Retina Gallery ~ Full Sized Retina Images

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excavation_gloms_122722_17.jpg
Choroidal Excavation left eyevista 276 veces63 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 perfusionvista 276 veces38 year old patient with a BRVO who had PRP laser for vitreous hemorrhage. Vision remained 20/160 from foveal ischemia
BRVO_NVE_041221_17.jpg
Branch Retinal Vein Occlusion - Foveal Ischemia Neovascularization Non perfusionvista 276 veces38 year old patient with a BRVO who had PRP laser for vitreous hemorrhage. Vision remained 20/160 from foveal ischemia
csr_matho1_12082020_09.jpg
Central Serous Chorioretinopathy - Expanding hot spot - photodynamic laservista 276 veces35 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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central retinal vein occlusion - a lot of hemorrhage - on coumadinvista 276 veces84 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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Pseudophakic cystoid macular edema (CME)vista 276 veces66 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.
FEVR-loeys-dietz-TGFBR_coonu_030923_01.jpg
FEVR and Loeys-Deitz Syndrome - TGFBR gene defectvista 276 veces15 year old boy with Loeys-Deitz Syndrome. And TGFBR gene positivity. At age 11 he had aortic root surgery. VA 20/25 OU. Anterior segment normal. Retina shows findings consistent with mild familial exudative vitreoretinopathy
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Traction retinal detachment both eyes. Proliferative Diabetic Retinopathyvista 275 veces40 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 pitvista 275 veces82 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 pitvista 275 veces82 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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Bilateral Diffuse Melanocytic Proliferation (BDUMP)vista 275 veces67 year old man
The patient started noticing dimming of the vision in November of 2020.  He had rapidly worsening cataracts. He had the cataract surgery done in both eyes in April of 2021.  The vision did not improve with the cataract surgery.  On June 1 of 2021 he had immunotherapy for his renal cell carcinoma and then developed severe vision loss.  The patient noticed that one of the commercials for nivolumab (checkpoint inhibitor targeting programmed death receptor-1) said it may cause vision loss.  He recalled that he started the nivolumab in October of 2020 and had vision loss starting then.    A retinal evaluation showed subretinal fluid and vision loss.   The peripheral vision and central vision were pretty good.  The vision did seem to get better off the nivolumab.  Then when the patient returned to Florida in September and now the vision is getting worse.  The patient did not have any treatments in either eye.  The patient is now off the oncology treatment.  He was then started on a TKI cabometex for the cancer which was dosed in mid June through mid July just for a month.  It was stopped because of a skin rash and reactions.  
VA OD: Dcc20/200-2 PHNI Ncc20/800
VA OS: Dcc20/63 PHNI NccJ7 He has been off the checkpoint inhibitor for a year.
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Severe Syphilitic Placoid Chorioretinitisvista 275 veces68 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 epitheliumvista 275 veces8 year old boy failed vision screening at school. VA 20/20 OD, 20/40 OS
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Sticklers syndrome with Pierre Robin Sequencevista 275 veces9 year old child with father who had retinal detachment at age 10. History of cleft palate repair and teeth removal. VA 20/40 OU. Images show perivascular RPE and retinal changes especially nasally
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Central Serous Retinopathy - Female on steroidsvista 275 veces35 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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Dry AMD - Pigment - AREDS risk score of 4vista 275 veces65 year old woman with 20/32 vision. A little blurred. Pigment and large drusen in each eye. AREDS risk score of four.
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Severe diabetic tractional retinal detachment one year following diagnosis of type II Diabetes Mellitusvista 275 veces44 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. 
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 surgeryvista 275 veces51 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
edema-RVO_brcol1_082222_01.jpg
Branch Retinal Vein Occlusion and worsened cystoid macular edema following cataract surgeryvista 275 veces51 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 - Advancedvista 275 veces78 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.
plaquenil_elmcc1_052421_04.jpg
Hydroxychloroquine (plaquenil) Toxicity - Advancedvista 275 veces78 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.
plaquenil_elmcc2_020322_12.jpg
Hydroxychloroquine (plaquenil) Toxicity - Advancedvista 275 veces78 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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Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathyvista 275 vecesPatient 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.
ipcv3_072721_dahuy_12.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathyvista 275 vecesPatient 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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Branch Retinal Vein Occlusion - Foveal Ischemia Neovascularization Non perfusionvista 275 veces38 year old patient with a BRVO who had PRP laser for vitreous hemorrhage. Vision remained 20/160 from foveal ischemia
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BRVO with late onset venous macroaneurysmvista 275 vecesThe 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.
rvo-venousMA-pepiaz_31.jpg
BRVO with late onset venous macroaneurysmvista 275 vecesThe 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 neuritisvista 275 vecesTwo 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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Wet age-related macular degeneration - Classic Juxtafoveal Choroidal Neovascular Membranevista 274 veces80 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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Non-exudative wet AMD - OCT angiogramvista 274 veces85 year old female with minimal visual complaints.
