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Elevated Episcleral Venous Pressure and Retinal Hemorrhages in both eyes306 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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Macular Telangiectasis (MacTel) Both Eye - Stage IV - Pigment Spots306 views63 year old female with Type II DM x 4 years. Vision is 20/40 both eyes.
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Proliferative Diabetic Retinopathy with Panretinal Photocoagulation306 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 Angioma306 views53 year old female with no-symptoms and no significant medical history (or family history)
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Choroidal Neovascular Membrane (CNVM) secondary to laser scar from TTT for choroidal melanoma 20 years earlier306 views71-year old female - Vision loss in the right eye for 1 week. She had transpupillary thermotherapy 20 years ago in the right eye for choroidal melanoma.
VA 4/200 OD, 20/20 OS
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Granulomatous Uveitis - Probable Sarcoid306 views28 year old white man with red-itch eyes and decreased vision for 3 months.
VA OD: 3/200 OS: 20/20
Right eye: granulomatous KP, trace cell, posterior synechiae and iris nodule,
Left eye: cicatricial upper lid changes, eye is quiet
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Retinal detachment with choroidal effusions and RPE tear306 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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Severe Syphilitic Placoid Chorioretinitis306 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
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Severe Syphilitic Placoid Chorioretinitis306 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
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Severe Syphilitic Placoid Chorioretinitis306 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
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Punctate inner choroidopathy and CNVM306 views23 year old female noticed vision loss for 4 days.
VA 20/200 OD, 20/25 OS.
VA improved one month later to 20/40 with Avastin. She received a second injection and was lost to follow-up
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Presumed ocular histoplasmosis syndrome and CNVM - responded to Avastin306 views62 year old female with 3 days of vision loss in the right eye. Vision is 20/40 OD, 5/200 OS. Left eye had been treated years ago elsewhere. She grew up in the Mississippi River valley.
She was treated with Avastin and the vision improved to 20/20 in 4 months. She continues, 3 years later, on every 2 months Avastin.
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Central Serous Retinopathy - Female on steroids306 views35 year old female Noticed blurred vision when waking up in the morning. Also, vision blacks out for a few seconds when she gets up quickly. About 3 months ago she had a history of intermittent vomiting.
VA 20/20 OD, 20/25 OS
MRI normal, MRA showed lateral sinus thrombosis. Lupus anticoagulant was positive
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Severe diabetic tractional retinal detachment one year following diagnosis of type II Diabetes Mellitus306 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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Branch Retinal Vein Occlusion and worsened cystoid macular edema following cataract surgery306 views51 year old female The patient noticed gradual vision loss in both eyes starting possibly after her last cataract surgery in May of 2022 (3 months ago). She had ECCE 3/2022 OD and 5/2022 OS. She does not have diabetes. She had glaucoma shunts placed about 2017. She has been on latanoprost and timolol. She is now getting ready to start Combigan and Bromfenac. She is also staring xidra for dry eye. She stopped the latanorpost on 8/15/22. She has had macular edema before for which she had intraocular injections which worked. She has had no injections lately. When she was getting treated for macular edema in the past she had an IOP of 60.
Medical Hx: Hypertension, Systemic. Glaucoma. Arthritis. Vertigo. Stroke.
Systemic Meds: Trimfya. NAPROXEN. LISINOPRIL.
VA OD: sc20/63-1
VA OS: sc20/50
IOP: TP: OD:12 OS:12
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Branch Retinal Vein Occlusion and worsened cystoid macular edema following cataract surgery306 views51 year old female The patient noticed gradual vision loss in both eyes starting possibly after her last cataract surgery in May of 2022 (3 months ago). She had ECCE 3/2022 OD and 5/2022 OS. She does not have diabetes. She had glaucoma shunts placed about 2017. She has been on latanoprost and timolol. She is now getting ready to start Combigan and Bromfenac. She is also staring xidra for dry eye. She stopped the latanorpost on 8/15/22. She has had macular edema before for which she had intraocular injections which worked. She has had no injections lately. When she was getting treated for macular edema in the past she had an IOP of 60.
