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Fundus Flavimaculatus - Asymptomatic - InfraRed Reflectance728 views45 year old man was told to come in because of ‘white spots on their retina’.
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Multifocal Bilateral Central Serous Retinopathy in African American Male728 views67 year old african american male with : Blurred Vision OD. Duration of Problem: 4-6 weeks. VA 20/32 OD 20/20 OS
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Chronic Central Serous Chorioretinopathy Both Eyes728 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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Basal Laminar Drusen - Cuticular Drusen - 19 Year Old with Lupus Nephritis727 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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Atypical Neuroretinitis - ?Ischemic - ?Paraneoplastic - Line Scan OS Shows Nerve and Retinal Edema727 views74-year-old woman has stage 4 non-small cell lung carcinoma decreasing vision in the left eye for at least the last two weeks, VA 10/200. Trace APD OS. No pain
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Optic Nerve Pit Retinal Detachment - Macular Detachment - 8 Year Old - 5/200 Vision OS727 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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Macular Hole - Asymptomatic - 20/400 Vision727 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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Concentric Geograophic Atrophy - Age-related Macular Degeneration - Charles Bonnet Syndrome - Bulls Eye727 views88-year-old woman has age-related with vision gradually declining over the last year. She sees spots in her vision, like red spots and dark spots and she even notices during the daytime, for example when she was looking at her minister, it looked like there were little flowering pots coming out of his head.
VISUAL ACUITY: OD 20/200, OS 20/400.
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Pigment Epithelial Detachment with Subretinal Fluid and Exudate 20/400 Vision727 views87-year-old woman has wet age-related macular degeneration in the left eye. She had treatment up north but there has been a gap in therapy and the vision in the left eye is poor. Vision OD is 20/25, OS is 20/400
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Fluorescein Angiogram - Enhanced S Cone Syndrome - Goldmann Favre - 727 views55-year-old woman while in college her vision was poor even with glasses and she sought evaluation for that. She was told after she had an electroretinogram at USF 15 years ago, that she had something with her blue cones. She does have poor night vision, but her reading vision is pretty good.
VISUAL ACUITY: OD 20/40, OS 20/40
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Giant Retinal Diaylsis Retinal Detachment - Post-op 2 months vision reasonable under silicone oil - Retina Attached727 views2 months post-op with silicone oil in eye.
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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fluorescein Angiogram727 views 25-year-old man with one and half weeks ago he woke up with night chills. Also around that time his joints started hurting him. He also has headaches, although the headache at this point is not severe. His vision has been changing for about the last week and a half. He sees some spots in his vision and they are blurred spots. They are not in the central vision.
VISUAL ACUITY: OD 20/32, OS 20/32
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Traumatic Chorioretinal Scar727 views
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Unilateral Acute Idiopathic Maculopathy (UAIM)727 viewsVision has improved back to 20/20 without any therapy. 1 month following vision loss
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Central Serous Retinopathy726 viewsFundus photo showing serous RD
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Old BRAO twig with plaque726 views81-year-old woman Her left eye is amblyopic. Her right eye was doing fine until about last Sunday, which is five days ago. She had a change in vision where for five minutes she saw a shadow in her side vision out of the right eye. She describes it as being more up into the left. It lasted for just a brief time and then went away. She has had atrial fibrillation since January of 2008. She is on Coumadin for that. She is diabetic for eleven years. OD is 20/25, OS is 20/60. IOP: OD 15, OS 18.
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Asteroid Hyalosis - Asymptomatic726 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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Albinism and Foveal Hypoplasia726 views65-year-old man was told about twenty years ago by a retina specialist that he spent so much time in the sun that he burned out his maculae. He does have two brothers who have dark brown hair and he has always had white hair. He had eye exercises when he was eight or nine because of a lazy eye and his brothers, when he was little, used to call him an albino. He has been diagnosed by dermatologists as having possible albinism but he has been told by other people his skin is just fair.
VA 20/70 OU
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Diabetic and Pseudophakic Cystoid Macular Edema Late FA fellow Eye726 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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Toxoplasmosis - Inner Retinal - Recurrent - Treated with Bactrim DS 726 views43-year-old man has macular toxoplasmosis. He has responded nicely to Bactrim OS: 20/60
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726 views48-year-old man has had waxing and waning vision in the left eye for the last year from central serous retinopathy. OD is 20/16, OS is 20/30.
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Anomalous Branch Retinal Artery 726 views59-year-old man OD 20/25, OS 20/25. TORTUOUS RETINAL ARTERY – LEF EYE
(POSSIBLE GROUP 2 WYBURN-MASON SYNDROME
POSSIBLE ACEPHALIC MIGRAINES )
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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fundus Photo - Color726 views 25-year-old man with one and half weeks ago he woke up with night chills. Also around that time his joints started hurting him. He also has headaches, although the headache at this point is not severe. His vision has been changing for about the last week and a half. He sees some spots in his vision and they are blurred spots. They are not in the central vision.
