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Retinitis Pigmentosa Newly Diagnosed 55 Year Oldvu 587 fois55-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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Retinal Detachmentvu 587 fois
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Angioid Streaks and Macular Degeneration - CNVM OS - Band Keratopathy vu 587 fois79-year-old man has wet age-related macular degeneration in the left eye, for which he is having Lucentis treatment. OD 20/40, Pinhole 20/32. OS 20/160, Pinhole 20/50. He has band keratopathy sparing the visual axis in both eyes. ICG shows angioid streaks both eye.
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Angioid Streaks and Macular Degeneration - CNVM OS - Band Keratopathy vu 587 fois79-year-old man has wet age-related macular degeneration in the left eye, for which he is having Lucentis treatment. OD 20/40, Pinhole 20/32. OS 20/160, Pinhole 20/50. He has band keratopathy sparing the visual axis in both eyes. ICG shows angioid streaks both eye.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Fluorescein Angiogramvu 587 foisJune 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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Optic Nerve Hypoplasia - 43 Year Old Man - declining visionvu 587 fois43-year-old man was diagnosed with optic nerve hypoplasia at age fifteen at the National Institute of Health. His vision seems to be declining lately.
Vision OD is 20/80, OS is 20/120
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Cytomegalovirus Retinitisvu 587 foisPatient who is HIV Positive with Cytomegalovirus Retinitis. Patient was treated with Gangcyclovir Intra-Vitreal injection.
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Chronic Central Serous Retinopathy - Indocyanine Green Angiogram vu 587 foisGood Eye
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vu 587 fois
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Reticular Macular Disease (Dry Macular Degeneration) - Fundus Autolfuorescencevu 587 fois85 year old woman with 20/25 vision OU and reticular macular disease
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Retained Lens Fragments and Dislocated Intraocular Lens one week following complicated cataract surgeryvu 587 fois78 year old female vision is 20/200. She developed a tear and RD during surgery for the lens fragments and has since developed PVR and had 5 surgeries. Her vision is now hand motion.
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Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eyevu 587 fois
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Unilateral Acute Idiopathic Maculopathy (UAIM)vu 587 fois41 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
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Choroideremia - Female Carrier - Patchy Atrophy of Choroid and RPE - Lyonizationvu 587 fois
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Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusionvu 587 fois79 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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Recurrent MEWDS Left Eye - Teenage Girlvu 587 foisPatient presented in 2014 (first images) 2 months following vision loss left eye. Vision went from 20/60 - 20/20. OCT showed outer retinal irregularities which normalized. Then 3 years later in 2017 she had full blown MEWDS. She presented acutely and all the images are typical. Both episodes where in the same time of year, about 3 months after her flu shot for sports.
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Central Serous Chorioretinopathy - Moderatevu 587 fois49 year old man with episodes in 2011, 2017, and 2018 - now with some paracentral vision loss in the right eye and subretinal fluid.
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Group 2a Juxtafoveal Retinal Telangiectasis (type 2)vu 586 fois58-year-old man decreased vision right eye and not better since cataract surgery one year ago. OD 20/40, OS 20/40.
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Juxtafoveal Telangiectasis and Newly Decreasing Visionvu 586 fois70-year-old woman followed for 10 years with IJFT with newly decreasing vision
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome vu 586 fois80-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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Macular Pucker Pre-op 20/200 vision (history of retinal tears)vu 586 fois66-year-old man has had laser to retinal tears in both eyes in 1999 and in 2001. His right eye has had rapidly declining vision over the last month. VISUAL ACUITY: OD: 20/200
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Hypertensive Retinopathy One Year later with good Vision IgA Nephropathyvu 586 foisOD 20/30, OS 20/25 One year following initial episode.
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Wet Macular Degeneration Left Eye with Gutter (atypical) and Geographic Atrophy Right Eyevu 586 fois80-year-old man has wet age-related macular degeneration in his left eye. He has an atypical angiogram and that there is a gutter under the choroidal neovascular membrane suggesting still leakage of subretinal fluid. OS 20/400.
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Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Malevu 586 fois49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.
VISUAL ACUITY: OD 20/60, OS 20/25.
