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Macular Hole Closed with Vitrectomy - Preop596 views
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Cystoid Macular Edema - Xalatan - ECCE was done 20 years previously596 views71 Year old woman who noticed about a month ago the central vision in the right eye fogged up. OD 20/200 POSSIBLE XALATAN INDUCED CYSTOID MACULAR EDEMA
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Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement596 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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Acute Central Serous Chorioretinopathy with Symptoms in Hazy Vision Both Eyes596 views
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Pigmented Maculae - Mother and Daughter - Normal Visual Acuity596 views12-year-old had a dilated macular exam and the macula look abnormal. Interestingly, her mother, who is with her at this visit, was told about a year ago that her maculae are abnormal too. Her mother’s vision is fine. In the family tree, there are no known retinal dystrophies. They are both healthy.
VISUAL ACUITY: Her vision is 20/20 in both eyes.
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Retinitis Pigmentosa Newly Diagnosed 55 Year Old596 views55-year-old noticed his vision declining recently, over the last few weeks, particularly in the right eye. He said previous to that the vision was not normal but was pretty good. OD is 20/100, OS is 20/50
OCT SCAN: There is macular thickening in both eyes with intraretinal cysts.
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X-linked Juvenille Retinoschisis - Peripheral Retinal Vascular Anomalies - Vitreous Hemorrhage - 8 Year Old Boy596 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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Trans-Illumination Defects596 views74-year old patient who VA 20/70 OD, 20/50 OS. Complaints of blurred vision. Iris atrophy, both eyes. ERM, right eye, Patient to have cataract surgery to improve distance vision.
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Primary Ocular Lymphoma - 020513 596 views
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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 596 viewsFundus Autofluorescence
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Chronic Central Serous Retinopathy - False Color596 views
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Chronic Central Serous Retinopathy - SD-OCT596 views
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Gonioscopy of Blood in the Angle596 viewsYoung female who has a history of uveitis, glaucoma and juvenile rheumatoid arthritis. VA is hand motion in the left eye. Pigment changes with some blood in the anterior chamber seen here on Gonioscopy.
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Reticular Macular Disease (Dry Macular Degeneration) - Fundus Autolfuorescence596 views85 year old woman with 20/25 vision OU and reticular macular disease
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Uveitis and Cystoid Macular Edema - Probably Sarcoidosis596 viewsVA 20/63 OD 20/50 OS - 3 months vision loss - second episode by history of uveitis
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Central Areolar Choroidal Dystrophy596 viewsVision loss from early 60's. This 78 year old woman has choroidal atrophy centrally.
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Normal Left eye596 viewsLeft eye of patient with valsalva retinopathy in the right
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Peripapillary Lesion Hemangioma or CNVM Color Fundus Photo Normal Left Eye595 views67-year-old man with a history of a peripapillary lesion in the right eye.
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Macular Degeneration - Choroidal Laser Left eye - New Subfoveal CNVM left eye - Did well with Avastin595 views69-year-old woman new vision loss right eye and old macular scar left eye. OD 20/40, OS 20/200
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Vision Loss, Blood, and Cartwheel CNVM OD with no fluid on OCT Scan595 views86-year-old man has had changing vision. He says his vision has been gradually declining since I saw him in June. You saw a hemorrhage in the eye and suggested he comes in here for an evaluation. He is on Combigan and Travatan in the right eye for his glaucoma.
VISUAL ACUITY: Vision OD is 6/200 OS is 8/200 The macula in the right eye is wet even though interestingly the OCT does not show subretinal fluid.
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Proliferative Sickle Retinopathy - Hemoglobin SC595 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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Proliferative Sickle Retinopathy - Hemoglobin SC595 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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Choroidal Melanoma - Exudative Retinal Detachment 82 Year Old Man 595 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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Acute Annular Outer Retinopathy VA loss 2 days Right Eye Only - 25 Year Old Woman595 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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Macular Branch Retinal Vein Occlusions (2) Left Eye - No Macular Edema (yet) 595 views77-year-old woman with two macular branch retinal vein occlusions in the left eye OD 20/25
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Congenital Achromatopsia 595 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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Macular Hole Closed - Nerve Fiber Layer Defects Visible after Internal Limiting Membrane Peel - Vision 20/60595 views53-year-old woman had vitrectomy for a stage IV macular hole in the left eye on June 1st. Her vision has improved some but still has a bump in it.
