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Diabetic and Pseudophakic Cystoid Macular Edema Pretreament Line OD767 views56-year-old woman has diabetic retinopathy in both eyes and macular edema. She is recently pseudophakic. OD 20/80, OS 20/200.
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X-Linked Juvenille Retinoschisis 10 Year Old Child treated with Trusopt767 views10-year-old child has x-linked juvenile retinoschisis VA 20/60, OS is 20/100. Macula and Vision improved with Trusopt drops.
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Sclerochoroidal Calcification - 72 Year Old Woman 767 views72-year-old woman who has spots on her lungs, which she has been told are scar tissue 20/30 OU
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Atypical Birdshot Chorioretinitis and Retinal Arterial Macroaneurysm Right Eye - HLA-B29 Positive767 views55-year-old woman has multifocal choroiditis in both eyes because she was HLA A-29 positive. She has presumptive birdshot chorioretinopathy. She has not noticed any vision changes. OD 20/40, OS 20/20.
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Optic Nerve Pit Retinal Detachment - Macular Detachment - 8 Year Old - Fresh Laser767 views8-year-old child on two school exams that his vision was poor in the left eye and his last normal exam was in preschool.
VISUAL ACUITY: OD 20/30, OS 5/200. OS: Vertical C/D ratio is 0.2. There is a whitening on the temporal edge of the optic nerve consistent with an optic disc pit and there is a serous macular detachment.
No better after 3 months observation.
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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman767 viewsInitial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU.
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Choroidal Melanoma (Medium) Exudative Retinal Detachment 767 views87-year-old man noticed a new onset floater a few months ago. OD is 20/40, OS is 20/30
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Punctate Inner Choroidopathy - PIC and Choroidal Neovascular Membrane - Right Eye - SD OCT767 views34-year-old woman with a change in vision in the right eye about eight days ago. Her vision was hazy and she saw waviness in the vision. She does have a history of aches and pains and she was diagnosed with Sjogren’s and 2 months ago she had some fevers and some sinus drainage and that went on for about two months. She is a moderate myope. OD 20/25, OS 20/20.
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Grade B Proliferative Vitreo-retinopathy - Pigment in Anterior Vitreous - Chronic Retinal Detachment767 views72 year old woman - just noticed vision loss.
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Fundus Flavimaculatus - Asymptomatic - Spectral Domain OCT Line Scan767 views45 year old man was told to come in because of ‘white spots on their retina’.
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Retinal Angiomatous Proliferation - Type III choroidal neovascular membrane767 views83 year old female with wet AMD - 20/160 VA- Vision improved to 20/40 with 3 injections of anti-VEGF drugs. OCT shows break in RPE and FA and ICG show PED with hot spot on ICG
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Basal Laminar Drusen - Cuticular Drusen - 19 Year Old with Lupus Nephritis766 views19-year-old. She has a history of developing severe systemic lupus erythematosus in 2001. She was in renal failure and had biopsy proven Class 2 lupus nephritis. She is currently on Plaquenil 400 mg for six years, as well as Prednisolone orally, every other day. OD 20/20, OS 20/25.
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Sclopteria Chorioretinitis - 16 Year Old Girl - Pellet Injury766 views
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Macular Pucker in eye following giant retinal tear RD repair - photo of tear766 views 42-year old man has noticed his vision is changing now that the bubble is gone, but he is starting to notice distortion of central vision. He had a giant retinal tear retinal detachment repair emergently done on November 8, 2007, and subsequent laser on November 15th.
VISUAL ACUITY: Vision OD 20/400.
6 weeks post-op VA 20/40
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Plaquenil Toxicity - Bulls Eye Maculopathy766 views70-year-old woman with systemic Lupus erythematosus and clotting problems. She was on the Plaquenil for about eight years and then off the Plaquenil for the last eight years because she developed macular toxicity. Although her vision was hazy, it was stable. Recent deceased vision left eye: OD 20/60, OS 20/100. IOP: OD 18, OS 19.
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Proliferative Diabetic Retinopathy - Vitreous Hemorrhage and Tractional Retinal Detachment Left Eye766 views52-year-old man has been diabetic for nineteen years developed substantial vision loss over the last month or two. OD 20/70, OS 20/200.
