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Basal Laminar Drusen - Cuticular Drusen - 19 Year Old with Lupus Nephritis709 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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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy line os709 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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Central Serous Retinopathy - Acute709 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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Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement709 views33-year-old woman one week ago she awoke and saw a red spots flashing out of her right eye. She notices them to the right side, which is the temporal visual field out of the right eye, then they changed to bursts of white lights without colors and then she notices straight ahead a couple spots. She has headaches in the back of her head. OD 20/20, OS 20/20
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Progressive Outer Retinal Necrosis 77 Year Old Woman with CLL (Acute Retinal Necrosis) (PORN - ARN)709 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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Proliferative Sickle Retinopathy - Hemoglobin SC709 views53-year-old woman with a new spider-like floater in the right eye for about six days. She sees one big floater and another little one. She does have hemoglobin SC hemoglobinopathy. VISUAL ACUITY: Vision OD is 20/20; OS is 20/50, PH is 20/20.
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Concentric Annular Macular Dystrophy 4/200 2/200 vision 61 Year Old Macular Crystals709 views61-year-old woman has concentric annular macular dystrophy. She has had vision loss for 10 years who is no longer able to function even with the magnifiers and vision aids that she has. Her brother who is ten years younger than her, is recently diagnosed with the same macular dystrophy and her father and grandfather may have had similar problems in the past.
VISUAL ACUITY: OD 4/200, OS 2/200.
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Post Lasik Epithelial Ingrowth709 views58-year-old man had a vitrectomy for a macular pucker in the right eye almost two years ago. His vision was good after his cornea surgeon removed the cells from his flap but then recently the cells have regrown and his vision has declined again.
OD is 20/100.
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Non-Ischemic Central Retinal Vein Occlusion in Young Man (30 years) - Many Cotton Wool Spots709 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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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago709 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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Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin 709 views66-year-old man with bilateral subfoveal fluid unresponsive to one year of monthly avastin therapy.
OD 20/160, Pinhole 20/80. OS 20/63, Pinhole 20/50. OCT scan shows subretinal fluid with normal choroidal thickness. Fluorescein angiogram shows cuticular/basal laminar drusen. ICG shows no foci of choriocapillaris leakage.
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Optic Nerve with Hemorrhage709 views
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Optic Nerve Drusen709 views
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3-D OCT Image of Tractional Maculopathy709 views
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Peripheral Exudative Hemorrhagic Chorioretinopathy709 views70 year old man with recurrent peripheral choroidal hemorrhages - no treatment - b-scan shows hemorrhage shrinking over a month
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Pigmented Peripheral Retinal Degeneration709 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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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 709 viewsColor Fundus Photo
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Macular possible Cone Dystrophy - Fundus Autofluorescence709 views
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female709 views
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Myopic Macular Degeneration - Dry 708 views55-year-old woman has myopic macular degeneration in both eyes with vision and an Amsler grid change starting a few days ago in the left eye.
VISUAL ACUITY: OD: 20/60. PH: 20/25. OS: 20/200. PH: 20/30.
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708 views
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Acute Zonal Occult Outer Retinopathy with Severe Peripheral Vision Loss Left Eye 708 views 58-year-old man developed a peripheral vision problem about 25 years ago. OD 20/30, OS 20/40.
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Acute Zonal Occult Outer Retinopathy with Severe Peripheral Vision Loss Left Eye Post Treatment for CME708 views 58-year-old man developed a peripheral vision problem about 25 years ago. OD 20/30, OS 20/40.
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Retinal Pigment Epithelial Dysgenesis708 views
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Cicatricial ROP with Macular Folds - 60 Year Old Woman Nystagmus708 views60-year-old was born at 6 pounds but then she was incubated and she had difficulty with her eye subsequent to that.
VISUAL ACUITY: OD 8/200, OS 1/200
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Retinal Arterial Macroaneurysm - Increased Swelling after Laser 708 views65-year-old woman was seen in the office on January 12, 2011. She has noticed decreased vision in the right eye for the last two or three weeks. She has had some discomfort in both eyes as well. She has a history of low blood pressure, but she does have high cholesterol.
VISUAL ACUITY: OD 20/60
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Retinal Arterial Macroaneurysm - Increased Swelling after Laser 708 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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Angioid Streaks and Macular Degeneration - CNVM OS - Band Keratopathy 708 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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Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye708 views
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Adult Vitelliform Macular Dystrophy - Pattern Dystrophy708 views
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Classic Subfoveal Choroidal Neovascular Membrane - 20/400 Vision - 6 - 12 months old lesion707 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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X-Linked Juvenille Retinoschisis 10 Year Old Child treated with Trusopt707 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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Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male707 views49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.
VISUAL ACUITY: OD 20/60, OS 20/25.
