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Paclitaxel induced cystoid macular edema - reversed when chemo stopped57 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
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Severe NPDR with non-perfusion on FA57 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 FA57 views64 year old man with 20/32 vision in both eyes and mild blurring. FA shows non-perfusion but no proliferation
|
|
Perivascular Exudative Vascular Complex - Perifoveal Microaneurysm57 views59 year old man - asymptomatic - not diabetic
|
|
Post Anti-VEGF RPE Tear (Vabysmo)57 views87 year old female with vision loss OS (20/125) given 1/4 dose vabysmo and developed RPE tear VA dropped to 20/400
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Peripapillary CNVM No Treatment57 views85 year old with peripapillary CNVM watched for many years.
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Pattern Dystrophy with Collapsed Vitelliform57 views74 year old female with vision loss in eye with collapsed vitelliform lesion.
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Ischemic Optic Neuropathy associated with GLP-1 Agonist56 views48 year old female woke up with blurry vision inferiorly in the right eye. the right optic nerve isnoted to be swollen. She does not have any pain with eye movements. The left eye is OK.
Medical History: Migraines
Surgical History: LASIK OU (2006)
Systemic Meds: Mounjaro (tirzepatide) injection qweekly since 8/2024, Prozac, Nexium, Sumatriptan.
VA OD: Dcc 20/20
VA OS: Dcc 20/16-1
|
|
Ischemic Optic Neuropathy associated with GLP-1 Agonist56 views48 year old female woke up with blurry vision inferiorly in the right eye. the right optic nerve isnoted to be swollen. She does not have any pain with eye movements. The left eye is OK.
Medical History: Migraines
Surgical History: LASIK OU (2006)
Systemic Meds: Mounjaro (tirzepatide) injection qweekly since 8/2024, Prozac, Nexium, Sumatriptan.
VA OD: Dcc 20/20
VA OS: Dcc 20/16-1
|
|
Stable Myopic Tractional Maculopathy56 views73 year old female with mild vision loss from table myopic tractional maculopathy in the left eye
|
|
Hemi-CRVO - dual trunk vein56 views81 year old female mild vision loss - Anatomy shows dual trunk vein with one blocked. About 20 percent of people have this anatomy
|
|
Post Anti-VEGF RPE Tear (Vabysmo)56 views87 year old female with vision loss OS (20/125) given 1/4 dose vabysmo and developed RPE tear VA dropped to 20/400
|
|
Pattern Dystrophy with Collapsed Vitelliform56 views74 year old female with vision loss in eye with collapsed vitelliform lesion.
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|
Pattern Dystrophy with Collapsed Vitelliform56 views74 year old female with vision loss in eye with collapsed vitelliform lesion.
|
|
Pattern Dystrophy with Collapsed Vitelliform56 views74 year old female with vision loss in eye with collapsed vitelliform lesion.
|
|
Serous Macular Detachment from Small Choroidal Melanoma55 views72 year old female misdiagnosed as CSR who had small choroidal melanoms.
|
|
Serous Macular Detachment from Small Choroidal Melanoma55 views72 year old female misdiagnosed as CSR who had small choroidal melanoms.
|
|
Perivascular Exudative Vascular Complex - Perifoveal Microaneurysm55 views59 year old man - asymptomatic - not diabetic
|
|
Hemi-CRVO - dual trunk vein55 views81 year old female mild vision loss - Anatomy shows dual trunk vein with one blocked. About 20 percent of people have this anatomy
|
|
Small choroidal melanoma54 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
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|
Small choroidal melanoma54 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
|
|
Bear tracks (and diabetic retinopathy)54 views48 year old female with bear tracks in her retina and NPDR.
|
|
Optic Neuritis sentinel event for MS (23 year old female)54 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
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Central Retinal Vein Occlusion - Non-Ischemic - Excellent Outcome54 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
|
|
Central Retinal Vein Occlusion - Non-Ischemic - Excellent Outcome54 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
|
|
Serous Macular Detachment from Small Choroidal Melanoma54 views72 year old female misdiagnosed as CSR who had small choroidal melanoms.
|
|
Latanoprost induced CME54 views89 year old man with CME from latanoprost that cleared within one month of stopping the medication
|
|
Severe NPDR with non-perfusion on FA54 views64 year old man with 20/32 vision in both eyes and mild blurring. FA shows non-perfusion but no proliferation
|
|
Perivascular Exudative Vascular Complex - Perifoveal Microaneurysm54 views59 year old man - asymptomatic - not diabetic
|
|
Perivascular Exudative Vascular Complex - Perifoveal Microaneurysm54 views59 year old man - asymptomatic - not diabetic
|
|
Optic Neuritis sentinel event for MS (23 year old female)53 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
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|
Roth Spot and Endocarditis53 views70 year old female - flu like symptoms with roth spot who was diagnosed by echo with endocarditis
|
|
Central Retinal Vein Occlusion - Non-Ischemic - Excellent Outcome53 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
|
|
Central Retinal Vein Occlusion - Non-Ischemic - Excellent Outcome53 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
|
|
BRAO - plaques in vessels - GIF video of FA53 views78 year old female with vision loss for 1 week and old macular scar. Images show BRAO with plaques and FA shows occlusion.