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Juxtafoveal Telangiectasis - MacTel - Retinal Telangiectasis - Both Eyes - Crystals766 views61-year-old man has idiopathic juxtafoveal retinal telangiectasis type II in both eyes OD is 20/40, OS is 20/25
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DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematode766 views
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Congenital Toxoplasmosis with non-macular Scars Both Eyes - Recent Reactivation (recurrence) Right Eye766 views34-year-old man has congenital toxoplasmosis with four week history of foggy vision and new floaters in the right eye. OD is 20/40, OS 20/30
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Basal Laminar Drusen - Cuticular Drusen - 19 Year Old with Lupus Nephritis766 views19-year-old. She has a history of developing severe systemic lupus erythematosus in 2001. She was in renal failure and had biopsy proven Class 2 lupus nephritis. She is currently on Plaquenil 400 mg for six years, as well as Prednisolone orally, every other day. OD 20/20, OS 20/25.
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Myelinated Nerve Fiber Layer766 views69-year-old woman OD is 20/30, OS is 20/40.
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Calcified Macular Drusen - Age Related Macular Degeneration - Dry766 views74-year-old woman
OD 20/25, OS 20/32
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Trans-Illumination Defects766 views74-year old patient who VA 20/70 OD, 20/50 OS. Complaints of blurred vision. Iris atrophy, both eyes. ERM, right eye, Patient to have cataract surgery to improve distance vision.
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Chronic Central Serous Retinopathy - FAF766 views
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Fundus Flavimaculatus - Asymptomatic - Multi-Color (false color) Photo766 views45 year old man was told to come in because of ‘white spots on their retina’.
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Unilateral Acute Idiopathic Maculopathy (UAIM)766 views41 year old with serous retinal detachment OS and sudden vision loss. He had a viral prodrome. Coxscackie IgG was high but no acute infection was documented. Vision improved in about 2 months without therapy.
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Diabetic and Pseudophakic Cystoid Macular Edema One year followup laser and intravitreal Kenalog with Good Vision765 views56-year-old woman has diabetic retinopathy in both eyes and macular edema. She is recently pseudophakic. OD 20/80, OS 20/200. 1 year ago NOW 20/50 OU
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Classic Subfoveal Choroidal Neovascular Membrane - 20/400 Vision - 6 - 12 months old lesion765 views78-year-old woman six months or a year ago decreasing vision in the right eye. OD 20/400. Fluorescein angiography shows a classic subfoveal choroidal neovascular membrane in the right eye 3 disc-diameters across, which has brisk leakage. The left eye shows staining drusen.
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Chronic Pseudophakic Cystoid Macular Edema in a Patient with Diabetes765 views74-year-old woman has chronic cystoid macular edema in the left eye. She has had vision loss intermittently in that eye for 2 years, the right eye, unfortunately, lost vision from a central retinal vein occlusion in 6 years ago.
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Idiopathic Central Serous Retinopathy - Bilateral - Acute - 4 months later VA 20/40 OU765 viewsNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Photo Montage Left Eye765 views70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
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Post Retinal Detachment Repair Macular Pucker - VA 20/400 Pre-op 20/25 Post-op765 views72 year old woman who is 6 months post macula-on retinal detachment repair developed a 20/400 macular pucker. 8 months after surgery vision had improved to 20/25
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago765 views66-year-old woman lost vision in the left eye from a central retinal artery occlusion 1 year ago. Vision OD is fine. OD 20/25, OS 20/50
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Macular Laser Scars - Central Retinal Vein Occlusion - Patients Only Eye - Fundus Autofluorescence765 views80-year-old woman left eye had a vascular occlusion, probably about five years ago, subsequent to that she had macular laser. She said since then the vision has been poor. OS 20/160.
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Neovascularization elsewhere (NVE) Left Eye with Vitreous Hemorrhage765 views
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female765 views4 months later spot is nearly gone and vision is back to normal (almost) - 20/20
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New BRVO Left Eye Old BRVO Right Eye - Right Eye Showing Bulls Eye Atrophy from Chronic CME and Non-Perfusion Infero-temporally764 views90-year-old man decreased vision maybe one year since cataract surgery he is no longer able to read. OD 20/200, OS 20/200
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Retinitis Pigmentosa 32 Year Old Woman - 20/25 vision both eyes764 views32-year-old woman was seen in the office on 6/26/2009. She has had retinitis pigmentosa since 2003. She has difficulty with night vision but overall she is doing pretty well.
