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Horseshoe Retinal Tear with bridging blood vessel1243 views
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - SD-OCT Line Scan Inner retinal edema1243 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
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Myelinated Nerve Fiber Layer Right Eye (white area)1238 views62-year-old man myelinated nerve fiber layer in the right eye. OD 20/25, OS 20/30.
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Commotio Retinae - One Day following Basketball to Eye1236 views43-year-old man was playing basketball last night. He was hit straight in the left eye with the ball. Initially he had darkness in his inferior vision and now he has darkness inferonasally in the left eye.
Vision OD is 20/16, vision OS is 20/32
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Choroidal Metastases - Both Eyes - Exudative Retinal Detachment1235 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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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago InfraRed Image1234 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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Giant Cell Arteritis - 85 year old woman sudden vision loss left eye - AION- Pale Swollen Optic Nerve1223 views 85-year-old woman has felt sick and weak for about the last two months. She is having headaches, jaw claudication, and her eyes ache. Then, three days ago she had sudden vision loss in the left eye. You saw her with optic nerve swelling and suggested she come in here for evaluation. She had coronary bypass surgery in 2004.
VISUAL ACUITY: Vision OD is 20/80, OS is light perception
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Vitreous Hemorrhage from Retinal Tear - Acute Posterior Vitreous Detachment1222 views
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Clinically Significant Diabetic Macular Edema both Eyes with Exudates1221 views56-year-old woman with diabetes for twelve years. She has noticed blurring of the vision in the right eye for about six months. OD is 20/70, OS is 20/25.
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Cone-Rod Dystrophy 1218 views34-year-old woman who is having some difficulty seeing at night, especially navigating through dark movie theaters and dark restaurants. OD is 20/30, OS is 20/30
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Acute Central Serous Retinopathy - Classic Smokestack on Fluorescein Angiogram 1217 views34-year-old man noticed about five days ago decreased vision in the right eye. He was having difficulty playing video games and seeing with that eye. He thought maybe his refractive error was shifting.
VISUAL ACUITY: Vision OD is 20/40, OS is 20/16
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1217 viewsElschnig Spots are pigment spots in periphery
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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions1216 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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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago 1216 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Wet AMD OS - Dry AMD OD SD-OCT1215 views84-year-old woman has wet age-related macular degeneration in the left eye and dry macular degeneration in the right eye. She takes the eye vitamins and her vision is stable since she was treated three months ago with Avastin. OD 20/50, OS 20/32
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Total Retinal Detachment1215 viewsTotal Retinal Detachment
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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification1213 views7-year-old child difficulty seeing the blackboard in school. She was checked for glasses and it was noted at that time that she had unusual looking optic nerves. Vision OU is 20/50.
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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangioma1209 views61-year-old man with Sturge-Weber syndrome with a hemangioma on the left side of his face.
VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19.
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Hemi-retinal Vein Occlusion1209 views81 year old female seen in 2009 for a Hemi-retinal vein Occlusion OS with vision of 20/25.
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Best Disease - SD OCT Line Scan1208 views
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360-Degree's Pseudoexfoliation1206 viewsFollow-up on glaucoma. Patient has sever pseudoexfoliation in the right eye. VA is 20/25 with IOP at 27. Patient will return in 6-months for re-evaluation.
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Optic Nerve Drusen - Line Scan over Optic Nerve1204 views72-year-old woman has had optic nerve drusen for sometime and has visual field abnormalities. OD 20/32, OS 20/32.
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late phase mushroom cloud, acute CSR1199 viewsFocus is on the peri-foveal vessels illustrates the extremely bullous RD from this mushroom cloud of leakage. The RD was substantially improved after 2 weeks of oral rifampin. Visual acuity improved from 20/200 to 20/70 OD.
