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Traction retinal detachment both eyes. Proliferative Diabetic Retinopathy265 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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Subretinal Fluid - Inferior to the Nerve - Probable occult nerve pit265 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 pit265 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 Arterial Macroaneurysm treated with Laser265 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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Cilioretinal Artery Occlusion - non central265 views81 year old female She noticed sudden vision loss in the right eye just before Christmas while watching television. This was about one week ago. She noticed when she closed her left eye and looked out of her right eye there was a darkness in the vision. The left eye is OK. She has no history of stroke and no neurological problems. She had a few headaches recently but they went away. Â
PMHx: HTN, Breast Cancer
Meds: HCTZ, Atorvastatin, Atenolol, Anastrozole
VA 20/80 OD, 20/32 OS
VA improved to 20/40 in one month in the involved eye
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Severe Syphilitic Placoid Chorioretinitis265 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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Sclerochoroidal Calcification265 views73 year old man with good vision and spots in the left eye. These were noted about 7 years ago. The images show lesions in the left eye but the B-scan shows calcification in both eyes. VA 20/32 OU.
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Combined hamartoma of the retina and retinal pigment epithelium265 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 epithelium265 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 Avastin265 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 steroids265 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 Chorioretinitis265 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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Pigment epithelial detachment with cholesterol crystals265 viewsOnion sign
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Choroidal Excavation left eye265 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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Retinal Arterial Macroaneursym265 views69 year old female with vision loss for a few months in the right eye. Images show a macroaneurysm in the right eye. The lesion had bled and FA showed no leakage. No treatment was done. VA improved from 20/40 - 20/32
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Macular pucker in the left eye265 viewsVision was 20/125 pre-op and 20/25 post-op.
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Syphilitic optic neuritis265 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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Radiation Retinopathy Both Eyes - 2023 - Two years after radiation for ocular lymphoma (21)265 views
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Cotton Wool Spots - Severe Anemia - Acute Lymphocytic Leukemia264 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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Cotton Wool Spots - Severe Anemia - Acute Lymphocytic Leukemia264 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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PDR and Vitreous hemorrhage - Second FA is following PRP laser264 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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Traction retinal detachment both eyes. Proliferative Diabetic Retinopathy264 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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Subretinal Fluid - Inferior to the Nerve - Probable occult nerve pit264 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 pit264 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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Wet age-related macular degeneration - Classic Juxtafoveal Choroidal Neovascular Membrane264 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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Choroidal Neovascular Membrane (CNVM) secondary to laser scar from TTT for choroidal melanoma 20 years earlier264 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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Retinal detachment with choroidal effusions and RPE tear264 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 Chorioretinitis264 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 diabetic tractional retinal detachment one year following diagnosis of type II Diabetes Mellitus264 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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Birdshot chorioretinitis with macular edema - positive HLAA29264 views67 year old female with 'vitreous hemorrhage' in the right eye for a year. Extensive uveitis work up done but now with HLA A29. HLA A29 was positive. She has not responded to kenalog injections (posterior) and will be started on systemic therapy soon
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Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed264 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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Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy264 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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Pigment epithelial detachment with cholesterol crystals264 viewsOnion sign
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Retinal Arterial Macroaneursym264 views69 year old female with vision loss for a few months in the right eye. Images show a macroaneurysm in the right eye. The lesion had bled and FA showed no leakage. No treatment was done. VA improved from 20/40 - 20/32
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Branch Retinal Vein Occlusion - Foveal Ischemia Neovascularization Non perfusion264 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 perfusion264 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 telangiectasia - images from 10 years later - crystals 264 views75 year old man with MacTel and a lot of crystals VA 20/63 OD, 20/50 OS.
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Syphilitic optic neuritis264 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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Subretinal Fluid - Inferior to the Nerve - Probable occult nerve pit263 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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Granulomatous Uveitis - Probable Sarcoid263 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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Granulomatous Uveitis - Probable Sarcoid263 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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Severe Syphilitic Placoid Chorioretinitis263 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 epithelium263 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 Avastin263 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 Avastin263 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 Chorioretinitis263 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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Best Disease263 views30 year old man vision 20/40 OD, 20/20 OS - strong family history
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Cilioretinal artery occlusion following cataract surgery263 views60 year old man noticed new scotoma in the right eye immediately after cataract surgery. Vision is 20/60
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Retinal Arterial Macroaneursym263 views69 year old female with vision loss for a few months in the right eye. Images show a macroaneurysm in the right eye. The lesion had bled and FA showed no leakage. No treatment was done. VA improved from 20/40 - 20/32
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Macular Serpiginous Chorioretinopathy263 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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BRVO with late onset venous macroaneurysm263 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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Macular ischemia left eye in type I diabetic (enlarged foveal avascular zone)263 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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Syphilitic optic neuritis263 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 neuritis263 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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Twig (Macular) Branch Retinal Vein Occlusion with no symptoms263 views73 year old female with 20/25 vision and no symptoms
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central retinal vein occlusion - a lot of hemorrhage - on coumadin263 views84 year old man with severe vision loss left eye for 2 weeks. VA 5/200 OS - Patient on Warfarin for valve replacement.
