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Myopic Choroidal Neovascular Membrane 54 year old woman 20/20585 views54-year-old woman has had problems in her vision in the right eye for about the last three months. Inferotemporally she sees a gray area, which is distorted. OD is 20/20, OS is 20/20
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New BRVO Left Eye Old BRVO Right Eye - Left Eye Shows Twig Superior Vein Occlusion with Edema Arrow Shows Site of Occlusion585 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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Cytomegalovirus Retinitis - Partially Treated and AIDS retinopathy585 views44-year-old man a month agoe was diagnosed with HIV and he had pneumonia. He has had blurred vision for about a month, more in the left eye than the right eye. He has not yet seen anyone to start anti-AIDS therapy. He was given a medical doctor's name for a follow-up visit. He thinks his CD4 count is somewhere in the low 100s. Vision OU is 20/30
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Angioid Streaks - New Extrafoveal Choroidal Neovascular Membrane Right Eye585 views61-year-old woman twelve days ago, saw a spot to the right of her central vision. OD is 20/25, OS is 20/25
Treated with one year of avastin with good result and no vision loss.
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Acute Central Serous Chorioretinopathy with Symptoms in Hazy Vision Both Eyes585 views48-year-old man with hazy vision in the right eye for about three days. He has a little more of a headache than usual. He is under a fair amount of stress. He does not take any steroids that he knows of. He does use a nasal spray, which he is not sure if that is a steroid spray or not. He is going to call us with that medicine. I checked his blood pressure today is was 115/95.
VISUAL ACUITY: OD 20/15, OS 20/25
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Ruptured Retinal Arterial Macroaneurysm - Submacular Hemorrhage - Vision 20/400 never recovered - Hypertension 205/94585 views
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Macular Atrophy - Macular Degeneration and Previous Diabetic Macular Laser 72 Year Old Man585 views72-year-old man has age-related macular degeneration who had macular and peripheral laser done 30 years ago for diabetic retinopathy. He has developed worsening macular atrophy in both eyes
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585 views
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Diabetic Retinopathy - Foveal Laser Scar Right Eye585 views74-year-old woman has diabetic retinopathy in both eyes. She has had focal laser in her right eye done elsewhere in the mid 90’s and unfortunately the laser was fairly close to the center and as time progressed she developed foveal atrophy around the scars. She has noticed her vision declining since she was here last a year ago. She does take Travatan in both eyes at night for glaucoma.
VISUAL ACUITY: OD 20/200, OS 20/40.
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel SDOCT585 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Cotton Wool Spot585 views
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Angioid Streaks and Macular Degeneration - CNVM OS - Band Keratopathy 585 views79-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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Central Serous Retinopathy 25 year old professional baseball player - Atypical - Choroidal Hypo-perfusion?585 views
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Rubeosis after Silicone Oil Removal Complex RD Repair with Peripheral 180 Degree Retinotomy (Inferiorly)585 views
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585 views
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Bilateral Macular Star585 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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Iris Nevus585 viewsPatient came in for cataract evaluation. VA 20/200, right eye, 20/60, left eye. Slit lamp photography shows iris nevus 3-4 mm located nasally at 9-o'clock in the left eye.
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Choroideremia - Female Carrier - Patchy Atrophy of Choroid and RPE - Lyonization585 views
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Self Sealed Retinal Arteriol Macroaneurysm - one month after presentation - edema nearly gone585 viewsSD OCT line scan
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Choroidal Folds Hyperope (+5.00)585 views
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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - 4 years after onset585 views4 years after presentation - vision 20/80 OD 20/16 OS and there is subretinal fibrosis
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Confluent Soft Drusen with Subetinal Fluid - Right Eye585 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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CRVO with Paracentral Acute Middle Maculopath - PAMM585 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
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Macular Hole Closed with Vitrectomy - Post-op 20/60 Vision584 views
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Diabetic Patient with Macular Edema and Blood Pressure 200/95584 views49-year-old decreasing vision over the last year. OD is 20/80, OS 20/80. blood pressure which was 200/95.
