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Paclitaxel induced cystoid macular edema - reversed when chemo stopped106 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
|
|
Latanoprost induced CME106 views89 year old man with CME from latanoprost that cleared within one month of stopping the medication
|
|
Hemi-CRVO - dual trunk vein106 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 male106 viewsVision loss for 4 years OD 20/63, OS 20/160
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|
Mild Cone Dystrophy - CRX Mutation106 views65 year old female with minimal symptoms and a mild cone dystrophy.
|
|
Traumatic Peripapillary Subretinal Hemorrhage106 views16 year old hit in eye with finger during basketball. Vision is 20/25 and there is a peripapillary hemorrhage.
|
|
Chronic Myelogenous Leukemia and Diabetic Macular Edema105 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.
|
|
Chronic Myelogenous Leukemia and Diabetic Macular Edema105 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.
|
|
Chronic Myelogenous Leukemia and Diabetic Macular Edema105 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.
|
|
West Nile Virus Multifocal Choroiditis with later CNVM105 views77 year old female with vision loss in the left eye treated with Anti-VEGF
|
|
Hemi-CRVO - dual trunk vein105 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 male105 viewsVision loss for 4 years OD 20/63, OS 20/160
|
|
Chronic Myelogenous Leukemia and Diabetic Macular Edema104 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.
|
|
West Nile Virus Multifocal Choroiditis with later CNVM104 views77 year old female with vision loss in the left eye treated with Anti-VEGF
|
|
Acute retinal necrosis104 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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|
Bear tracks (and diabetic retinopathy)104 views48 year old female with bear tracks in her retina and NPDR.
|
|
Serous Macular Detachment from Small Choroidal Melanoma104 views72 year old female misdiagnosed as CSR who had small choroidal melanoms.
|
|
Serous Macular Detachment from Small Choroidal Melanoma104 views72 year old female misdiagnosed as CSR who had small choroidal melanoms.
|
|
Serous Macular Detachment from Small Choroidal Melanoma104 views72 year old female misdiagnosed as CSR who had small choroidal melanoms.
|
|
Serous Macular Detachment from Small Choroidal Melanoma104 views72 year old female misdiagnosed as CSR who had small choroidal melanoms.
|
|
Stable Myopic Tractional Maculopathy104 views73 year old female with mild vision loss from table myopic tractional maculopathy in the left eye
|
|
Latanoprost induced CME104 views89 year old man with CME from latanoprost that cleared within one month of stopping the medication
|
|
Post Anti-VEGF RPE Tear (Vabysmo)104 views87 year old female with vision loss OS (20/125) given 1/4 dose vabysmo and developed RPE tear VA dropped to 20/400
|
|
NPDR and Severe macular ischemia sudden vision loss104 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 - Type 1 CNVM - RAP lesion103 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)
|
|
West Nile Virus Multifocal Choroiditis with later CNVM103 views77 year old female with vision loss in the left eye treated with Anti-VEGF
|
|
Small choroidal melanoma103 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 melanoma103 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 stopped103 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
|
|
Perivascular Exudative Vascular Complex - Perifoveal Microaneurysm103 views59 year old man - asymptomatic - not diabetic
|
|
Post Anti-VEGF RPE Tear (Vabysmo)103 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 Vitelliform103 views74 year old female with vision loss in eye with collapsed vitelliform lesion.
|
|
West Nile Virus Multifocal Choroiditis with later CNVM102 views77 year old female with vision loss in the left eye treated with Anti-VEGF
|
|
Macular fold - resolved with time102 views
|
|
Serous Macular Detachment from Small Choroidal Melanoma102 views72 year old female misdiagnosed as CSR who had small choroidal melanoms.
|
|
Hemi-CRVO - dual trunk vein102 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)102 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 eyes102 views62 year old female with 20/50 OD, 20/40 OS.
|
|
Acute Retinal Pigment Epitheliitis (Krills disease)102 views15 year old with sudden central vision loss in one eye. The vision loss persisted though for at least 6 months (which may be a laser injury)
|
|
Chronic Myelogenous Leukemia and Diabetic Macular Edema101 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.
|
|
Choroidal Melanocystosis101 views65 year old female with normal vision.
|
|
Idiopathic Polypoidal Choroidal Vasculopathy101 views83 year old man with wet AMD for 12 years resistant to Anti-VEGF therapy but responsive to PDT
|
|
Choroidal Nevus with Halo101 views
|
|
Serous Macular Detachment from Small Choroidal Melanoma101 views72 year old female misdiagnosed as CSR who had small choroidal melanoms.
|
|
Mild Cone Dystrophy - CRX Mutation101 views65 year old female with minimal symptoms and a mild cone dystrophy.
|
|
Wet AMD - Type 1 CNVM - RAP lesion100 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)
|
|
Optic Neuritis sentinel event for MS (23 year old female)100 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 Outcome100 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 stopped100 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 Melanoma100 views72 year old female misdiagnosed as CSR who had small choroidal melanoms.
