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Roth Spot and Endocarditis79 views70 year old female - flu like symptoms with roth spot who was diagnosed by echo with endocarditis
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Roth Spot and Endocarditis79 views70 year old female - flu like symptoms with roth spot who was diagnosed by echo with endocarditis
|
|
Paclitaxel induced cystoid macular edema - reversed when chemo stopped79 views74 year old retired physician About 2-3 weeks ago there was gradual vision loss in the right eye. The patient was seen by an ophthalmologist who saw macular swelling and injected vabysmo. He has been on chemotherapy (Carbiplatin and Carboxytaxol for 2 cancers - advanced prostrate diagnosed 2019 - has had brain surgery AND squamous lung cancers treated with radiation)
Medical Hx: Prostate cancer (Onset: 2018). Pulmonary and bone cancer metastatic. Brain cancer metastasized from prostate cancer.
Surgical Hx: Right frontal & Frontoparietal Craniotomy (Onset: 2024). Appendectomy. Hemorrhoidectomy. Herniorrhaphy. Prostate. Systemic Meds: Chemotherapy. Radiation. Eligard Every 3 Months 22.5 MG per 0.375 ML Prefilled Syringe. MIRALAX prn. Tums Freshers 500 MG Chewable Tablet. Vitamin D. XGEVA.
VA OD: Dcc20/125+1
VA OS: Dcc20/125-2
TP: OD:12 OS:15
|
|
NPDR and Severe macular ischemia sudden vision loss79 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
|
|
Paracentral acute middle maculopathy - isolated78 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
|
|
Retinal Arterial Macroaneurysm with pre-retinal hemorrhage78 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
|
|
Wet AMD - Type 1 CNVM - RAP lesion78 views92 year old man with vision loss and very high PED. Because of worry about a PED tear, patient was treated with avastin, then lucentis, then eyelea, then vabysmo (progressively stronger meds)
|
|
Wet AMD - Type 1 CNVM - RAP lesion78 views92 year old man with vision loss and very high PED. Because of worry about a PED tear, patient was treated with avastin, then lucentis, then eyelea, then vabysmo (progressively stronger meds)
|
|
Stargardt - Mother with Stargadts and father with RP78 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
|
|
Syphilitic Chorioretinitis78 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200
|
|
Ruptured Retinal Arterial Macroaneurysm - Submacular hemorrhage and BRAO78 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 NVD78 views
|
|
West Nile Virus Multifocal Choroiditis with later CNVM78 views77 year old female with vision loss in the left eye treated with Anti-VEGF
|
|
West Nile Virus Multifocal Choroiditis with later CNVM78 views77 year old female with vision loss in the left eye treated with Anti-VEGF
|
|
Birdshot Chorioretinitis - Chronic Untreated with Drusen Like Material in Macula78 views72 year old female with vision changes for years just now diagnosed with Birdshot.
|
|
Chronic Myelogenous Leukemia and Diabetic Macular Edema77 views71 year old female with 3 months of vision loss and not feeling well. She has been bruising on her legs. Her vision was 20/100 in each eye with macular edema. She was treated with Avastin and her CBC was checked. She had a WBC of 267 thousand and was diagnosed with CML.
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Chronic Myelogenous Leukemia and Diabetic Macular Edema77 views71 year old female with 3 months of vision loss and not feeling well. She has been bruising on her legs. Her vision was 20/100 in each eye with macular edema. She was treated with Avastin and her CBC was checked. She had a WBC of 267 thousand and was diagnosed with CML.
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Normal IR 77 views
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32 year old female with normal vision and CHRPE77 views
|
|
West Nile Virus Multifocal Choroiditis with later CNVM77 views77 year old female with vision loss in the left eye treated with Anti-VEGF
|
|
West Nile Virus Multifocal Choroiditis with later CNVM77 views77 year old female with vision loss in the left eye treated with Anti-VEGF
|
|
Birdshot Chorioretinitis - Chronic Untreated with Drusen Like Material in Macula77 views72 year old female with vision changes for years just now diagnosed with Birdshot.
|
|
Acute retinal necrosis77 views67 year old female Hazy vision in the right eye for 5 days.
Medical Hx: TYPE 2 DIAB.. Hypercholesterolemia.
Surgical Hx: COLECTOMY.