VISUAL ACUITY: OD 20/32, OS 20/32
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Chronic Central Serous Retinopathy - FAF726 views
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Acute Branch Retinal Artery Occlusion Left Eye726 viewsThis 84 year old woman had an old BRVO in the right eye and saw a shadow for 2 days in the left eye. She has a superotemporal BRAO. The photos show retinal whitening, the OCT shows inner retinal edema and the FA shows poor circulation.
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Stellate Non-heredtiary Idiopathic Foveomacular Retinoschisis (SNIFR)726 views77 year old man who is healthy and 6'6" tall with 20/40 vision and no complaints. OCT shows diffuse retinoschisis.
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Unilateral acute idiopathic maculopathy726 views44 year old man One week ago the left eye was running non-stop and it burned and he had to pry the eye open. Then the vision started to decline three days ago. When he closes the right eye to look at something bright he cannot read. He had a chest infection started about 2-3 weeks ago. He saw a doctor on Monday 4 days ago. He was started on an antibiotic but has not started it yet. He did sore on the right side of his mouth with the infection and he did not have any rashes. He does not have exposure
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Basal Laminar Drusen - Cuticular Drusen - 19 Year Old with Lupus Nephritis725 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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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy725 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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Juxtfoveal Telangiectasis Group 2a - Type II - MacTel - also Juxtapapillary Asymptomatic CNVM Right Eye725 views82-year-old woman who has juxtafoveal retinal telangiectasis in both eyes. She recently had cataract surgery in the right eye and the vision in the right eye is still limited. OD 20/100, OS 20/40.
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Non-Arteritic Anterior Ischemic Optic Neuropathy - Peripapillary Choroidal Ischemia725 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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Multifocal Choroidits Vitiligo ( Voght- Kayanagi-Harada Syndrome )725 views36-year old patient with decreased vision in both eyes with fatigue for over a year. VA 20/25-OD, 20/60 -OS. Patient was treated with Avastin and oral prednisone.
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Primary Ocular Lymphoma - White Mass Left Eye - 112712 725 views
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Uveitis and Cystoid Macular Edema - Probably Sarcoidosis725 viewsVA 20/63 OD 20/50 OS - 3 months vision loss - second episode by history of uveitis
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Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye725 views
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Chronic Central Serous Retinopathy treated with Photodynamic Laser and Visudyne724 views48-year-old man has had waxing and waning vision in the left eye for the last year from central serous retinopathy. OD is 20/16, OS is 20/30.
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69 Year Old Woman Normal Fluorescein Angiogram724 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
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69 Year Old Woman Normal FA724 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
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Retinal Detachment with Subretinal Fibrosis - Chronic with new Foveal Involvement 25 Year Old POST OP724 views25-year-old man vision loss in the left eye for a month. He noticed a shadow up above, which went through his central vision. He has not had any injuries in the left eye.
VISUAL ACUITY: Vision OD is 20/20, OS is 20/400
Post Op photo vision still 20/400
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Wet AMD - PED with exudate 20/400 87 Year old724 views87-year-old woman has wet age-related macular degeneration in the left eye. Vision OD is 20/25, OS is 20/400
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Trans-Illumination Defects724 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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Choroidal Metastases - Both Eyes - Exudative Retinal Detachment724 views58-year-old man smoke a pack of cigarettes a day. He has had some ribcage pain for about the last two weeks. He also had a sinus infection for about two weeks, and he has also had hazy vision on the superior visual field in the left eye for about the last two weeks. vision is 20/25 in both eyes
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Best Disease - Color Fundus Photo724 views
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Accordioning Crystalline Lens with loss of Posterior Capsule724 views71-year old male complains of blurred vision in the left eye. VA 20/40, right eye and 20/400, left eye without correction. Slit lamp exam shows Crystalline lens, both eyes. Right eye IOL is aligned and centered. Left eye shows an accordion of the crystalline lens. Retro Illumination shows the IOL bent inward in the left eye. There was a 6-diopter difference of astigmatism between the right and left eye. Patient will have surgery to correct the issue.
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Neovascularization elsewhere (NVE) Left Eye with Vitreous Hemorrhage724 views
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Macular possible Cone Dystrophy724 views
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Silicone Oil Bubbles in the Angle724 viewsPatient is evaluated for glaucoma associated with ocular inflammation. VA is CF in the right eye and 20/50, left eye. Gonioscopy photos shows little silicone oil bubbles in the inferior angle of the right eye. Patient to consider removal of silicone oil.
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Choroideremia - Female Carrier - Patchy Atrophy of Choroid and RPE - Lyonization724 views
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Central Areolar Choroidal Dystrophy724 viewsVision loss from early 60's. This 78 year old woman has choroidal atrophy centrally.
