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Autosomal Dominant Optic Atrophy - OPA1 Mutation221 views25 year old female with VA 20/80 OU and recent vision decline. Her father also has poor vision.
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Serpiginous choroiditis in the right eye221 views68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.
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Stargardt Disease - Very Mild - 24 year old220 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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Disc drusen 8 year old boy - fluorescein shows no leakage220 views8 year old boy with headache and nausea. He had a negative MRI. Images show hyper FAF from drusen and no leakage on FA. No spinal tap was done. VA was 20/40 both eyes.
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Central Serous Chorioretinopathy - Expanding hot spot - photodynamic laser220 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 neuritis220 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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220 views
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Dome Shaped Macula Left Eye220 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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Dome Shaped Macula Left Eye220 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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Dry Macular Degeneration with Pseudodrusen and vitelliform lesion220 views80 year old female with 20/50 vision in both eyes. Mild blurring
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Siegrist Streaks and severe diabetic macular edema220 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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Multiple Evanescent White Dot Syndrome - MEWDS Left Eye220 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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wet AMD - extrafoveal classic choroidal neovascular membrane219 views72 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 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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RPE tear following single treatment of vabysmo in the left eye219 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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RPE tear following single treatment of vabysmo in the left eye219 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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Myopic (maybe PIC) choroidal neovascular membrane with recurrence after 6 years219 views31 year old female presented with 20/100 vision OS in 2017. Was treated with Lucentis x 6 and improved to 20/32. Then she was lost to follow-up. She represented 6 years later with 20/50 vision OS and a large recurrence and restarted treatment.
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Siegrist Streaks and severe diabetic macular edema219 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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218 views
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218 views
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Stargardt Disease - Very Mild - 24 year old218 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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|

Dome Shaped Macula Left Eye218 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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|

Dome Shaped Macula Left Eye218 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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PIC which evolved into Subretinal Fibrosis218 views27 year old female VA 20/200 right eye 20/20 left eye. Right was treated with lucentis. When extended to 3 months, the fibrosis got much worse
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Large Hyper-reflective drusen in age-related macular degeneration218 views69 year old healthy woman with 20/20 vision and no visual complaints
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Lattice degeneration with fresh tear - mature laser - 1 month post treatment218 views
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Class 2 choroidal melanoma218 views48 year old man with no visual complaints referred by optometrist.
Brachytherapy was done and biopsy showed a class 2 melanoma. 2 years later the patient developed liver metastases.
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Macular edema from latanaprost218 views79 year old man with macula off RD repair 15 years ago and cataract surgery 14 years ago with new CME. Patient recently started on latanaprost VA 20/100 OD
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217 views
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217 views
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RPE tear following single treatment of vabysmo in the left eye217 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.
|
|

RPE tear following single treatment of vabysmo in the left eye217 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 neuritis217 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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217 views
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Myopic (maybe PIC) choroidal neovascular membrane with recurrence after 6 years217 views31 year old female presented with 20/100 vision OS in 2017. Was treated with Lucentis x 6 and improved to 20/32. Then she was lost to follow-up. She represented 6 years later with 20/50 vision OS and a large recurrence and restarted treatment.
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Gyrate atrophy vs Myopic Degeneration217 views73 year old female with VA 20/16 OD 20/32 OS. Has cnvm in the left eye. Genetic testing for gyrate atrophy was negative.
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Proliferative diabetic retinopathy with vitreous hemorrhage217 views53 year old man with foggy vision in the left eye for one day. VA 20/25 OD, 20/40 OS. Diabetes for 10 years. Type II
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Siegrist Streaks and severe diabetic macular edema217 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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Large Hyper-reflective drusen in age-related macular degeneration217 views69 year old healthy woman with 20/20 vision and no visual complaints
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Leber's congenital amaurosis217 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 Eye217 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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Bilateral PVR total retinal detachment in homeless man217 views41-year-old homeless man
Vision loss in both eyes for many months which is not getting better.
PMhx – Benign
Meds – none
VA OD: HM, OS: 2/200
IOP 14, 15
Anterior segments: 1+ NS OU
Post-op vision at 3 months was 2/200 both eyes uncorrected (see images)
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Paracentral acute middle maculopathy - isolated217 views83 year old man New spot in the vision yesterday left eye.
Medical Hx: Pure Hypercholesterolemia
Systemic Meds: Crestor.
VA OD: Dcc20/20
VA OS: Dcc20/20
IOP: TP: OD:19 OS:10
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216 views
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216 views
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Dome Shaped Macula Left Eye216 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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|

