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Retinal Arterial Macroaneurysm with pre-retinal hemorrhage252 views72 year old female who takes Xarelto had sudden vision loss while moving heavy furniture. VA was 20/200. The lesion has preretinal blood but later rebled with subretinal blood, was lasered and the final vision was not very good but the patient was lost to follow-up at 3 months
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BRVO251 views68male BRVO outcomes
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Pucker251 views64female pucker
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Retinal detachment with choroidal effusions and RPE tear251 views83 year old man with chronic glaucoma presented with 10 days of vision loss in the left eye and a retinal detachment. He also has choroidal effusions and and RPE tear. He had a history of bladder cancer in remission. I did a biopsy of the choroidal lesions at the time of surgery which showed no cancer. Initial vision was HM and final vision was 20/80. The choroidal effusions may have occurred because of his age and prior history of glaucoma.
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Severe Syphilitic Placoid Chorioretinitis251 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
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Birdshot chorioretinitis with macular edema - positive HLAA29251 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 membrane251 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 vasculopathy251 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 vasculopathy251 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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Pattern dystrophy with progressive foveal atrophy left eye251 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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Pattern dystrophy with progressive foveal atrophy left eye251 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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Pattern dystrophy with progressive foveal atrophy left eye251 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 Serpiginous Chorioretinopathy251 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 eye251 viewsVision was 20/125 pre-op and 20/25 post-op.
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Ocular Ischemia from 100 percent right carotid occlusion251 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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Twig (Macular) Branch Retinal Vein Occlusion with no symptoms251 views73 year old female with 20/25 vision and no symptoms
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central retinal vein occlusion - a lot of hemorrhage - on coumadin251 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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Radiation Retinopathy Both Eyes - 2023 - Two years after radiation for ocular lymphoma (17)251 views
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Lamellar Macular Hole and Good Vision251 views67 year old woman with good vision and floaters - VA 20/32 OD, 20/23 OS
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Subretinal Fluid - Inferior to the Nerve - Probable occult nerve pit250 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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Stage V (neovascular) Macular Telangiectasia - Fluorescein250 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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Birdshot chorioretinitis with macular edema - positive HLAA29250 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 membrane250 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 membrane250 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 confirmed250 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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Pattern dystrophy with progressive foveal atrophy left eye250 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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Ocular Ischemia from 100 percent right carotid occlusion250 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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Ocular Ischemia from 100 percent right carotid occlusion250 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 macroaneurysm250 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)250 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 laser250 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 neuritis250 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
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Syphilitic optic neuritis250 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
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Twig (Macular) Branch Retinal Vein Occlusion with no symptoms250 views73 year old female with 20/25 vision and no symptoms
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Twig (Macular) Branch Retinal Vein Occlusion with no symptoms250 views73 year old female with 20/25 vision and no symptoms
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Pseudophakic cystoid macular edema (CME)250 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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Dome Shaped Macula Left Eye250 views73 year old female Diagnosed with POHS in the past and treated with laser in the right eye in 1994 with vision loss. She moved from Tampa to Largo in 2017 and started seeing Dr. Cohen. She had her last injection in the left eye 2015 prior to moving to Largo. She has been treated intermittently in the left eye and has been resistant to Anti-VEGF injections. Her vision is good in the left eye. Images are from April 2023 one month following a Vabysmo injection in the left eye.
PMHx- thyroid disease
Meds: Synthroid
VA 20/200 OD, 20/25 OS
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Severe NPDR250 views53 year old man with blurred vision (needs glasses).
Diabetic for 10 years with poor control
VA 20/32 OU
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249 views
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PDR and Vitreous hemorrhage - Second FA is following PRP laser249 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 pit249 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 Avastin249 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 steroids249 views35 year old female Noticed blurred vision when waking up in the morning. Also, vision blacks out for a few seconds when she gets up quickly. About 3 months ago she had a history of intermittent vomiting.
