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Wet AMD - PED with exudate 20/400 87 Year old649 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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Central Retinal Vein Occlusion and Laser Induced Chorioretinal Anastomosis649 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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Geographic Atrophy 20/160 Vision649 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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Concentric Annular Macular Dystrophy 4/200 2/200 vision 61 Year Old Macular Crystals649 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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Chronic Pseudophakic Cystoid Macular Edema - Haptic Migrated into Anterior Chamber Through Peripheral Iridotomy649 views57-year-old man with congenital nystagmus. He had cataract surgery done 30 years ago and has decreased vision left eye for 6 months. OD is 20/50, OS is 20/100
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Juxtafoveal Retinal Telangiectasia (Telangiectasis) - MacTel - Striking Gray Ring in Macula - SDOCT649 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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Acute Central Serous Retinopathy - CSR - Steroid Induced (probably) - Good Vision - ICG Fellow Eye649 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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Montage FAF of Coroidal Rupture649 views
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Punctate Inner Choroidopathy - PIC and Choroidal Neovascular Membrane - Right Eye - Fluorescein Angiogram649 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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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Fluorescein Angiogram649 views48-year-old woman noticed when she was blinking there was a white flash in the left eye starting about a month ago. She sees it temporally. OD 20/16, OS 20/20. There is a serous retinal detachment superotemporal to the optic nerve falling short of the fovea. Her blood pressure 165/120.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Indocyanine Green Angiogram649 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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Medium Choroidal Melanoma Left Eye 649 views
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Pyogenic Granuloma, Elevated Concretion, LUL649 viewsPatient comes in with unresolved chalazia in the left upper eyelid. Slit lamp photo shows pyogenic granuloma. Performed in office procedure to remove them.
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Choroidal Folds Hyperope (+5.00)649 views
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Central Areolar Choroidal Dystrophy649 viewsVision loss from early 60's. This 78 year old woman has choroidal atrophy centrally.
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Multifocal Pattern Dystrophy649 views51 year old with normal vision - images look a lot like fundus flavimaculatus
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Macular Hole - Traumatic - 11 year old boy (also retinal whitening Berlins Edema)648 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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Geographic Atrophy 20/160 Vision648 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 7/200.84-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 chorio
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Choroidal Melanoma648 views
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Acute Central Serous Retinopathy - CSR - Steroid Induced (probably) - Good Vision - 6 months later - vision Better648 views42-year-old man has central serous retinopathy in the right eye with serous retinal detachment. 6 month follow-up Vision is better.
VISUAL ACUITY: OD 20/20.
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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 648 views48-year-old woman noticed when she was blinking there was a white flash in the left eye starting about a month ago. She sees it temporally. OD 20/16, OS 20/20. There is a serous retinal detachment superotemporal to the optic nerve falling short of the fovea. Her blood pressure 165/120.
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Late648 viewsCorresponding FA for Cilioretinal artery occlusion with early venous stasis retinopathy
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Primary Ocular Lymphoma - 020513 - FUndus Autofluorescence648 views
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Primary Ocular Lymphoma - 020513 - SD OCT648 viewsVIDEO TAKES TIME TO LOAD
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing648 views1 month after initial laser
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Macular Hole Left Eye - progression from VMT - Stage II macular hole - Spontaneously Closed Macular Hole648 viewsVision has improved to 20/40 and the hole is closed
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Unilateral Acute Idiopathic Maculopathy (UAIM)648 viewsNormal right eye
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Multifocal Bilateral Central Serous Retinopathy in African American Male648 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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Juxtafoveal Telangiectasis and Newly Decreasing Vision647 views70-year-old woman followed for 10 years with IJFT with newly decreasing vision OU OD: 20/160; OD: 20/80
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Retinal Pigment Epithelial Dysgenesis647 views
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Birdshot Chorioretinitis - Retinal Vasculitis - HLA A29 Positive 647 views64-year-old woman three or four year’s fluctuations in her vision. She mostly notices them in bright light her vision glares out and she has difficulty seeing. PMHx: malaria in 1948 that was treated. She was told at one point she could possibly have had Familial Mediterranean fever.
