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Anterior Ischemic Optic Neuropathy - Non-Arteritic - AION1273 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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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome1272 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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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome1270 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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Peripheral Bullous Retinoschisis Spectral Domain Optical Coherence Tomography (SD-OCT)1270 views64-year-old man with peripheral retinal problem noted during comprehensive eye examination. OD 20/32, OS 20/25
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Solar Retinopathy1270 viewsFoveal defect due to sun staring
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo1269 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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Pigmented Peripheral Retinal Degeneration1268 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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Bilateral Papilledema 1268 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 swelling1267 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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Pigmented Peripheral Retinal Degeneration1266 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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Retinocytoma - Retinoma - Regressed Retinoblastoma 43 year old male incidental finding 1263 views
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Chronic Retinal Detachment1262 views51 year old female, with a chronic retinal detachment. The patient has been stable since 1999.
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Coats' Disease1262 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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Retinal Coloboma1261 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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Retinitis Pigmentosa - Leber's Congenital Amaurosis - 7 Year Old Child -Fundus Photo Right Eye - Periphery1260 views7-year-old child who trips over things that the other children do not have trouble seeing. She is the only person in the family tree that the mother knows has any vision problems. Vision is 20/20 in each eye
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Capillary Non-Perfusion - Severe Non-Proliferative (Background) Diabetic Retinopathy - Type I - 20 Year Old Man Diabetic 16 years1259 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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Acute Central Serous Retinopathy - Classic Smokestack on Fluorescein Angiogram 1259 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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Non-Kissing Choroidals 1259 viewsFluid and blood underneath the choroid nasally and temporally after cataract surgery in the left eye
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Horseshoe Retinal Tear 1256 views
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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Ipsilateral Diffuse Choroidal Hemangioma1254 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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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - SD-OCT 1252 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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Vogt–Koyanagi–Harada Syndrome OS1251 views43 yr old Italian Male with VKH in both eyes.
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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification1250 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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Low Tension Glaucoma1249 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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Best Disease - Left Eye Treated Previously, Elsewhere, with PDT and Avastin1249 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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Acute Central Serous Retinopathy - Classic Smokestack on Fluorescein Angiogram - Animated .GIF1248 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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wyburn-mason sydrome1245 views28 year old female, visual acuity OS 20/200
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Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child - Nerve Fiber Layer Scan shows swelling1243 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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Optic Nerve (Disc) Drusen - Fundus Autofluorescence1243 views34 Year Old woman no headaches normal vision
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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Wet AMD OS - Dry AMD OD SD-OCT1242 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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Choroidal Melanoma - Exudative Retinal Detachment 82 Year Old Man B Scan - Transverse1241 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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Retinal Flap Tear - Horseshoe - Cystic Retinal Tuft on Flap1240 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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Diabetic Retinopathy1239 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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Central Areolar Choroidal Dystrophy1238 viewsPatient wanted second opinion for atrophic macular degeneration. VA is 20/400, right eye and 20/100. left eye. Patient has very poor vision and also hearing impaired. Fundiscopic exam reveals very atrophy in the macula. FAF shows a central hole to the choroid with no neovascularization present.
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Asteroid Hyalosis Before Vitrectomy1236 views80 year old woman with decreased vision and blurring in the left eye for the past year. She reports that she has blurring that comes and goes and floaters that bother her when she reads.
The patient reports that the floaters that bother her have been occurring on a daily basis lately. She reports that she is having a “hard time readingâ€.
Visual acuity with correction 20/30-3 OD and 20/30-2
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80 year old woman with Reticular Drusen (pseudodrusen) 20/30 Vision1236 views80 year old woman with asteroid hyalosis and macular degeneration.
OPHTHALMIC EXAMINATION: Visual acuity with correction 20/30-3 OD and 20/30-2
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Retinal Tear Before Laser1235 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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Endophthalmitis with Hypopion1235 views
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Diabetic Macular Edema Left Eye - Post Laser1233 views82-year-old woman diabetic for many years, last eye exam 5 years ago with gradual vision loss. OD 20/60, OS 20/70. IOP: OD 16, OS 17.