Myopic (maybe PIC) choroidal neovascular membrane with recurrence after 6 years216 views31 year old female presented with 20/100 vision OS in 2017. Was treated with Lucentis x 6 and improved to 20/32. Then she was lost to follow-up. She represented 6 years later with 20/50 vision OS and a large recurrence and restarted treatment.
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|

Proliferative diabetic retinopathy with vitreous hemorrhage216 views53 year old man with foggy vision in the left eye for one day. VA 20/25 OD, 20/40 OS. Diabetes for 10 years. Type II
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Proliferative diabetic retinopathy with vitreous hemorrhage216 views53 year old man with foggy vision in the left eye for one day. VA 20/25 OD, 20/40 OS. Diabetes for 10 years. Type II
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|

Siegrist Streaks and severe diabetic macular edema216 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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Retinal Arterial Macroaneurysm with pre-retinal hemorrhage216 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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Severe NPDR216 views53 year old man with blurred vision (needs glasses).
Diabetic for 10 years with poor control
VA 20/32 OU
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Reticular pseudodrusen216 views
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215 views
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215 views
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RPE tear following single treatment of vabysmo in the left eye215 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.
|
|

RPE tear following single treatment of vabysmo in the left eye215 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.
|
|

Disc drusen 8 year old boy - fluorescein shows no leakage215 views8 year old boy with headache and nausea. He had a negative MRI. Images show hyper FAF from drusen and no leakage on FA. No spinal tap was done. VA was 20/40 both eyes.
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|

215 views
|
|

Myopic (maybe PIC) choroidal neovascular membrane with recurrence after 6 years215 views31 year old female presented with 20/100 vision OS in 2017. Was treated with Lucentis x 6 and improved to 20/32. Then she was lost to follow-up. She represented 6 years later with 20/50 vision OS and a large recurrence and restarted treatment.
|
|

Gyrate atrophy vs Myopic Degeneration215 views73 year old female with VA 20/16 OD 20/32 OS. Has cnvm in the left eye. Genetic testing for gyrate atrophy was negative.
|
|

Siegrist Streaks and severe diabetic macular edema215 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.
|
|

Multiple Evanescent White Dot Syndrome - MEWDS Left Eye215 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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|

Autosomal Dominant Optic Atrophy - OPA1 Mutation215 views25 year old female with VA 20/80 OU and recent vision decline. Her father also has poor vision.
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Fresh BRAO in patient with wet AMD215 views91 year old female She noticed last night a shadow over the left eye. When she closes her right eye she cannot see the bottom of the vision in the left eye. This is new.
VA OD: sc20/32-1
VA OS: sc20/32-2
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Stargardt Disease - Very Mild - 24 year old214 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
|
|

214 views
|
|

Gyrate atrophy vs Myopic Degeneration214 views73 year old female with VA 20/16 OD 20/32 OS. Has cnvm in the left eye. Genetic testing for gyrate atrophy was negative.
|
|

Proliferative diabetic retinopathy with vitreous hemorrhage214 views53 year old man with foggy vision in the left eye for one day. VA 20/25 OD, 20/40 OS. Diabetes for 10 years. Type II
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|

Proliferative diabetic retinopathy with vitreous hemorrhage214 views53 year old man with foggy vision in the left eye for one day. VA 20/25 OD, 20/40 OS. Diabetes for 10 years. Type II
|
|

Siegrist Streaks and severe diabetic macular edema214 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.
|
|

Multiple Evanescent White Dot Syndrome - MEWDS Left Eye214 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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|