Vision OU is 20/25.
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Congenital Achromatopsia 764 views26-year-old man was diagnosed with congenital achromatopsia by ERG as a child. He has family members who also have this disorder. OD 20/200, OS 20/200.
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Calcified Macular Drusen - Age Related Macular Degeneration - Dry764 views74-year-old woman
OD 20/25, OS 20/32
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Primary Ocular Lymphoma - White Mass Left Eye - 112712 764 views
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Best Disease - Color Fundus Photo764 views
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Lid Verruca Vulgaris764 views
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Fundus Albipunctatus764 views12 year old female with normal vision. She has 4 siblings all of whom have either white spots or spots on IR. Genetic testing by parents was deferred.
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Stargardt's Macular Dystrophy764 views62 year old man with good vision
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female New Lesion OS763 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.
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Asteroid Hyalosis - Asymptomatic763 views80-year-old woman her vision is not bothering her, you noticed a problem with the retina. Her left eye tests worse than the right eye today, but she says that it has been like that for a long time and she is not bothered by any floaters or change in central vision.
VISUAL ACUITY: OD is 20/25, OS 20/40
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Hemi Central Retinal Vein Occlusion 35 year old non-compliant man763 views35-year-old man hazy vision in his left eye for about the last three days. OD 20/20, OS 20/30
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Old Subhyaloid - Preretinal Hemorrhage (Yellow) 763 views53-year-old man 3 monts previous was hit in a motor vehicle/pedestrian accident and was mostly bedridden and in and out of consciousness for two months. It is now three months since the injury. His right eye has permanent vision loss from optic nerve injury. His left eye has reasonable vision, but he does notice a floater often obstructing his vision in that eye. OD is 1/200, OS is 20/20.
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Optic Nerve Pit Retinal Detachment - Macular Detachment - 8 Year Old - 5/200 Vision OS763 views8-year-old child on two school exams that his vision was poor in the left eye and his last normal exam was in preschool.
VISUAL ACUITY: OD 20/30, OS 5/200. OS: Vertical C/D ratio is 0.2. There is a whitening on the temporal edge of the optic nerve consistent with an optic disc pit and there is a serous macular detachment.
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Retinal Arterial Macroaneurysm - Increased Swelling after Laser 763 viewsVisit 2 - 2 months later:
March 21, 2011. This pleasant 66-year-old woman had laser to retinal arterial microaneurysm in the right eye January 12th. Her vision was getting better, but now it is worse the last few days. She is at home taking care of her demented mother and she and her sister lift her mother a fare amount of the time. I also checked her blood pressure, which was 120/65. VISUAL ACUITY: OD 20/200
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Central Retinal Vein Occlusion and Laser Induced Chorioretinal Anastomosis763 views84-year-old woman has age-related macular degeneration in both eyes with foveal atrophy. She also has a central retinal vein occlusion
in the left eye for which she had intravitreal Kenalog and finally chorioretinal anastomosis laser a year
ago. VISUAL ACUITY: Vision OD is 20/160, OS is 7/200
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Capillary Non-Perfusion - Severe Non-Proliferative (Background) Diabetic Retinopathy - Type I - 20 Year Old Man Diabetic 16 years763 views20 year old diabetic with poor vision for the past three or four years. He has been diabetic for sixteen years and hemoglobin A1C of 10.0. 20/25 OD, 20/30 OS.
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel FAF763 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Primary Ocular Lymphoma - White Mass Left Eye - 112712 763 views
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bdr763 views
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Retinal Pigment Epithleium Dysgenesis - Autofluorescence763 views
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Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 762 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy762 views39-year-old man two days ago he noticed poor vision in his right eye OD: 8/200; OS: 20/20. BP is 240/120
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Best Disease for 30 Years - 20/50 Vision both eyes - 61 Year Old Woman762 views61-year-old woman was diagnosed with Best’s disease about 30 years ago. She and her many family members were tested, both at the VA Hospital and then at USF. OD 20/50, OS 20/50
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph762 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU
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Traumatic Chorioretinal Scar762 views
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Macular Edema and dry AMD - excellent example of why FA and ICG are necessary in management of wet AMD762 viewsThis 72 year old woman has an OCT that looks like wet AMD. Only her FA and ICG show that she has inflammatory macular edema. She had no clinical signs or symptoms of uveitis. Nevertheless, the macular edema responded to subtenon's kenalog.
