evidence of possible old CSR - Autofluorescence shows brigh spot superior to subfoveal lesion892 views75 y.o Decreased Vision right eye for one year. VA OD: sc20/125+2 OS 20/25. Autofluorescence and SD OCT show evidence of old serous retinal detachment superior to the fovea suggesting a history of CSR. The macular lesion on FA shows a classic cartwheel appearance
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Pseudophakic Macula-Off Retinal Detachment with Larger Retinal Tear891 views68-year-old woman with veil over her vision just the last few days. She had cataract surgery a year ago. OD 20/200 -- One year later vision 20/30!
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Stage 2 20/100 Idiopathic Macular Hole891 views62-year-old woman has a macular hole in the left eye. Her vision is worse than when she was here 1 month ago with a 100 micron hole
VISUAL ACUITY: OS 20/100.
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Diabetic Macular Edema and Hypertensive Retinopathy - Circinate Exudate (Ring Exudate) 891 views55-year-old woman diabetic for fifteen years and high blood pressure, especially over the last few months. She has had problems with nosebleeds, headaches, and there has been some difficulty bringing her blood pressure down. She said now the blood pressure is under control but it was running 220/120 mmHg for some time. Her vision in the right eye has been poor for four weeks with a spot in the central vision and both eyes have been blurred.
VISUAL ACUITY: Vision OD is 20/160, OS is 20/60
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Angioid Streaks - Peau D'Orange - Pseudoxanthoma Elasticum - Asymptomatic Extrafoveal Choroidal Neovascular Membrane891 views60-year-old woman has pseudoxanthoma elasticum since 2008. Her sister has the same problem and lost vision in both eyes. She had a problem with blood vessel growth in the left eye for which she had injections of Avastin in August, September, and October of 2011 (5 months ago). Subsequent to that, the macula has been dry and you have just been watching her carefully. She is in Florida for a short time but will ultimately be spending nine months out of the year here. Both of her eyes have good vision at
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema (NFL Scan - Black Line this visit, Gray line 6 weeks ago)891 viewsNerve Swelling is Less
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Plaquenil Toxicity - Bulls Eye Maculopathy890 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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Proliferative Diabetic Retinopathy both eyes Type I Diabetic for 25 years890 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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Old Subhyaloid - Preretinal Hemorrhage (Yellow) 890 views53-year-old man 3 monts previous was hit in a motor vehicle/pedestrian accident and was mostly bedridden and in and out of consciousness for two months. It is now three months since the injury. His right eye has permanent vision loss from optic nerve injury. His left eye has reasonable vision, but he does notice a floater often obstructing his vision in that eye. OD is 1/200, OS is 20/20.
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 890 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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Choroidal Rupture - Hit with Branch - 11 Year Old Boy890 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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Non-Arteritic Anterior Ischemic Optic Neuropathy - Peripapillary Choroidal Ischemia890 views68-year-old woman noticed central vision loss in the right eye about a week ago. It is getting a little bit better. OD 20/160, OS 20/25.
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AIDS - HIV Retinopathy - Cotton Wool Spots890 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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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions890 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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Sectoral Optic Atrophy from an old Branch Retinal Artery Occlusion 890 views74-year-old woman had cataract surgery 3 months ago. Her vision in the right eye has been abnormal since. She notices a shadow in the inferior vision in the right eye. OD is 20/60, OS is 20/50
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Coats' Disease in 14 Year Old Boy Treated with Cryotherapy and Avastin890 views14 Year Old Boy with Coats Disease
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Classic BRVO890 viewsClassic branch retinal vein occlusion
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Occult Maculopathy - Thin Fovea on OCT and Normal Color VA, Photos, FA VA 20/80 OU889 views45-year-old man his mother and his maternal grandmother each had vision loss at a relatively young age. Line scan shows foveal atrophy.
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy889 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 Pigment Epithelial Dysgenesis889 views
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 889 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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Progressive Outer Retinal Necrosis 77 Year Old Woman with CLL (Acute Retinal Necrosis) (PORN - ARN)889 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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Optic Nerve (Disc) Drusen - Spectral Domain Optical Coherence Tomography Line Scan889 views34 Year Old woman no headaches normal vision
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female New Lesion OS888 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.