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Juxtafoveal Telangiectasis - After Hemorrhage Absorbed Right Eye with Avastin Injectionsvu 586 fois73-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.
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Retinal Arterial Macroaneurysm - Increased Swelling after Laser vu 586 fois65-year-old woman was seen in the office on January 12, 2011. She has noticed decreased vision in the right eye for the last two or three weeks. She has had some discomfort in both eyes as well. She has a history of low blood pressure, but she does have high cholesterol.
VISUAL ACUITY: OD 20/60
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Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin - Fill ICG FA ODvu 586 fois66-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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BESTS Diseasevu 586 fois
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Post-Retinal Detachment Repair Occult Subfoveal CNVMvu 586 foisThis pleasant 56-year-old man has had a complex retinal detachment repair in the right eye. I most recently removed his silicone oil 3 months ago. His vision now is the best it has ever been.
VISUAL ACUITY: OD 4/200
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Retinitis Pigmentosa Sine Pigmento or Unknown Dystrophy - Peripheral Superficial White Spots and Recurrent CME - FA Earlyvu 586 fois46-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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Primary Ocular Lymphoma - White Mass Left Eye - 112712 vu 586 fois
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Asymptomatic Juxtapapillary Choroidal Neovascular Membrane - Reticular Macular Disease (Wet AMD) vu 586 fois
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressingvu 586 fois1 month after initial laser
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Retinal Atrophy 1 year following Streptococcus sanguinis endophthalmitis - Vision 5/200vu 586 fois79 year old woman with sleep apnea who sleeps with CPAP machine
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Central Areolar Choroidal Dystrophyvu 586 foisVision loss from early 60's. This 78 year old woman has choroidal atrophy centrally.
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Syphilitic Chorioretinitisvu 586 foisSevere 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.
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Syphilitic Chorioretinitisvu 586 foisSevere 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.
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Hemangioma OS with good vison - 01-29-18vu 586 foisImages 7 years following initial uploaded images
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Coats' Disease -51 year old asymptomatic malevu 586 fois20/20 vision - had laser to non-perfusion because of proliferation.
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Optic Nerve Pit Maculopathyvu 586 fois10 year old child who had inner retinal fenestration (see youtube video on scohen125 channel) and did very well.
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Group 2a Juxtafoveal Retinal Telangiectasis (type 2)vu 585 fois58-year-old man decreased vision right eye and not better since cataract surgery one year ago. OD 20/40, OS 20/40.
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Serous Macular Detachment Left Eye - Possible Hypertensive Choroidopathy v. Central Serous Retinopathyvu 585 fois59-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 Central Serous Chorioretinopathy with Symptoms in Hazy Vision Both Eyesvu 585 fois48-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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Retinocytoma - Retinoma - Regressed Retinoblastoma 43 year old male incidental finding vu 585 fois
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Best Disease for 30 Years - 20/50 Vision both eyes - 61 Year Old Womanvu 585 fois61-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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Pigmented Maculae - Mother and Daughter - Normal Visual Acuityvu 585 fois12-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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Basal Laminar (cuticular) Drusen both eyes 60 Year Old Womanvu 585 fois60-year-old woman with minimal vision loss. Vision OD is 20/30 OS 20/40
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visitvu 585 fois71-year-old man is vision has been bothering him for about a month. He does not notice one eye particularly worse than the other. OD is 20/40, OS is 20/25 - Initial Visit
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Chronic Central Serous Retinopathy - SD-OCTvu 585 fois
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Vitreomacular traction - recent vision loss Right Eye - initially worse after Jetreavu 585 fois
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Uveitis and Cystoid Macular Edema - Probably Sarcoidosisvu 585 foisVA 20/63 OD 20/50 OS - 3 months vision loss - second episode by history of uveitis
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Posterior Uveal Effusionvu 585 fois
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Hypertensive Retinopathy - BP 240 / 130 mmHg - Grade 4vu 585 fois71 year old woman who claims to be asymptomatic with decreased vision, macular edema, cotton wool spots, subretinal fluid and optic nerve edema
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Syphilitic Chorioretinitisvu 585 foisSevere 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.