Medical Hx: Hypertension, Systemic. Glaucoma. Arthritis. Vertigo. Stroke.
Systemic Meds: Trimfya. NAPROXEN. LISINOPRIL.
VA OD: sc20/63-1
VA OS: sc20/50
IOP: TP: OD:12 OS:12
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Pigment epithelial detachment with cholesterol crystals306 viewsOnion sign
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Choroidal nevus306 viewsStable for 8 years.
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Branch Retinal Vein Occlusion - Foveal Ischemia Neovascularization Non perfusion306 views38 year old patient with a BRVO who had PRP laser for vitreous hemorrhage. Vision remained 20/160 from foveal ischemia
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Branch Retinal Vein Occlusion - Foveal Ischemia Neovascularization Non perfusion306 views38 year old patient with a BRVO who had PRP laser for vitreous hemorrhage. Vision remained 20/160 from foveal ischemia
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Macular pucker in the left eye306 viewsVision was 20/125 pre-op and 20/25 post-op.
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BRVO with late onset venous macroaneurysm306 viewsThe vision improved on presentation from 20/160 - 20/32 with Avastin, Then a few years later, he developed a venous Macroaneurysm which was lasered . Avastin shots were then stopped.
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Syphilitic optic neuritis306 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
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Lamellar Macular Hole and Good Vision306 views67 year old woman with good vision and floaters - VA 20/32 OD, 20/23 OS
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Asymptomatic exudative wet age-related macular degeneration305 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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Combined hamartoma of the retina and retinal pigment epithelium305 views8 year old boy failed vision screening at school. VA 20/20 OD, 20/40 OS
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Presumed ocular histoplasmosis syndrome and CNVM - responded to Avastin305 views62 year old female with 3 days of vision loss in the right eye. Vision is 20/40 OD, 5/200 OS. Left eye had been treated years ago elsewhere. She grew up in the Mississippi River valley.
She was treated with Avastin and the vision improved to 20/20 in 4 months. She continues, 3 years later, on every 2 months Avastin.
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Papilledema Lateral Sinus Thrombosis305 views35 year old female Noticed blurred vision when waking up in the morning. Also, vision blacks out for a few seconds when she gets up quickly. About 3 months ago she had a history of intermittent vomiting.
VA 20/20 OD, 20/25 OS
MRI normal, MRA showed lateral sinus thrombosis. Lupus anticoagulant was positive
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Acute Syphilitic Posterior Placoid Chorioretinitis305 views40 year old man About 10 days ago the patient woke up with a dark circle in the middle of the left eye that blocks his vision. He thought it might be from fatigue. The month of March was very stressful. After a few days the spot in the left eye got darker and he could not drive at night. During the last week while not going to work and sleeping more his vision is better but not normal. He has never had vision loss in the past. Â
PMHx: Benign, Meds: Multivitamin
VA OD: sc20/16 NscJ1+VA OS: sc20/32+2 NscJ4
IOP: TP: OD:12 OS:12
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Retinoschisis - Confirmed with optical coherence tomography (OCT)305 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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Hydroxychloroquine (plaquenil) Toxicity - Advanced305 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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Stargardt Disease - Very Mild - 24 year old305 viewsThis patient has 3 different ABCA4 mutations. His mother and sister have stargardts and his father has RP. His sisters images are also on Retinagallery.com
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BRVO with late onset venous macroaneurysm305 viewsThe vision improved on presentation from 20/160 - 20/32 with Avastin, Then a few years later, he developed a venous Macroaneurysm which was lasered . Avastin shots were then stopped.
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BRVO with late onset venous macroaneurysm305 viewsThe vision improved on presentation from 20/160 - 20/32 with Avastin, Then a few years later, he developed a venous Macroaneurysm which was lasered . Avastin shots were then stopped.