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Central Serous Retinopathy761 viewsFundus photo showing serous RD
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Serous Macular Detachment Left Eye - Possible Hypertensive Choroidopathy v. Central Serous Retinopathy761 views59-year-old woman decreasing vision in the left eye for about two days. She sees a spot in front of her vision. It is a yellow spot which is just straight ahead and moves with her eye. She does have high blood pressure. She checks her blood pressure at home, and even at home her blood pressure runs very high, with the systolic running around 200 and the diastolic around 100, although occasionally it does return to the normal range.
VISUAL ACUITY: Vision OD is 20/60, OS is 20/30
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Retinocytoma - Retinoma - Regressed Retinoblastoma 43 year old male incidental finding 761 views
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Primary Ocular Lymphoma - White Mass Left Eye - 112712 761 views
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Branch Retinal Vein Occlusion with worse macular edema from hypertension - SD-OCT shows Edema Right Eye761 views
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Branch Retinal Vein Occlusion with NVE (Neovascularization Elsewhere)761 viewsLate Leakage on FA - NV is adjacent to non-perfusion
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Retinitis Pigmentosa 32 Year Old Woman - 20/25 vision both eyes760 views32-year-old woman was seen in the office on 6/26/2009. She has had retinitis pigmentosa since 2003. She has difficulty with night vision but overall she is doing pretty well.
Vision OU is 20/25.
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69 Year Old Woman Normal Fluorescein Angiogram760 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
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Cotton Wool Spots and New Diagnosis of Chronic Lymphocytic leukemia760 views73-year-old man with cotton wool spots diagnosed subsequently with with Chronic Lymphocytice Leukemia
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Non-Arteritic Anterior Ischemic Optic Neuropathy - Peripapillary Choroidal Ischemia760 views68-year-old woman noticed central vision loss in the right eye about a week ago. It is getting a little bit better. OD 20/160, OS 20/25.
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Retinal Arterial Macroaneurysm - Untreated Hypertension (250/135) - Serous Macular Detachment 760 views82 year old asian woman. VA 20/80 Headaches and vision loss for 1 month. Negative medical history but has not been to the doctor for years. (no insurance)
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Ciliary Body Melanoma760 views71-year old male who was recently diagnosed with a large ciliary body melanoma that is pushing into the anterior chamber of the left eye. Patient is going to proceed with proton therapy.
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female760 views
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PDR NVD left eye and NVE right eye760 views41 year old diabetic woman with PDR in both eyes. High risk in the left eye. She had PRP, Avastin, and vitrectomy x 2 in the left eye with final vision of 20/25. The right eye had eventually PRP laser
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Melanoma - Large Ciliary Body B Scan Ultrasound759 views
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Choroidal Melanoma Medium759 views33-year-old man with a history of decreased in the right eye. He had blurring in the eye about a year ago. He reports that it improved spontaneously until it was “nearly resolvedâ€. He said he had some persistent distortion, but that over the past couple of weeks he has noticed this dark spot recurring in the right eye, the left eye is unaffected. He does not have any flashes, floaters or change in his peripheral visual acuity. 20/80 OD, 20/16 OS. No improvement with pinhole. IOP: 12 OD, 11 OS.
POSTERIOR SEGMENT EXAMINATION: Shows a clear view with no PVD in either eye. C/D ratio is 0.2 OU. Large retinal vessels are unremarkable. The macula of the right eye has a brown choroidal lesion with pigment overlying the surface and orange spots along its lateral surface. The left macula is normal.
B-SCAN: B-scan ecography of the ultrasound of the right eye shows a mass about 5 mm high with a moderate to low internal reflectivity on A-scan echogram. There is serous fluid inferiorly on the echogram
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Macular Hole - Asymptomatic - 20/400 Vision759 views75-year-old woman in a recent exam it was noticed her vision in the left eye had substantially declined. She is not clear as to when that exactly happened. She had not noticed a vision change in the left eye. VISUAL ACUITY: OD 20/30, OS 20/400.