VISUAL ACUITY: Vision OS is 20/80, PH is 20/60
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Diabetic Macular Edema - Mild595 views70 year old man with mild edema did well without treatment
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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Indocyanine Green Angiogram595 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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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 595 viewsSpectral Domain Optical Coherence Tomography
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Macular Pucker 20/40 vision - minimal symptoms for 1 year Right eye595 viewsMulticolor
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis595 views
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Branch Retinal Artery Occlusion with Hollenhorst Plaque595 views
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Neuroretinitis - Cat Scratch - Bartonella - Sudden Vision Loss Right Eye - 29 Year Old Female595 views
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Neuroretinitis - Cat Scratch - Bartonella - Sudden Vision Loss Right Eye - 29 Year Old Female595 views
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BRAO and PAMM595 views
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Choroideremia - Female Carrier - Patchy Atrophy of Choroid and RPE - Lyonization595 views
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Choroideremia - Female Carrier - Patchy Atrophy of Choroid and RPE - Lyonization595 views
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Choroidal Nevus with Drusen595 viewsLow risk choroidal nevus with many overlying drusen
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Melanosis Oculi and Choroidal Melanoma595 views88 year old female with 2.5 mm elevated choroidal melanoma and melanosis oculi. She also has geographic atrophy from AMD. The right eye is the better eye with 20/40 vision. After observation with growth, brachytherapy was done.
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Plaquenil Toxicity - Bulls Eye Maculopathy594 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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New BRVO Left Eye Old BRVO Right Eye - Right Eye Showing Bulls Eye Atrophy from Chronic CME and Non-Perfusion Infero-temporally594 views90-year-old man decreased vision maybe one year since cataract surgery he is no longer able to read. OD 20/200, OS 20/200
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Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left594 views
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Optic Atrophy Left Eye and Benign Pituitary Tumor - VA 20/20 Right Eye 20/160 Left Eye594 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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Pigmented Maculae - Mother and Daughter - Normal Visual Acuity594 views12-year-old had a dilated macular exam and the macula look abnormal. Interestingly, her mother, who is with her at this visit, was told about a year ago that her maculae are abnormal too. Her mother’s vision is fine. In the family tree, there are no known retinal dystrophies. They are both healthy.
VISUAL ACUITY: Her vision is 20/20 in both eyes.
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Pigmented Maculae - Mother and Daughter - Normal Visual Acuity594 views12-year-old had a dilated macular exam and the macula look abnormal. Interestingly, her mother, who is with her at this visit, was told about a year ago that her maculae are abnormal too. Her mother’s vision is fine. In the family tree, there are no known retinal dystrophies. They are both healthy.
VISUAL ACUITY: Her vision is 20/20 in both eyes.
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Pigmented Maculae - Mother and Daughter - Normal Visual Acuity594 viewsMothers macular photos
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Choroidal Rupture - 13 year old - 3 months following injury to eye with aluminum foil ball corneal laceration 594 views13-year-old 3 months post injury to right eye with corneal laceration and cryo to a retinal tear on July 27th and then six clock hours away laser to a retinal tear on October 20th. His vision is a little better in the eye.
VISUAL ACUITY: Vision OD is 20/120.
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Pattern Dystrophy - Adult Vitelliform Dystrophy - Macular Degeneration594 views 78 Year Old Woman with vision has diminished in the right eye over the past couple of years, but the diminishment has been slow.
20/60+1 OD, 20/25 OS
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Non-Ischemic Central Retinal Vein Occlusion in Young Man (30 years) - Many Cotton Wool Spots594 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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Cilioretinal artery occlusion and Ophthalmic Artery Occlusion with Relative Sparing of the Central Retinal Artery594 views80-year-old woman who says she was looking in the mirror, covered her right eye and noticed she could not see well out of the left eye. That just happened yesterday. Her last eye check was a few years ago. She also had a carotid endarterectomy on the right side in 2006 shortly after coronary bypass surgery. OD is 20/40, OS is 20/200.
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Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin Early ICG OD594 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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Giant Retinal Tear 6 weeks s/p PPV, SB, and GFE594 viewsPt. s/p SB/PPV/PFO/AFX/C3F8 gas. All flat with superior residual gas bubble.
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Diabetic Macular Edema - Mild594 views70 year old man with mild edema did well without treatment
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Retinitis Pigmentosa - Autosomal Dominant - Vision Loss at Young Age - Autofluorescence594 views 54-year-old woman has autosomal dominant retinitis pigmentosa. Her mother and grandmother both had it and she has one son who has it and one daughter who doesn’t. She also has a sister with it. She lost vision since she was younger. She had cataract surgery done in January and February of this year. She has been seeing unusual flashing lights throughout the periphery and central vision for about the last year or two.