She does intermittently get rashes around her arms. She has arthritis in her knees and ankles.
VISUAL ACUITY: OD 20/40, OS 20/50 - HLA - A29 Positive
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Basal Laminar (cuticular) Drusen both eyes 60 Year Old Woman647 views60-year-old woman with minimal vision loss. Vision OD is 20/30 OS 20/40
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ECTOPIC DISCIFORM SCAR/PERIPHERAL CHOROIDAL NEOVASCULAR MEMBRANE – EXUDATE –INFLAMMATION IN REACTION TO THE PERIPHERAL VASCULAR LESION 647 views53-year-old woman has noticed some blurred vision in the right eye for a few years. In retrospect, she thinks it is possible since she was a teenager the right eye was always the weaker eye and that the left eye has always been the better eye. VISUAL ACUITY: Vision OD is 20/400
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Pattern Dystrophy - Adult Vitelliform Macular Degeneration647 views72-year-old woman 2 months post ECCE with poor vision since surgery especially left eye.
VISUAL ACUITY: OD 20/50, OS 20/200
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Pattern Dystrophy - Adult Vitelliform - 95 Year Old Man with Good Vision647 views95-year-old man in excellent health and he doesn’t notice a vision problem. OD 20/32, OS 20/80
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye 647 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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Primary Ocular Lymphoma - White Mass Left Eye - 112712 647 views
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Idiopathic Polypoidal Choroidal Vasculopathy - False Color647 views
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Sturge Weber SD OCT EDI showing choroidal thickening647 views
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Central Serous Retinopathy - Subretinal Fibrin647 views66 year old female with 20 year history of single episode of CSR. Now with vision loss for a month but improving - VA 20/63 OD; 20/32 OS
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branch retinal vein occlusion - fluorescein angiogram646 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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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female New Lesion OS646 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 646 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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Old Subhyaloid - Preretinal Hemorrhage (Yellow) 646 views53-year-old man 3 monts previous was hit in a motor vehicle/pedestrian accident and was mostly bedridden and in and out of consciousness for two months. It is now three months since the injury. His right eye has permanent vision loss from optic nerve injury. His left eye has reasonable vision, but he does notice a floater often obstructing his vision in that eye. OD is 1/200, OS is 20/20.
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Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement646 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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Best Disease for 30 Years - 20/50 Vision both eyes - 61 Year Old Woman646 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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Macular Atrophy - Macular Degeneration and Previous Diabetic Macular Laser 72 Year Old Man646 views72-year-old man has age-related macular degeneration who had macular and peripheral laser done 30 years ago for diabetic retinopathy. He has developed worsening macular atrophy in both eyes
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Macular and Peripheral Retinal Scarring from Diabetic Laser Done 25 years previously646 views72-year-old man had macular and peripheral laser done in the past(1980's)(25 years ago). His vision, although limited, seems about stable to him. He is diabetic for 30 years. OD is 20/160, OS is 20/160.
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Chronic Macula-off Tractional Retinal Detachment Left Eye Proliferative Diabetic Retinopathy646 views81-year-old man with diabetes for 24 years has proliferative diabetic retinopathy in both eyes with a chronic tractional retinal detachment in the left eye 4 years old. OD is 20/40, OS is 2/200
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Ocular Histoplasmosis both Eyes - Laser Right Eye Only 646 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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Acute Central Serous Retinopathy - CSR - Steroid Induced (probably) - Good Vision 646 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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Wet AMD - New Small Hemorrhage Both Eyes - Mature CNVM visible on Early Indocyanine Green Angiogram646 views
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Congenital Hypertrophy of the Retinal Pigment Epithelium CHRPE has Satellite Lesions646 views
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Band Keratopathy/Neurotrophic Ulcer646 viewsPatient comes in with blind painful left eye. Slit lamp photos shows corneal diffuse scarring, descemets folds, corneal striae, band keratopathy, left eye. Proceed with Jupiter contact lens fitting on the left eye.
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646 views
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Conjunctival Melanoma646 viewsPatient comes in with a conjunctival melanoma in the left eye. Patient states that melanoma grew rather quickly in just a few weeks. Will proceed with biopsy to confirm findings.