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304 views
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Cotton Wool Spots - Severe Anemia - Acute Lymphocytic Leukemia304 views23 year old just diagnosed with anemia and acute lymphocytic leukemia
: If he covers each eye neither eye is lacking. When he looks to the left he gets double vision when he looks to the right his vision is fine. This started about 2 weeks ago. Since it started it has been variable. He is on a bunch of medications for leukemia and he might be having high sugars. He noticed the vision change after his first blood transfusion in the hospital. He is currently very anemic.
VA OD: sc20/20 NscJ1+
VA OS: sc20/20 NscJ1+
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Subretinal Fluid - Inferior to the Nerve - Probable occult nerve pit304 views82 year old female. History of visual "discolorations" but cannot differentiate which eye. Denies loss in visual acuity, eye pain, or any systemic complaints. Referring doctor found fluid on the OCT scan
VA OD: Ncc20/25
VA OS: Ncc20/30
IOP: TP: OD:15 OS:13
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Subretinal Fluid - Inferior to the Nerve - Probable occult nerve pit304 views82 year old female. History of visual "discolorations" but cannot differentiate which eye. Denies loss in visual acuity, eye pain, or any systemic complaints. Referring doctor found fluid on the OCT scan
VA OD: Ncc20/25
VA OS: Ncc20/30
IOP: TP: OD:15 OS:13
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Retinal Angioma304 views53 year old female with no-symptoms and no significant medical history (or family history)
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Sectoral Retinitis Pigmentosa - Asymptomatic304 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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Asymptomatic exudative wet age-related macular degeneration304 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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Granulomatous Uveitis - Probable Sarcoid304 views28 year old white man with red-itch eyes and decreased vision for 3 months.
VA OD: 3/200 OS: 20/20
Right eye: granulomatous KP, trace cell, posterior synechiae and iris nodule,
Left eye: cicatricial upper lid changes, eye is quiet
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Choroidal Effusions following IOL exchange304 views67 year old man 10 years ago had retinal detachment with buckle, vitrectomy, laser, gas. Vision was 20/25 post-op. 2 months ago had sudden vision loss in the right eye from a dislocated PCIOL (in the bag). 3 weeks ago had a vitrectomy, remove IOL and scleral suture fixation of Akreos AO60 PCIOL with gortex sutures. IOP was 12 on post-op day 1 with a vitreous hemorrhage. Post-op day 7, vitreous hemorrhage cleared.
PMhx: HTN, High Cholesterol.
Med: Amlodipine, ASA, Atorvastatin, Metoprolol
Vision 20/200,
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Choroidal Effusions following IOL exchange304 views67 year old man 10 years ago had retinal detachment with buckle, vitrectomy, laser, gas. Vision was 20/25 post-op. 2 months ago had sudden vision loss in the right eye from a dislocated PCIOL (in the bag). 3 weeks ago had a vitrectomy, remove IOL and scleral suture fixation of Akreos AO60 PCIOL with gortex sutures. IOP was 12 on post-op day 1 with a vitreous hemorrhage. Post-op day 7, vitreous hemorrhage cleared.
PMhx: HTN, High Cholesterol.
Med: Amlodipine, ASA, Atorvastatin, Metoprolol
Vision 20/200,
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Severe Syphilitic Placoid Chorioretinitis304 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
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Presumed ocular histoplasmosis syndrome and CNVM - responded to Avastin304 views62 year old female with 3 days of vision loss in the right eye. Vision is 20/40 OD, 5/200 OS. Left eye had been treated years ago elsewhere. She grew up in the Mississippi River valley.
She was treated with Avastin and the vision improved to 20/20 in 4 months. She continues, 3 years later, on every 2 months Avastin.
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Presumed ocular histoplasmosis syndrome and CNVM - responded to Avastin304 views62 year old female with 3 days of vision loss in the right eye. Vision is 20/40 OD, 5/200 OS. Left eye had been treated years ago elsewhere. She grew up in the Mississippi River valley.
She was treated with Avastin and the vision improved to 20/20 in 4 months. She continues, 3 years later, on every 2 months Avastin.