VISUAL ACUITY: OD 20/160, OS 20/160
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Retinitis Pigmentosa Sine Pigmento or Unknown Dystrophy - Peripheral Superficial White Spots and Recurrent CME - FA Early594 views46-year-old woman three of her 5 siblings have been diagnosed with retinitis pigmentosa. Her mother and father were seen and as far as everyone can tell, neither of them has it, although there was some thought they might be carriers. They were evaluated twenty five years ago and since then as far as she knows, there has not been a lot of testing done.
She has noticed a substantial decline in vision in both eyes over the last month or two. OD 20/40, OS 20/50. IOP: Both eyes have CME
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Uveitis and Retinal Whitening - 04-27-12 - Prior to PPV OD - Possible Primary Ocular Lymphoma 594 views
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Corneal Abrasion with Foreign Body Present 594 viewsER patient comes in with corneal abrasion in the left eye which was getting worst. VA 20/25. Slit lamp exam showed corneal abrasion superiorly at 2-o'clock. Flipped eyelid and foreign body appeared on the upper tarsal plate. Foreign body was removed.
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bdr594 views
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Serous Macular Detachment Both Eyes - Wet AMD vs. CSR - 62 Year Old Man - SD - OCT594 views
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Idiopathic Polypoidal Choroidal Vasculopathy - Fluorescein Angiogram594 views
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Retinal Pigment Epithleium Dysgenesis - Autofluorescence594 views
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Sickle Retinpoathy SC Disease - Vitreous Hemorrhage Left Eye - 29 Year old594 views
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Posterior Uveal Effusion594 views
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Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion594 views79 year old man He has had hairy cell leukemia since 2002. He is in remission. His last blood tests were 9/2018. He just moved down here and needs a new leukemia doctor. His vision is fine.
VA OD: Dcc20/25
VA OS: Dcc20/25
IOP: TP: OD:12 OS:12
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Macular Edema and dry AMD - excellent example of why FA and ICG are necessary in management of wet AMD594 viewsThis 72 year old woman has an OCT that looks like wet AMD. Only her FA and ICG show that she has inflammatory macular edema. She had no clinical signs or symptoms of uveitis. Nevertheless, the macular edema responded to subtenon's kenalog.
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594 views
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Sarcoidosis Multifocal Choroiditis594 views66 year old man with dense cataracts and recurrent uveitis. Images show multifocal choroidal granulomas from sarcoidosis more in the right eye than the left eye.
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Coats' Disease -51 year old asymptomatic male594 views20/20 vision - had laser to non-perfusion because of proliferation.
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AZOOR - unilateral pseudo-retinitis pigmentosa594 views74 year old woman with unilateral vision loss 40 years ago.
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Vitreomacular Traction -> Macular Hole -> Aborted Macular hole594 viewsProgression of VMT in both eyes over time
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Familial Exudative Vitreoretinopathy - FEVR - Stage 4b OD594 views10 year old child with poor vision OD from birth. The left eye had vascular remodelling in the temporal periphery with preretinal abnormalitlies seen on OCT. The patient never returned for a fluorescein angiogram. Left eye is either stage 1 or stage 2. no family history
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Central Retinal Vein Occlusion - No macular edema - Pre-foveal opercula594 views62 year old female with 20/20 vision. She had been seeing a spot out of the left eye for 4 years and then noticed splotches in her vision. She never devleoped edema or NV
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Wet AMD - Subfoveal CNVM - Excellent Response to Avastin593 views76-year-old woman two to three months of vision loss OD
Vision started at 20/200 and with Avastin improved to 20/25. She has required monthly injections and as of October 2010 has been treated about 16 times. Her left eye remains good at 20/20.
The OCT from post-treatment as well as pretreatment images are in this album.
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Peripapillary Lesion Hemangioma or CNVM Red Free photo of normal left eye593 views67-year-old man with a history of a peripapillary lesion in the right eye.
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593 views
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Wet AMD Small New Hemorrhage - Valsalva593 views79-year-old two weeks ago he was having difficulty seeing out of the right eye. When he covered his left eye things were distorted OD 20/50
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Serous Macular Detachment Left Eye - Possible Hypertensive Choroidopathy v. Central Serous Retinopathy593 views59-year-old woman decreasing vision in the left eye for about two days. She sees a spot in front of her vision. It is a yellow spot which is just straight ahead and moves with her eye. She does have high blood pressure. She checks her blood pressure at home, and even at home her blood pressure runs very high, with the systolic running around 200 and the diastolic around 100, although occasionally it does return to the normal range.
