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Fundus Flavimaculatus - Asymptomatic - Spectral Domain OCT Line Scan672 views45 year old man was told to come in because of ‘white spots on their retina’.
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Branch Retinal Vein Occlusion with NVE (Neovascularization Elsewhere)672 viewsLate Leakage on FA - NV is adjacent to non-perfusion
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Acute Branch Retinal Artery Occlusion Left Eye672 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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branch retinal vein occlusion - fluorescein angiogram671 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.
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Angioid Streaks New Vision Change in Good Right Eye Treated with Lucentis671 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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Serous Macular Detachment Left Eye - Possible Hypertensive Choroidopathy v. Central Serous Retinopathy671 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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Group 2a Juxtafoveal Telangiectasis - MacTel - Idiopathic Juxtafoveal Macular Telangiectasia - Macular Hole671 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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Sectoral Optic Atrophy from an old Branch Retinal Artery Occlusion 671 views74-year-old woman had cataract surgery 3 months ago. Her vision in the right eye has been abnormal since. She notices a shadow in the inferior vision in the right eye. OD is 20/60, OS is 20/50
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Choroidal Melanoma671 views
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Trans-Illumination Defects671 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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Acute Non-arteritic Anterior Ischemic Optic Neuropathy Right Eye - Previous NA-AION left eye 671 views69-year-old man previously lost vision in the left eye from nonarteritic anterior ischemic optic neuropathy in 2006. About a week ago and noticed blurred vision in the inferonasal part of the vision in the right eye.
VISUAL ACUITY: Vision OD is 20/16, OS is 20/40
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Primary Ocular Lymphoma - White Mass Left Eye - 112712 671 views
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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 671 viewsInfra-Red
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Background Diabetic Retinopathy671 viewsPatient with diabetes for over 11-years comes in with blurred vision. Blood sugar control is very poor. VA 20/50- right eye, 20/25-left eye. Fundus exam shows hard exudates with Circinate Rings and edema. Micro-aneurysms and retinal hemorrhage are present in both eyes. Patient will come back for laser treatment.
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Diabetic Retinopathy671 viewsAnnual diabetic exam. VA 20/30, right eye and 20/50, left eye. Fundus photos shows hemorrhages with cotton wool spots. Exudates are visible around the macula in the right eye. Scattered hemorrhages in the left eye.
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Macular Edema and dry AMD - excellent example of why FA and ICG are necessary in management of wet AMD671 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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Basal Laminar Drusen - Cuticular Drusen - 19 Year Old with Lupus Nephritis670 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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Macular Pucker in eye following giant retinal tear RD repair - photo of tear670 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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Cotton Wool Spots and New Diagnosis of Chronic Lymphocytic leukemia670 views73-year-old man with cotton wool spots diagnosed subsequently with with Chronic Lymphocytice Leukemia
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Chronic Retinal Detachment - Pigment Line - Subretinal Fibrosis670 views60 year old with temporal macula-on chronic retinal detachment. No treatment was done.
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Eccentric Disciform Scar - Breakthrough Vitreous Hemorrhage - InferoTemporal Subretinal Fibrosis - Ectopic Choroidal Neovascular Membranes670 views88-year-old man has noticed for the last few months the vision in the right eye is foggy, like there is a film in the eye or a haze, His vision is 20/16 in each eye.
Right eye - inferotemporal periphery there is a hemorrhage at the equator at about 7:00 o’clock, which is about 4-disc diameters across and adjacent to that there is scarring.
Left eye - large disciform scar inferotemporally
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Congenital Toxoplasmosis with non-macular Scars Both Eyes - Recent Reactivation (recurrence) Right Eye670 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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Acute Central Serous Retinopathy - CSR - Steroid Induced (probably) - Good Vision - ICG Affected Eye - Choroidal Leakage670 views42-year-old man was seen in the office on October 5, 2011. He had noticed starting in August after a course of antibiotic and steroids, that he developed new spots in his vision in the right eye. He may have had an episode like this sometime in the past. He did take steroids a few years ago and his vision did change at that time, but then returned.
VISUAL ACUITY: OD 20/32, OS 20/32. The OCT scan of the right eye confirms subretinal fluid.
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Retinitis Pigmentosa Sine Pigmento or Unknown Dystrophy - Peripheral Superficial White Spots and Recurrent CME - FA Early670 views46-year-old woman three of her 5 siblings have been diagnosed with retinitis pigmentosa. Her mother and father were seen and as far as everyone can tell, neither of them has it, although there was some thought they might be carriers. They were evaluated twenty five years ago and since then as far as she knows, there has not been a lot of testing done.