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Acute Syphilitic Posterior Placoid Chorioretinitis304 views40 year old man About 10 days ago the patient woke up with a dark circle in the middle of the left eye that blocks his vision. He thought it might be from fatigue. The month of March was very stressful. After a few days the spot in the left eye got darker and he could not drive at night. During the last week while not going to work and sleeping more his vision is better but not normal. He has never had vision loss in the past. Â
PMHx: Benign, Meds: Multivitamin
VA OD: sc20/16 NscJ1+VA OS: sc20/32+2 NscJ4
IOP: TP: OD:12 OS:12
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Acute Syphilitic Posterior Placoid Chorioretinitis304 views40 year old man About 10 days ago the patient woke up with a dark circle in the middle of the left eye that blocks his vision. He thought it might be from fatigue. The month of March was very stressful. After a few days the spot in the left eye got darker and he could not drive at night. During the last week while not going to work and sleeping more his vision is better but not normal. He has never had vision loss in the past. Â
PMHx: Benign, Meds: Multivitamin
VA OD: sc20/16 NscJ1+VA OS: sc20/32+2 NscJ4
IOP: TP: OD:12 OS:12
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Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed304 views66 year old man The patient was doing fine until about 2-3 months ago. He woke up with shadows and spots in the right eye. Every blue moon he gets some pain in the right eye. He has been getting treated with eye drops in the right eye. Since this happened the vision is mostly the same. Sometimes he sees better than other times. He has not been treated with oral medications. Â
Medical history: none – Medications: none, ROS negative
VA OD: sc20/63-1 OS: sc20/20
IOP: TP: OD:15 OS:20Â
Negative labs: ACE, Lysozyme, RPR, HLA B27, Quant TB Gold, ESR (slight elevation of CRP)
PCR anterior chamber: negative herpes virus (HSV, VZV, CMV)
Positive for toxoplasmosis
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Pigment epithelial detachment with cholesterol crystals304 viewsOnion sign
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Choroidal Excavation left eye304 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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Branch Retinal Vein Occlusion - Foveal Ischemia Neovascularization Non perfusion304 views38 year old patient with a BRVO who had PRP laser for vitreous hemorrhage. Vision remained 20/160 from foveal ischemia
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Macular ischemia left eye in type I diabetic (enlarged foveal avascular zone)304 views29 year old female with type I diabetes since age 5. Left eye has enlarged FAZ with vision of 20/20 OD and 20/60 OS. Both eyes have CSME. The left eye did have focal laser
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PDR and Vitreous hemorrhage - Second FA is following PRP laser303 views42 year old man (date 2018): Prior to 2 months ago the vision in the right eye was good. This started with a glob in the vision and then the vision got better. Then the string came back down and is getting bigger and bigger. The last time he had bleeding in the left eye he had surgery in 2009. The left eye is now doing OK other than there is a cataract. The right eye had some laser treatment done in 2009. The vitrectomy and laser were done at William Beaumont.
VA OD: sc3'/200 NscUnable
VA OS: sc20/40 NscJ2-1
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PDR and Vitreous hemorrhage - Second FA is following PRP laser303 views42 year old man (date 2018): Prior to 2 months ago the vision in the right eye was good. This started with a glob in the vision and then the vision got better. Then the string came back down and is getting bigger and bigger. The last time he had bleeding in the left eye he had surgery in 2009. The left eye is now doing OK other than there is a cataract. The right eye had some laser treatment done in 2009. The vitrectomy and laser were done at William Beaumont.
VA OD: sc3'/200 NscUnable
VA OS: sc20/40 NscJ2-1
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Familial Exudative Vitreoretinopathy - FEVR - Stage 1-b both eyes303 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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Wet age-related macular degeneration - Classic Juxtafoveal Choroidal Neovascular Membrane303 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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Idiopathic Intracranial Hypertension - Papilledema303 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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Granulomatous Uveitis - Probable Sarcoid303 views28 year old white man with red-itch eyes and decreased vision for 3 months.