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Gonioscopy; Scattered Peripheral Anterior Synechiae1198 viewsPatient comes in for evaluation for glaucoma. Patient also has a history of Uveitis. Last flare up was back in 1990. Patient's VA was 20/30, Right eye and 20/40-1, Left eye. Slit Lamp Gonioscopy reveals iris bow with scattered PAS around the angles of the anterior chamber. You can also see pigmentation in the trabecular meshwork. Patient will follow up in 3-months.
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1198 views
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Fundus Autofluorescence os1197 views61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.
Pisciform Lesions and Macular Atrophy
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Retinal Detachment with Dislocated IOL Lens1197 views47-year old male who had trauma to the right eye. Patient had retinal detachment surgery in the past (Scleral Buckle), to the right eye. Patient came in with another retinal detachment with dislocated PC IOL lens. Notice the haptics tearing the retina. Patient underwent vitrectomy with gas exchange. VA was hand motion 1-day post op.
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Propionibacterium acnes endophthalmitis with capsular plaque and uveitis1196 views61 year old man with inflammation after cataract surgery who ultimately needed removal of intraocular lens and capsule to quiet eye.
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Peripheral Bullous Retinoschisis Spectral Domain Optical Coherence Tomography (SD-OCT)1194 views64-year-old man with peripheral retinal problem noted during comprehensive eye examination. OD 20/32, OS 20/25
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Vitreous Hemorrhage from Retinal Tear - Acute Posterior Vitreous Detachment1193 views
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Morning Glory Syndrome, Optic Nerve1193 viewsPatient comes in for cataract evaluation. VA 20/60, right eye and 20/150, left eye. Fundus photo shows "morning glory syndrome" of the optic nerve in the left eye.
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Corneal Foreign Body 1193 viewsPatient complains of foreign body sensation in the right eye. Slit lamp photos shows a piece of glass metal embedded into the inferior part of the cornea at 7-o'clock in the right eye. Foreign body was removed.
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1189 views
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visit B Scan1187 views71-year-old man is vision has been bothering him for about a month. He does not notice one eye particularly worse than the other. OD is 20/40, OS is 20/25 - Initial Visit
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Acute Central Serous Retinopathy - Classic Smokestack on Fluorescein Angiogram 1186 views34-year-old man noticed about five days ago decreased vision in the right eye. He was having difficulty playing video games and seeing with that eye. He thought maybe his refractive error was shifting.
VISUAL ACUITY: Vision OD is 20/40, OS is 20/16
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Acute Central Serous Retinopathy - Classic Smokestack on Fluorescein Angiogram 1186 views34-year-old man noticed about five days ago decreased vision in the right eye. He was having difficulty playing video games and seeing with that eye. He thought maybe his refractive error was shifting.
VISUAL ACUITY: Vision OD is 20/40, OS is 20/16
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Optic Nerve Head Drusen B-Scan 1185 views57-year-old woman has optic nerve drusen in both eyes.
VISUAL ACUITY: OU 20/20.
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Frosted Branch Angiitis1184 views
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Normal Spectral Domain Optical Coherence Tomography (SD-OCT)1184 views48-year-old woman has had a problem with light and dark adaptations. She notices when she sees a point source of light like a cell phone in a dimly lit room and then she turns the cell phone off, that subsequently her vision is very dark until she goes back into a well lighted area. OD 20/20, OS 20/25.
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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome1181 views80-year-old man vision loss for one year. He died about one year after these photos from Metastatic Poorly Differentiated Large Cell Carcinoma of unknown primary. He was a smoker.
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Ectopia Lentis - Marfan's Syndrome - Intermittent Pupillary Block Glaucoma Right Eye1181 views41-year-old woman decreased vision right eye and intermittent pupillary block glaucoma for 6 months from a dislocated natural lens in the eye, probably associated with Marfan syndrome.Vision OD is 20/160, PH 20/40; OS is 20/30, PH 20/25
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Pigmented Peripheral Retinal Degeneration1181 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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Low Tension Glaucoma - Arrows show nerve fiber layer defect1174 views59-year-old woman has a history of glaucoma dating back to 1990. She had trabeculectomy in the left eye in 1998 and then persisted to lose vision despite normal intraocular pressures from low-tension glaucoma in the left eye. She is now on Cosopt and Travatan in both eyes.