|
|
BRAO - plaques in vessels - GIF video of FA53 views78 year old female with vision loss for 1 week and old macular scar. Images show BRAO with plaques and FA shows occlusion.
|
|
Serous Macular Detachment from Small Choroidal Melanoma53 views72 year old female misdiagnosed as CSR who had small choroidal melanoms.
|
|
Severe NPDR with non-perfusion on FA53 views64 year old man with 20/32 vision in both eyes and mild blurring. FA shows non-perfusion but no proliferation
|
|
Hemi-CRVO - dual trunk vein53 views81 year old female mild vision loss - Anatomy shows dual trunk vein with one blocked. About 20 percent of people have this anatomy
|
|
Hemi-CRVO - dual trunk vein53 views81 year old female mild vision loss - Anatomy shows dual trunk vein with one blocked. About 20 percent of people have this anatomy
|
|
Hemi-CRVO - dual trunk vein53 views81 year old female mild vision loss - Anatomy shows dual trunk vein with one blocked. About 20 percent of people have this anatomy
|
|
CRB1 Dystrophy - Inherited Retinal Disease - 14 year old male53 viewsVision loss for 4 years OD 20/63, OS 20/160
|
|
Pattern Dystrophy with Collapsed Vitelliform53 views74 year old female with vision loss in eye with collapsed vitelliform lesion.
|
|
Small choroidal melanoma52 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
|
|
Bear tracks (and diabetic retinopathy)52 views48 year old female with bear tracks in her retina and NPDR.
|
|
Central Retinal Vein Occlusion - Non-Ischemic - Excellent Outcome52 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
|
|
Central Retinal Vein Occlusion - Non-Ischemic - Excellent Outcome52 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 stopped52 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
|
|
Serous Macular Detachment from Small Choroidal Melanoma52 views72 year old female misdiagnosed as CSR who had small choroidal melanoms.
|
|
Serous Macular Detachment from Small Choroidal Melanoma52 views72 year old female misdiagnosed as CSR who had small choroidal melanoms.
|
|
Serous Macular Detachment from Small Choroidal Melanoma52 views72 year old female misdiagnosed as CSR who had small choroidal melanoms.
|
|
Stable Myopic Tractional Maculopathy52 views73 year old female with mild vision loss from table myopic tractional maculopathy in the left eye
|
|
Latanoprost induced CME52 views89 year old man with CME from latanoprost that cleared within one month of stopping the medication
|
|
CRB1 Dystrophy - Inherited Retinal Disease - 14 year old male52 viewsVision loss for 4 years OD 20/63, OS 20/160
|
|
Post Anti-VEGF RPE Tear (Vabysmo)52 views87 year old female with vision loss OS (20/125) given 1/4 dose vabysmo and developed RPE tear VA dropped to 20/400
|
|
Post Anti-VEGF RPE Tear (Vabysmo)52 views87 year old female with vision loss OS (20/125) given 1/4 dose vabysmo and developed RPE tear VA dropped to 20/400
|
|
Pattern Dystrophy with Collapsed Vitelliform52 views74 year old female with vision loss in eye with collapsed vitelliform lesion.
|
|
Elmiron (pentasosan polysulfate) Macular Toxicity52 views77 year old female who had been on Elmiron for 20 years and stopped it 2 years ago
|
|
Elmiron (pentasosan polysulfate) Macular Toxicity52 views77 year old female who had been on Elmiron for 20 years and stopped it 2 years ago
|
|
Traumatic Peripapillary Subretinal Hemorrhage52 views16 year old hit in eye with finger during basketball. Vision is 20/25 and there is a peripapillary hemorrhage.
|
|
Small choroidal melanoma51 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
|
|
Serous Macular Detachment from Small Choroidal Melanoma51 views72 year old female misdiagnosed as CSR who had small choroidal melanoms.
|
|
Serous Macular Detachment from Small Choroidal Melanoma51 views72 year old female misdiagnosed as CSR who had small choroidal melanoms.
|
|
Latanoprost induced CME51 views89 year old man with CME from latanoprost that cleared within one month of stopping the medication
|
|
Perivascular Exudative Vascular Complex - Perifoveal Microaneurysm51 views59 year old man - asymptomatic - not diabetic
|
|
CRB1 Dystrophy - Inherited Retinal Disease - 14 year old male51 viewsVision loss for 4 years OD 20/63, OS 20/160
|
|
Bear tracks (and diabetic retinopathy)50 views48 year old female with bear tracks in her retina and NPDR.
|
|
Central Retinal Vein Occlusion - Non-Ischemic - Excellent Outcome50 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
|
|
Serous Macular Detachment from Small Choroidal Melanoma50 views72 year old female misdiagnosed as CSR who had small choroidal melanoms.