Systemic Meds: CRESTOR 10 MG QD. METFORMIN 500 MG QD. PROLIA Q 6 MOS. SULFA 800 MG/ TRIMETHOPRIM 160 MG TID. VALCYCLOVIR 1 GM TID. PROBIOTIC QD. CENTRUM 50+ QD. ALLERGY MED QD
VA 20/40, 20/20
IOP 19, 12
SLE: Trace AC cell OD and moderate vitreous cell OD
|
|
Latanoprost induced CME77 views89 year old man with CME from latanoprost that cleared within one month of stopping the medication
|
|
Severe NPDR with non-perfusion on FA77 views64 year old man with 20/32 vision in both eyes and mild blurring. FA shows non-perfusion but no proliferation
|
|
32 year old female with normal vision and CHRPE76 views
|
|
Albinism and Renal failure - Possible Hermansky-Pudlak Syndrome76 views65 year old female with foveal hypoplasia and renal failure since age 18. VA 20/40 OD, 20/63 OS
|
|
Albinism and Renal failure - Possible Hermansky-Pudlak Syndrome76 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 CNVM76 views77 year old female with vision loss in the left eye treated with Anti-VEGF
|
|
West Nile Virus Multifocal Choroiditis with later CNVM76 views77 year old female with vision loss in the left eye treated with Anti-VEGF
|
|
Idiopathic Polypoidal Choroidal Vasculopathy76 views83 year old man with wet AMD for 12 years resistant to Anti-VEGF therapy but responsive to PDT
|
|
Macular fold - resolved with time76 views
|
|
Small choroidal melanoma76 views28 year old man Serial images suggested that the lesion is growing
OD: sc20/16
OS: sc20/40+2
IOP: TP: OD:19 OS:16
|
|
Choroidal Nevus with Halo76 views
|
|
BRAO - plaques in vessels - GIF video of FA76 views78 year old female with vision loss for 1 week and old macular scar. Images show BRAO with plaques and FA shows occlusion.
|
|
NPDR and Severe macular ischemia sudden vision loss76 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
|
|
Chronic Myelogenous Leukemia and Diabetic Macular Edema75 views71 year old female with 3 months of vision loss and not feeling well. She has been bruising on her legs. Her vision was 20/100 in each eye with macular edema. She was treated with Avastin and her CBC was checked. She had a WBC of 267 thousand and was diagnosed with CML.
|
|
wet AMD with classic extrafoveal macular neovascularization in the good eye75 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.
|
|
Choroidal Melanocystosis75 views65 year old female with normal vision.
|
|
Wet AMD - Type 1 CNVM - RAP lesion75 views92 year old man with vision loss and very high PED. Because of worry about a PED tear, patient was treated with avastin, then lucentis, then eyelea, then vabysmo (progressively stronger meds)
|
|
Stargardt - Mother with Stargadts and father with RP75 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
|
|
Ruptured Retinal Arterial Macroaneurysm - Submacular hemorrhage and BRAO75 views81 year old female with vision loss for a few days. Coumadin was high with INR at 3.1 VA 6/200
|
|
Ruptured Retinal Arterial Macroaneurysm - Submacular hemorrhage and BRAO75 views81 year old female with vision loss for a few days. Coumadin was high with INR at 3.1 VA 6/200
|
|
Severe NPDR with non-perfusion on FA75 views64 year old man with 20/32 vision in both eyes and mild blurring. FA shows non-perfusion but no proliferation
|
|
Retinal Arterial Macroaneurysm with pre-retinal hemorrhage74 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
|
|
Prethreshold PDR right eye - mild NVD74 views
|
|
West Nile Virus Multifocal Choroiditis with later CNVM74 views77 year old female with vision loss in the left eye treated with Anti-VEGF
|
|
Birdshot Chorioretinitis - Chronic Untreated with Drusen Like Material in Macula74 views72 year old female with vision changes for years just now diagnosed with Birdshot.
|
|
Small choroidal melanoma74 views28 year old man Serial images suggested that the lesion is growing
OD: sc20/16
OS: sc20/40+2
IOP: TP: OD:19 OS:16
|
|
Small choroidal melanoma74 views28 year old man Serial images suggested that the lesion is growing
OD: sc20/16
OS: sc20/40+2
IOP: TP: OD:19 OS:16
|
|
Optic Neuritis sentinel event for MS (23 year old female)74 views23-year-old female contact lens wearer reports recurrent blurry vision with a central "blob" in the right eye, first occurring in December 2024 for two weeks, then briefly affecting the left eye, and now recurring in the right eye. Symptoms have been painless, with no eye movement discomfort or neurological changes.