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Acute Central Serous Retinopathy - Classic Smokestack on Fluorescein Angiogram 1232 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 Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - SD-OCT 1231 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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Progressive Outer Retinal Necrosis 77 Year Old Woman with CLL (Acute Retinal Necrosis) (PORN - ARN)1230 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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Rubeosis Iridis1230 viewsPatient presents with Rubeosis Iridis in the right eye due to neovascular glaucoma. VA is 20/40 in the right eye. Will follow up in 3-months.
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Best Disease - Left Eye Treated Previously, Elsewhere, with PDT and Avastin1229 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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Optic Nerve Head Drusen Left Eye1229 views57-year-old woman has optic nerve drusen in both eyes.
VISUAL ACUITY: OU 20/20.
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Best Disease - SD OCT Line Scan1229 views
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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 1226 viewsSpectral Domain Optical Coherence Tomography
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"Jelly Bumps" Soft Contact Lens1226 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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Asymptomatic Hollenhorst Plaque - Cholesterol Embolis1223 views71-year-old woman is not noticing any vision change. She does take pressure-lowering drops for glaucoma, both Timolol and Xalatan.
VISUAL ACUITY: Vision OD is 20/30, OS is 20/16
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Probable Measles Retinopathy1223 views52-year old female wanted second opinion on retinal eval. Patient had PK and PDT in the left eye. VA was 20/30, right eye was count fingers. Pinhole was NI, both eyes. Patient's mother had measles. Notice pigment changes in both the color and FAF photo.
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Propionibacterium acnes endophthalmitis with capsular plaque and uveitis1220 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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Hyperpigmentation of the Retinal Pigment Epithelium in Dry AMD1220 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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Macular Telangiectasis (Group 2a Juxtafoveal Telangiectasis) Decreased Fundus Autofluorescence1220 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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Acute Central Serous Retinopathy - Classic Smokestack on Fluorescein Angiogram - OCT1220 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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Basal Laminar Drusen - Cuticular Drusen - 19 Year Old with Lupus Nephritis1219 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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Acute Central Serous Retinopathy - Classic Smokestack on Fluorescein Angiogram 1218 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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Occult Maculopathy - Thin Fovea on OCT and Normal Color VA, Photos, FA VA 20/80 OU1217 views45-year-old man OCT scan shows foveal thinning
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old - SD OCT OD1217 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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Optic Nerve Pit1216 viewsOptic Nerve Pit
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Acute Central Serous Retinopathy - Classic Smokestack on Fluorescein Angiogram 1215 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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Foreign Body "Rust Ring" 1213 viewsPatient complained of redness and tearing with white discharge. Patient was working with a grinding wheel on a vehicle. Slit lamp exam shows a rust ring barley off center. FBS was removed with Algiers Brush.
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Hemi Central Retinal Vein Occlusion 35 year old non-compliant man1212 views35-year-old man hazy vision in his left eye for about the last three days. OD 20/20, OS 20/30
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Central Serous Retinopathy Acute - Fluorescein Angiogram1212 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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Coats' Disease with Cryotherapy 1212 viewsYoung male with Coat's Disease with Cryotherapy in the right eye. VA was 20/20, right eye. Left eye was completely normal. Patient will be followed up in 3-months.
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CHRPE - Congenital Hypertrophy of the Pigment Epithelium - Peripheral1211 views55-year-old woman OD 20/30, OS 20/25
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New Subfoveal Classic CNVM OS - Wet AMD - Macular Scar Congenital Toxoplasmosis Right Eye 1211 views77-year-old woman as had poor vision in the right eye since birth from congenital toxoplasmosis of her macula in the right eye. Two to three weeks ago when she noticed vision loss in the left eye. VISUAL ACUITY: OD 2/200, OS 20/200.