|
|
Stable Myopic Tractional Maculopathy50 views73 year old female with mild vision loss from table myopic tractional maculopathy in the left eye
|
|
Hemi-CRVO - dual trunk vein50 views81 year old female mild vision loss - Anatomy shows dual trunk vein with one blocked. About 20 percent of people have this anatomy
|
|
CRB1 Dystrophy - Inherited Retinal Disease - 14 year old male50 viewsVision loss for 4 years OD 20/63, OS 20/160
|
|
CRB1 Dystrophy - Inherited Retinal Disease - 14 year old male50 viewsVision loss for 4 years OD 20/63, OS 20/160
|
|
Post Anti-VEGF RPE Tear (Vabysmo)50 views87 year old female with vision loss OS (20/125) given 1/4 dose vabysmo and developed RPE tear VA dropped to 20/400
|
|
Pattern Dystrophy with Collapsed Vitelliform50 views74 year old female with vision loss in eye with collapsed vitelliform lesion.
|
|
Elmiron (pentasosan polysulfate) Macular Toxicity50 views77 year old female who had been on Elmiron for 20 years and stopped it 2 years ago
|
|
Ischemic Optic Neuropathy associated with GLP-1 Agonist49 views48 year old female woke up with blurry vision inferiorly in the right eye. the right optic nerve isnoted to be swollen. She does not have any pain with eye movements. The left eye is OK.
Medical History: Migraines
Surgical History: LASIK OU (2006)
Systemic Meds: Mounjaro (tirzepatide) injection qweekly since 8/2024, Prozac, Nexium, Sumatriptan.
VA OD: Dcc 20/20
VA OS: Dcc 20/16-1
|
|
Bear tracks (and diabetic retinopathy)49 views48 year old female with bear tracks in her retina and NPDR.
|
|
Bear tracks (and diabetic retinopathy)49 views48 year old female with bear tracks in her retina and NPDR.
|
|
Serous Macular Detachment from Small Choroidal Melanoma49 views72 year old female misdiagnosed as CSR who had small choroidal melanoms.
|
|
Serous Macular Detachment from Small Choroidal Melanoma49 views72 year old female misdiagnosed as CSR who had small choroidal melanoms.
|
|
Perivascular Exudative Vascular Complex - Perifoveal Microaneurysm49 views59 year old man - asymptomatic - not diabetic
|
|
Hemi-CRVO - dual trunk vein49 views81 year old female mild vision loss - Anatomy shows dual trunk vein with one blocked. About 20 percent of people have this anatomy
|
|
Hemi-CRVO - dual trunk vein49 views81 year old female mild vision loss - Anatomy shows dual trunk vein with one blocked. About 20 percent of people have this anatomy
|
|
Post Anti-VEGF RPE Tear (Vabysmo)49 views87 year old female with vision loss OS (20/125) given 1/4 dose vabysmo and developed RPE tear VA dropped to 20/400
|
|
Elmiron (pentasosan polysulfate) Macular Toxicity49 views77 year old female who had been on Elmiron for 20 years and stopped it 2 years ago
|
|
Traumatic Peripapillary Subretinal Hemorrhage49 views16 year old hit in eye with finger during basketball. Vision is 20/25 and there is a peripapillary hemorrhage.
|
|
Bear tracks (and diabetic retinopathy)48 views48 year old female with bear tracks in her retina and NPDR.
|
|
Bear tracks (and diabetic retinopathy)48 views48 year old female with bear tracks in her retina and NPDR.
|
|
Stable Myopic Tractional Maculopathy48 views73 year old female with mild vision loss from table myopic tractional maculopathy in the left eye
|
|
Severe NPDR with non-perfusion on FA48 views64 year old man with 20/32 vision in both eyes and mild blurring. FA shows non-perfusion but no proliferation
|
|
Hemi-CRVO - dual trunk vein48 views81 year old female mild vision loss - Anatomy shows dual trunk vein with one blocked. About 20 percent of people have this anatomy
|
|
Post Anti-VEGF RPE Tear (Vabysmo)48 views87 year old female with vision loss OS (20/125) given 1/4 dose vabysmo and developed RPE tear VA dropped to 20/400
|
|
MacTel with foveal atrophy in both eyes48 views62 year old female with 20/50 OD, 20/40 OS.
|
|
MacTel with foveal atrophy in both eyes48 views62 year old female with 20/50 OD, 20/40 OS.
|
|
Pattern Dystrophy with Collapsed Vitelliform48 views74 year old female with vision loss in eye with collapsed vitelliform lesion.
|
|
Pattern Dystrophy with Collapsed Vitelliform48 views74 year old female with vision loss in eye with collapsed vitelliform lesion.
|
|
Pattern Dystrophy with Collapsed Vitelliform48 views74 year old female with vision loss in eye with collapsed vitelliform lesion.
|
|
Mild Cone Dystrophy - CRX Mutation48 views65 year old female with minimal symptoms and a mild cone dystrophy.
|
|
Elmiron (pentasosan polysulfate) Macular Toxicity48 views77 year old female who had been on Elmiron for 20 years and stopped it 2 years ago
|
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