Medical/Surgical Hx: Noncontributory
Meds: Lo Loestrin
VA: OD 20/40 PH 20/30; OS 20/25
IOP: OD 17, OS 18
|
|
Central Retinal Vein Occlusion - Non-Ischemic - Excellent Outcome74 views57 year old man The right eye has had vision loss for about 3 weeks. He woke up with vision loss.
Medical Hx: HIV . Diabetes Mellitus (since 2014). Thyroid Disease.
Systemic Meds: gemboya. Metformin Hydrochloride. trulicity. losartan. vesepa. Synthroid .
VA OD: sc20/160 OS: sc20/20
TP: OD:14 OS:14
Treated with Avastin
VA 6 weeks later 20/32 – dry one shot.
Missed follow-up after second treatment and came 5 months later with good vision and no macular edema
|
|
Paclitaxel induced cystoid macular edema - reversed when chemo stopped74 views74 year old retired physician About 2-3 weeks ago there was gradual vision loss in the right eye. The patient was seen by an ophthalmologist who saw macular swelling and injected vabysmo. He has been on chemotherapy (Carbiplatin and Carboxytaxol for 2 cancers - advanced prostrate diagnosed 2019 - has had brain surgery AND squamous lung cancers treated with radiation)
Medical Hx: Prostate cancer (Onset: 2018). Pulmonary and bone cancer metastatic. Brain cancer metastasized from prostate cancer.
Surgical Hx: Right frontal & Frontoparietal Craniotomy (Onset: 2024). Appendectomy. Hemorrhoidectomy. Herniorrhaphy. Prostate. Systemic Meds: Chemotherapy. Radiation. Eligard Every 3 Months 22.5 MG per 0.375 ML Prefilled Syringe. MIRALAX prn. Tums Freshers 500 MG Chewable Tablet. Vitamin D. XGEVA.
VA OD: Dcc20/125+1
VA OS: Dcc20/125-2
TP: OD:12 OS:15
|
|
wet AMD with classic extrafoveal macular neovascularization in the good eye73 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.
|
|
wet AMD with classic extrafoveal macular neovascularization in the good eye73 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.
|
|
Wet AMD - Type 1 CNVM - RAP lesion73 views92 year old man with vision loss and very high PED. Because of worry about a PED tear, patient was treated with avastin, then lucentis, then eyelea, then vabysmo (progressively stronger meds)
|
|
32 year old female with normal vision and CHRPE73 views
|
|
Wet AMD - Occult CNVM and Geographic atrophy73 views77 year old female with mild vision loss - 20/32 - responded to Avastin
|
|
West Nile Virus Multifocal Choroiditis with later CNVM73 views77 year old female with vision loss in the left eye treated with Anti-VEGF
|
|
Optic Neuritis sentinel event for MS (23 year old female)73 views23-year-old female contact lens wearer reports recurrent blurry vision with a central "blob" in the right eye, first occurring in December 2024 for two weeks, then briefly affecting the left eye, and now recurring in the right eye. Symptoms have been painless, with no eye movement discomfort or neurological changes.
Medical/Surgical Hx: Noncontributory
Meds: Lo Loestrin
VA: OD 20/40 PH 20/30; OS 20/25
IOP: OD 17, OS 18
|
|
Optic Neuritis sentinel event for MS (23 year old female)73 views23-year-old female contact lens wearer reports recurrent blurry vision with a central "blob" in the right eye, first occurring in December 2024 for two weeks, then briefly affecting the left eye, and now recurring in the right eye. Symptoms have been painless, with no eye movement discomfort or neurological changes.
