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Subtle Branch Retinal Artery Occlusion615 views68 year old man with shadow in the left eye yesterday. IR and OCT show subtle retinal swelling. FA is normal

Sclerochoroidal Calcification and Peripheral Exudative Hemorrhagic Chorioretinopathy615 views67 year old man with asymptomatic peripheral subretinal hemorrhage associated with sclerochoroidal calcification.
VA 20/32 OU

BDR and Diabetic Macular Edema with Fresh Laser Right Eye614 views60-year old man OD 20/60, OS 20/50 worsening vision both eyes

614 views

Group 2a Juxtafoveal Retinal Telangiectasis (type 2)614 views58-year-old man decreased vision right eye and not better since cataract surgery one year ago. OD 20/40, OS 20/40.

Juxtafoveal Telangiectasis - (MacTel) - Stage 4 both Eyes614 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

Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left614 views

Pigmented Maculae - Mother and Daughter - Normal Visual Acuity614 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 motherâ€™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.

Basal Laminar (cuticular) Drusen both eyes 60 Year Old Woman614 views60-year-old woman with minimal vision loss. Vision OD is 20/30 OS 20/40

Wet AMD - PED with exudate 20/400 87 Year old614 views87-year-old woman has wet age-related macular degeneration in the left eye. Vision OD is 20/25, OS is 20/400

Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporally614 views66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining.

VISUAL ACUITY: OD 20/70, OS 20/30.

Choroidal Melanoma (Medium) Exudative Retinal Detachment 614 views87-year-old man noticed a new onset floater a few months ago. OD is 20/40, OS is 20/30

Corneal Ulcer. 614 viewsA hole in the cornea. Aqueous Humor leak

Choroidal Malignant Melanoma - mid phase FA614 viewsmid-phase of FA at 5 minutes 10 seconds (Choroidal malignant melanoma status post plaque radiotherapy OD in 1986, patient also has a submacular hemorrhage OD, and radiation retinopathy OD.)

wide angle fa mid. od614 viewsleaking, abnormal vessels

Medium Choroidal Melanoma Left Eye 614 views

Chronic Central Serous Retinopathy - False Color614 views

Chronic Central Serous Retinopathy - SD-OCT614 views

Unilateral Acute Idiopathic Maculopathy (UAIM)614 views1 week later eye looks better (after initial scan) 41 year old with serous retinal detachment OS and sudden vision loss. He had a viral prodrome. Coxscackie IgG was high but no acute infection was documented. Vision improved in about 2 months without therapy. - Right eye has spot nasal to the optic nerve

Outer Retinal Holes - Probably Solar Retinopathy (history is negative)614 views

Choroidal Folds Hyperope (+5.00)614 views

Syphilitic Optic Neuritis - possible Gumma614 views82 year old woman with vision loss in the left eye 20/32 and positive FTA-ABS (negative RPR). - this may be a gumma

Myopic CNVM - Wet - rx Avastin for 1 year613 views55-year-old woman OD is 20/40, OS is 20/20. There is a hyperpigmented disc diameter choroidal neovascular membrane with fluid touching the fovea.

Diabetic Macular Edema and Hypertensive Retinopathy - Circinate Exudate (Ring Exudate) 613 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

Retinitis Pigmentosa - Autosomal Dominant - Vision Loss at Young Age - Autofluorescence613 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 doesnâ€™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

Central Serous Retinopathy 25 year old professional baseball player - Atypical - Choroidal Hypo-perfusion?613 views

Retinitis Pigmentosa Sine Pigmento or Unknown Dystrophy - Peripheral Superficial White Spots and Recurrent CME - FA Early613 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

Neovascularization elsewhere (NVE) Left Eye with Vitreous Hemorrhage613 views

Central Areolar Choroidal Dystrophy613 viewsVision loss from early 60's. This 78 year old woman has choroidal atrophy centrally.

Branch Retinal Artery Occlusion613 viewsAcute Inferotemporal Occlusion Right Eye - FA shows delayed circulation, OCT shows edema of superficial layers of retina

Confluent Soft Drusen with Subetinal Fluid - Right Eye613 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.

Late Onset Retinal Degeneration (L-ORD)613 views55 year old with acute vision loss from a CNVM in the right eye. He responded to Lucentis therapy. His mother and her family has been confirmed genetically to have L-ORD and were part of the early reports.

Chronic Central Serous Chorioretinopathy Both Eyes613 views60 year old man with 20 year history of chronic CSR. He has had laser and PDT in the past. The left eye has been 20/100 for decades. The right eye is now declining. Was 20/32 and is down to 20/50. There is chronic low grade subretinal fluid away from the center in the right eye. (focal laser in the right eye in 2005, left eye 2001 at BPEI). Refampin tried in 2012, Aldactone in 2013. PDT in 204 and 2017 Images are from 2017

Choroideremia - Adult613 views69 year old man with no family history of choroideremia and gradual vision loss in both eyes. VVA 20/125 OD; 20/63 OS

Wet AMD - Subfoveal CNVM - Excellent Response to Avastin612 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.

Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left612 views

Pigmented Maculae - Mother and Daughter - Normal Visual Acuity612 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 motherâ€™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.

DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematode612 views

Proliferative Diabetic Retinopathy Both Eyes - Vitreous Hemorrahge Left Eye - Vessel Leaking Fluorescein612 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

Choroidal Melanoma - Exudative Retinal Detachment 82 Year Old Man 612 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)

Congenital Achromatopsia 612 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.

Angioid Streaks - Peau D'Orange - Pseudoxanthoma Elasticum - Asymptomatic Extrafoveal Choroidal Neovascular Membrane612 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

3-D OCT of Macular Hole with Operculum612 views

Multifocal Choroidits Vitiligo ( Voght- Kayanagi-Harada Syndrome )612 views36-year old patient with decreased vision in both eyes with fatigue for over a year. VA 20/25-OD, 20/60 -OS. Patient was treated with Avastin and oral prednisone.

Retinitis Pigmentosa Sine Pigmento or Unknown Dystrophy - Peripheral Superficial White Spots and Recurrent CME612 viewsCME worse - patient received subtenon's kenalog injection right eye.

Primary Ocular Lymphoma - White Mass Left Eye - 112712 612 views

Medium Choroidal Melanoma Left Eye 612 views

Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 612 viewsColor Fundus Photo

Chronic Central Serous Retinopathy - SD-OCT612 views

Idiopathic Polypoidal Choroidal Vasculopathy - Fluorescein Angiogram612 views

Silicone Oil Bubbles in the Angle612 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.

Neuroretinitis - Cat Scratch - Bartonella - Sudden Vision Loss Right Eye - 29 Year Old Female612 views

Posterior Uveal Effusion612 views

Presumed Ocular Histoplasmosis with new CNVM in right and better eye - VA 20/80 OD; 20/800 OS612 viewsFluorescein Angiogram

Acute Posterior Multifocal Placoid Pigment Epitheliopathy - 4 years after onset612 views4 years after presentation - vision 20/80 OD 20/16 OS and there is subretinal fibrosis

Macular Edema and dry AMD - excellent example of why FA and ICG are necessary in management of wet AMD612 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.

Syphilitic Chorioretinitis612 viewsSevere outer retinal atrophy and RPE non-geographic atrophy from syphilis. Vision improved from 20/63 to 20/32 with therapy. Images look a lot like DUSN. Patient had several surgeries (vitrectomy for floaters, vitrectomy for macular pucker, Avastin injections and macular laser for edema) prior by other retina specialists prior to being correctly diagnosed and treated.

Toxoplasmosis - Recurrent - Moderate Vitritis612 views32 year old woman with 20/80 vision and moderately painful red eye in the left eye only. The left eye had some redness about 10 years ago. She is a native of Sierra Leone

Pigmented Lattice Degeneration612 viewsPigmented Lattice - Incidental Finding

Melanosis Oculi and Choroidal Melanoma612 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.

Diabetic Retinopathy - Non-Perfusion - Possible Central Retinal Vein Occlusion611 views68-year-old woman OD 20/70, OS 20/200 CYSTOID MACULAR EDEMA, POSSIBLE EITHER OCULAR ISCHEMIC SYNDROME IN THE RIGHT EYE OR OCCULT CENTRAL RETINAL VEIN OCCLUSION IN THE RIGHT EYE,S EVERE NON-PerfUSION WITH DIABETIC RETINOPATHY IN THE LEFT EYE.

X-Linked Juvenille Retinoschisis 10 Year Old Child treated with Trusopt611 views10-year-old child has x-linked juvenile retinoschisis VA 20/60, OS is 20/100. Macula and Vision improved with Trusopt drops.

Juxtafoveal Telangiectasis and Newly Decreasing Vision611 views70-year-old woman followed for 10 years with IJFT with newly decreasing vision OU OD: 20/160; OD: 20/80

Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement611 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

Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception611 views

611 views

Proliferative Sickle Retinopathy - Hemoglobin SC611 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.

611 views

Macular Branch Retinal Vein Occlusions (2) Left Eye - No Macular Edema (yet) 611 views77-year-old woman with two macular branch retinal vein occlusions in the left eye OD 20/25

Retinitis Pigmentosa Newly Diagnosed 55 Year Old611 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.

Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel 611 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM

Acute Central Serous Retinopathy - CSR - Steroid Induced (probably) - Good Vision - ICG Fellow Eye611 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.