Fresh BRAO in patient with wet AMD214 views91 year old female She noticed last night a shadow over the left eye. When she closes her right eye she cannot see the bottom of the vision in the left eye. This is new.
VA OD: sc20/32-1
VA OS: sc20/32-2
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|

Severe NPDR214 views53 year old man with blurred vision (needs glasses).
Diabetic for 10 years with poor control
VA 20/32 OU
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25 year old with Stargard and 2 ABCA4 mutations.213 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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Disc drusen 8 year old boy - fluorescein shows no leakage213 views8 year old boy with headache and nausea. He had a negative MRI. Images show hyper FAF from drusen and no leakage on FA. No spinal tap was done. VA was 20/40 both eyes.
|
|

213 views
|
|

Dome Shaped Macula Left Eye213 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
|
|

Myopic (maybe PIC) choroidal neovascular membrane with recurrence after 6 years213 views31 year old female presented with 20/100 vision OS in 2017. Was treated with Lucentis x 6 and improved to 20/32. Then she was lost to follow-up. She represented 6 years later with 20/50 vision OS and a large recurrence and restarted treatment.
|
|

Proliferative diabetic retinopathy with vitreous hemorrhage213 views53 year old man with foggy vision in the left eye for one day. VA 20/25 OD, 20/40 OS. Diabetes for 10 years. Type II
|
|

Dry Macular Degeneration with Pseudodrusen and vitelliform lesion213 views80 year old female with 20/50 vision in both eyes. Mild blurring
|
|

Multiple Evanescent White Dot Syndrome - MEWDS Left Eye213 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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|

Posterior Pigment Dispersion Syndrome213 views81 year old man with cataract surgery 30 years ago and normal vision who had bilateral vitrectomy for dense floaters and has pigment on his IOL surface and all over the retina (but not on the cornea) VA 20/25 OU
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Severe NPDR213 views53 year old man with blurred vision (needs glasses).
Diabetic for 10 years with poor control
VA 20/32 OU
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212 views
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Choroidal Hemangioma Requiring PDT repeatedly212 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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Stargardt Disease - Very Mild - 24 year old212 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
|
|

Central Serous Chorioretinopathy - Expanding hot spot - photodynamic laser212 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.
|
|

212 views
|
|

Proliferative diabetic retinopathy with vitreous hemorrhage212 views53 year old man with foggy vision in the left eye for one day. VA 20/25 OD, 20/40 OS. Diabetes for 10 years. Type II
|
|

Proliferative diabetic retinopathy with vitreous hemorrhage212 views53 year old man with foggy vision in the left eye for one day. VA 20/25 OD, 20/40 OS. Diabetes for 10 years. Type II
|
|

PIC which evolved into Subretinal Fibrosis212 views27 year old female VA 20/200 right eye 20/20 left eye. Right was treated with lucentis. When extended to 3 months, the fibrosis got much worse
|
|

Siegrist Streaks and severe diabetic macular edema212 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.
|
|

Multiple Evanescent White Dot Syndrome - MEWDS Left Eye212 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
|
|

Multiple Evanescent White Dot Syndrome - MEWDS Left Eye212 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
|
|

Class 2 choroidal melanoma212 views48 year old man with no visual complaints referred by optometrist.
Brachytherapy was done and biopsy showed a class 2 melanoma. 2 years later the patient developed liver metastases.
|
|

211 views
|
|

Gyrate atrophy vs Myopic Degeneration211 views73 year old female with VA 20/16 OD 20/32 OS. Has cnvm in the left eye. Genetic testing for gyrate atrophy was negative.
|
|

PIC which evolved into Subretinal Fibrosis211 views27 year old female VA 20/200 right eye 20/20 left eye. Right was treated with lucentis. When extended to 3 months, the fibrosis got much worse
|
|

Choroidal macrovessel211 views70 year old female with vision loss in the left eye 4 months after cataract surgery.
VA 20/32 OD, 20/80 OS
Images show CME but also a choroidal macrovessel in the left eye.
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