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Choroidal Rupture and small Hemorrhage - Assault888 views34 year old man. The patient reports he was assaulted by a couple of adolescents near downtown St. Petersburg about forty-eight hours ago. He reports the pain in the left eye has significantly improved, but his vision is a little fuzzy and he sees some floaters in the left eye. 20/125 OD, 20/20 OS. Pinhole improves in the right eye to 20/50. IOP: 15 OD, 13 OS.
SLIT LAMP EXAMINATION: Biomicroscopy reveals 3+ pupillary reaction OD, 2+ OS with no afferent pupillary defect. EXTENDED OPHTHALMOSCOPY: Extended funduscopy with Volk 90-diopter lens and fundus drawings of both eyes reveal a clear view with no posterior vitreous separation. C/D ratio is 0.2. There is no vitreous debris or hemorrhage. Large retinal vessels and macula are healthy. The retinal periphery, inspected with scleral depression for 360° shows no retinal tears, breaks, or detachments.
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Myopic Choroidal Neovascular Membrane 54 year old woman 20/20888 views54-year-old woman has had problems in her vision in the right eye for about the last three months. Inferotemporally she sees a gray area, which is distorted. OD is 20/20, OS is 20/20
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Non-Ischemic Central Retinal Vein Occlusion in Young Man (30 years) - Many Cotton Wool Spots888 views30-year-old man with a history of a central retinal vein occlusion for which he was first examined on 2 months ago and his vision then was 4/200. He responded nicely to two Avastin treatments. OD is 20/20, OS is 20/60
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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Fluorescein Angiogram888 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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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome887 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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Juxtafoveal Retinal Telangiectasia (Telangiectasis) - MacTel - Striking Gray Ring in Macula - Funuds Autofluorescence887 views59-year-old woman decreasing vision in the right eye for a few years. She has had diabetes for five years. OD 20/100, Pinhole 20/40. OS 20/20
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Myelinated Nerve Fiber Layer887 views69-year-old woman OD is 20/30, OS is 20/40.
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Cornea Ulcer scar887 views
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Asymptomatic Occult Subfoveal CNVM in Good Eye Visible on ICG887 views
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Chronic Central Serous Retinopathy - Gutter in Both Eyes - Treated with PDT - Visudyne886 views69-year-old man with blurred vision in the right eye for about three weeks. He had a similar episode about twenty years ago which lasted about six weeks. He is not taking any steroids. He takes Lupron injections for his prostate cancer every three months.
VISUAL ACUITY: Vision OD is 20/80
FU: Treated with PDT after 6 months of observation with success. Treatment was done to area between nerve and fovea at 1/2 fluence.
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Atypical Neuroretinitis - ?Ischemic - ?Paraneoplastic - Swelling of Optic Nerve Left Eye and Foveal Exudate886 views74-year-old woman has stage 4 non-small cell lung carcinoma decreasing vision in the left eye for at least the last two weeks, VA 10/200. Trace APD OS. No pain
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 886 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Atypical Birdshot Chorioretinitis and Retinal Arterial Macroaneurysm Right Eye - HLA-B29 Positive886 views55-year-old woman has multifocal chorioditis in both eyes because she was HLA A-29 positive. She has presumptive birdshot chorioretinopathy. She has not noticed any vision changes. OD 20/40, OS 20/20.
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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions886 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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Fundus Autofluorescence - Enhanced S Cone Syndrome - Goldmann Favre - 886 views55-year-old woman while in college her vision was poor even with glasses and she sought evaluation for that. She was told after she had an electroretinogram at USF 15 years ago, that she had something with her blue cones. She does have poor night vision, but her reading vision is pretty good.
VISUAL ACUITY: OD 20/40, OS 20/40
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886 views
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Myelinated Nerve Fiber Layer886 views69-year-old woman OD is 20/30, OS is 20/40.
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Choroidal Melanoma (Medium) Exudative Retinal Detachment 886 views87-year-old man noticed a new onset floater a few months ago. OD is 20/40, OS is 20/30
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Macular Pucker885 viewsFundus photo with OCT superimposed, 20/100 macular pucker
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy885 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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Hemicentral Retinal Vein Occlusion Vision 20/60 885 views84-year-old man has a hemicentral retinal vein occlusion in the right eye. His vision has declined since then.
VISUAL ACUITY: Vision OD is 20/60.
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Fundus Photograph - Enhanced S Cone Syndrome - Goldmann Favre - 885 views55-year-old woman while in college her vision was poor even with glasses and she sought evaluation for that. She was told after she had an electroretinogram at USF 15 years ago, that she had something with her blue cones. She does have poor night vision, but her reading vision is pretty good.