Vision OD is 20/20, OS is 20/16. IOP: OD 9, OS 6.
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Gonioscopy- Pigmentary Glaucoma Suspect1172 viewsPatient with no family history of glaucoma, comes in with elevated IOP. During Gonioscopy exam. brown pigment overlying the trabecular meshwork. Also, trans-illumination defects on the iris.
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RD with PVR1172 viewsRD with Proliferative Vitreoretinopathy
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Retinal Tear Before Laser1169 views65-year-old woman new onset floaters for 1 week. She initially saw flashing lights and then the flashing lights subsided and then she had the floaters VISUAL ACUITY: OD 20/25, OS 20/50
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Correctopia - before laser iridoplasty - 20/60 vision1169 viewsIris is occluding visual axis
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Capillary Non-Perfusion - Severe Non-Proliferative (Background) Diabetic Retinopathy - Type I - 20 Year Old Man Diabetic 16 years1167 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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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman 1166 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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Coloboma of the optic Nerve1164 viewsColoboma
James L. Perron
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Proliferative Diabetic Retinopathy both Eyes Neovascularization of the Disc1163 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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Nonproliferative Diabetic Retinopathy with Circinate Hard Exudates1163 views
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Central Serous Retinopathy - Acute1162 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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Anterior Ischemic Optic Neuropathy - Non-Arteritic - AION1158 views72-year-old woman sudden vision loss in the right eye about four days ago. She also has noticed that things are dim out of that eye. She has no headaches. She does feel a little tired. She has no pain in her jaw when she chews and she has no fevers.
OD is 20/80, PH 20/25; OS is 20/25
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CHRPE lesion in the left eye - Irregular pigmentation1157 views63 year old female with normal vision and CHRPE lesion in the right eye.
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Equatorial Drusen Fundus Photo Left Eye1157 views
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Retinal Pigment Epithelial Detachment with no Sub-Retinal Fluid...1157 viewsA 38-year old male who comes in with blurred vision in the left eye. VA is 20/30. Notices a defect inferior of his central vision. Did an Fluorescence Angiogram to determine an RPE with no sub retinal fluid. Also OCT confirms. Patient was injected with Avastin.
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Coats' Disease1155 views11 year old male seen for trauma to OS from a volleyball. After examination, it was determined the pt had Coat's Disease. VA 20/20 OD 20/60 OS. FA confirmed the diagnosis.
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Progressive Outer Retinal Necrosis 77 Year Old Woman with CLL (Acute Retinal Necrosis) (PORN - ARN)1154 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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Uveitis - Iris Nodule - Koeppe Nodule1152 views29-year-old woman has had problems with uveitis in the right eye for about the last two years. Her symptoms are usually floaters. Occasionally the eye gets red, it has not been very uncomfortable, and it has always been in the right eye. Has had Iris Nodule like one in photo in left eye and Right eye. They clear with or without steroids after about a month.
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Ophthalmomyiasis interna1152 viewsOphthalmomyiasis interna
track of Ophthalmomyiasis like linear
rarely image
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Melanoma1152 viewsYoung male with large Melanoma
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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification1148 views7-year-old child difficulty seeing the blackboard in school. She was checked for glasses and it was noted at that time that she had unusual looking optic nerves. Vision OU is 20/50.
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"Jelly Bumps" Soft Contact Lens1148 viewsYoung female patient comes in wearing overnight contact lenses. Complains of irritation in both eyes. Denies sleeping in SCL. Slit lamp exam shows little jelly bumps underneath the contact lens in both eyes. Was issued a new pair and lectured on handling them.
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Juvenile Xanthogranuloma1146 viewsPresented with hyphaema after minor trauma
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Chronic Retinal Detachment1145 views51 year old female, with a chronic retinal detachment. The patient has been stable since 1999.