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C3F8 Gas Bubble for retinal tear/ Pneumatic Retinopexy759 views
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Primary Ocular Lymphoma - White Mass Left Eye - 112712 759 views
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Corneal Abrasion with Foreign Body Present 759 viewsER patient comes in with corneal abrasion in the left eye which was getting worst. VA 20/25. Slit lamp exam showed corneal abrasion superiorly at 2-o'clock. Flipped eyelid and foreign body appeared on the upper tarsal plate. Foreign body was removed.
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Best Disease - Color Fundus Photo759 views
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Chronic Central Serous Chorioretinopathy Both Eyes759 views60 year old man with 20 year history of chronic CSR. He has had laser and PDT in the past. The left eye has been 20/100 for decades. The right eye is now declining. Was 20/32 and is down to 20/50. There is chronic low grade subretinal fluid away from the center in the right eye. (focal laser in the right eye in 2005, left eye 2001 at BPEI). Refampin tried in 2012, Aldactone in 2013. PDT in 204 and 2017 Images are from 2017
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female FA New Lesion OS758 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 758 views80-year-old woman one month ago had vision loss and a vascular occlusion in the right eye. Vision loss occurred in the left eye about 9 years ago with cotton wool spots. Patients has a 30 year history of tinnitis.
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Proliferative Diabetic Retinopathy both Eyes Neovascularization of the Disc758 views63-year-old woman has been diabetic for twenty one years who sees new floaters in the right eye. OD 20/40, OS 20/40.
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Vitreomacular Traction - Macular Pucker - 20/50 Vision758 views75-year-old woman decreasing vision in the right eye a few months ago. She had her cataract removed and unfortunately her vision is still hazy in the right eye. Her left eye seems a little hazy from the cataract.
VISUAL ACUITY: OD 20/50, OS 20/20. IOP: OD 17, OS 18.
SLIT-LAMP EXAMINATION
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Gyrate Atrophy - 15 year old male - 20/25 vision both eyes - Positive Family History758 views15 year old male was diagnosed with “retinitis pigmentosa†at age seven. The patient reports that his night vision is poor. He reports he does not notice a visual field change. He reports that his maternal grandfather has lost vision and a cousin has lost vision as well. He reports he has an uncle with some visual changes.
The most significantly affected relative is a 26-year-old legally blind cousin.
20/25+ OD, 20/25 OS.
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Group 2a Juxtafoveal Telangiectasis - MacTel - Idiopathic Juxtafoveal Macular Telangiectasia - Macular Hole758 views80-year-old man has juxtafoveal retinal telangiectasis in both eyes. He also has a true full-thickness macular hole in the left eye. The vision OD is 20/40, OS is 20/160
Group 2a Juxtafoveal Retinal Telangiectasis (telangiectasia), MacTel
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)758 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Images758 views71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Peripheral Retinal Degeneration758 views42-year old male comes in for routine eye exam and to follow up on peripheral retinal degeneration in both eyes. VA is 20/20, right eye and 20/25, left eye. Patient is asymptomatic with no visual complaints.
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Gonioscopy, Blood in the Anterior Chamber from Hyphema758 viewsPatient comes in with blunt trauma to the right eye due to a BB gun incident. Patient was present with a hyphema at 8-o'clock about 1mm thick. Gonioscopy photos were then taken to show blood from the hyphema entered into the anterior chamber. Patient had no angle recession in the right eye.
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Macular possible Cone Dystrophy - Fundus Autofluorescence758 views
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Choroidal Folds Hyperope (+5.00)758 views
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Occult Macular Dystrophy - 9 Years later 758 views53 year old man. Vision is better at 20/50 OU
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Central Serous Retinopathy757 viewsEarly FA
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Asteroid Hyalosis - Asymptomatic757 views80-year-old woman her vision is not bothering her, you noticed a problem with the retina. Her left eye tests worse than the right eye today, but she says that it has been like that for a long time and she is not bothered by any floaters or change in central vision.
VISUAL ACUITY: OD is 20/25, OS 20/40
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