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Best Disease Fundus Autofluorescence1209 views
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)1207 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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Silicone Oil Bubbles in the Angle1207 viewsPatient is evaluated for glaucoma associated with ocular inflammation. VA is CF in the right eye and 20/50, left eye. Gonioscopy photos shows little silicone oil bubbles in the inferior angle of the right eye. Patient to consider removal of silicone oil.
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Sickle Cell1206 views
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Iris Neovascularization secondary to Central Retinal Artery Occlusion1206 views
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago1204 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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Best Disease, Vitelliform Macular Dystrophy - 6 year old child1203 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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Plaquenil Toxicity - Bulls Eye Maculopathy1202 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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Retinal Tear Before Laser1202 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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Endophthalmitis with Hypopion1202 views
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Bilateral Macular Star1202 viewsYoung female patient comes in with blurred vision in both eyes. VA is 20/40 in both eyes. Fundus photos show visible macular star centrally in both eyes. This is a result of Bilateral Neuroretinitis due to cat scratch.
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"Jelly Bumps" Soft Contact Lens1202 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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2 - Horseshoe Tears1201 views
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Wet AMD Fresh Submacular Hemorrhage - Displaced with Vitrectomy and Subretinal TPA1200 views85-year-old woman has wet age-related macular degeneration in her better eye and she was reading with it until two days ago when she had sudden severe vision loss in the eye. Her last injection with Avastin 2 weeks ago 20/160 (Pre-Surgical Displacement)
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Retinal Flap Tear - Horseshoe - Cystic Retinal Tuft on Flap1200 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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OCT Image of Tractional Maculopathy1200 views
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Choroidal Melanoma with Retinal Detachment1197 views57 year old female who underwent proton beam therapy for Choroidal Melanoma. VA was 20/400 at post op visit.
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Cornea Ulcer/Abrasion1196 views
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Gonioscopy; Scattered Peripheral Anterior Synechiae1196 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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Acute Central Serous Retinopathy - Classic Smokestack on Fluorescein Angiogram 1195 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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Unilateral Hemorrhagic Retinopathy1195 viewsA 53 yr-old male was referred for a Macular Aneurysm. The FA should no apparent Aneurysm, nor did it show any evident VO or Edema. The patient is in the Navy but hadn't gone on any deep sea dives or any air flights.
The cause of the hemorrhages is unknown, the following ARVO abstract from 2012 identifies similar cases found in females.
Clinical Features Of Unilateral Hemorrhagic Retinopathy: A New Retinal Entity?
Presentation Start/End Time: Wednesday, May 09, 2012, 1:45 PM - 3:30 PM
Session 466
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360-Degree's Pseudoexfoliation1194 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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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1192 viewsElschnig Spots are pigment spots in periphery
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Acute Central Serous Retinopathy - Classic Smokestack on Fluorescein Angiogram 1190 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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A case of DUSN-11189 views
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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome1188 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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Giant Cell Arteritis - 85 year old woman sudden vision loss left eye - AION- Pale Swollen Optic Nerve1188 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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Proliferative Diabetic Retinopathy1188 viewsFundus photography shows severe fibrosis and arterial narrowing. Peripheral laser scars in both eyes. VA is 20/40, right eye and 20/50, left eye.
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Peripapillary Choroidal Nevus1186 views37-year-old woman was seen in the office on July 27, 2011. She has photographs from 2009 and 2010 showing a peripapillary choroidal nevus in the right eye. VISUAL ACUITY: OD 20/20
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Iris Neovascularization1186 viewsDiabetic patient with advanced iris neovascularization
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Retinal Hemorrhage 1186 viewsFundus photography shows central retinal hemorrhage. Patient was treated with Avastin Injection and will be followed up in 4-weeks.
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Epiretinal Membrane1185 viewsEpiretinal Membrane
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Acute Central Serous Retinopathy - Classic Smokestack on Fluorescein Angiogram 1185 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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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome1183 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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