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Siegrist Streaks and severe diabetic macular edema182 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 Eye182 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 melanoma182 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.

Serpiginous choroiditis in the right eye182 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.

Paracentral acute middle maculopathy - isolated182 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

Pseudophakic CME chronic182 views74 year old man presented 14 weeks after cataract surgery with severe CME on topical therapy. Multiple attempts to taper drops failed. Also, the patient had a steroid responsive glaucoma. He ended up on BID PF, Ketorolac and Dorz/Timolol

Birdshot Chorioretinitis - Chronic Untreated with Drusen Like Material in Macula182 views72 year old female with vision changes for years just now diagnosed with Birdshot.

Idiopathic Polypoidal Choroidal Vasculopathy182 views83 year old man with wet AMD for 12 years resistant to Anti-VEGF therapy but responsive to PDT

Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)182 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/

181 views

Siegrist Streaks and severe diabetic macular edema181 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 Eye181 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

Macular edema from latanaprost181 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

Advanced age-related macular degeneration181 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

Retinal Arterial Macroaneurysm with pre-retinal hemorrhage181 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

Fresh BRAO in patient with wet AMD181 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

Normal-OCT Line Scan (4)181 views

Idiopathic Polypoidal Choroidal Vasculopathy181 views83 year old man with wet AMD for 12 years resistant to Anti-VEGF therapy but responsive to PDT

AZOOR - Inactive181 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

Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)181 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/

NPDR and Severe macular ischemia sudden vision loss181 views60 year old female with sudden vision loss OD 1 week ago. VA 20/63, 20/200. OCT-A and FA shows severe macular ischemia OU

180 views

Myopic (maybe PIC) choroidal neovascular membrane with recurrence after 6 years180 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.

PIC which evolved into Subretinal Fibrosis180 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

Bietti's Crystalline Dystrophy - CYP4V2 homozygous180 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

Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy180 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).

Class 2 choroidal melanoma180 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.

Paracentral acute middle maculopathy - isolated180 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

Stargardt - Mother with Stargadts and father with RP180 viewsHer 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: 20/160 OS: 20/160

She tested positive for ABCA4

Macular Telangetasia MacTel - Nonproliferative180 views60 year old non-diabetic female with gradual vision loss for 20 years. VA 20/80 OD, 20/63 OS

Myopic CNVM Left Eye180 views80 year old female. VA dropped to 20/125 but improved back up to 20/50 with Vabysmo

Wet AMD - Occult CNVM and Geographic atrophy180 views77 year old female with mild vision loss - 20/32 - responded to Avastin

54 year old female with a lot of drusen180 viewsVA 20/12 OD, 20/16 OS - no symptoms

Albinism and Renal failure - Possible Hermansky-Pudlak Syndrome180 views65 year old female with foveal hypoplasia and renal failure since age 18. VA 20/40 OD, 20/63 OS

West Nile Virus Multifocal Choroiditis with later CNVM180 views77 year old female with vision loss in the left eye treated with Anti-VEGF

AZOOR - Inactive180 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

Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)180 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/

Siegrist Streaks and severe diabetic macular edema179 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.

Phototoxicity following cataract surgery179 views70 year old female with nasal spot in vision since cataract surgery 3 years ago. VA 20/20 OU.

Serpiginous choroiditis in the right eye179 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.

Laser pointer maculopathy179 views11 year old male When school started the patient noticed that he was having trouble reading and seeing out of both eyes. There are no retinal diseases in the family.
VA OD: sc20/25
VA OS: sc20/40
TP: OD:19 OS:18

The FOBSERD ZK-9318 laser pointer is a long range green beam high power flashlight. It has an average power of 60-90 mw.
You can buy the ZK-9318 laser pointer on Amazon

I also found this:
The FOBSERD ZK-9318 laser pointer is a class III laser with a 532nm wavelength and can be seen up to 1 mile away. It has a maximum power output of 5mW and creates a low-power visible laser beam.

One review on amazon says this:
Powerful
By Savvy Logic in the United States on March 17, 2023
I measured the wattage at about 150 MW on an optical Power Meter

PEHCR - Peripheral Exudative Hemorrhagic Chorioretinopathy179 views

Central Retinal Vein Occlusion with cilioretinal artery occlusion179 views63 year old female who lost vision in the left eye 2 days ago. She was in the emergency room and had a lot of tests done which were all reportedly normal. The right eye is OK.
VA OD: Dcc20/25 NccJ2
VA OS: Dcc20/200-1 PHNI Ncc20/400-1
IOP: TP: OD:11 OS:12

Normal OCT line scan179 views

Macular Telangetasia MacTel - Nonproliferative179 views60 year old non-diabetic female with gradual vision loss for 20 years. VA 20/80 OD, 20/63 OS

Syphilitic Chorioretinitis179 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200

Pattern Dystrophy - PHPR2 Gene179 views57 year old man- VA 20/25 OD, 20/20 OS - Many family members have retinitis pigmentosa

178 views

Bietti's Crystalline Dystrophy - CYP4V2 homozygous178 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

Serpiginous choroiditis in the right eye178 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.