Medical/Surgical Hx: Noncontributory
Meds: Lo Loestrin
VA: OD 20/40 PH 20/30; OS 20/25
IOP: OD 17, OS 18
|
|
Paclitaxel induced cystoid macular edema - reversed when chemo stopped73 views74 year old retired physician About 2-3 weeks ago there was gradual vision loss in the right eye. The patient was seen by an ophthalmologist who saw macular swelling and injected vabysmo. He has been on chemotherapy (Carbiplatin and Carboxytaxol for 2 cancers - advanced prostrate diagnosed 2019 - has had brain surgery AND squamous lung cancers treated with radiation)
Medical Hx: Prostate cancer (Onset: 2018). Pulmonary and bone cancer metastatic. Brain cancer metastasized from prostate cancer.
Surgical Hx: Right frontal & Frontoparietal Craniotomy (Onset: 2024). Appendectomy. Hemorrhoidectomy. Herniorrhaphy. Prostate. Systemic Meds: Chemotherapy. Radiation. Eligard Every 3 Months 22.5 MG per 0.375 ML Prefilled Syringe. MIRALAX prn. Tums Freshers 500 MG Chewable Tablet. Vitamin D. XGEVA.
VA OD: Dcc20/125+1
VA OS: Dcc20/125-2
TP: OD:12 OS:15
|
|
BRAO - plaques in vessels - GIF video of FA73 views78 year old female with vision loss for 1 week and old macular scar. Images show BRAO with plaques and FA shows occlusion.
|
|
Severe NPDR with non-perfusion on FA73 views64 year old man with 20/32 vision in both eyes and mild blurring. FA shows non-perfusion but no proliferation
|
|
Choroidal Melanocystosis72 views65 year old female with normal vision.
|
|
32 year old female with normal vision and CHRPE72 views
|
|
West Nile Virus Multifocal Choroiditis with later CNVM72 views77 year old female with vision loss in the left eye treated with Anti-VEGF
|
|
Bear tracks (and diabetic retinopathy)72 views48 year old female with bear tracks in her retina and NPDR.
|
|
Central Retinal Vein Occlusion - Non-Ischemic - Excellent Outcome72 views57 year old man The right eye has had vision loss for about 3 weeks. He woke up with vision loss.
Medical Hx: HIV . Diabetes Mellitus (since 2014). Thyroid Disease.
Systemic Meds: gemboya. Metformin Hydrochloride. trulicity. losartan. vesepa. Synthroid .
VA OD: sc20/160 OS: sc20/20
TP: OD:14 OS:14
Treated with Avastin
VA 6 weeks later 20/32 – dry one shot.
Missed follow-up after second treatment and came 5 months later with good vision and no macular edema
|
|
Paclitaxel induced cystoid macular edema - reversed when chemo stopped72 views74 year old retired physician About 2-3 weeks ago there was gradual vision loss in the right eye. The patient was seen by an ophthalmologist who saw macular swelling and injected vabysmo. He has been on chemotherapy (Carbiplatin and Carboxytaxol for 2 cancers - advanced prostrate diagnosed 2019 - has had brain surgery AND squamous lung cancers treated with radiation)
Medical Hx: Prostate cancer (Onset: 2018). Pulmonary and bone cancer metastatic. Brain cancer metastasized from prostate cancer.
Surgical Hx: Right frontal & Frontoparietal Craniotomy (Onset: 2024). Appendectomy. Hemorrhoidectomy. Herniorrhaphy. Prostate. Systemic Meds: Chemotherapy. Radiation. Eligard Every 3 Months 22.5 MG per 0.375 ML Prefilled Syringe. MIRALAX prn. Tums Freshers 500 MG Chewable Tablet. Vitamin D. XGEVA.
VA OD: Dcc20/125+1
VA OS: Dcc20/125-2
TP: OD:12 OS:15
|
|
Severe NPDR with non-perfusion on FA72 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 loss72 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
|
|
wet AMD with classic extrafoveal macular neovascularization in the good eye71 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.
|
|
Wet AMD - Type 1 CNVM - RAP lesion71 views92 year old man with vision loss and very high PED. Because of worry about a PED tear, patient was treated with avastin, then lucentis, then eyelea, then vabysmo (progressively stronger meds)
|
|
Wet AMD - Type 1 CNVM - RAP lesion71 views92 year old man with vision loss and very high PED. Because of worry about a PED tear, patient was treated with avastin, then lucentis, then eyelea, then vabysmo (progressively stronger meds)
|
|
Wet AMD - Type 1 CNVM - RAP lesion71 views92 year old man with vision loss and very high PED. Because of worry about a PED tear, patient was treated with avastin, then lucentis, then eyelea, then vabysmo (progressively stronger meds)
|
|
Ruptured Retinal Arterial Macroaneurysm - Submacular hemorrhage and BRAO71 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 CNVM71 views77 year old female with vision loss in the left eye treated with Anti-VEGF
|
|
Acute retinal necrosis71 views67 year old female Hazy vision in the right eye for 5 days.