Wet Age-related Macular Degeneration (AMD) Radiating Chorioretinal Folds from Contracting Macular Scar611 views93-year-old man has wet age-related macular degeneration in his left eye with a subfoveal pigment epithelial detachment.
Vision OS is 20/40. There are striking radiating chorioretinal folds emanating off of the scar, which suggests it is contracting.

Giant Retinal Tear 6 weeks s/p PPV, SB, and GFE611 viewsPt. s/p SB/PPV/PFO/AFX/C3F8 gas. All flat with superior residual gas bubble.

Diabetic Macular Edema - Mild611 views70 year old man with mild edema did well without treatment

Toxoplasmosis - Vitreoretinal Traction611 viewsA 28-year old male who noticed an upper partial visual loss to his right eye for about 2-weeks. Diagnosed with retinitis and was put on acyclovir. Patient received second opinion due to culture of aqueous humor which was then diagnosed as Toxoplasmosis. VA was 20/25 in the right eye. Pt has been followed after for the past 7-months.

Chronic Central Serous Retinopathy - Indocyanine Green Angiogram 611 viewsGood Eye

Macular Pucker 20/40 vision - minimal symptoms for 1 year Right eye611 viewsSD OCT line Scan Affected Eye

Papilledema - Sagittal Cerebral Vein Thrombosis - Lung Transplant Cystic Fibrosis 36 Year Old Man611 viewsLine scan through optic nerve

Retinal Pigment Epithleium Dysgenesis - Autofluorescence611 views

Posterior Uveal Effusion611 views

Toxocariasis - Stalk from optic nerve to peripheral scar611 views

Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion611 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

Trousseau Sign - CRVO and Pancreatic Cancer611 viewsLeft eye shows CRVO with severe edema. The right eye has multiple small hemorrhages. Some of this is probably anemic retinopathy and some from hypercoaguability of cancer. The patient has pancreatic cancer.

Hypertensive Retinopathy - BP 240 / 130 mmHg - Grade 4611 views71 year old woman who claims to be asymptomatic with decreased vision, macular edema, cotton wool spots, subretinal fluid and optic nerve edema

Confluent Soft Drusen with Subetinal Fluid - Right Eye611 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.

Sarcoidosis Multifocal Choroiditis611 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.

Fundus Albipunctatus611 views12 year old female with normal vision. She has 4 siblings all of whom have either white spots or spots on IR. Genetic testing by parents was deferred.

Familial Exudative Vitreoretinopathy - FEVR - Stage 4b OD611 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

Grade 4 hypertensive retinopathy611 views55 year old man Hhe did have headaches a few weeks ago and also some nausea and vomiting. He noticed for a few weeks the vision in the left eye was blurred and that the vision in the left eye is dark.
VA OD: Dcc20/20
VA OS: Dcc20/100-1

He was admitted directly to ICU for blood pressure control (290 / 170 mmHg)
3 weeks later his VA increased to 20/20 OD, 20/32 OS

Macular Pucker in eye following giant retinal tear RD repair pre-op OCT Map610 viewsnow that the bubble is gone, but he is starting to notice distortion of central vision. He had a giant retinal tear retinal detachment repair emergently done on November 8, 2007, and subsequent laser on November 15th.

VISUAL ACUITY: Vision OD 20/400.

6 weeks post-op VA 20/40

Chronic Central Serous Retinopathy - Gutter in Both Eyes - Treated with PDT - Visudyne610 views69-year-old man with blurred vision in the right eye for about three weeks. He had a similar episode about twenty years ago which lasted about six weeks. He is not taking any steroids. He takes Lupron injections for his prostate cancer every three months.

VISUAL ACUITY: Vision OD is 20/80
FU: Treated with PDT after 6 months of observation with success. Treatment was done to area between nerve and fovea at 1/2 fluence.

Peripapillary Lesion Hemangioma or CNVM Red Free photo of normal left eye610 views67-year-old man with a history of a peripapillary lesion in the right eye.

Juxtafoveal Telangiectasis Asymptomatic New Hemorrhage610 views73-year-old woman has juxtafoveal retinal telangiectasis in both eyes. The right eye has stage 5 disease. Her last Avastin treatment in the right eye was in 6 months ago. The right eye has been the worst of her two eyes for years.

VISUAL ACUITY: Vision OD is 20/200, OS is 20/50.

Acute Zonal Occult Outer Retinopathy with Severe Peripheral Vision Loss Left Eye 610 views 58-year-old man developed a peripheral vision problem about 25 years ago. OD 20/30, OS 20/40.

Birdshot Chorioretinitis - Retinal Vasculitis - HLA A29 Positive 610 views64-year-old woman three or four yearâ€™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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