VISUAL ACUITY: OD 20/40, OS 20/40
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Optic Nerve Hypoplasia885 views28-year-old man with diabetes and anomalous vessels near nerve. OD is 20/25, OS is 20/20. IOP: OD 20, OS 22.
OD: Vertical C/D ratio is 0.0. The nerve is tilted and small and there is an anomalous branching pattern of the major retinal vessels. There is a tuft of irregular telangiectatic vessels on the nasal edge of the optic nerve. There is also a buried optic nerve druse at the optic margin at 5:00 o’clock. There are rare retinal hemorrhages in the macula.
OS: Vertical C/D ratio is 0.0. Again, the nerve looks small. There is an anomalous branching pattern of the retinal vessels and rare retinal hemorrhages.
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Montage of Choroidal Rupture (Color)885 views
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Choroidal Metastases - Both Eyes - Exudative Retinal Detachment885 views58-year-old man smoke a pack of cigarettes a day. He has had some ribcage pain for about the last two weeks. He also had a sinus infection for about two weeks, and he has also had hazy vision on the superior visual field in the left eye for about the last two weeks. vision is 20/25 in both eyes
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Outer Retinal Holes - Probably Solar Retinopathy (history is negative)885 views
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BRVO arrow showing obstruction point with collateral vessels - red free photo884 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.
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Retinal Arterial Macroaneurysm - Increased Swelling after Laser 884 views65-year-old woman was seen in the office on January 12, 2011. She has noticed decreased vision in the right eye for the last two or three weeks. She has had some discomfort in both eyes as well. She has a history of low blood pressure, but she does have high cholesterol.
VISUAL ACUITY: OD 20/60
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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Indocyanine Green Angiogram884 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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Idiopathic Central Serous Retinopathy - Bilateral - Acute 883 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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Plaquenil Toxicity - Bull's Eye Maculopathy - 25 Years Therapy - OCT Video - TAKES TIME TO LOAD883 views73-year-old woman has been on Plaquenil for twenty five years. Plaquenil has now been stopped for 6 months. VA continues to decline as does visual function - 20/80 OD , 20/40 OS
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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Wet AMD OS - Dry AMD OD FA and ICG early883 views84-year-old woman has wet age-related macular degeneration in the left eye and dry macular degeneration in the right eye. She takes the eye vitamins and her vision is stable since she was treated three months ago with Avastin. OD 20/50, OS 20/32
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 883 views6 week fu - CWS are Fading
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Regressed Proliferative Diabetic Retinopathy with Recurrent Vitreous Hemorrhage from Vitreoretinal Traction over a Major Retinal Vessel (Vein)882 views56-year-old woman has had recurrent vitreous hemorrhage in the left eye from vitreoretinal traction. Diabetes Mellitus for 20 years and excellent response to vitrectomy in the right eye about 1 year ago for recurrent vitreous hemorrhage from traction over a major retinal vessel.
VISUAL ACUITY: Vision OS is 20/200
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Acute Non-arteritic Anterior Ischemic Optic Neuropathy Right Eye - Previous NA-AION left eye 882 views69-year-old man previously lost vision in the left eye from nonarteritic anterior ischemic optic neuropathy in 2006. About a week ago and noticed blurred vision in the inferonasal part of the vision in the right eye.
VISUAL ACUITY: Vision OD is 20/16, OS is 20/40
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Polychromatic Cataract (Christmas Tree Cataract)882 viewsPatient comes in with cataract evaluation. Blurred vision in the left eye. Patient will think about surgery and call back to schedule.
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Optic Nerve (Disc) Drusen - RNFL Scan882 views34 Year Old woman no headaches normal vision
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Classic Subfoveal Choroidal Neovascular Membrane - 20/400 Vision - 6 - 12 months old lesion881 views78-year-old woman six months or a year ago decreasing vision in the right eye. OD 20/400. Fluorescein angiography shows a classic subfoveal choroidal neovascular membrane in the right eye 3 disc-diameters across, which has brisk leakage. The left eye shows staining drusen.
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Dense Vitreous Floater (opacity) from Vitreous Separation 881 views71-year-old woman with a lamellar macular hole in the left eye and also a dense vision floater in the left eye. OD 20/30, OS 20/25
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Vision Loss, Blood, and Cartwheel CNVM OD with no fluid on OCT Scan881 views86-year-old man has had changing vision. He says his vision has been gradually declining since I saw him in June. You saw a hemorrhage in the eye and suggested he comes in here for an evaluation. He is on Combigan and Travatan in the right eye for his glaucoma.