Medical Hx: TYPE 2 DIAB.. Hypercholesterolemia.
Surgical Hx: COLECTOMY.
Systemic Meds: CRESTOR 10 MG QD. METFORMIN 500 MG QD. PROLIA Q 6 MOS. SULFA 800 MG/ TRIMETHOPRIM 160 MG TID. VALCYCLOVIR 1 GM TID. PROBIOTIC QD. CENTRUM 50+ QD. ALLERGY MED QD
VA 20/40, 20/20
IOP 19, 12
SLE: Trace AC cell OD and moderate vitreous cell OD
|
|
Small choroidal melanoma71 views28 year old man Serial images suggested that the lesion is growing
OD: sc20/16
OS: sc20/40+2
IOP: TP: OD:19 OS:16
|
|
Small choroidal melanoma71 views28 year old man Serial images suggested that the lesion is growing
OD: sc20/16
OS: sc20/40+2
IOP: TP: OD:19 OS:16
|
|
Small choroidal melanoma71 views28 year old man Serial images suggested that the lesion is growing
OD: sc20/16
OS: sc20/40+2
IOP: TP: OD:19 OS:16
|
|
Paclitaxel induced cystoid macular edema - reversed when chemo stopped71 views74 year old retired physician About 2-3 weeks ago there was gradual vision loss in the right eye. The patient was seen by an ophthalmologist who saw macular swelling and injected vabysmo. He has been on chemotherapy (Carbiplatin and Carboxytaxol for 2 cancers - advanced prostrate diagnosed 2019 - has had brain surgery AND squamous lung cancers treated with radiation)
Medical Hx: Prostate cancer (Onset: 2018). Pulmonary and bone cancer metastatic. Brain cancer metastasized from prostate cancer.
Surgical Hx: Right frontal & Frontoparietal Craniotomy (Onset: 2024). Appendectomy. Hemorrhoidectomy. Herniorrhaphy. Prostate. Systemic Meds: Chemotherapy. Radiation. Eligard Every 3 Months 22.5 MG per 0.375 ML Prefilled Syringe. MIRALAX prn. Tums Freshers 500 MG Chewable Tablet. Vitamin D. XGEVA.
VA OD: Dcc20/125+1
VA OS: Dcc20/125-2
TP: OD:12 OS:15
|
|
Severe NPDR with non-perfusion on FA71 views64 year old man with 20/32 vision in both eyes and mild blurring. FA shows non-perfusion but no proliferation
|
|
Severe NPDR with non-perfusion on FA71 views64 year old man with 20/32 vision in both eyes and mild blurring. FA shows non-perfusion but no proliferation
|
|
Severe NPDR with non-perfusion on FA71 views64 year old man with 20/32 vision in both eyes and mild blurring. FA shows non-perfusion but no proliferation
|
|
wet AMD with classic extrafoveal macular neovascularization in the good eye70 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.
|
|
wet AMD with classic extrafoveal macular neovascularization in the good eye70 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.
|
|
Wet AMD - Type 1 CNVM - RAP lesion70 views92 year old man with vision loss and very high PED. Because of worry about a PED tear, patient was treated with avastin, then lucentis, then eyelea, then vabysmo (progressively stronger meds)
|
|
Albinism and Renal failure - Possible Hermansky-Pudlak Syndrome70 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 CNVM70 views77 year old female with vision loss in the left eye treated with Anti-VEGF
|
|
Acute retinal necrosis70 views67 year old female Hazy vision in the right eye for 5 days.
Medical Hx: TYPE 2 DIAB.. Hypercholesterolemia.
Surgical Hx: COLECTOMY.