VISUAL ACUITY: Vision OD is 20/60, OS is 20/30
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Acute Zonal Occult Outer Retinopathy with Severe Peripheral Vision Loss Left Eye 593 views 58-year-old man developed a peripheral vision problem about 25 years ago. OD 20/30, OS 20/40.
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Proliferative Diabetic Retinopathy in patient with Moyamoya Disease593 views28-year-old womandiabetic since age nine, and she also has had multiple strokes. OD is 20/30, OS is 20/30.
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception593 views
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Ocular Ishemic Syndrome - Bilateral Carotid Occlusions - OD 20/60 OS 20/200 Enlarged Foveal Avascular Zone and Temporal Non-perfusion593 views75-year-old man had laryngeal cancer treated in 15 year ago with radiation. He recently was told that the carotid circulation is closed off on both sides. He does have a patent vertebral artery, which is supplying him pretty well and in addition to that his cardiac output is compromised by poor mitral valves. His consideration is to what can be done about that in the future.
VISUAL ACUITY: OD 20/60, OS 20/200
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Birdshot Chorioretinitis - Retinal Vasculitis - HLA A29 Positive 593 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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Pigmented Maculae - Mother and Daughter - Normal Visual Acuity593 views12-year-old had a dilated macular exam and the macula look abnormal. Interestingly, her mother, who is with her at this visit, was told about a year ago that her maculae are abnormal too. Her mother’s vision is fine. In the family tree, there are no known retinal dystrophies. They are both healthy.
VISUAL ACUITY: Her vision is 20/20 in both eyes.
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DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematode593 views
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Plaquenil (Hydroxycholorquine) Toxicity - Bull's Eye Maculopathy - 73 year old womand 25 Years therapy - 64 inches tall - 110 lbs593 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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Proliferative Diabetic Retinopathy Both Eyes - Vitreous Hemorrahge Left Eye - Dark Area is Vitreous Hemorrhage593 views67-year-old man has proliferative diabetic retinopathy in both eyes with vitreous hemorrhage in the left eye. He has had pan retinal laser in the left eye. The vitreous hemorrhage has been there for greater than two years and his vision is still hazy. He takes Lumigan in both eyes for his glaucoma.
VISUAL ACUITY: OD 20/40, OS 20/40
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Choroidal Neovascular Membrane - Optic Disc Drusen - Hemorrhage (Coumadin) 593 views82-year-old man with decreased vision in the left eye over about the last six to 12 months. He is also on Coumadin. OD 20/20, OS 20/80
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Capillary Non-Perfusion - Severe Non-Proliferative (Background) Diabetic Retinopathy - Type I - 20 Year Old Man Diabetic 16 years593 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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Angioid Streaks - Peau D'Orange - Pseudoxanthoma Elasticum - Asymptomatic Extrafoveal Choroidal Neovascular Membrane593 views60-year-old woman has pseudoxanthoma elasticum since 2008. Her sister has the same problem and lost vision in both eyes. She had a problem with blood vessel growth in the left eye for which she had injections of Avastin in August, September, and October of 2011 (5 months ago). Subsequent to that, the macula has been dry and you have just been watching her carefully. She is in Florida for a short time but will ultimately be spending nine months out of the year here. Both of her eyes have good vision at
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Central Serous Retinopathy 25 year old professional baseball player - Atypical - Choroidal Hypo-perfusion?593 views
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Acute non arteritic anterior ischemic optic neuropathy left eye - Color Photo593 views66 y.o. woman spot in central vision in left eye started about 1 week ago since then it is not changing. VA OD: sc20/25 OS: sc20/200
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Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE 593 viewsFA shows leakage from neovascularization and dark areas in periphery from non-perfusion
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis593 views
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Stargardt's Macular Dystrophy ABCA4 positive593 viewsImages show some progression over 3 years of macular dystrophy.
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Confluent Soft Drusen with Subetinal Fluid - Right Eye593 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.
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593 views
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Wet AMD - Subfoveal CNVM - Excellent Response to Avastin592 views76-year-old woman two to three months of vision loss OD
Vision started at 20/200 and with Avastin improved to 20/25. She has required monthly injections and as of October 2010 has been treated about 16 times. Her left eye remains good at 20/20.
The OCT from post-treatment as well as pretreatment images are in this album.
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Juxtafoveal Telangiectasis and Newly Decreasing Vision592 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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Juxtafoveal Telangiectasis - (MacTel) - Stage 4 both Eyes592 views57-year-old woman with a history of decreased vision. The patient reports that her vision has been gradually decreasing in the left more so than the right eye. 20/50 OD and 20/60
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