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Bilateral Choroidal Tumors - Metastatic Breast Cancer271 x angesehen51 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 Sarcoid271 x angesehen28 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 tear271 x angesehen83 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 Chorioretinitis271 x angesehen68 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 Chorioretinitis271 x angesehen68 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 Chorioretinitis271 x angesehen68 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 epithelium271 x angesehen8 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 Avastin271 x angesehen62 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 Thrombosis271 x angesehen35 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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Choroidal Hemorrhage following intraocular lens exchange surgery271 x angesehen68 year old man Patient is 1 week post IOL exchange with sutured Akreos PCIOL with PST Kenalog. IOP was 12 on POD 1 and 21 today (POD 7). Preop the IOP was 17.
He has a history of retinal detachment repair 12 years ago with PPV, Buckle, Laser and Gas.
VA OD: 20/200, OS: 20/50. IOP 21, 19
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Birdshot chorioretinitis with macular edema - positive HLAA29271 x angesehen67 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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Optic nerve (disc) drusen and choroidal neovascular membrane271 x angesehen85 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 confirmed271 x angesehen66 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 vasculopathy271 x angesehenPatient 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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Choroidal nevus271 x angesehenStable for 8 years.
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Methanol Toxic Optic Neuropathy271 x angesehen51 year old female lost vision 2 years ago in Indonesia presumably from bad Vodka. She was treated with 1 gram per day steroids. Her vision remains NLP in both eyes. She also suffers from peripheral neuropathy and parkinson's like symptoms.
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BRVO with late onset venous macroaneurysm271 x angesehenThe 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 macroaneurysm271 x angesehenThe 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 macroaneurysm271 x angesehenThe 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 neuritis271 x angesehenTwo 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 symptoms271 x angesehen73 year old female with 20/25 vision and no symptoms
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Pseudophakic cystoid macular edema (CME)271 x angesehen66 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)271 x angesehen66 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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NPDR and Severe macular ischemia sudden vision loss271 x angesehen60 year old female with sudden vision loss OD 1 week ago. VA 20/63, 20/200. OCT-A and FA shows severe macular ischemia OU
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PDR and Vitreous hemorrhage - Second FA is following PRP laser270 x angesehen42 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 laser270 x angesehen42 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 Retinopathy270 x angesehen40 year old man came in with vision loss OD and rubeosis in both eyes. Was treated with Avastin monthly and laser OD then lost to follow-up for 6 months. Came back with table top traction in the left macula (second set of images). Vision had dropped OS from 20/20 to HM. He had PPV ERM peel OS and vision improved to 5/200.
OD stabilized to 20/20 with PRP laser. Now on 6 month checks.
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Traction retinal detachment both eyes. Proliferative Diabetic Retinopathy270 x angesehen40 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 pit270 x angesehen82 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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Combined hamartoma of the retina and retinal pigment epithelium270 x angesehen8 year old boy failed vision screening at school. VA 20/20 OD, 20/40 OS
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Central Serous Retinopathy - Female on steroids270 x angesehen35 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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Stage V (neovascular) Macular Telangiectasia - Fluorescein270 x angesehen67 year old female with vision in only the left eye. She has mild CNVM which is treated with Avastin and does well over several years.
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Stage V (neovascular) Macular Telangiectasia - Fluorescein270 x angesehen67 year old female with vision in only the left eye. She has mild CNVM which is treated with Avastin and does well over several years.
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Retinoschisis - Confirmed with optical coherence tomography (OCT)270 x angesehen70 year old female with no visual complaints. Retinoschisis is confirmed with OCT. Eyes were stable when checked 8 months later.
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Branch Retinal Vein Occlusion and worsened cystoid macular edema following cataract surgery270 x angesehen51 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 surgery270 x angesehen51 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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Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed270 x angesehen66 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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Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed270 x angesehen66 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 vasculopathy270 x angesehenPatient 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 albinism270 x angesehen62 year old female. Testing shows an absence of a fovea. Vision was 20/50 and she has nystagmus.
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Choroidal nevus270 x angesehenStable for 8 years.
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wet AMD - extrafoveal classic choroidal neovascular membrane270 x angesehen72 year old man with good vision in both eyes. Extrafoveal classic cnvm was picked up and treated with vabysmo
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Stargardt Disease - Very Mild - 24 year old270 x angesehenThis 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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Ocular Ischemia from 100 percent right carotid occlusion270 x angesehen77 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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Ocular Ischemia from 100 percent right carotid occlusion270 x angesehen77 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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Non-exudative neovascular AMD right eye270 x angesehenVision 20/20 at 6 year follow-up - no exudation
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Central Serous Chorioretinopathy - Expanding hot spot - photodynamic laser270 x angesehen35 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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Macular telangiectasia - images from 10 years later - crystals 270 x angesehen75 year old man with MacTel and a lot of crystals VA 20/63 OD, 20/50 OS.
