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Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed223 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 vasculopathy223 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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Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy223 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 albinism223 views62 year old female. Testing shows an absence of a fovea. Vision was 20/50 and she has nystagmus.
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wet AMD - extrafoveal classic choroidal neovascular membrane223 views72 year old man with good vision in both eyes. Extrafoveal classic cnvm was picked up and treated with vabysmo
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Pattern dystrophy with progressive foveal atrophy left eye223 views72 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 pucker in the left eye223 viewsVision was 20/125 pre-op and 20/25 post-op.
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Stargardt Disease - Very Mild - 24 year old223 viewsThis patient has 3 different ABCA4 mutations. His mother and sister have stargardts and his father has RP. His sisters images are also on Retinagallery.com
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Stargardt Disease - Very Mild - 24 year old223 viewsThis patient has 3 different ABCA4 mutations. His mother and sister have stargardts and his father has RP. His sisters images are also on Retinagallery.com
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Stargardt Disease - Very Mild - 24 year old223 viewsThis patient has 3 different ABCA4 mutations. His mother and sister have stargardts and his father has RP. His sisters images are also on Retinagallery.com
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BRVO with late onset venous macroaneurysm223 viewsThe vision improved on presentation from 20/160 - 20/32 with Avastin, Then a few years later, he developed a venous Macroaneurysm which was lasered . Avastin shots were then stopped.
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BRVO with late onset venous macroaneurysm223 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 laser223 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 neuritis223 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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central retinal vein occlusion - a lot of hemorrhage - on coumadin223 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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choroidal melanoma.222 viewsAn Asian male, 37 years old, choroidal melanoma.
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Subretinal Fluid - Inferior to the Nerve - Probable occult nerve pit222 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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Presumed ocular histoplasmosis syndrome and CNVM - responded to Avastin222 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 Avastin222 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 steroids222 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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Hydroxychloroquine (plaquenil) Toxicity - Advanced222 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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Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed222 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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Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed222 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 vasculopathy222 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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Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy222 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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Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy222 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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Choroidal Excavation left eye222 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 repeatedly222 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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Choroidal Hemangioma Requiring PDT repeatedly222 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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Branch Retinal Vein Occlusion - Foveal Ischemia Neovascularization Non perfusion222 views38 year old patient with a BRVO who had PRP laser for vitreous hemorrhage. Vision remained 20/160 from foveal ischemia
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Macular ischemia left eye in type I diabetic (enlarged foveal avascular zone)222 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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Central Serous Chorioretinopathy - Expanding hot spot - photodynamic laser222 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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Large chronic choroidal nevus222 viewsAutofluorescence image shows guttering at the bottom of the lesion suggesting chronicity. This was documented 23 years prior to these photos
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Radiation Retinopathy Both Eyes - 2023 - Two years after radiation for ocular lymphoma (5)222 views
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Choroidal Metastatic Breast Cancer with Exudative Detachment222 views58 year old female presented with 20/200 vision. Had 10 sessions of radiation and tumor shrank. The exudative detachment took almost a year to resolve. The vision improved to 20/40.
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Subretinal Fluid - Inferior to the Nerve - Probable occult nerve pit221 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 pit221 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 Sarcoid221 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 Sarcoid221 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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Combined hamartoma of the retina and retinal pigment epithelium221 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 epithelium221 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 Avastin221 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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Hydroxychloroquine (plaquenil) Toxicity - Advanced221 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 membrane221 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 confirmed221 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 vasculopathy221 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 crystals221 viewsOnion sign
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Cilioretinal artery occlusion following cataract surgery221 views60 year old man noticed new scotoma in the right eye immediately after cataract surgery. Vision is 20/60
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Pattern dystrophy with progressive foveal atrophy left eye221 views72 year old man. Vision in the left eye is 20/80. It declined to 5/200 over about 3 years.
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Stargardt Disease - Very Mild - 24 year old221 viewsThis patient has 3 different ABCA4 mutations. His mother and sister have stargardts and his father has RP. His sisters images are also on Retinagallery.com
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25 year old with Stargard and 2 ABCA4 mutations.221 viewsShe 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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BRVO with late onset venous macroaneurysm221 viewsThe vision improved on presentation from 20/160 - 20/32 with Avastin, Then a few years later, he developed a venous Macroaneurysm which was lasered . Avastin shots were then stopped.
