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Wet AMD - Occult CNVM and Geographic atrophy196 views77 year old female with mild vision loss - 20/32 - responded to Avastin

AZOOR - Inactive196 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)196 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/

195 views

Subhyaloid Hemorrhage, Right Eye195 viewsFundus photograph of 34-year-old woman who presented with sudden onset of flashes and a large black floater obscuring vision in the right eye. Recent history of severe coughing and emisis.

Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy195 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 surgery195 views70 year old female with nasal spot in vision since cataract surgery 3 years ago. VA 20/20 OU.

Laser pointer maculopathy195 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

Paracentral acute middle maculopathy - isolated195 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 latanaprost195 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

Retinal Arterial Macroaneurysm with pre-retinal hemorrhage195 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 AMD195 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

32 year old with peripheral CHRPE195 views

Idiopathic Polypoidal Choroidal Vasculopathy195 views83 year old man with wet AMD for 12 years resistant to Anti-VEGF therapy but responsive to PDT

194 views

Myopic (maybe PIC) choroidal neovascular membrane with recurrence after 6 years194 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.

Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy194 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).

Choroidal macrovessel194 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.

Phototoxicity following cataract surgery194 views70 year old female with nasal spot in vision since cataract surgery 3 years ago. VA 20/20 OU.

Paracentral acute middle maculopathy - isolated194 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 latanaprost194 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

Posterior Pigment Dispersion Syndrome194 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

PEHCR - Peripheral Exudative Hemorrhagic Chorioretinopathy194 views

Normal Autofluorescence194 views

Normal OCT line scan194 views

Macular Telangetasia MacTel - Nonproliferative194 views60 year old non-diabetic female with gradual vision loss for 20 years. VA 20/80 OD, 20/63 OS

Pattern Dystrophy - PHPR2 Gene194 views57 year old man- VA 20/25 OD, 20/20 OS - Many family members have retinitis pigmentosa

Ruptured Retinal Arterial Macroaneurysm - Submacular hemorrhage and BRAO194 views81 year old female with vision loss for a few days. Coumadin was high with INR at 3.1 VA 6/200

Hydroxychloroquine Toxicity194 views60 year old female received 6.5 mg/kg Plaquenil for 15 years and developed toxicity. VA 20/40 OD, 20/20 OS

Idiopathic Polypoidal Choroidal Vasculopathy194 views83 year old man with wet AMD for 12 years resistant to Anti-VEGF therapy but responsive to PDT

193 views

Pucker193 views64female pucker

Myopic (maybe PIC) choroidal neovascular membrane with recurrence after 6 years193 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 homozygous193 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 - isolated193 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

Posterior Pigment Dispersion Syndrome193 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

Syphilitic Chorioretinitis193 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200

Albinism and Renal failure - Possible Hermansky-Pudlak Syndrome193 views65 year old female with foveal hypoplasia and renal failure since age 18. VA 20/40 OD, 20/63 OS

Birdshot Chorioretinitis - Chronic Untreated with Drusen Like Material in Macula193 views72 year old female with vision changes for years just now diagnosed with Birdshot.

192 views

Bietti's Crystalline Dystrophy - CYP4V2 homozygous192 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 maculopathy192 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).

Paracentral acute middle maculopathy - isolated192 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

BRVO with good vision192 views87 year old man with good vision (diabetes without retinopathy). VA 20/25 OU. Vision never worsened from BRVO OS.

Normal-OCT Line Scan (3)192 views

Ruptured Retinal Arterial Macroaneurysm - Submacular hemorrhage and BRAO192 views81 year old female with vision loss for a few days. Coumadin was high with INR at 3.1 VA 6/200

Reticular pseudodrusen192 views

Optic Disc Drusen - Calcified192 views

Severe NPDR with non-perfusion on FA192 views64 year old man with 20/32 vision in both eyes and mild blurring. FA shows non-perfusion but no proliferation

NPDR and Severe macular ischemia sudden vision loss192 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

191 views

Bilateral PVR total retinal detachment in homeless man191 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)

Choroidal macrovessel191 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.

Fresh BRAO in patient with wet AMD191 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

Syphilitic Chorioretinitis191 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200

Reticular pseudodrusen191 views

Myopic (maybe PIC) choroidal neovascular membrane with recurrence after 6 years190 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.

Phototoxicity following cataract surgery190 views70 year old female with nasal spot in vision since cataract surgery 3 years ago. VA 20/20 OU.

Serpiginous choroiditis in the right eye190 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 maculopathy190 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

Paracentral acute middle maculopathy - isolated190 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 latanaprost190 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 degeneration190 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

Central Retinal Vein Occlusion with cilioretinal artery occlusion190 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 vision190 views87 year old man with good vision (diabetes without retinopathy). VA 20/25 OU. Vision never worsened from BRVO OS.

Stargardt - Mother with Stargadts and father with RP190 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

32 year old with peripheral CHRPE190 views

Albinism and Renal failure - Possible Hermansky-Pudlak Syndrome190 views65 year old female with foveal hypoplasia and renal failure since age 18. VA 20/40 OD, 20/63 OS

NPDR and Severe macular ischemia sudden vision loss190 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

189 views

CRVO with severe capillary non-perfusion189 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.

Bietti's Crystalline Dystrophy - CYP4V2 homozygous189 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 - isolated189 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

Achromatopsia189 views28 year old female Good vision since birth started wearing glasses at 2, denies trauma. She does have congenital nystagmus.

VA OD: Dcc20/200-2 PH20/200 NccJ7
VA OS: Dcc20/160 PHNI NccJ7
IOP: TP: OD:15 OS:12

Posterior Pigment Dispersion Syndrome189 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

BRVO with good vision189 views87 year old man with good vision (diabetes without retinopathy). VA 20/25 OU. Vision never worsened from BRVO OS.

Normal Clarus Image189 views

Normal-OCT Line Scan (4)189 views

Macular Telangetasia MacTel - Nonproliferative189 views60 year old non-diabetic female with gradual vision loss for 20 years. VA 20/80 OD, 20/63 OS

West Nile Virus Multifocal Choroiditis with later CNVM189 views77 year old female with vision loss in the left eye treated with Anti-VEGF

Reticular pseudodrusen189 views

188 views

Myopic (maybe PIC) choroidal neovascular membrane with recurrence after 6 years188 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 edema188 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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