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Optic Atrophy Left Eye and Benign Pituitary Tumor - VA 20/20 Right Eye 20/160 Left Eye707 views58-year-old man has had gradually declining vision in the left eye over about the last 18 months. Vision OD is 20/20, OS is 20/160
OCT SCAN: The OCT scan of the nerve fiber layer in the right eye shows a thickness of 88 microns, the left eye 59 microns.
MRI did show a suprasellar mass which is affecting the optic chiasm and is responsible for the vision loss. The tumor was resected and was a benign pituitary tumor.
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Eccentric Disciform Scar - Breakthrough Vitreous Hemorrhage - InferoTemporal Subretinal Fibrosis - Ectopic Choroidal Neovascular Membranes707 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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Acute Non-arteritic Anterior Ischemic Optic Neuropathy Right Eye - Previous NA-AION left eye 707 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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Traumatic Vitreous Hemorrhage - Firecracker in Face - Teenager707 viewsSixteen year-old with traumatic vitreous hemorrhage following injury from firecracker exploding in his face.
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Fundus Flavimaculatus - Asymptomatic - Color Photo707 views45 year old man was told to come in because of ‘white spots on their retina’.
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Retinal Detachment Under Oil with Inferior Retinectomy706 views
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 706 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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Pigment Epithelial Detachment with Subretinal Fluid and Exudate 20/400 Vision706 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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Central Retinal Vein Occlusion and Laser Induced Chorioretinal Anastomosis706 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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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Images706 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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Giant Retinal Diaylsis Retinal Detachment - Post-op 2 months vision reasonable under silicone oil - Retina Attached706 views2 months post-op with silicone oil in eye.
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Swollen Nerve with Hemorraghe706 views
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Montage of Hemi-Central Retinal Artery Occlusion706 views
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Macular possible Cone Dystrophy - Fundus Autofluorescence706 views
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Reticular Macular Disease (Dry Macular Degeneration) - Color Photo706 views85 year old woman with 20/25 vision OU and reticular macular disease
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female706 viewsICG angiogram is normal
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706 views
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Subfoveal CNVM wet AMD fellow eye oct line scan705 viewsShe has noticed decreased vision in the left eye. It is hard to say for how long, maybe a few months. She had her last eye exam about a year ago. She thoughts perhaps it was cataracts, but you saw a problem with the macula and suggested she come here for evaluation.
VISUAL ACUITY: Vision OD is 20/25, OS is 2/200
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Big Floater - From Spontaneously Peeled Vitreomacular Traction Macular Pucker705 views54-year-old woman has had a visually significant and debilitating vitreous opacity in the right eye, which has been there for 2 years. It is, if anything, getting worse. When she moves her eye around it lands right in her central vision most of the time.
VISUAL ACUITY: Her vision OD is 20/20
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Retinal Detachment and Macular Pucker 705 views76-year-old man has had a retinal detachment repair in the right eye. His vision was improving until just on the way over today and then his vision declined.
VISUAL ACUITY: OD 1/200
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Best Disease for 30 Years - 20/50 Vision both eyes - 61 Year Old Woman705 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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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)705 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 Images705 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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Ocular Histoplasmosis both Eyes - Laser Right Eye Only InfraRed705 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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Juxtafoveal Retinal Telangiectasia (Telangiectasis) - MacTel - Striking Gray Ring in Macula705 views59-year-old woman decreasing vision in the right eye for a few years. She has had diabetes for five years. OD 20/100, Pinhole 20/40. OS 20/20
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Choroidal Melanoma705 views
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Primary Ocular Lymphoma - White Mass Left Eye - 112712 705 views
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Self Sealed Retinal Arteriol Macroaneurysm 705 viewsFA on presentation showed minimal to no active leakage. Also, there is a small cuff of blood around the MA which is favorable for closure
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Retrobulbar Needle Stick Macular Left Eye with Scar - Anesthetic Complication704 views79-year-old woman has a macular pucker in the right eye. She also has a macular scar in the left eye from a retrobulbar needle stick. OD 20/80
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Chronic Central Serous Retinopathy treated with Photodynamic Laser and Visudyne704 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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Retinal Pigment Epithelial Dysgenesis704 views
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Gyrate Atrophy - 15 year old male - 20/25 vision both eyes - Positive Family History704 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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Concentric Geograophic Atrophy - Age-related Macular Degeneration - Charles Bonnet Syndrome - Bulls Eye704 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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Toxoplasmosis Macular Scar (acquired not congenital) 31 Year Old Man- Recent Vision Change - Creeping Scar704 views31-year-old man had an episode of toxoplasmosis in the left eye, where unfortunately it adversely affected his central vision that was back in 2004 (7 years ago)
He did notice recently a change in his visual function. He plays softball, he was getting hit by the ball and having trouble seeing and he said that is how he noticed the toxoplasmosis when it first occurred and he was concerned it might have recurred.