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Subhyloid Hem with PDR1144 views
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Acute Central Serous Retinopathy - Classic Smokestack on Fluorescein Angiogram 1144 views34-year-old man noticed about five days ago decreased vision in the right eye. He was having difficulty playing video games and seeing with that eye. He thought maybe his refractive error was shifting.
VISUAL ACUITY: Vision OD is 20/40, OS is 20/16
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Central Serous Retinopathy Acute - Fundus Autofluorescence1143 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
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Diabetic Macular Edema and Hypertensive Retinopathy - Circinate Exudate (Ring Exudate) 1140 views55-year-old woman diabetic for fifteen years and high blood pressure, especially over the last few months. She has had problems with nosebleeds, headaches, and there has been some difficulty bringing her blood pressure down. She said now the blood pressure is under control but it was running 220/120 mmHg for some time. Her vision in the right eye has been poor for four weeks with a spot in the central vision and both eyes have been blurred.
VISUAL ACUITY: Vision OD is 20/160, OS is 20/60
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Macular Demarcation line and Symptomatic Distortion 3 years following Asymptomatic Retinal Detachment Repair1140 views 41-year-old man had an asymptomatic retinal detachment repair in the left eye on New Years Eve in December of 2007 in Wake Forest, North Carolina (3 years ago). Since then he has had problems with distortion and pinching. When he looks at long words, the very center letters are abnormal.
OD is 20/20, OS is 20/80
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Best Disease - SD OCT Line Scan1140 views
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo1138 views61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.
Pisciform Lesions and Macular Atrophy
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Choroidal Melanoma1138 views
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Retinal Coloboma1138 views14-year old male presents with decreased vision in the left eye. Dx with iris and retinal coloboma in the left eye. Patient VA was 20/20, right eye, 20/100 left eye with pinhole improvement 20\50. Patient was fitted for SCL in the left eye.
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Flower Cataract1137 viewsPatient with ahmed tube and flower cataract
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Weiss Ring -Vogt Ring - Posterior Vitreous Detachment1136 viewsChronic Floater - 10 years
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Dilated Conjunctival Blood Vessels1136 viewsPatient comes in for routine eye exam. VA 20/20 in both eyes. Fundus exam was normal. Dilated blood vessels are shown temporal inferiorly in the left eye.
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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Ipsilateral Diffuse Choroidal Hemangioma1134 views61-year-old man with Sturge-Weber syndrome with a hemangioma on the left side of his face.
VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19.
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Retinal Artery Occlusion1133 viewsPatient comes in for eval on artery occlusions in both eyes. VA is 20/400, right eye and NLP, left eye. Fundus photos show paniretinal scars in the right eye with arterial narrowing and the left eye has arterial narrowing as well.
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Central Serous Retinopathy Acute - Fundus Autofluorescence1132 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
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Posterior Staphyloma and Geographic Atrophy Myopic Degeneration1129 views54-year-old man . He is a high myope. He has posterior staphylomas. He has had gradually changing vision for the last month or two. OD is 20/40, OS is 20/50.
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Basal Laminar Drusen - Cuticular Drusen - 19 Year Old with Lupus Nephritis1129 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 Flap Tear - Horseshoe - Cystic Retinal Tuft on Flap1128 views73-year-old woman who noticed two days ago she was bending over and had a sudden “ribbon†in her
vision which looked to her like blood. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20.
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Vogt–Koyanagi–Harada Syndrome OS1127 views43 yr old Italian Male with VKH in both eyes.
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Retinal Flap Tear - Horseshoe - Cystic Retinal Tuft on Flap1125 views73-year-old woman who noticed two days ago she was bending over and had a sudden “ribbon†in her
vision which looked to her like blood. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20.
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Acute Central Serous Retinopathy - Classic Smokestack on Fluorescein Angiogram - Animated .GIF1125 views34-year-old man noticed about five days ago decreased vision in the right eye. He was having difficulty playing video games and seeing with that eye. He thought maybe his refractive error was shifting.