She has noticed a substantial decline in vision in both eyes over the last month or two. OD 20/40, OS 20/50. IOP: Both eyes have CME
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Subluxated Crystalline IOL with Pseudoexfoliation670 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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Retinal Arterial Macroaneurysm - Untreated Hypertension (250/135) - Serous Macular Detachment 670 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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Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye670 views
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CRVO with Paracentral Acute Middle Maculopath - PAMM670 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
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Old BRAO twig with plaque669 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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Multiple Evanescent White Dot Syndrome - Atypical Yellow Foveal Spot Right Eye669 views12-year-old had decreased vision in the left eye from reported amblyopia since around the year 2000. His right eye was doing fine until two days ago, when he had sudden severe vision loss. He sees a blurred spot in the middle of the vision in the right eye wherever he looks.
OD 20/60 with eccentric movement, OS 20/200. Pinhole 20/70. IOP: OD 14, OS 10.
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X-Linked Juvenille Retinoschisis 10 Year Old Child treated with Trusopt669 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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Diabetic Vitreous Hemorrhage Left Eye669 views35-year-old man diabetic for the last 25 years. His hemoglobin A1C has been running between 10 and 11. He was doing fine and then when he woke up from sleeping last night he noticed sudden vision loss in his left eye OD 20/30, OS 20/200.
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Non-arteritic Anterior Ischemic Optic Neuropathy following Intravitreal Injection 669 views81-year-old woman has had injections in both eyes for wet age-related macular degeneration. 2 weeks ago the left eye was treated. Less than a week ago she noticed a change in vision in the left eye. She had a dull left frontal headache and noticed her vision was hazy as if there was a veil over the vision. OD is 20/25, OS is 20/25. IOP: OD 18, OS 26. The left eye has a 3+ APD
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Angioid Streaks and Macular Degeneration - CNVM OS - Band Keratopathy 669 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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Serous Retinal Detachment - Hypertensive Retinopathy - 3 months later - Fluid has absorbed669 views48 Year old woman resolved hypertensive serous retinal detachment.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - SD OCT669 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Retinitis Pigmentosa Sine Pigmento or Unknown Dystrophy - Peripheral Superficial White Spots and Recurrent CME669 viewsSubtenon's Kenlalog given right eye today.
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Lid Verruca Vulgaris669 views
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Iris Nevus669 viewsPatient came in for cataract evaluation. VA 20/200, right eye, 20/60, left eye. Slit lamp photography shows iris nevus 3-4 mm located nasally at 9-o'clock in the left eye.
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Macular Atrophy - Phototoxicity - Macular Hole Surgery - FAF image669 views25 years ago patient suffered immediate severe vision loss following macular hole surgery. You can almost see light pipe tracks in the atrophy in the macula. Vision is 5/200
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Twig Old Macular Branch Retinal Vein Occlusion - Venous Venous Collaterals669 views88 year old man with 20/25 vision in his left and only eye. There is vascular remodeling consistent with an old twig BRVO.
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Diabetic and Pseudophakic Cystoid Macular Edema Pretreament Line OD668 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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Branch Retinal Vein Occlusion with Macular Edema668 viewsCentral foveal thickness came to normal after laser and intravitreal Kenalog
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception668 views
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 668 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/400
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Cotton Wool Spots and New Diagnosis of Chronic Lymphocytic leukemia668 views73-year-old man with cotton wool spots diagnosed subsequently with with Chronic Lymphocytice Leukemia
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Macular Hole - Traumatic - 11 year old boy (also retinal whitening Berlins Edema)668 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
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Choroidal Melanoma - Exudative Retinal Detachment 82 Year Old Man 668 views82-year-old man who had 3 falls 2 weeks ago. After the falls he started checking his vision and noticed there was a veil over the left eye, which he had seen for about two weeks in the superior visual field. OD 20/25, OS 20/40
(patient was medically never well enough for brachytherapy and died 6 months later from heart disease)
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Crystalline retinopathy associated with chronic retinal detachment (Macular Crystals)668 views54-year-old man with an asymptomatic chronic inferotemporal retinal detachment (10 years old) OD 20/25, OS 20/30
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A case of Valsalva Retinopathy -2668 views
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Congenital Toxoplasmosis with non-macular Scars Both Eyes - Recent Reactivation (recurrence) Right Eye668 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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Cilioretinal artery occlusion and Ophthalmic Artery Occlusion with Relative Sparing of the Central Retinal Artery668 views80-year-old woman who says she was looking in the mirror, covered her right eye and noticed she could not see well out of the left eye. That just happened yesterday. Her last eye check was a few years ago. She also had a carotid endarterectomy on the right side in 2006 shortly after coronary bypass surgery. OD is 20/40, OS is 20/200.
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Punctate Inner Choroidopathy - PIC and Choroidal Neovascular Membrane - Right Eye - Fluorescein Angiogram668 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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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fluorescein Angiogram668 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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Wet AMD - New Small Hemorrhage Both Eyes - Mature CNVM visible on Early Indocyanine Green Angiogram668 views
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Normal Tension Glaucoma - Posterior Pole Scan shows asymmetry consistent with Normal Tension Glaucoma668 views90 Year old man: IOP 9 OD, 11 OS
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Hypertensive Retinopathy668 viewsPatient comes in complaining of spots in vision in both eyes. VA was 20/25 - right eye and 20/20- left eye. Fundus exam reveals little hemorrhages with cotton wool spots due to hypertension and anemia.