VA OD: sc20/80+1 PHNI NccJ3
VA OS: sc20/40-2 PH20/32+1 NccJ3
IOP: TP: OD:14 OS:16
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Non-exudative wet AMD - OCT angiogramvista 274 veces85 year old female with minimal visual complaints.
VA OD: sc20/80+1 PHNI NccJ3
VA OS: sc20/40-2 PH20/32+1 NccJ3
IOP: TP: OD:14 OS:16
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Asymptomatic exudative wet age-related macular degenerationvista 274 veces78 year old man with scar in the left eye being treated regularly and returns with new lesions in the right eye which is not symptomatic. Vision is 20/25 right eye and 20/125 left eye. The lesion was treated and responded to anti-VEGF therapy
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Retinal detachment with choroidal effusions and RPE tearvista 274 veces83 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.
syphilis_jorai_20211018_01.jpg
Severe Syphilitic Placoid Chorioretinitisvista 274 veces68 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 Calcificationvista 274 veces73 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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Punctate inner choroidopathy and CNVMvista 274 veces23 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
edema-RVO_brcol1_082222_15.jpg
Branch Retinal Vein Occlusion and worsened cystoid macular edema following cataract surgeryvista 274 veces51 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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Birdshot chorioretinitis with macular edema - positive HLAA29vista 274 veces67 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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Oculocutaneous albinismvista 274 veces62 year old female. Testing shows an absence of a fovea. Vision was 20/50 and she has nystagmus.
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Choroidal nevusvista 274 vecesStable for 8 years.
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Pattern dystrophy with progressive foveal atrophy left eyevista 274 veces72 year old man. Vision in the left eye is 20/80. It declined to 5/200 over about 3 years.
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Macular Serpiginous Chorioretinopathyvista 274 veces75 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 Serpiginous Chorioretinopathyvista 274 veces75 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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Stargardt Disease - Very Mild - 24 year oldvista 274 vecesThis 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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Twig (Macular) Branch Retinal Vein Occlusion with no symptomsvista 274 veces73 year old female with 20/25 vision and no symptoms
cme_macon_060523_07.JPG
Pseudophakic cystoid macular edema (CME)vista 274 veces66 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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Leber's congenital amaurosisvista 274 veces4 year old child with nystagmus and no evidence of fixation. Genetic testing showed LCA 9
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Familial Exudative Vitreoretinopathy - FEVR - Stage 1-b both eyesvista 273 vecesShe 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
RD_effusion_RPEtear_jowas1_110920_19.png
Retinal detachment with choroidal effusions and RPE tearvista 273 veces83 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.
RD_kespr1_051922_03.jpg
Asymptomatic progressing retinal detachment 27 year old manvista 273 vecesThis detachment was followed for one month, progressed, and was repaired with a scleral buckle.
edema-RVO_brcol1_082222_18.jpg
Branch Retinal Vein Occlusion and worsened cystoid macular edema following cataract surgeryvista 273 veces51 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
bird_makuh_052722_20.jpg
Birdshot chorioretinitis with macular edema - positive HLAA29vista 273 veces67 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
plaquenil_elmcc2_020322_15.jpg
Hydroxychloroquine (plaquenil) Toxicity - Advancedvista 273 veces78 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.
ipcv3_072721_dahuy_17.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathyvista 273 vecesPatient 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.
ipcv3_072721_dahuy_19.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathyvista 273 vecesPatient 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 crystalsvista 273 vecesOnion sign
PED-cholesterol_elsup_022022_25.jpg
Pigment epithelial detachment with cholesterol crystalsvista 273 vecesOnion sign
excavation_gloms_122722_20.jpg
Choroidal Excavation left eyevista 273 veces63 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 repeatedlyvista 273 veces64 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 -  Pavan (IOP  problem after PDT)  AND [2] 11/2/21 PDT (7 mm temporal to fovea) - SMC  AND [3] 7/22/22 PDT 7.5 mm Temporal to the fovea
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Macular pucker in the left eyevista 273 vecesVision was 20/125 pre-op and 20/25 post-op.
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Macular pucker in the left eyevista 273 vecesVision was 20/125 pre-op and 20/25 post-op.
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Macular pucker in the left eyevista 273 vecesVision was 20/125 pre-op and 20/25 post-op.
stargardt-mild_pacai_121622_62.jpg
Stargardt Disease - Very Mild - 24 year oldvista 273 vecesThis 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
rvo-venousMA-pepiaz_12.jpg
BRVO with late onset venous macroaneurysmvista 273 vecesThe 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.
rvo-venousMA-pepiaz_15.jpg
BRVO with late onset venous macroaneurysmvista 273 vecesThe 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.
rvo-venousMA-pepiaz_17.jpg
BRVO with late onset venous macroaneurysmvista 273 vecesThe 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.
nevus_stbuc_090922_12.jpg
Large chronic choroidal nevusvista 273 vecesAutofluorescence image shows guttering at the bottom of the lesion suggesting chronicity. This was documented 23 years prior to these photos
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vista 272 veces
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Cotton Wool Spots - Severe Anemia - Acute Lymphocytic Leukemiavista 272 veces23 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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Choroidal Neovascular Membrane (CNVM) secondary to laser scar from TTT for choroidal melanoma 20 years earliervista 272 veces71-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
granuloma_sarcoid_USF-BR_15.jpg
Granulomatous Uveitis - Probable Sarcoidvista 272 veces28 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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Presumed ocular histoplasmosis syndrome and CNVM - responded to Avastinvista 272 veces62 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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Retinoschisis - Confirmed with optical coherence tomography (OCT)vista 272 veces70 year old female with no visual complaints. Retinoschisis is confirmed with OCT. Eyes were stable when checked 8 months later.