VISUAL ACUITY: Vision OD is 20/40, OS is 20/16
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Optic Nerve Head Drusen Left Eye1124 views57-year-old woman has optic nerve drusen in both eyes.
VISUAL ACUITY: OU 20/20.
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Horseshoe Retinal Tear 1124 views
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Best Disease - Left Eye Treated Previously, Elsewhere, with PDT and Avastin1123 views11-year-old has Best’s disease that runs in his family on his mothers side. At another retina specialists office, he had photodynamic laser in April of 2009 and Avastin subsequently in June of 2009. Unfortunately with that his vision is substantially declining. OD 20/30, OS 20/100
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Pigmented Peripheral Retinal Degeneration1123 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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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old - SD OCT OD1121 views61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.
Pisciform Lesions and Macular Atrophy
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Gonioscopy; Scattered Peripheral Anterior Synechiae1120 viewsPatient comes in for evaluation for glaucoma. Patient also has a history of Uveitis. Last flare up was back in 1990. Patient's VA was 20/30, Right eye and 20/40-1, Left eye. Slit Lamp Gonioscopy reveals iris bow with scattered PAS around the angles of the anterior chamber. You can also see pigmentation in the trabecular meshwork. Patient will follow up in 3-months.
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Best Disease, Vitelliform Macular Dystrophy - 6 year old child1119 viewsVISUAL ACUITY: Vision OD is 20/30, OS is 20/100.
VISUAL ACUITY: Vision OD is 20/30, OS is 20/100.
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Twig Branch Retinal Vein Occlusion - Recurrent Macular Edema with extended interval Lucentis Therapy after first 6 monthly Injections1118 views39-year-old man has a macular branch retinal vein occlusion with macular edema. He had an excellent response to Lucentis for his first 6 treatments. He was last here 6 weeks ago and his vision seems OK to him. OD 20/40.
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Best Disease Fundus Autofluorescence1117 views
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Bilateral Papilledema 1116 viewsYoung male presents with decreased vision in both eyes. Fundus photos reveal swollen optic nerves in both eyes.
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Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child - Nerve Fiber Layer Scan shows swelling1115 views14-year-old was with optic nerve swelling asymptomatic - picked up during routine eye exam. OD 20/20, OS 20/32
SD-OCT is used to differentiate optic disc edema from optic nerve head drusen (which are not yet calcified in children).
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Closed Funnel Retinal Detachment Under Silicone Oil - NLP Vision1112 views15-year-old slowly developing cataract in the left eye over about the last three years. His cataract was already dense when it was removed August 3rd of 2009. The preoperative ultrasound suggested the retina might be abnormal and then once the retina was detached, it was clear that he had a retinal detachment. Because of the amount of scarring the retina was impossible to unfold and it was reattached in a closed funnel formation.
VISUAL ACUITY: OD 20/30, OS: NLP.
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Choroidal Rupture and small Hemorrhage - Assault1111 views34 year old man. The patient reports he was assaulted by a couple of adolescents near downtown St. Petersburg about forty-eight hours ago. He reports the pain in the left eye has significantly improved, but his vision is a little fuzzy and he sees some floaters in the left eye. 20/125 OD, 20/20 OS. Pinhole improves in the right eye to 20/50. IOP: 15 OD, 13 OS.
SLIT LAMP EXAMINATION: Biomicroscopy reveals 3+ pupillary reaction OD, 2+ OS with no afferent pupillary defect. EXTENDED OPHTHALMOSCOPY: Extended funduscopy with Volk 90-diopter lens and fundus drawings of both eyes reveal a clear view with no posterior vitreous separation. C/D ratio is 0.2. There is no vitreous debris or hemorrhage. Large retinal vessels and macula are healthy. The retinal periphery, inspected with scleral depression for 360° shows no retinal tears, breaks, or detachments.
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