VISUAL ACUITY: Vision OD is 6/200 OS is 8/200 The macula in the right eye is wet even though interestingly the OCT does not show subretinal fluid.
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881 viewsPHPV - Left eye macular area. The patient was diagnosed as having regressed ROP even with a history of full term birth with no antecedent perinatal history of disease
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Chronic Retinal Detachment and Macular hole Pre-Op Montage880 views51-year-old woman about 3 or 4 months ago she noticed some flashing lights. Her vision became hazy and dark, especially when she was covering her left eye. OD 2/200, OS 20/20. Post op vision 20/200.
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Central Serous Retinopathy - Acute880 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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Closed Funnel Retinal Detachment Under Silicone Oil - NLP Vision (20/30 Fellow Eye)880 views15-year-old slowly developing cataract in the left eye over about the last three years. His cataract was already dense when it was removed August 3rd of 2009. The preoperative ultrasound suggested the retina might be abnormal and then once the retina was detached, it was clear that he had a retinal detachment. Because of the amount of scarring the retina was impossible to unfold and it was reattached in a closed funnel formation.
VISUAL ACUITY: OD 20/30, OS: NLP.
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Cilioretinal artery occlusion and Ophthalmic Artery Occlusion with Relative Sparing of the Central Retinal Artery880 views80-year-old woman who says she was looking in the mirror, covered her right eye and noticed she could not see well out of the left eye. That just happened yesterday. Her last eye check was a few years ago. She also had a carotid endarterectomy on the right side in 2006 shortly after coronary bypass surgery. OD is 20/40, OS is 20/200.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - SD OCT880 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Basal Laminar Drusen - Cuticular Drusen - 19 Year Old with Lupus Nephritis879 views19-year-old. She has a history of developing severe systemic lupus erythematosus in 2001. She was in renal failure and had biopsy proven Class 2 lupus nephritis. She is currently on Plaquenil 400 mg for six years, as well as Prednisolone orally, every other day. OD 20/20, OS 20/25.
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AMD - Wet - Fibrovascular Hemorrhagic PED - Occult CNVM879 views87-year-old woman for one month OS: 20/60 Fibrovascular PED and Hemorrhage
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Choroidal Neovascular Membrane - Optic Disc Drusen - Hemorrhage (Coumadin) 879 views82-year-old man with decreased vision in the left eye over about the last six to 12 months. He is also on Coumadin. OD 20/20, OS 20/80
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Angioid Streaks - Peau D'Orange - Pseudoxanthoma Elasticum - Asymptomatic Extrafoveal Choroidal Neovascular Membrane879 views60-year-old woman has pseudoxanthoma elasticum since 2008. Her sister has the same problem and lost vision in both eyes. She had a problem with blood vessel growth in the left eye for which she had injections of Avastin in August, September, and October of 2011 (5 months ago). Subsequent to that, the macula has been dry and you have just been watching her carefully. She is in Florida for a short time but will ultimately be spending nine months out of the year here. Both of her eyes have good vision at
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Stargardt's Macular Dystrophy879 views62 year old man with good vision
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Choroidal Rupture and small Hemorrhage - Assault878 views34 year old man. The patient reports he was assaulted by a couple of adolescents near downtown St. Petersburg about forty-eight hours ago. He reports the pain in the left eye has significantly improved, but his vision is a little fuzzy and he sees some floaters in the left eye. 20/125 OD, 20/20 OS. Pinhole improves in the right eye to 20/50. IOP: 15 OD, 13 OS.
SLIT LAMP EXAMINATION: Biomicroscopy reveals 3+ pupillary reaction OD, 2+ OS with no afferent pupillary defect. EXTENDED OPHTHALMOSCOPY: Extended funduscopy with Volk 90-diopter lens and fundus drawings of both eyes reveal a clear view with no posterior vitreous separation. C/D ratio is 0.2. There is no vitreous debris or hemorrhage. Large retinal vessels and macula are healthy. The retinal periphery, inspected with scleral depression for 360° shows no retinal tears, breaks, or detachments.
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Optic Nerve Drusen - - Nerve Fiber Layer Scan878 views72-year-old woman has had optic nerve drusen for sometime and has visual field abnormalities. OD 20/32, OS 20/32.