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Macular possible Cone Dystrophy - Fundus Autofluorescence668 views
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female668 viewsICG angiogram is normal
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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman - AZOOR - White Line Around Fresh Lesions667 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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Angioid Streaks - Peau D'Orange - Pseudoxanthoma Elasticum - Asymptomatic Extrafoveal Choroidal Neovascular Membrane667 views60-year-old woman has pseudoxanthoma elasticum since 2008. Her sister has the same problem and lost vision in both eyes. She had a problem with blood vessel growth in the left eye for which she had injections of Avastin in August, September, and October of 2011 (5 months ago). Subsequent to that, the macula has been dry and you have just been watching her carefully. She is in Florida for a short time but will ultimately be spending nine months out of the year here. Both of her eyes have good vision at
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Retinitis Pigmentosa Sine Pigmento or Unknown Dystrophy - Peripheral Superficial White Spots and Recurrent CME - FAF667 views46-year-old woman three of her 5 siblings have been diagnosed with retinitis pigmentosa. Her mother and father were seen and as far as everyone can tell, neither of them has it, although there was some thought they might be carriers. They were evaluated twenty five years ago and since then as far as she knows, there has not been a lot of testing done.
She has noticed a substantial decline in vision in both eyes over the last month or two. OD 20/40, OS 20/50. IOP: Both eyes have CME
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Uveitis and Retinal Whitening - 04-27-12 - Prior to PPV OD - Possible Primary Ocular Lymphoma 667 views
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Primary Ocular Lymphoma - White Mass Left Eye - 112712 667 views
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Primary Ocular Lymphoma - White Mass Left Eye - 112712 667 views
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female667 views
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Adult Vitelliform Macular Dystrophy - Pattern Dystrophy667 views
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Central Serous Retinopathy666 viewsOCT scan showing serous RD
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Melanoma - Large Ciliary Body B Scan Ultrasound666 views
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female New Lesion OS666 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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Classic Subfoveal Choroidal Neovascular Membrane - 20/400 Vision - 6 - 12 months old lesion666 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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Central Serous Retinopathy - Acute666 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
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Sclerochoroidal Calcification - 72 Year Old Woman 666 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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New BRVO Left Eye Old BRVO Right Eye - Left Eye Shows Twig Superior Vein Occlusion with Edema666 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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Hyperpigmentation of the Retinal Pigment Epithelium in Dry AMD666 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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Idiopathic Polypoidal Choroidal Vasculopathy - Fluorescein Angiogram666 views
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Macular Telangiectasia - Stage 5 left eye - 20/40 vision after 2 years of Avastin 666 viewsSpectral Domain OCT Line Scan
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Pre-retinal hemorrhage following Posterior Vitreous Detachment (separation - PVD)666 views68 year old woman with acute PVD OD and new preretinal hemorrhage - also there is a macular nevus
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy666 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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Macular Edema and dry AMD - excellent example of why FA and ICG are necessary in management of wet AMD666 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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Asteroid Hyalosis - Benign Calcified Deposits in the Vitreous666 views
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Choroidal Nevus with Drusen666 viewsLow risk choroidal nevus with many overlying drusen
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy line os665 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
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Occult Maculopathy - Thin Fovea on OCT and Normal Color VA, Photos, FA VA 20/80 OU665 views45-year-old man his mother and his maternal grandmother each had vision loss at a relatively young age. Red Free Photo - Normal
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26-year-old man choroideremia OU is 20/60665 views
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 665 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 Disc665 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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Retinal Pigment Epithelial Dysgenesis665 views
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Retina Attached Under Oil after oil exchange, perfluoron, laser665 viewsFinal visual acuity was 2/200 with hypotony and band keratopathy
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69 Year Old Woman Normal FA665 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
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Progressive Outer Retinal Necrosis 77 Year Old Woman with CLL (Acute Retinal Necrosis) (PORN - ARN)665 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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Retinal Arterial Macroaneurysm - Increased Swelling after Laser 665 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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Proliferative Diabetic Retinopathy and Mild Vitreous Hemorrhage665 views58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. Vision OD is 20/25, OS is 20/20
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Retinal Arterial Macroaneurysm - Ruptured and self-sealed after hemorrhage665 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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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Fluorescein Angiogram665 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Retinitis Pigmentosa Sine Pigmento or Unknown Dystrophy - Peripheral Superficial White Spots and Recurrent CME665 viewsComparison of Maps - CME is now cleared
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Lid Verruca Vulgaris665 views
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Idiopathic Polypoidal Choroidal Vasculopathy - SD-OCT665 views
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Polychromatic "Christmas Tree" Cataract665 viewsPatient comes in for annual eye exam. Eval on cataracts. VA is 20/20, right eye, 20/40, left eye. Slit Lamp exam shows polychromatic christmas tree cataract in the left eye.
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Diabetic and Pseudophakic Cystoid Macular Edema Pre Treatment664 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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