Systemic Meds: CRESTOR 10 MG QD. METFORMIN 500 MG QD. PROLIA Q 6 MOS. SULFA 800 MG/ TRIMETHOPRIM 160 MG TID. VALCYCLOVIR 1 GM TID. PROBIOTIC QD. CENTRUM 50+ QD. ALLERGY MED QD
VA 20/40, 20/20
IOP 19, 12
SLE: Trace AC cell OD and moderate vitreous cell OD
|
|
Small choroidal melanoma70 views28 year old man Serial images suggested that the lesion is growing
OD: sc20/16
OS: sc20/40+2
IOP: TP: OD:19 OS:16
|
|
Optic Neuritis sentinel event for MS (23 year old female)70 views23-year-old female contact lens wearer reports recurrent blurry vision with a central "blob" in the right eye, first occurring in December 2024 for two weeks, then briefly affecting the left eye, and now recurring in the right eye. Symptoms have been painless, with no eye movement discomfort or neurological changes.
Medical/Surgical Hx: Noncontributory
Meds: Lo Loestrin
VA: OD 20/40 PH 20/30; OS 20/25
IOP: OD 17, OS 18
|
|
Optic Neuritis sentinel event for MS (23 year old female)70 views23-year-old female contact lens wearer reports recurrent blurry vision with a central "blob" in the right eye, first occurring in December 2024 for two weeks, then briefly affecting the left eye, and now recurring in the right eye. Symptoms have been painless, with no eye movement discomfort or neurological changes.
Medical/Surgical Hx: Noncontributory
Meds: Lo Loestrin
VA: OD 20/40 PH 20/30; OS 20/25
IOP: OD 17, OS 18
|
|
Central Retinal Vein Occlusion - Non-Ischemic - Excellent Outcome70 views57 year old man The right eye has had vision loss for about 3 weeks. He woke up with vision loss.
Medical Hx: HIV . Diabetes Mellitus (since 2014). Thyroid Disease.
Systemic Meds: gemboya. Metformin Hydrochloride. trulicity. losartan. vesepa. Synthroid .
VA OD: sc20/160 OS: sc20/20
TP: OD:14 OS:14
Treated with Avastin
VA 6 weeks later 20/32 – dry one shot.
Missed follow-up after second treatment and came 5 months later with good vision and no macular edema
|
|
Paclitaxel induced cystoid macular edema - reversed when chemo stopped70 views74 year old retired physician About 2-3 weeks ago there was gradual vision loss in the right eye. The patient was seen by an ophthalmologist who saw macular swelling and injected vabysmo. He has been on chemotherapy (Carbiplatin and Carboxytaxol for 2 cancers - advanced prostrate diagnosed 2019 - has had brain surgery AND squamous lung cancers treated with radiation)
Medical Hx: Prostate cancer (Onset: 2018). Pulmonary and bone cancer metastatic. Brain cancer metastasized from prostate cancer.
Surgical Hx: Right frontal & Frontoparietal Craniotomy (Onset: 2024). Appendectomy. Hemorrhoidectomy. Herniorrhaphy. Prostate. Systemic Meds: Chemotherapy. Radiation. Eligard Every 3 Months 22.5 MG per 0.375 ML Prefilled Syringe. MIRALAX prn. Tums Freshers 500 MG Chewable Tablet. Vitamin D. XGEVA.
VA OD: Dcc20/125+1
VA OS: Dcc20/125-2
TP: OD:12 OS:15
|
|
NPDR and Severe macular ischemia sudden vision loss70 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
|
|
Albinism and Renal failure - Possible Hermansky-Pudlak Syndrome69 views65 year old female with foveal hypoplasia and renal failure since age 18. VA 20/40 OD, 20/63 OS
|
|
Acute retinal necrosis69 views67 year old female Hazy vision in the right eye for 5 days.
Medical Hx: TYPE 2 DIAB.. Hypercholesterolemia.
Surgical Hx: COLECTOMY.
Systemic Meds: CRESTOR 10 MG QD. METFORMIN 500 MG QD. PROLIA Q 6 MOS. SULFA 800 MG/ TRIMETHOPRIM 160 MG TID. VALCYCLOVIR 1 GM TID. PROBIOTIC QD. CENTRUM 50+ QD. ALLERGY MED QD
VA 20/40, 20/20
IOP 19, 12
SLE: Trace AC cell OD and moderate vitreous cell OD
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