Paracentral acute middle maculopathy - isolated178 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

Macular edema from latanaprost178 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

Myopic CNVM Left Eye178 views80 year old female. VA dropped to 20/125 but improved back up to 20/50 with Vabysmo

Traumatic Peripapillary Subretinal Hemorrhage178 views16 year old hit in eye with finger during basketball. Vision is 20/25 and there is a peripapillary hemorrhage.

CRVO with severe capillary non-perfusion177 views95 year old female 2-3 days of severe vision loss in the right eye.
The left eye lost vision to wet AMD after having a 8 month gap in therapy between 1/2020 (VA 20/50 OU) and 9/2020 (VA 20/25 OD, HM OS - COVID).
PMHx: DM (on no medications), Thyroid
Meds: Artificial tears
VA HM OU
IOP: 18,19
Anterior segment: no rubeosis, pseudophakic
images look like vision loss was more than a few days in the right eye.

Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy177 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).

Phototoxicity following cataract surgery177 views70 year old female with nasal spot in vision since cataract surgery 3 years ago. VA 20/20 OU.

Paracentral acute middle maculopathy - isolated177 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

Macular edema from latanaprost177 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

Central Retinal Vein Occlusion with cilioretinal artery occlusion177 views63 year old female who lost vision in the left eye 2 days ago. She was in the emergency room and had a lot of tests done which were all reportedly normal. The right eye is OK.
VA OD: Dcc20/25 NccJ2
VA OS: Dcc20/200-1 PHNI Ncc20/400-1
IOP: TP: OD:11 OS:12

BRVO with good vision177 views87 year old man with good vision (diabetes without retinopathy). VA 20/25 OU. Vision never worsened from BRVO OS.

Reticular pseudodrusen177 views

Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy176 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).

Advanced age-related macular degeneration176 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

Posterior Pigment Dispersion Syndrome176 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

Normal Clarus Image176 views

Stargardt - Mother with Stargadts and father with RP176 viewsHer 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: 20/160 OS: 20/160

She tested positive for ABCA4

Pseudophakic CME chronic176 views74 year old man presented 14 weeks after cataract surgery with severe CME on topical therapy. Multiple attempts to taper drops failed. Also, the patient had a steroid responsive glaucoma. He ended up on BID PF, Ketorolac and Dorz/Timolol

Ruptured Retinal Arterial Macroaneurysm - Submacular hemorrhage and BRAO176 views81 year old female with vision loss for a few days. Coumadin was high with INR at 3.1 VA 6/200

West Nile Virus Multifocal Choroiditis with later CNVM176 views77 year old female with vision loss in the left eye treated with Anti-VEGF

Reticular pseudodrusen176 views

Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)176 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/

175 views

Bietti's Crystalline Dystrophy - CYP4V2 homozygous175 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

Retinal Angioma175 views46 year old female - Her original reason for an eye examination was that she had been in a car accident. Then she saw that the vision was blurry in just the left eye. Prior to that she had no known vision changes. Since the accident she notices that her vision is better and her headaches are getting less bothersome.
PMhx benign, Meds: none
VA OD: Dcc20/20
VA OS: Dcc20/25

Paracentral acute middle maculopathy - isolated175 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

32 year old with peripheral CHRPE175 views

Syphilitic Chorioretinitis175 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200

Severe NPDR175 views53 year old man with blurred vision (needs glasses).
Diabetic for 10 years with poor control
VA 20/32 OU

Ruptured Retinal Arterial Macroaneurysm - Submacular hemorrhage and BRAO175 views81 year old female with vision loss for a few days. Coumadin was high with INR at 3.1 VA 6/200

Prethreshold PDR right eye - mild NVD175 views

Idiopathic Polypoidal Choroidal Vasculopathy175 views83 year old man with wet AMD for 12 years resistant to Anti-VEGF therapy but responsive to PDT

174 views

Myopic (maybe PIC) choroidal neovascular membrane with recurrence after 6 years174 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.

Bietti's Crystalline Dystrophy - CYP4V2 homozygous174 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

Paracentral acute middle maculopathy - isolated174 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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