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Choroideremia - Female Carrier - Patchy Atrophy of Choroid and RPE - Lyonization646 views
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Central Serous Retinopathy - Acute645 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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DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematode645 views
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Myopic Traction Maculopathy - Vitreoretinal Traction - Possible Occult Neovascular Membrane645 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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Central Serous Retinopathy 41 year old woman with Vision Loss for One Year645 views41-year-old woman has chronic central serous retinopathy in the right eye with decreased vision in that eye for over a year. Her vision has been waxing and waning and recently is getting worse. Her vision in the left eye is fine.
VISUAL ACUITY: OD 20/40
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A case of Disc Granuloma-2645 views
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Traumatic Macular Hole and Pre-retinal Hemorrhage - Assault645 viewsThis 18 year old male was assaulted on 3 weeks ago and seen in the emergency room for that. He returns today reporting his left eye is getting better and is not quite as blurry. VA 20/60 (uncorrected)
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Central Retinal Vein Occlusion and Tractional Retinal Detachment for 3 Years (Patient is Diabetic)645 views67-year-old woman has severe vision loss in the left eye for 3 years OD 20/32, OS 3/200
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Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin - Infrared OS645 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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Corneal Sutures after Trauma645 viewsJames L. Perron, C.R.A.
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Posterior Polar Annular Choroidal Dystrophy645 views68 year old woman with know macular irregularities for over 20 years. She has since been followed another 6 years and her vision remains 20/25.
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645 viewsYoung 19-year old female with Charge Syndrome comes in for eye exam. VA is 20/400, right eye, 20/30, left eye. Fundus photography shows coloboma covering the macula and pushing the optic nerve in the right eye.
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female645 views
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Outer Retinal Holes - Probably Solar Retinopathy (history is negative)645 views
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Subretinal Hemorrhage - Commotio Retinae - Macula - hit with baseball645 views15 year old with VA 20/60 3 days after being hit with baseball in the right eye
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Birdshot Chorioretinitis - Retinal Vasculitis - HLA A29 Positive 644 views64-year-old woman three or four year’s fluctuations in her vision. She mostly notices them in bright light her vision glares out and she has difficulty seeing. PMHx: malaria in 1948 that was treated. She was told at one point she could possibly have had Familial Mediterranean fever.
She does intermittently get rashes around her arms. She has arthritis in her knees and ankles.
VISUAL ACUITY: OD 20/40, OS 20/50 - HLA - A29 Positive
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Congenital Achromatopsia 644 views26-year-old man was diagnosed with congenital achromatopsia by ERG as a child. He has family members who also have this disorder. OD 20/200, OS 20/200.
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Congenital Achromatopsia 644 views26-year-old man was diagnosed with congenital achromatopsia by ERG as a child. He has family members who also have this disorder. OD 20/200, OS 20/200.
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Central Retinal Vein Occlusion and Tractional Retinal Detachment for 3 Years (Patient is Diabetic)644 views67-year-old woman has severe vision loss in the left eye for 3 years OD 20/32, OS 3/200
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Primary Ocular Lymphoma - 020513 - SD OCT644 views
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Psuedomacular Hole - Epiretinal Membrane - Vision unchanged 20/40 for 6 months644 views
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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 644 viewsSpectral Domain Optical Coherence Tomography
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Papilledema - Sagittal Cerebral Vein Thrombosis - Lung Transplant Cystic Fibrosis 36 Year Old Man644 viewsLine scan through optic nerve
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Dusted Pigment, Iris Nevus644 views
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Macular Atrophy - Phototoxicity - Macular Hole Surgery - Late ICG image644 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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Choroidal Thickening644 views78 year old man followed for 4 months with choroidal thickening. Cursory systemic evaluation with no imaging shows no cancer. Vision is stable or improving.
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Myopic Choroidal Neovascular Membrane 54 year old woman 20/20643 views54-year-old woman has had problems in her vision in the right eye for about the last three months. Inferotemporally she sees a gray area, which is distorted. OD is 20/20, OS is 20/20
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Acute Central Serous Chorioretinopathy with Symptoms in Hazy Vision Both Eyes643 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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69 Year Old Woman Normal Fluorescein Angiogram643 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
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Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes643 views69-year-old man has had vision loss in both eyes starting 20 years ago. He was diagnosed at one point with Stargardt’s macular dystrophy. When I saw him, he had retinal atrophy in each eye.