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Branch Retinal Arterial Occlusion Right Eye - Atheromata - Both Eyesvu 585 fois83 year old woman with no symptoms - VA 20/40 in both eyes. Right eye has ST BRAO with silver wiring. Left eye has superotemporal atheromata
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Branch Retinal Arterial Occlusion Right Eye - Atheromata - Both Eyesvu 585 fois83 year old woman with no symptoms - VA 20/40 in both eyes. Right eye has ST BRAO with silver wiring. Left eye has superotemporal atheromata
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Subretinal Hemorrhage - Commotio Retinae - Macula - hit with baseballvu 585 fois15 year old with VA 20/60 3 days after being hit with baseball in the right eye
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Chronic CSR with mild vision loss - Macular Atrophy Right Eyevu 585 fois55 year old man has not been to an eye doctor in years. VA 20/40 OD and 20/25 OS. OCT shows outer retinal atrophy and choroidal thickening. FAF shows guttering. FA shows no active lesions. ICG shows patchy mild leakage visible at about 5 minutes.
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Stargardt's Macular Dystrophyvu 585 fois62 year old man with good vision
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Autoimmune Retinopathyvu 585 fois91 year old female with severe vision loss over the past 3 years. She has shimmery scotomas. The main findings are outer retinal atrophy evident on OCT and FAF. VA 20/80 OD and 20/125 OS
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Myopic CNVM - Wet - rx Avastin for 1 yearvu 584 fois55-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.
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Juxtafoveal Telangiectasis - (MacTel) - Stage 4 both Eyesvu 584 fois57-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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Ocular Ishemic Syndrome - Bilateral Carotid Occlusions - OD 20/60 OS 20/200 Enlarged Foveal Avascular Zone and Temporal Non-perfusionvu 584 fois75-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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Macular Pucker - Diabetic - Severe non-foveal Edema OSvu 584 fois74-year-old man has a macular pucker in the left eye and diabetic retinopathy.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/40.
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female FAvu 584 fois25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU
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Retinal Arterial Macroaneurysm - Ruptured and self-sealed after hemorrhagevu 584 fois6 Month Follow-up
91-year-old woman had a retinal arterial macroaneurysm in the right eye 6 Month Follow-up Vision is 20/200.
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Cornea Ulcer/Abrasionvu 584 fois
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Acute Non-arteritic Anterior Ischemic Optic Neuropathy Right Eye - Previous NA-AION left eye vu 584 fois69-year-old man previously lost vision in the left eye from nonarteritic anterior ischemic optic neuropathy in 2006. About a week ago and noticed blurred vision in the inferonasal part of the vision in the right eye.
VISUAL ACUITY: Vision OD is 20/16, OS is 20/40
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Non-specific (uncharaterized / unknown) Macular Dystrophy vu 584 fois59-year-old man has macular dystrophy in both eyes. He had some vision changes in medical school in the 1980s and saw Dr. Gass for that. He had some pigment epithelial irregularities in both eyes. He had strabismus as a child and had muscle surgery. He is color blind, along with many people in his family, and as far as he knows, it is congenital.
20/25, 20/30
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Primary Ocular Lymphoma - White Mass Left Eye - 112712 vu 584 fois
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvu 584 fois
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Medium Choroidal Melanoma Left Eye vu 584 fois
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Peripheral Retinal Degenerationvu 584 foisPatient comes in with double vision. VA was 20/20 in both eyes. Fundus exam shows Retinal Degenerative changes in both eyes. Offer to correct double vision with temporary Fresnel prism
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvu 584 fois
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Acute AION OS - Follow-up RNFL scanvu 584 fois
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Unilateral Acute Idiopathic Maculopathy (UAIM)vu 584 fois
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Choroideremia - Female Carrier - Patchy Atrophy of Choroid and RPE - Lyonizationvu 584 fois
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Choroideremia - Female Carrier - Patchy Atrophy of Choroid and RPE - Lyonizationvu 584 fois
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Diabetic Retimopathy with Peripherial Ischemiavu 584 fois30 year old woman with decreased vision right eye
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Stargardt's Macular Dystrophy ABCA4 positivevu 584 fois Fundus Autofluorescence shows central atrophy with Hyper FAF pisciform triradiate lesions. Images show some progression over 3 years of macular dystrophy.