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724 views
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Macular Pucker in eye following giant retinal tear RD repair pre-op Macular Photo Pucker723 viewsnow 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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Cystoid Macular Edema - Xalatan - ECCE was done 20 years previously723 views71 Year old woman who noticed about a month ago the central vision in the right eye fogged up. OD 20/200 POSSIBLE XALATAN INDUCED CYSTOID MACULAR EDEMA
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Hemi Central Retinal Vein Occlusion 35 year old non-compliant man723 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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Retinal Torsion after Macula Off Retinal Detachment Repair with Inferior PVR723 views37 year old with torsion of the retina after macula off retinal detachment repair with inferior PVR and membranes dragging the fovea inferiorly.
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Proliferative Diabetic Retinopathy - Vitreous Hemorrhage and Tractional Retinal Detachment Left Eye723 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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Hypertensive Retinopathy One Year later with good Vision IgA Nephropathy723 viewsOD 20/30, OS 20/25 One year following initial episode.
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Retinal Detachment with Subretinal Fibrosis - Chronic with new Foveal Involvement 25 Year Old723 views25-year-old man vision loss in the left eye for a month. He noticed a shadow up above, which went through his central vision. He has not had any injuries in the left eye.
VISUAL ACUITY: Vision OD is 20/20, OS is 20/400
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Non-Arteritic Anterior Ischemic Optic Neuropathy - Peripapillary Choroidal Ischemia723 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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Coats' Disease in 14 Year Old Boy Treated with Cryotherapy and Avastin723 views14 Year Old Boy with Coats Disease
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Punctate Inner Choroidopathy - PIC and Choroidal Neovascular Membrane - Right Eye - SD OCT723 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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Primary Ocular Lymphoma - White Mass Left Eye - 112712 723 views
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Lid Verruca Vulgaris723 views
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Macular Telangiectasia - Stage 5 left eye - 20/40 vision after 2 years of Avastin 723 viewsSpectral Domain OCT Line Scan
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Pre-retinal hemorrhage following Posterior Vitreous Detachment (separation - PVD)723 views68 year old woman with acute PVD OD and new preretinal hemorrhage - also there is a macular nevus
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Retinal Pigment Epithelial Dysgenesis722 views
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Myopic Traction Maculopathy - Vitreoretinal Traction - Possible Occult Neovascular Membrane722 views58-year-old woman was seen in the office on June 30, 2011. In 2002, her vision was 20/30. Subsequent to that she had her left eye made her distance eye, which was dominate. She had LASIK surgery on the right eye to make that her near eye and she was getting along well until about a year ago when she noticed substantial vision loss in the left eye only. VISUAL ACUITY: The near eye is 20/200, but she reads J2. OS 20/100- and J16.
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Non-Ischemic Central Retinal Vein Occlusion in Young Man (30 years) - Many Cotton Wool Spots722 views30-year-old man with a history of a central retinal vein occlusion for which he was first examined on 2 months ago and his vision then was 4/200. He responded nicely to two Avastin treatments. OD is 20/20, OS is 20/60
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Ocular Histoplasmosis both Eyes - Laser Right Eye Only 722 views58-year-old woman who lost vision as a child in the left eye from ocular histoplasmosis. She used to play in her attic and she was told by her pulmonary doctor that is probably where she picked it up. She had laser in the right eye for a leaky lesion back in 1990. OD 20/25, OS 20/200.
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Basal Laminar Drusen - Cuticular Drusen - 19 Year Old with Lupus Nephritis722 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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Corneal Abrasion with Foreign Body Present 722 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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Retinal Detachment with PVR and large posterior macular hole - Vision HM722 viewsPatient had vitrectomy for 20/60 maular pucker and subsequent retinal detachment
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Chronic Retinal Detachment and Macular hole Pre-Op721 views51-year-old woman about 3 or 4 months ago she noticed some flashing lights. Her vision became hazy and dark, especially when she was covering her left eye. OD 2/200, OS 20/20. Post op vision 20/200.
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Asteroid Hyalosis - Asymptomatic721 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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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy721 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Angioid Streaks New Vision Change in Good Right Eye Treated with Lucentis721 views53-year-old man has angioid streaks. He has a macular scar in the left eye from choroidal neovasculari-zation that was treated with photodynamic laser 5-8 years ago. His vision in the right eye had been fine until about a week ago when he noticed temporally in the right eye an area that does not look normal and looks a little distorted.
VISUAL ACUITY: Vision OD is 20/30, OS is 20/400. Treatment was started within a month and patient responded well and is now 3 years out requiring every 3 month Lucentis
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Toxocariasis721 views15-year-old one year ago had pink eye then her vision has been abnormal. She recently went for a drivers’ test and failed, OD: 20/80; OS: 20/20.