Vision is 20/200 in each eye
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Diabetic Macular Edema and Hypertensive Retinopathy - Circinate Exudate (Ring Exudate) 643 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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Myopic Macular Degeneration - Staphyloma - Recent Vision Loss Right Eye - Possible CNVM643 views83-year-old woman is a high myope with myopic macular degeneration. She had a retinal detachment repair in the right eye in 1968. I saw her in June of 2003. She had posterior colobomas and areas of pigment epithelial atrophy. She has noticed over the last six weeks substantial declining vision in the right eye. Prior to that, the vision in the two eyes was about the same. She uses Xalatan in the left eye and Alphagan in both eyes.
VISUAL ACUITY: Vision OD is 20/160, OS is 20/40
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Acute Central Serous Retinopathy (Chorioretinopathy) Right Eye643 views45-year-old man decreased vision in the right eye starting about two days ago. VISUAL ACUITY: Vision OD is 20/60, OS is 20/20.
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Pattern Dystrophy - Adult Vitelliform Macular Degeneration643 views72-year-old woman 2 months post ECCE with poor vision since surgery especially left eye.
VISUAL ACUITY: OD 20/50, OS 20/200
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Myelinated Nerve Fiber Layer643 views69-year-old woman OD is 20/30, OS is 20/40.
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X-linked Juvenille Retinoschisis - Peripheral Retinal Vascular Anomalies - Vitreous Hemorrhage - 8 Year Old Boy643 views8-year-old child OD 20/40, OS 20/50
OD: Vertical C/D ratio is 0.2. There are foveal cysts. There is also a retinal elevation inferiorly and there are patchy peripheral retinal hemorrhages.
OS: Vertical C/D ratio is 0.2. There are foveal cysts. There is peripheral retinal issues with some hemorrhage in some areas of peripheral retinoschisis.
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PDR and subhyloid hem643 views
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Diabetic Edema Better - 3 Months Follow-UP - No treatment - SD OCT643 viewsPatient remains asymptomatic and OCT shows less edema
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Retinal Pigment Epithleium Dysgenesis 643 views
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Proliferative Diabetic Retinopathy - NVD regressed with PRP laser643 views76 year old diabetic man - Presented one year ago with NVD in the left eye. This regressed with laser but then a year later worsened. Additional PRP was done and the NVD regressed again.
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Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed643 views66 year old man The patient was doing fine until about 2-3 months ago. He woke up with shadows and spots in the right eye. Every blue moon he gets some pain in the right eye. He has been getting treated with eye drops in the right eye. Since this happened the vision is mostly the same. Sometimes he sees better than other times. He has not been treated with oral medications. Â
Medical history: none – Medications: none, ROS negative
VA OD: sc20/63-1 OS: sc20/20
IOP: TP: OD:15 OS:20Â
Negative labs: ACE, Lysozyme, RPR, HLA B27, Quant TB Gold, ESR (slight elevation of CRP)
PCR anterior chamber: negative herpes virus (HSV, VZV, CMV)
Positive for toxoplasmosis
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Idiopathic Cystoid Macular Edema - CME - Responded to Subtenons Kenalog - Red Free Photos Shows Foveal Cysts642 views49-year-old man had a flu two weeks ago the right eye has been throbbing and his vision in the right eye has been foggy. OD 20/80, OS 20/40. IOP: 14 OU.
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Plaquenil Toxicity - Bulls Eye Maculopathy642 views70-year-old woman with systemic Lupus erythematosus and clotting problems. She was on the Plaquenil for about eight years and then off the Plaquenil for the last eight years because she developed macular toxicity. Although her vision was hazy, it was stable. Recent deceased vision left eye: OD 20/60, OS 20/100. IOP: OD 18, OS 19.
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Proliferative Diabetic Retinopathy both eyes Type I Diabetic for 25 years642 views47-year-old woman with diabetes for 25 years and decreased vision for 3 months. OD 20/40, OS 20/40
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