|
|
Stable Myopic Tractional Maculopathy100 views73 year old female with mild vision loss from table myopic tractional maculopathy in the left eye
|
|
Stable Myopic Tractional Maculopathy100 views73 year old female with mild vision loss from table myopic tractional maculopathy in the left eye
|
|
27 year old with migraine - normal imaging100 views
|
|
Traumatic Peripapillary Subretinal Hemorrhage100 views16 year old hit in eye with finger during basketball. Vision is 20/25 and there is a peripapillary hemorrhage.
|
|
wet AMD with classic extrafoveal macular neovascularization in the good eye99 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 lesion99 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)
|
|
Birdshot Chorioretinitis - Chronic Untreated with Drusen Like Material in Macula99 views72 year old female with vision changes for years just now diagnosed with Birdshot.
|
|
Optic Neuritis sentinel event for MS (23 year old female)99 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
|
|
Perivascular Exudative Vascular Complex - Perifoveal Microaneurysm99 views59 year old man - asymptomatic - not diabetic
|
|
Hemi-CRVO - dual trunk vein99 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)99 views87 year old female with vision loss OS (20/125) given 1/4 dose vabysmo and developed RPE tear VA dropped to 20/400
|
|
Conversion to Wet AMD after Izervay99 views83 year old man whose left eye had minimal GA and converted from dry to wet AMD after a single Izervay treatment
|
|
wet AMD with classic extrafoveal macular neovascularization in the good eye98 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 lesion98 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 lesion98 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)
|
|
Ischemic Optic Neuropathy associated with GLP-1 Agonist98 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
|
|
Acute retinal necrosis98 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
|
|
Bear tracks (and diabetic retinopathy)98 views48 year old female with bear tracks in her retina and NPDR.
|
|
CRAO and NVI (rubeosis)98 views
|
|
Post Anti-VEGF RPE Tear (Vabysmo)98 views87 year old female with vision loss OS (20/125) given 1/4 dose vabysmo and developed RPE tear VA dropped to 20/400
|
|
27 year old with migraine - normal imaging98 views
|
|
Peripapillary CNVM No Treatment98 views85 year old with peripapillary CNVM watched for many years.
|
|
Conversion to Wet AMD after Izervay98 views83 year old man whose left eye had minimal GA and converted from dry to wet AMD after a single Izervay treatment
|
|
Mild Cone Dystrophy - CRX Mutation98 views65 year old female with minimal symptoms and a mild cone dystrophy.
|
|
Elmiron (pentasosan polysulfate) Macular Toxicity98 views77 year old female who had been on Elmiron for 20 years and stopped it 2 years ago
|
|
wet AMD with classic extrafoveal macular neovascularization in the good eye97 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 eye97 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 lesion97 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)
|
|
Ischemic Optic Neuropathy associated with GLP-1 Agonist97 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
|
|
Small choroidal melanoma97 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 Melanoma97 views72 year old female misdiagnosed as CSR who had small choroidal melanoms.
|
|
Stable Myopic Tractional Maculopathy97 views73 year old female with mild vision loss from table myopic tractional maculopathy in the left eye
|
|
Perivascular Exudative Vascular Complex - Perifoveal Microaneurysm97 views59 year old man - asymptomatic - not diabetic
|
|
Cotton Wool Spots following cardio-pulmonary bypass97 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.
|
|
Cotton Wool Spots following cardio-pulmonary bypass97 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.
|
|
wet AMD with classic extrafoveal macular neovascularization in the good eye96 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.
|
|
Acute retinal necrosis96 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
|
|
Central Retinal Vein Occlusion - Non-Ischemic - Excellent Outcome96 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
|
|
Post Anti-VEGF RPE Tear (Vabysmo)96 views87 year old female with vision loss OS (20/125) given 1/4 dose vabysmo and developed RPE tear VA dropped to 20/400
|
|
27 year old with migraine - normal imaging96 views
|
|
MacTel with foveal atrophy in both eyes96 views62 year old female with 20/50 OD, 20/40 OS.
|
|
MacTel with foveal atrophy in both eyes96 views62 year old female with 20/50 OD, 20/40 OS.
|
|
Pattern Dystrophy with Collapsed Vitelliform96 views74 year old female with vision loss in eye with collapsed vitelliform lesion.
|
|
Elmiron (pentasosan polysulfate) Macular Toxicity96 views77 year old female who had been on Elmiron for 20 years and stopped it 2 years ago
|
|
wet AMD with classic extrafoveal macular neovascularization in the good eye95 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 lesion95 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)
|
|
Ischemic Optic Neuropathy associated with GLP-1 Agonist95 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
|
|
Optic Neuritis sentinel event for MS (23 year old female)95 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
|
|
Choroidal Nevus with Halo95 views
|
|
Paclitaxel induced cystoid macular edema - reversed when chemo stopped95 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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