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Pattern Dystrophy - Probably Early Butterflyvu 584 fois33 year old with normal vision and no visual complaints - normal color vision
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Wet AMD - Subfoveal CNVM - Excellent Response to Avastinvu 583 fois76-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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Diabetic Macular Edema with Circinate Exudate Red Freevu 583 fois74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80
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Serpiginous choroiditisvu 583 foisInactive scars in both eyes
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Toxoplasmosis - Inner Retinal - Recurrent - Treated with Bactrim DS vu 583 fois43-year-old man has macular toxoplasmosis. He has responded nicely to Bactrim OS: 20/60
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Toxoplasmosis - Inner Retinal - Recurrent - Treated with Bactrim DS vu 583 fois43-year-old man has macular toxoplasmosis. He has responded nicely to Bactrim OS: 20/60
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Chronic Pseudophakic Cystoid Macular Edema in a Patient with Diabetesvu 583 fois74-year-old woman has chronic cystoid macular edema in the left eye. She has had vision loss intermittently in that eye for 2 years, the right eye, unfortunately, lost vision from a central retinal vein occlusion in 6 years ago.
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Ocular Ishemic Syndrome - Bilateral Carotid Occlusions - OD 20/60 OS 20/200 Enlarged Foveal Avascular Zone and Temporal Non-perfusionvu 583 fois75-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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AIDS - HIV Retinopathy - Cotton Wool Spotsvu 583 fois54-year-old woman HIV positive for 18 years. Her CD4 count is currently less than 50 and she was hospitalized for pneumocystis carinii pneumonia 5 months ago. She has noticed just for the last few weeks a few blind spots in the paracentral vision. Predominantly out of her right eye when she closes her left eye, she sees a few temporal blind spots. VA 20/25 in both eyes.
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Vitreomacular Traction 1 month - 20/60 vision - Fellow Eye Normal - 80 Year Old Man vu 583 fois80-year-old man has a macular pucker in the right eye with vitreomacular traction and vision loss for 1 month. His vision seems about stable to him. OD 20/60.
(these images are from initial presentation)
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Indocyanine Green Angiogram - Enhanced S Cone Syndrome - Goldmann Favre - vu 583 fois55-year-old woman while in college her vision was poor even with glasses and she sought evaluation for that. She was told after she had an electroretinogram at USF 15 years ago, that she had something with her blue cones. She does have poor night vision, but her reading vision is pretty good.
VISUAL ACUITY: OD 20/40, OS 20/40
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ECTOPIC DISCIFORM SCAR/PERIPHERAL CHOROIDAL NEOVASCULAR MEMBRANE – EXUDATE –INFLAMMATION IN REACTION TO THE PERIPHERAL VASCULAR LESION vu 583 fois53-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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Macular and Peripheral Retinal Scarring from Diabetic Laser Done 25 years previouslyvu 583 fois72-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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Non-Ischemic Central Retinal Vein Occlusion in Young Man (30 years) - Many Cotton Wool Spotsvu 583 fois30-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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Chronic Pseudophakic Cystoid Macular Edema - Haptic Migrated into Anterior Chamber Through Peripheral Iridotomyvu 583 fois57-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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Post Macula Retinal Detachment Repair On Pneumatic Retinopexy and subsequent Scleral Buckle Vitreous Opacity (No Vitrectomy)vu 583 fois55-year-old man had a scleral buckle for a macula-threatening retinal detachment in the left eye one month ago and a previous pneumatic retinopexy. Patient sees a big floater. His vision is improving.
VISUAL ACUITY: Vision OS is 20/50
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Chronic Macula-off Tractional Retinal Detachment Left Eye Proliferative Diabetic Retinopathyvu 583 fois81-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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Basal Laminar Drusen - Cuticular Drusen - 19 Year Old with Lupus Nephritisvu 583 fois19-year-old. She has a history of developing severe systemic lupus erythematosus in 2001. She was in renal failure and had biopsy proven Class 2 lupus nephritis. She is currently on Plaquenil 400 mg for six years, as well as Prednisolone orally, every other day. OD 20/20, OS 20/25.
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Retinal Detachmentvu 583 fois
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Uveitis and Retinal Whitening - 04-27-12 - Prior to PPV OD - Possible Primary Ocular Lymphoma vu 583 fois
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