VA 20/20 OD, 20/25 OS
MRI normal, MRA showed lateral sinus thrombosis. Lupus anticoagulant was positive
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Branch Retinal Vein Occlusion and worsened cystoid macular edema following cataract surgery249 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 HLAA29249 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 membrane249 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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Macular Serpiginous Chorioretinopathy249 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 Serpiginous Chorioretinopathy249 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 eye249 viewsVision was 20/125 pre-op and 20/25 post-op.
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Stargardt Disease - Very Mild - 24 year old249 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 old249 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.249 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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Ocular Ischemia from 100 percent right carotid occlusion249 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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Macular ischemia left eye in type I diabetic (enlarged foveal avascular zone)249 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 249 views75 year old man with MacTel and a lot of crystals VA 20/63 OD, 20/50 OS.
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Syphilitic optic neuritis249 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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Leber's congenital amaurosis249 views4 year old child with nystagmus and no evidence of fixation. Genetic testing showed LCA 9
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Optic Disc Drusen - Calcified249 views
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Traction retinal detachment both eyes. Proliferative Diabetic Retinopathy248 views40 year old man came in with vision loss OD and rubeosis in both eyes. Was treated with Avastin monthly and laser OD then lost to follow-up for 6 months. Came back with table top traction in the left macula (second set of images). Vision had dropped OS from 20/20 to HM. He had PPV ERM peel OS and vision improved to 5/200.
OD stabilized to 20/20 with PRP laser. Now on 6 month checks.
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Central Serous Retinopathy - Female on steroids248 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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Birdshot chorioretinitis with macular edema - positive HLAA29248 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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Birdshot chorioretinitis with macular edema - positive HLAA29248 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 membrane248 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 vasculopathy248 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 crystals248 viewsOnion sign
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Choroidal Hemangioma Requiring PDT repeatedly248 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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Pattern dystrophy with progressive foveal atrophy left eye248 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 Serpiginous Chorioretinopathy248 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 Serpiginous Chorioretinopathy248 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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Stargardt Disease - Very Mild - 24 year old248 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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Ocular Ischemia from 100 percent right carotid occlusion248 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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RPE tear following single treatment of vabysmo in the left eye248 views80 year old patient with HemiCRVO and wet AMD in the left eye. The right eye has recent vision loss from 20/40 - 20/100. She has a high PED and wet AMD. She was given one treatment of half-dose vabysmo and presented next visit with a PED tear and vision of 4/200.
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Macular ischemia left eye in type I diabetic (enlarged foveal avascular zone)248 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 ischemia left eye in type I diabetic (enlarged foveal avascular zone)248 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 neuritis248 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
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Twig (Macular) Branch Retinal Vein Occlusion with no symptoms248 views73 year old female with 20/25 vision and no symptoms
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Pseudophakic cystoid macular edema (CME)248 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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Siegrist Streaks and severe diabetic macular edema248 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.
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Leber's congenital amaurosis248 views4 year old child with nystagmus and no evidence of fixation. Genetic testing showed LCA 9
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Multiple Evanescent White Dot Syndrome - MEWDS Left Eye248 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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247 views
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choroidal melanoma.247 viewsAn Asian male, 37 years old, choroidal melanoma.
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Granulomatous Uveitis - Probable Sarcoid247 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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Central Serous Retinopathy - Female on steroids247 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 - Fluorescein247 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 - Advanced247 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 membrane247 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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Choroidal Excavation left eye247 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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Pattern dystrophy with progressive foveal atrophy left eye247 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 Serpiginous Chorioretinopathy247 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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Stargardt Disease - Very Mild - 24 year old247 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 old247 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.247 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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RPE tear following single treatment of vabysmo in the left eye247 views80 year old patient with HemiCRVO and wet AMD in the left eye. The right eye has recent vision loss from 20/40 - 20/100. She has a high PED and wet AMD. She was given one treatment of half-dose vabysmo and presented next visit with a PED tear and vision of 4/200.
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Syphilitic optic neuritis247 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 coumadin247 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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Leber's congenital amaurosis247 views4 year old child with nystagmus and no evidence of fixation. Genetic testing showed LCA 9
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BRVO246 views68male BRVO outcomes
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Presumed ocular histoplasmosis syndrome and CNVM - responded to Avastin246 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 Avastin246 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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