OD 20/16, OS 20/80.
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Coats' Disease in 14 Year Old Boy Treated with Cryotherapy and Avastin704 views14 Year Old Boy with Coats Disease
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Dehydration Injury to Retina after Macula-On Retinal Detachment Repair - Also Subretinal Perfluoron704 views18 month ago he had a scleral buckle, vitrectomy, laser and gas for macula on retinal detachment. Since he notices blind spots in the center of the left eye/ He also notices a dense, inferior visual field defect. OD 20/20, OS 20/50
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Toxoplasmosis - Vitreoretinal Traction704 viewsA 28-year old male who noticed an upper partial visual loss to his right eye for about 2-weeks. Diagnosed with retinitis and was put on acyclovir. Patient received second opinion due to culture of aqueous humor which was then diagnosed as Toxoplasmosis. VA was 20/25 in the right eye. Pt has been followed after for the past 7-months.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye 704 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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Idiopathic Polypoidal Choroidal Vasculopathy - IR704 views
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Wagner Syndrome 704 views33 year old man with family history of Wagner syndrome - the left eye had RD repair. The right eye has posterior peripheral pigmented lesions captured here superiorly
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Papilledema 10 year old child703 views10-year-old child has uveitis in both eyes. She probably has tubulointerstitial nephritis-uveitis syndrome, and she apparently also independently has idiopathic elevated intracranial pressure. VISUAL ACUITY: Vision OU is 20/20.
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PDR - Mild Vitreous Hemorrhage and Good Vision703 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. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/20.
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Multiple Evanescent White Dot Syndrome - Atypical Yellow Foveal Spot Right Eye703 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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Diabetic and Pseudophakic Cystoid Macular Edema Pre treatment line OS703 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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Acute Central Serous Chorioretinopathy with Symptoms in Hazy Vision Both Eyes703 views48-year-old man with hazy vision in the right eye for about three days. He has a little more of a headache than usual. He is under a fair amount of stress. He does not take any steroids that he knows of. He does use a nasal spray, which he is not sure if that is a steroid spray or not. He is going to call us with that medicine. I checked his blood pressure today is was 115/95.
VISUAL ACUITY: OD 20/15, OS 20/25
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Progressive Outer Retinal Necrosis 77 Year Old Woman with CLL (Acute Retinal Necrosis) (PORN - ARN)703 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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Plaquenil (Hydroxycholorquine) Toxicity - Bull's Eye Maculopathy - 73 year old womand 25 Years therapy - 64 inches tall - 110 lbs703 views73-year-old woman has been on Plaquenil for twenty five years. She noticed loss of paracentral vision a few months ago. VISUAL ACUITY: OD 20/70, OS 20/30. Her color vision was 0 out 10 correct in both eyes and she also missed the controls.
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Macular Scars - Laser (1980s) Ocular Histoplasmosis703 views70 year old man who had laser at Wills, Wilmer and the Mayo clinic before better therapies were available for ocular histoplasmosis related CNVM
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Central Retinal Vein Occlusion and Laser Induced Chorioretinal Anastomosis703 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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Non-arteritic Anterior Ischemic Optic Neuropathy following Intravitreal Injection 703 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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montage. os703 viewsno disease
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Pigmented Peripheral Retinal Degeneration703 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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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 703 viewsInfra-Red
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Fundus Flavimaculatus - Asymptomatic - Spectral Domain OCT Line Scan703 views45 year old man was told to come in because of ‘white spots on their retina’.
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Central Serous Retinopathy - Acute702 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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Disciform Macular Scar Both Eyes from Wet Macular Degeneration702 views86-year-old woman has disciform scars OD: 20/400; OS: 20/100
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Diabetic Vitreous Hemorrhage Left Eye702 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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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy702 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 Vettiliform Dystrophy with CNVM-1702 views
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Sectoral Optic Atrophy from an old Branch Retinal Artery Occlusion 702 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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702 views63-year-old man diabetic for twenty two years. His central vision is fine.
VISUAL ACUITY: OD 20/25, OS 20/25
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Macular Telangiectasis (Group 2a Juxtafoveal Telangiectasis) IR702 views63-year-old woman has juxtafoveal retinal telangiectasis in both eyes. She notices her vision a little worse with more distortion and change over the last six months.
VISUAL ACUITY: OD 20/40, OS 20/40.
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Reticular Macular Disease (Dry Macular Degeneration) - Infrared reflectance702 views85 year old woman with 20/25 vision OU and reticular macular disease
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female702 viewsFluorescein Angiogram is normal
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Choroidal Folds Hyperope (+5.00)702 views
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Basal Laminar Drusen - Cuticular Drusen - 19 Year Old with Lupus Nephritis701 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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Diabetic Vitreous Hemorrhage Left Eye701 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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