VA OD: 3/200 OS: 20/20
Right eye: granulomatous KP, trace cell, posterior synechiae and iris nodule,
Left eye: cicatricial upper lid changes, eye is quiet
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Choroidal Effusions following IOL exchange303 views67 year old man 10 years ago had retinal detachment with buckle, vitrectomy, laser, gas. Vision was 20/25 post-op. 2 months ago had sudden vision loss in the right eye from a dislocated PCIOL (in the bag). 3 weeks ago had a vitrectomy, remove IOL and scleral suture fixation of Akreos AO60 PCIOL with gortex sutures. IOP was 12 on post-op day 1 with a vitreous hemorrhage. Post-op day 7, vitreous hemorrhage cleared.
PMhx: HTN, High Cholesterol.
Med: Amlodipine, ASA, Atorvastatin, Metoprolol
Vision 20/200,
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303 views
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Combined hamartoma of the retina and retinal pigment epithelium303 views8 year old boy failed vision screening at school. VA 20/20 OD, 20/40 OS
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Punctate inner choroidopathy and CNVM303 views23 year old female noticed vision loss for 4 days.
VA 20/200 OD, 20/25 OS.
VA improved one month later to 20/40 with Avastin. She received a second injection and was lost to follow-up
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Presumed ocular histoplasmosis syndrome and CNVM - responded to Avastin303 views62 year old female with 3 days of vision loss in the right eye. Vision is 20/40 OD, 5/200 OS. Left eye had been treated years ago elsewhere. She grew up in the Mississippi River valley.
She was treated with Avastin and the vision improved to 20/20 in 4 months. She continues, 3 years later, on every 2 months Avastin.
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Central Serous Retinopathy - Female on steroids303 views35 year old female Noticed blurred vision when waking up in the morning. Also, vision blacks out for a few seconds when she gets up quickly. About 3 months ago she had a history of intermittent vomiting.
VA 20/20 OD, 20/25 OS
MRI normal, MRA showed lateral sinus thrombosis. Lupus anticoagulant was positive
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Branch Retinal Vein Occlusion and worsened cystoid macular edema following cataract surgery303 views51 year old female The patient noticed gradual vision loss in both eyes starting possibly after her last cataract surgery in May of 2022 (3 months ago). She had ECCE 3/2022 OD and 5/2022 OS. She does not have diabetes. She had glaucoma shunts placed about 2017. She has been on latanoprost and timolol. She is now getting ready to start Combigan and Bromfenac. She is also staring xidra for dry eye. She stopped the latanorpost on 8/15/22. She has had macular edema before for which she had intraocular injections which worked. She has had no injections lately. When she was getting treated for macular edema in the past she had an IOP of 60.
Medical Hx: Hypertension, Systemic. Glaucoma. Arthritis. Vertigo. Stroke.
Systemic Meds: Trimfya. NAPROXEN. LISINOPRIL.
VA OD: sc20/63-1
VA OS: sc20/50
IOP: TP: OD:12 OS:12
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Central retinal artery occlusion and paracentral acute middle maculopathy and emboli303 views86 year old female with sudden vision loss a week ago and imaging shows PAMM lesions and emboli. Her vision is 20/200 in the left eye
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Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy303 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.
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Uveitis Glaucoma Hyphema (UGH) syndrome303 views65 year old female with intraocular lens half in the sulcus, iris atrophy, and recurrent uveitis since cataract surgery. She has a mild case and has been managed with topical steroids as needed.
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Macular pucker in the left eye303 viewsVision was 20/125 pre-op and 20/25 post-op.
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RPE tear following single treatment of vabysmo in the left eye303 views80 year old patient with HemiCRVO and wet AMD in the left eye. The right eye has recent vision loss from 20/40 - 20/100. She has a high PED and wet AMD. She was given one treatment of half-dose vabysmo and presented next visit with a PED tear and vision of 4/200.