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PDR and Vitreous hemorrhage - Second FA is following PRP laser262 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 pit262 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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Macular Scars from Presumed Ocular Histoplasmosis Syndrome262 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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Asymptomatic exudative wet age-related macular degeneration262 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 Sarcoid262 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 tear262 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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Choroidal Effusions following IOL exchange262 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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Acute Syphilitic Posterior Placoid Chorioretinitis262 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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Asymptomatic progressing retinal detachment 27 year old man262 viewsThis detachment was followed for one month, progressed, and was repaired with a scleral buckle.
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Central retinal artery occlusion and paracentral acute middle maculopathy and emboli262 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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Pigment epithelial detachment with cholesterol crystals262 viewsOnion sign
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Pigment epithelial detachment with cholesterol crystals262 viewsOnion sign
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Choroidal Excavation left eye262 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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Choroidal Hemangioma Requiring PDT repeatedly262 views64 year old man. Diagnosed with hemangioma in 2015. PDT in 2016. Images are from 2020 when fluid started to reaccumulate. Needed PDT repeated two more times.
PDT treatments: [1] 2/19/2015 -Â Pavan (IOPÂ problem after PDT)Â AND [2] 11/2/21 PDT (7 mm temporal to fovea) - SMCÂ AND [3] 7/22/22 PDT 7.5 mm Temporal to the fovea
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Best Disease262 views30 year old man vision 20/40 OD, 20/20 OS - strong family history
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Cilioretinal artery occlusion following cataract surgery262 views60 year old man noticed new scotoma in the right eye immediately after cataract surgery. Vision is 20/60
|
|
BRVO with late onset venous macroaneurysm262 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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Central Serous Chorioretinopathy - Expanding hot spot - photodynamic laser262 views35 year old man with acute central serous chorioretinopathy. The fluid got better then worse and the patient was treated with full strength juxtafoveal PDT and then got better.
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Syphilitic optic neuritis262 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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Subretinal Fluid - Inferior to the Nerve - Probable occult nerve pit261 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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Punctate Inner Choroidopathy and Choroidal Neovascular Membrane (CNVM)261 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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Asymptomatic exudative wet age-related macular degeneration261 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 Sarcoid261 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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Granulomatous Uveitis - Probable Sarcoid261 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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Granulomatous Uveitis - Probable Sarcoid261 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 tear261 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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261 views
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Severe Syphilitic Placoid Chorioretinitis261 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 Chorioretinitis261 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 epithelium261 views8 year old boy failed vision screening at school. VA 20/20 OD, 20/40 OS
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Papilledema Lateral Sinus Thrombosis261 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 surgery261 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 surgery261 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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Hydroxychloroquine (plaquenil) Toxicity - Advanced261 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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Optic nerve (disc) drusen and choroidal neovascular membrane261 views85 year old man - The left eye has had poor vision for 7-8 years. The right eye is OK. He was in for a checkup and his ophthalmologist noticed a problem and asked him to see retina doctor. Â
Medical Hx: Cancer.
Surgical Hx: Back Surgery. Gallbladder. Appendectomy. Colon Cancer.
Systemic Meds: Propafenone Hydrochloride, 225 mg oral tablet. Rosuvastatin. PAROXETINE HCL. GABAPENTIN. DONEPEZIL. Asp
VA OD: Dcc20/25-2 OS: DccCF 1ft
IOP: TP: OD:13 OS:12
Patient's right eye was treated with Avastin and was dry with one shot.
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Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed261 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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Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy261 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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Oculocutaneous albinism261 views62 year old female. Testing shows an absence of a fovea. Vision was 20/50 and she has nystagmus.
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Choroidal nevus261 viewsStable for 8 years.
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Best Disease261 views30 year old man vision 20/40 OD, 20/20 OS - strong family history
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Cilioretinal artery occlusion following cataract surgery261 views60 year old man noticed new scotoma in the right eye immediately after cataract surgery. Vision is 20/60
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Branch Retinal Vein Occlusion - Foveal Ischemia Neovascularization Non perfusion261 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 Serpiginous Chorioretinopathy261 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 eye261 viewsVision was 20/125 pre-op and 20/25 post-op.
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