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Optic nerve (disc) drusen and choroidal neovascular membranevista 272 veces85 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.  
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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Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathyvista 272 vecesPatient 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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Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathyvista 272 vecesPatient 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 albinismvista 272 veces62 year old female. Testing shows an absence of a fovea. Vision was 20/50 and she has nystagmus.
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Choroidal Excavation left eyevista 272 veces63 year old vision with right eye vision loss at age 27 possibly from histoplasmosis. Left eye has a choroidal excavation
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wet AMD - extrafoveal classic choroidal neovascular membranevista 272 veces72 year old man with good vision in both eyes. Extrafoveal classic cnvm was picked up and treated with vabysmo
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Branch Retinal Vein Occlusion - Foveal Ischemia Neovascularization Non perfusionvista 272 veces38 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 perfusionvista 272 veces38 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 Chorioretinopathyvista 272 veces75 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 eyevista 272 vecesVision was 20/125 pre-op and 20/25 post-op.
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Stargardt Disease - Very Mild - 24 year oldvista 272 vecesThis 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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25 year old with Stargard and 2 ABCA4 mutations.vista 272 vecesShe has worn glasses since she was a kid. Since she became an adult her vision started to deteriorate more rapidly. This seems to have been happening since she entered the accounting department for the last two years. Her vision is worse in the light especially when she is driving. She can see green lights in the night but not in the day. She sees better on a dark background than on a light background. Her mom is genetically visually impaired with Stargardts. Her father has RP. The mother was genetically tested in Boston about 23 years ago. That was when the gene was first being isolated. (The mother has seven brothers and sisters and four have stargardts and they are legally blind. Also one cousin has it.)
VA OD: Dcc20/160-1 PH20/80 Ncc20/200-2
VA OS: Dcc20/160-2 PH20/80-1 Ncc20/200-1
IOP: TP: OD:20 OS:21
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Ocular Ischemia from 100 percent right carotid occlusionvista 272 veces77 year old female the vision in the right eye got much worse. She has recently been getting more severe headaches. Her vision is now blank. She went to her old GP in Wisconsin who said it might be sinus pressure. Her chiropractor did an adjustment and the chiropractor checked the patient eyes and told her to go to the eye doctor. She has been feeling pressure around her eye since the air flight.
Specialty Meds (Initial): systane prn OU. Plavix, Combivent, ASA 325, Vitamin E, Zinc.
PSH – Carotid surgery in 2000 (20 years ago), Stent 11/2022, Mastectomy 2000.
VA OD: DccCF 3ft (eccentric) NccUnable
VA OS: Dcc20/25 NccJ1
IOP: TP: OD:18 OS:16
Psuedophakic OU
Right eye had rubeosis on the pupil margin and not in the angle
Further testing showed 100 percent occlusion of the right carotid artery. The left carotid artery was stented.
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Large chronic choroidal nevusvista 272 vecesAutofluorescence image shows guttering at the bottom of the lesion suggesting chronicity. This was documented 23 years prior to these photos
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Large chronic choroidal nevusvista 272 vecesAutofluorescence image shows guttering at the bottom of the lesion suggesting chronicity. This was documented 23 years prior to these photos
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Twig (Macular) Branch Retinal Vein Occlusion with no symptomsvista 272 veces73 year old female with 20/25 vision and no symptoms
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Twig (Macular) Branch Retinal Vein Occlusion with no symptomsvista 272 veces73 year old female with 20/25 vision and no symptoms
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Pseudophakic cystoid macular edema (CME)vista 272 veces66 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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Traction retinal detachment both eyes. Proliferative Diabetic Retinopathyvista 271 veces40 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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Punctate Inner Choroidopathy and Choroidal Neovascular Membrane (CNVM)vista 271 veces24 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.  
VA OD: sc20/200+1, VA OS: sc20/25 - Uveitis work up was negative. VA improved to 20/40 with a single avastin treatment and then the patient was lost to follow-up
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Wet age-related macular degeneration - Classic Juxtafoveal Choroidal Neovascular Membranevista 271 veces80 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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Bilateral Choroidal Tumors - Metastatic Breast Cancervista 271 veces51 year old female. First 3 sets of images show lesions growing despite systemic chemotherapy. She eventually had external beam radiation x 15 sessions and the tumors shrunk in the last two sets of images
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Granulomatous Uveitis - Probable Sarcoidvista 271 veces28 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 tearvista 271 veces83 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 Chorioretinitisvista 271 veces68 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 epitheliumvista 271 veces8 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 Avastinvista 271 veces62 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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