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Lid Verruca Vulgaris878 views
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ERM with Pseudohole878 views
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Birdshot Chorioretinitis - Retinal Vasculitis - HLA A29 Positive 877 views64-year-old woman three or four year’s fluctuations in her vision. She mostly notices them in bright light her vision glares out and she has difficulty seeing. PMHx: malaria in 1948 that was treated. She was told at one point she could possibly have had Familial Mediterranean fever.
She does intermittently get rashes around her arms. She has arthritis in her knees and ankles.
VISUAL ACUITY: OD 20/40, OS 20/50 - HLA - A29 Positive
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Central Serous Retinopathy Acute - Fluorescein Angiogram877 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
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Dehydration Injury to Retina after Macula-On Retinal Detachment Repair - Also Subretinal Perfluoron877 views18 month ago he had a scleral buckle, vitrectomy, laser and gas for macula on retinal detachment. Since he notices blind spots in the center of the left eye/ He also notices a dense, inferior visual field defect. OD 20/20, OS 20/50
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Giant Retinal Tear with Detachment877 views
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Central Areolar Choroidal Dystrophy877 viewsVision loss from early 60's. This 78 year old woman has choroidal atrophy centrally.
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Exogenous Fungal Endophthalmitis877 views69 year old female with endophthalmitis 2 months after ECCE. Treated with vitrectomy and 3 injections of amphotericin B. Vision improved from 5/200 - 20/50
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Central Retinal Artery Occlusion - 2 months old by history876 views77-year-old man was doing fine. His left eye was a little worse than the right eye, and then in the 2 months ago he had sudden severe vision loss in the right eye. Vision OD is 3/200; OS is 20/60. IOP: OD 30, OS 15.
OD: Vertical C/D ratio is 0.4. The macula is white from ischemia. The arteries are narrow.
Photos confirm clinical findings.
OCT SCAN: OCT scan of the right eye shows retinal thickening, consistent with macular edema associated with a central retinal artery occlusion. The left eye has severe inferior retinal thinning, consistent with an old hemicentral retinal artery occlusion in the left eye. The fovea in the left eye is a little bit thin but not too bad.
IMPRESSION: 1. CENTRAL RETINAL ARTERY OCCLUSION RIGHT EYE
2 OLD HEMICENTRAL RETINAL ARTERY OCCLUSION LEFT EYE
3 DIABETES WITHOUT RETINOPATHY
4 ELEVATED INTRAOCULAR PRESSURE RIGHT EYE STATUS POST INJECTION RIGHT EYE A WEEK AGO
DISCUSSION: I explained to the patient that the right eye unfortunately has had a central retinal artery and unfortunately we do not have anything to treat that. His vision will probably improve some over time. He needs to be watched though. It is possible he is developing rubeotic glaucoma, although it is probable the intraocular pressure is high from the injection last week. I asked him to restart the Alphagan, to stop the other two drops, and to return here in three weeks to make sure his pressure is more acceptable.
At this point, having lost almost all the retinal circulation in the right eye and half of the retinal circulation in the left eye, he only has half a retina in the left eye he is working off of. I told him it is very important he keep seeing you and anything that can be done to keep his blood pressure low and his cholesterol reasonable would be helpful to what remains of his retinal circulation.
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Plaquenil Toxicity with New Symptomatic Scotoma Left Eye876 views64-year-old female decreased vision OS over the past 2 months. She describes a blurred central scotoma. She has rheumatoid arthritis and is on Plaquenil 200 mg BID for 15 years. She does have yearly visual field tests done with last visual field test performed 3 years ago which was within normal limits OD 20/40-2 OS 20/40-1
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876 views
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Retinal Tear with Vitreous Hemorrhage before and after Laser Photocoagulation876 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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Optic Nerve Pit Retinal Detachment - Macular Detachment - 8 Year Old - Fresh Laser876 views8-year-old child on two school exams that his vision was poor in the left eye and his last normal exam was in preschool.
VISUAL ACUITY: OD 20/30, OS 5/200. OS: Vertical C/D ratio is 0.2. There is a whitening on the temporal edge of the optic nerve consistent with an optic disc pit and there is a serous macular detachment.
No better after 3 months observation.
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Punctate Inner Choroidopathy - PIC and Choroidal Neovascular Membrane - Right Eye - Fluorescein Angiogram876 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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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fluorescein Angiogram876 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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