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Large chronic choroidal nevus303 viewsAutofluorescence image shows guttering at the bottom of the lesion suggesting chronicity. This was documented 23 years prior to these photos
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Radiation Retinopathy Both Eyes - 2023 - Two years after radiation for ocular lymphoma (11)303 views
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Radiation Retinopathy Both Eyes - 2023 - Two years after radiation for ocular lymphoma (20)303 views
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302 views
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CNV outcomes302 viewsFibrotic scar in choroidal neovascularization after anti-VEGF treatment
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PDR and Vitreous hemorrhage - Second FA is following PRP laser302 views42 year old man (date 2018): Prior to 2 months ago the vision in the right eye was good. This started with a glob in the vision and then the vision got better. Then the string came back down and is getting bigger and bigger. The last time he had bleeding in the left eye he had surgery in 2009. The left eye is now doing OK other than there is a cataract. The right eye had some laser treatment done in 2009. The vitrectomy and laser were done at William Beaumont.
VA OD: sc3'/200 NscUnable
VA OS: sc20/40 NscJ2-1
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Subretinal Fluid - Inferior to the Nerve - Probable occult nerve pit302 views82 year old female. History of visual "discolorations" but cannot differentiate which eye. Denies loss in visual acuity, eye pain, or any systemic complaints. Referring doctor found fluid on the OCT scan
VA OD: Ncc20/25
VA OS: Ncc20/30
IOP: TP: OD:15 OS:13
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Idiopathic Intracranial Hypertension - Papilledema302 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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Alcohol Amblyopia - Toxic Optic Neuropathy302 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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Asymptomatic exudative wet age-related macular degeneration302 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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Granulomatous Uveitis - Probable Sarcoid302 views28 year old white man with red-itch eyes and decreased vision for 3 months.
VA OD: 3/200 OS: 20/20
Right eye: granulomatous KP, trace cell, posterior synechiae and iris nodule,
Left eye: cicatricial upper lid changes, eye is quiet
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Retinal detachment with choroidal effusions and RPE tear302 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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Severe Syphilitic Placoid Chorioretinitis302 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
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Severe Syphilitic Placoid Chorioretinitis302 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
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Combined hamartoma of the retina and retinal pigment epithelium302 views8 year old boy failed vision screening at school. VA 20/20 OD, 20/40 OS
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Combined hamartoma of the retina and retinal pigment epithelium302 views8 year old boy failed vision screening at school. VA 20/20 OD, 20/40 OS
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Severe diabetic tractional retinal detachment one year following diagnosis of type II Diabetes Mellitus302 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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Severe diabetic tractional retinal detachment one year following diagnosis of type II Diabetes Mellitus302 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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Retinoschisis - Confirmed with optical coherence tomography (OCT)302 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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Macular Serpiginous Chorioretinopathy302 views75 year old vision with central placoid lesions. She tested negative for TB and Syphilis. The final visual acuity in both eyes was 1/200.
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Macular pucker in the left eye302 viewsVision was 20/125 pre-op and 20/25 post-op.
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RPE tear following single treatment of vabysmo in the left eye302 views80 year old patient with HemiCRVO and wet AMD in the left eye. The right eye has recent vision loss from 20/40 - 20/100. She has a high PED and wet AMD. She was given one treatment of half-dose vabysmo and presented next visit with a PED tear and vision of 4/200.
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Syphilitic optic neuritis302 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
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Syphilitic optic neuritis302 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
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Pseudophakic cystoid macular edema (CME)302 views66 year old female 4 months following cataract surgery. Never had very good vision after surgery. On PF QID for one month. VA 20/50 in both eyes.
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Pseudophakic cystoid macular edema (CME)302 views66 year old female 4 months following cataract surgery. Never had very good vision after surgery. On PF QID for one month. VA 20/50 in both eyes.
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CNV outcomes301 viewsFibrotic scar in choroidal neovascularization after anti-VEGF treatment
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Wet age-related macular degeneration - Classic Juxtafoveal Choroidal Neovascular Membrane301 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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