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Syphilitic optic neuritis270 x angesehenTwo 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 symptoms270 x angesehen73 year old female with 20/25 vision and no symptoms
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Usher Syndrome - USH2A270 x angesehen23 year old female Extended HPI: Vision trouble for about five years. She has some trouble with night vision and was told that her retina looked abnormal. There are no family members that are known to have an inherited retinal disease.
Medical Hx: Sensorial Neural Hearing Loss. Chorionic migranes.
Systemic Meds: None.
VA 20/32 OD, 20/25 OS
Color vision normal
Heterozygous for USH2A pathological mutation and for an USH2A VUS
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PDR and Vitreous hemorrhage - Second FA is following PRP laser269 x angesehen42 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 Retinopathy269 x angesehen40 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 pit269 x angesehen82 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 pit269 x angesehen82 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 Syndrome269 x angesehen85 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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Granulomatous Uveitis - Probable Sarcoid269 x angesehen28 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 Sarcoid269 x angesehen28 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 Sarcoid269 x angesehen28 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 exchange269 x angesehen67 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 Chorioretinitis269 x angesehen40 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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Branch Retinal Vein Occlusion and worsened cystoid macular edema following cataract surgery269 x angesehen51 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 - Advanced269 x angesehen78 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 membrane269 x angesehen85 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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Central retinal artery occlusion and paracentral acute middle maculopathy and emboli269 x angesehen86 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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Choroidal Hemangioma Requiring PDT repeatedly269 x angesehen64 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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Cilioretinal artery occlusion following cataract surgery269 x angesehen60 year old man noticed new scotoma in the right eye immediately after cataract surgery. Vision is 20/60
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wet AMD - extrafoveal classic choroidal neovascular membrane269 x angesehen72 year old man with good vision in both eyes. Extrafoveal classic cnvm was picked up and treated with vabysmo
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wet AMD - extrafoveal classic choroidal neovascular membrane269 x angesehen72 year old man with good vision in both eyes. Extrafoveal classic cnvm was picked up and treated with vabysmo
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Macular pucker in the left eye269 x angesehenVision was 20/125 pre-op and 20/25 post-op.
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central retinal vein occlusion - a lot of hemorrhage - on coumadin269 x angesehen84 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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Radiation Retinopathy Both Eyes - 2023 - Two years after radiation for ocular lymphoma (11)269 x angesehen
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optic atrophy268 x angesehen64 year old man with painless sequential vision loss in both eyes 20 years ago. Possibly LHON or AION.
VA OD: sc20/80 PH20/63 NscJ16
VA OS: sc20/200-2 PHNI Nsc20/800
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Subretinal Fluid - Inferior to the Nerve - Probable occult nerve pit268 x angesehen82 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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Sectoral Retinitis Pigmentosa - Asymptomatic268 x angesehen56-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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Granulomatous Uveitis - Probable Sarcoid268 x angesehen28 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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Combined hamartoma of the retina and retinal pigment epithelium268 x angesehen8 year old boy failed vision screening at school. VA 20/20 OD, 20/40 OS
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Sticklers syndrome with Pierre Robin Sequence268 x angesehen9 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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Presumed ocular histoplasmosis syndrome and CNVM - responded to Avastin268 x angesehen62 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 steroids268 x angesehen35 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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Central Serous Retinopathy - Female on steroids268 x angesehen35 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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Central Serous Retinopathy - Female on steroids268 x angesehen35 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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Birdshot chorioretinitis with macular edema - positive HLAA29268 x angesehen67 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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Birdshot chorioretinitis with macular edema - positive HLAA29268 x angesehen67 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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Optic nerve (disc) drusen and choroidal neovascular membrane268 x angesehen85 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 confirmed268 x angesehen66 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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Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed268 x angesehen66 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 vasculopathy268 x angesehenPatient 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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wet AMD - extrafoveal classic choroidal neovascular membrane268 x angesehen72 year old man with good vision in both eyes. Extrafoveal classic cnvm was picked up and treated with vabysmo
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wet AMD - extrafoveal classic choroidal neovascular membrane268 x angesehen72 year old man with good vision in both eyes. Extrafoveal classic cnvm was picked up and treated with vabysmo
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BRVO with late onset venous macroaneurysm268 x angesehenThe 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)268 x angesehen29 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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Macular telangiectasia - images from 10 years later - crystals 268 x angesehen75 year old man with MacTel and a lot of crystals VA 20/63 OD, 20/50 OS.
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Syphilitic optic neuritis268 x angesehenTwo 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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Large chronic choroidal nevus268 x angesehenAutofluorescence image shows guttering at the bottom of the lesion suggesting chronicity. This was documented 23 years prior to these photos
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268 x angesehen
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Leber's congenital amaurosis268 x angesehen4 year old child with nystagmus and no evidence of fixation. Genetic testing showed LCA 9
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Subretinal Fluid - Inferior to the Nerve - Probable occult nerve pit267 x angesehen82 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 pit267 x angesehen82 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 pit267 x angesehen82 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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