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Proliferative diabetic retinopathy with vitreous hemorrhage154 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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Multiple Evanescent White Dot Syndrome - MEWDS Left Eye154 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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Choroidal macrovessel154 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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54 year old female with a lot of drusen154 viewsVA 20/12 OD, 20/16 OS - no symptoms
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54 year old female with a lot of drusen154 viewsVA 20/12 OD, 20/16 OS - no symptoms
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54 year old female with a lot of drusen154 viewsVA 20/12 OD, 20/16 OS - no symptoms
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Reticular pseudodrusen154 views
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Reticular pseudodrusen154 views
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153 views
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153 views
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153 views
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Myopic (maybe PIC) choroidal neovascular membrane with recurrence after 6 years153 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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Myopic (maybe PIC) choroidal neovascular membrane with recurrence after 6 years153 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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Myopic (maybe PIC) choroidal neovascular membrane with recurrence after 6 years153 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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PIC which evolved into Subretinal Fibrosis153 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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PIC which evolved into Subretinal Fibrosis153 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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Lattice degeneration with fresh tear - mature laser - 1 month post treatment153 views
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Choroidal macrovessel153 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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Class 2 choroidal melanoma153 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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152 views
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Myopic (maybe PIC) choroidal neovascular membrane with recurrence after 6 years152 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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PIC which evolved into Subretinal Fibrosis152 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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Siegrist Streaks and severe diabetic macular edema152 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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Siegrist Streaks and severe diabetic macular edema152 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 Eye152 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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Siegrist Streaks and severe diabetic macular edema151 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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Siegrist Streaks and severe diabetic macular edema151 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 Eye151 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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MEWDS - 6 weeks later - Vision 20/16 151 viewsSymptoms have almost completely abated.
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150 views
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Gyrate atrophy vs Myopic Degeneration150 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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Siegrist Streaks and severe diabetic macular edema150 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 Eye150 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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Multiple Evanescent White Dot Syndrome - MEWDS Left Eye150 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 man150 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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Prethreshold PDR right eye - mild NVD150 views
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Reticular pseudodrusen150 views
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Idiopathic Polypoidal Choroidal Vasculopathy149 views83 year old man with wet AMD for 12 years resistant to Anti-VEGF therapy but responsive to PDT
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Reticular pseudodrusen149 views
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148 views
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148 views
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Dry Macular Degeneration with Pseudodrusen and vitelliform lesion148 views80 year old female with 20/50 vision in both eyes. Mild blurring
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Dry Macular Degeneration with Pseudodrusen and vitelliform lesion148 views80 year old female with 20/50 vision in both eyes. Mild blurring
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PIC which evolved into Subretinal Fibrosis148 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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PIC which evolved into Subretinal Fibrosis148 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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Siegrist Streaks and severe diabetic macular edema148 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 Eye148 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 Mutation148 views25 year old female with VA 20/80 OU and recent vision decline. Her father also has poor vision.
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Autosomal Dominant Optic Atrophy - OPA1 Mutation148 views25 year old female with VA 20/80 OU and recent vision decline. Her father also has poor vision.
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148 views
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Lattice degeneration with fresh tear - fresh laser - 1 week post treatment148 views
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Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy148 views73-year old female. Had treatment trial with Eylea with no benefit (4 months). Vision is 20/32 in left eye and has remained there (with a dense cataract).
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Choroidal macrovessel148 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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|

Idiopathic Polypoidal Choroidal Vasculopathy148 views83 year old man with wet AMD for 12 years resistant to Anti-VEGF therapy but responsive to PDT
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Reticular pseudodrusen148 views
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Gyrate atrophy vs Myopic Degeneration147 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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Leber's congenital amaurosis147 views4 year old child with nystagmus and no evidence of fixation. Genetic testing showed LCA 9
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PIC which evolved into Subretinal Fibrosis146 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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Autosomal Dominant Optic Atrophy - OPA1 Mutation146 views25 year old female with VA 20/80 OU and recent vision decline. Her father also has poor vision.
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PEHCR - Peripheral Exudative Hemorrhagic Chorioretinopathy146 views
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Non exudative MNV145 views
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Siegrist Streaks and severe diabetic macular edema145 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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Posterior Pigment Dispersion Syndrome145 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 NPDR145 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 pseudodrusen145 views
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Astrocytoma (Astrocytic Hamartoma) no calcification145 views38 year old man with no symptoms
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Choroidal macrovessel144 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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|

Class 2 choroidal melanoma144 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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|

Class 2 choroidal melanoma144 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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|

Advanced age-related macular degeneration144 views87 year old female. Severe macular bleed 15 years ago OD. Now with disciform scar. Left eye has progressing geographic atrophy.
VA OD: HM, OS: 5/200. IOP normal OU
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Idiopathic Polypoidal Choroidal Vasculopathy144 views83 year old man with wet AMD for 12 years resistant to Anti-VEGF therapy but responsive to PDT
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|

Myopic (maybe PIC) choroidal neovascular membrane with recurrence after 6 years143 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.
|
|

Choroidal macrovessel143 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.
|
|

Choroidal macrovessel143 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.
|
|

Class 2 choroidal melanoma143 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.
|
|

Reticular pseudodrusen143 views
|
|

Myopic (maybe PIC) choroidal neovascular membrane with recurrence after 6 years142 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.
|
|

Siegrist Streaks and severe diabetic macular edema142 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.
|
|

Bietti's Crystalline Dystrophy - CYP4V2 homozygous142 views58-year-old-female (from Thailand)
Patient had evaluation for LASIK and there was concern that the BCVA was not normal.
PMHx Benign, Meds: none
VA 20/25 OU
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Myopic (maybe PIC) choroidal neovascular membrane with recurrence after 6 years141 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.
|
|

Siegrist Streaks and severe diabetic macular edema141 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.
|
|

Siegrist Streaks and severe diabetic macular edema141 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.
|
|

Siegrist Streaks and severe diabetic macular edema141 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.
|
|

Siegrist Streaks and severe diabetic macular edema141 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.
|
|

Class 2 choroidal melanoma141 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.
|
|

Severe NPDR141 views53 year old man with blurred vision (needs glasses).
Diabetic for 10 years with poor control
VA 20/32 OU
|
|

54 year old female with a lot of drusen141 viewsVA 20/12 OD, 20/16 OS - no symptoms
|
|

Myopic (maybe PIC) choroidal neovascular membrane with recurrence after 6 years140 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.
|
|

Myopic (maybe PIC) choroidal neovascular membrane with recurrence after 6 years140 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.
|
|

Choroidal macrovessel140 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.
|
|

Class 2 choroidal melanoma140 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.
|
|

Class 2 choroidal melanoma140 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.
|
|

wet AMD with classic extrafoveal macular neovascularization in the good eye140 views89 year old man with longstanding vision loss in the left eye presented with one month of mild vision loss in the right eye. Vision was 20/32. This eye responded to vabysmo therapy.
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Severe NPDR140 views53 year old man with blurred vision (needs glasses).
Diabetic for 10 years with poor control
VA 20/32 OU
|
|

54 year old female with a lot of drusen140 viewsVA 20/12 OD, 20/16 OS - no symptoms
|
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Birdshot Chorioretinitis - Chronic Untreated with Drusen Like Material in Macula140 views72 year old female with vision changes for years just now diagnosed with Birdshot.
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AZOOR - Inactive140 viewsSudden vision loss in the left eye 3 years ago. Labs for syphilis, sarcoid and TB all negative. VA 20/32 OD, 20/80 OS
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|

Reticular pseudodrusen140 views
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|

Bilateral PVR total retinal detachment in homeless man139 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 - isolated139 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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