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Progressive Outer Retinal Necrosis 77 Year Old Woman with CLL (Acute Retinal Necrosis) (PORN - ARN)721 views77-year-old woman with CLL who had shingles on the left side of her face about 6 weeks ago then she developed a dendrite in the cornea which was treating about four weeks ago. She noticed severe vision loss in the left eye just a few days ago and you saw retinitis and she comes in because of that. Vision OD is 20/25, OS is hand motion
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Choriodal Neovascular Membrane - Subfoveal - Pseudo-Retinitis Pigmentosa - 50 years post Retinal Detachment Repair721 views86-year-old with a history of decreased vision in the right eye. The patient reports she has lost vision in the right eye over the past two months or so. She reports the vision was always compromised in that eye since retinal detachment surgery 50 years ago with a scleral buckler. Vision dropped from 20/50 to 20/200 right eye in 2 months.
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Macular Hole - Traumatic - 11 year old boy (also retinal whitening Berlins Edema)721 views11-year-old boy with a history of blunt trauma to the left eye yesterday. He reports he lost vision immediately but it has gotten somewhat better. He reports he sees “red streamers†and he has very blurry visual acuity., 20/200 OS
1 week post injury and 1 month later (not shown here) mature full thickness macular hole.
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Macular Hole - Asymptomatic - 20/400 Vision721 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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Intraocular Foreign Body721 viewsIntraocular Foreign Body
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Subluxated Crystalline IOL with Pseudoexfoliation721 views82-year old male comes in with blurriness on the bottom half of his vision. Patient's VA was 20/25. Slit lamp examination shows subluxated crystalline lens inferiorily. Pseudoexfoliation debris superiorly at 10 o'clock with no vitreous present in the anterior chamber. Patient scheduled for surgery for CE IOL in the right eye.
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Gonioscopy, Blood in the Anterior Chamber from Hyphema721 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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Normal Tension Glaucoma - Posterior Pole Scan shows asymmetry consistent with Normal Tension Glaucoma721 views90 Year old man: IOP 9 OD, 11 OS
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Fundus Flavimaculatus - Asymptomatic - Fundus Autofluorescence721 views45 year old man was told to come in because of ‘white spots on their retina’. - FAF image shows that spots are strongly autofluorescent
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Acute AION OS - Mild disc pallor OD721 viewsSudden vision loss OS x 1 week with optic nerve swelling. Evidence of optic atrophy in right eye.
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Outer Retinal Holes - Probably Solar Retinopathy (history is negative)721 views
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Diabetic Patient with Macular Edema and Blood Pressure 200/95720 views49-year-old decreasing vision over the last year. OD is 20/80, OS 20/80. blood pressure which was 200/95.
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Diabetic Patient with Macular Edema and Blood Pressure 200/95720 views49-year-old decreasing vision over the last year. OD is 20/80, OS 20/80. blood pressure which was 200/95.
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 720 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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New BRVO Left Eye Old BRVO Right Eye - Right Eye Showing Bulls Eye Atrophy from Chronic CME and Non-Perfusion Infero-temporally720 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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Group 2a Juxtafoveal Telangiectasis - MacTel - Idiopathic Juxtafoveal Macular Telangiectasia - Macular Hole720 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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Myopic Traction Maculopathy - Vitreoretinal Traction - Possible Occult Neovascular Membrane720 views58-year-old woman was seen in the office on June 30, 2011. In 2002, her vision was 20/30. Subsequent to that she had her left eye made her distance eye, which was dominate. She had LASIK surgery on the right eye to make that her near eye and she was getting along well until about a year ago when she noticed substantial vision loss in the left eye only. VISUAL ACUITY: The near eye is 20/200, but she reads J2. OS 20/100- and J16.
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Retinal Arterial Macroaneurysm - Ruptured and self-sealed after hemorrhage720 views90-year-old woman has vision loss in the right eye for 6 weeks. OD 8/200, OS 20/50. Initial Visit
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Angioid Streaks and Macular Degeneration - CNVM OS - Band Keratopathy 720 views79-year-old man has wet age-related macular degeneration in the left eye, for which he is having Lucentis treatment. OD 20/40, Pinhole 20/32. OS 20/160, Pinhole 20/50. He has band keratopathy sparing the visual axis in both eyes. ICG shows angioid streaks both eye.
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PDR w/ERM and severe CSDME720 views24 year old woman with uncontrolled blood sugar; progressively worsening vision OU - from level of 20/40 in August 2012 to 20/200:OD and 20/CF:OS in January 2013.
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Fundus Flavimaculatus - Asymptomatic - Spectral Domain OCT Line Scan720 views45 year old man was told to come in because of ‘white spots on their retina’.
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female720 views
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy720 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus
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Diabetic and Pseudophakic Cystoid Macular Edema Pre Treatment719 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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