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BRVO with late onset venous macroaneurysm221 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)221 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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Macular telangiectasia - images from 10 years later - crystals 221 views75 year old man with MacTel and a lot of crystals VA 20/63 OD, 20/50 OS.
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Macular telangiectasia - images from 10 years later - crystals 221 views75 year old man with MacTel and a lot of crystals VA 20/63 OD, 20/50 OS.
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Syphilitic optic neuritis221 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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Large chronic choroidal nevus221 viewsAutofluorescence image shows guttering at the bottom of the lesion suggesting chronicity. This was documented 23 years prior to these photos
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Twig (Macular) Branch Retinal Vein Occlusion with no symptoms221 views73 year old female with 20/25 vision and no symptoms
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Twig (Macular) Branch Retinal Vein Occlusion with no symptoms221 views73 year old female with 20/25 vision and no symptoms
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Central Serous Retinopathy - Female on steroids220 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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Stage V (neovascular) Macular Telangiectasia - Fluorescein220 views67 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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Branch Retinal Vein Occlusion and worsened cystoid macular edema following cataract surgery220 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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Birdshot chorioretinitis with macular edema - positive HLAA29220 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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Optic nerve (disc) drusen and choroidal neovascular membrane220 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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Central retinal artery occlusion and paracentral acute middle maculopathy and emboli220 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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Oculocutaneous albinism220 views62 year old female. Testing shows an absence of a fovea. Vision was 20/50 and she has nystagmus.
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Oculocutaneous albinism220 views62 year old female. Testing shows an absence of a fovea. Vision was 20/50 and she has nystagmus.
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Ocular Ischemia from 100 percent right carotid occlusion220 views77 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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BRVO with late onset venous macroaneurysm220 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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Twig (Macular) Branch Retinal Vein Occlusion with no symptoms220 views73 year old female with 20/25 vision and no symptoms
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Twig (Macular) Branch Retinal Vein Occlusion with no symptoms220 views73 year old female with 20/25 vision and no symptoms
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central retinal vein occlusion - a lot of hemorrhage - on coumadin220 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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FEVR and Loeys-Deitz Syndrome - TGFBR gene defect220 views15 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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PDR and Vitreous hemorrhage - Second FA is following PRP laser219 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 pit219 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 Sarcoid219 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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Combined hamartoma of the retina and retinal pigment epithelium219 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 epithelium219 views8 year old boy failed vision screening at school. VA 20/20 OD, 20/40 OS
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Central Serous Retinopathy - Female on steroids219 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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Stage V (neovascular) Macular Telangiectasia - Fluorescein219 views67 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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Hydroxychloroquine (plaquenil) Toxicity - Advanced219 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 membrane219 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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Optic nerve (disc) drusen and choroidal neovascular membrane219 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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Optic nerve (disc) drusen and choroidal neovascular membrane219 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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Optic nerve (disc) drusen and choroidal neovascular membrane219 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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Optic nerve (disc) drusen and choroidal neovascular membrane219 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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Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy219 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 crystals219 viewsOnion sign
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Macular Serpiginous Chorioretinopathy219 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 eye219 viewsVision was 20/125 pre-op and 20/25 post-op.
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Stargardt Disease - Very Mild - 24 year old219 viewsThis patient has 3 different ABCA4 mutations. His mother and sister have stargardts and his father has RP. His sisters images are also on Retinagallery.com
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BRVO with late onset venous macroaneurysm219 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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Non-exudative neovascular AMD right eye219 viewsVision 20/20 at 6 year follow-up - no exudation
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Macular ischemia left eye in type I diabetic (enlarged foveal avascular zone)219 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 neuritis219 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
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Pseudophakic cystoid macular edema (CME)219 views66 year old female 4 months following cataract surgery. Never had very good vision after surgery. On PF QID for one month. VA 20/50 in both eyes.
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Radiation Retinopathy Both Eyes - 2023 - Two years after radiation for ocular lymphoma (10)219 views
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Radiation Retinopathy Both Eyes - 2023 - Two years after radiation for ocular lymphoma (17)219 views
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Multiple Evanescent White Dot Syndrome - MEWDS Left Eye219 views22 year old man with good vision but blind spot in the left eye for a week. No viral prodrome or vaccination. VA 20/15 OD, 20/20 OS
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