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Best Disease for 30 Years - 20/50 Vision both eyes - 61 Year Old Woman584 views61-year-old woman was diagnosed with Best’s disease about 30 years ago. She and her many family members were tested, both at the VA Hospital and then at USF. OD 20/50, OS 20/50
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584 views
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Pigment Epithelial Detachment with Subretinal Fluid and Exudate 20/400 Vision584 views87-year-old woman has wet age-related macular degeneration in the left eye. She had treatment up north but there has been a gap in therapy and the vision in the left eye is poor. Vision OD is 20/25, OS is 20/400
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Normal Fellow Eye584 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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Hemicentral Retinal Vein Occlusion Vision 20/60 584 views84-year-old man has a hemicentral retinal vein occlusion in the right eye. His vision has declined since then.
VISUAL ACUITY: Vision OD is 20/60.
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Myopic Traction Maculopathy - Vitreoretinal Traction - Possible Occult Neovascular Membrane584 views58-year-old woman was seen in the office on June 30, 2011. In 2002, her vision was 20/30. Subsequent to that she had her left eye made her distance eye, which was dominate. She had LASIK surgery on the right eye to make that her near eye and she was getting along well until about a year ago when she noticed substantial vision loss in the left eye only. VISUAL ACUITY: The near eye is 20/200, but she reads J2. OS 20/100- and J16.
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Fluorescein Angiogram - Enhanced S Cone Syndrome - Goldmann Favre - 584 views55-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 584 views53-year-old woman has noticed some blurred vision in the right eye for a few years. In retrospect, she thinks it is possible since she was a teenager the right eye was always the weaker eye and that the left eye has always been the better eye. VISUAL ACUITY: Vision OD is 20/400
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Pattern Dystrophy - Adult Vitelliform Macular Degeneration584 views72-year-old woman 2 months post ECCE with poor vision since surgery especially left eye.
VISUAL ACUITY: OD 20/50, OS 20/200
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Sectoral Optic Atrophy from an old Branch Retinal Artery Occlusion 584 views74-year-old woman had cataract surgery 3 months ago. Her vision in the right eye has been abnormal since. She notices a shadow in the inferior vision in the right eye. OD is 20/60, OS is 20/50
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Retinitis Pigmentosa Newly Diagnosed 55 Year Old584 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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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Fluorescein Angiogram584 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Proleferative Vitreoretinopathy - Panretinal Retinoschisis 584 views
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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 584 viewsIndocyanine Green Angiogram
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Branch Retinal Vein Occlusion with worse macular edema from hypertension - Photo from 2008 with initial occlusion - Vision 20/40584 views
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BRAO and PAMM584 views
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female584 viewsFluorescein Angiogram is normal
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Posterior Uveal EffusionPosterior Uveal Effusion584 views
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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - 4 years after onset584 views4 years after presentation - vision 20/80 OD 20/16 OS and there is subretinal fibrosis
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Orbital Cellulitis - Optic nerve compression with ocular ischemia584 views81 year old woman with constricted eye movement, orbital cellulitis and severe vision loss in the right eye (LP). She has whitening of the retina and the OCT shows ischemic changes as well as subretinal fluid and blood. The vision in this eye declined to NLP and the eye remained ischemic despite control of her infection.
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Bilateral Branch Retinal Artery Occlusion - Intraarterial (hollenhorst) plaques visible584 views67 year old with acute visual field loss in each eye. Vision is 20/25 right eye 20/32 left eye. Images show intra-arterial plaques in each eye. The right eye on the optic nerve and the left eye in a branch retinal artery.
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Recurrent MEWDS Left Eye - Teenage Girl584 viewsPatient 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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Branch Retinal Arterial Occlusion Right Eye - Atheromata - Both Eyes584 views83 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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Lung Cancer Metastasis to Right Eye584 views63 year old female with vision loss for 6 weeks. She had been scheduled for cataract surgery and then a tumor was found. She was ultimately diagnosed with lung cancer. Vision is 20/100
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Peripheral exudative hemorrhagic chorioretinopathy - PECHR - Subfoveal fluid584 views85 year old female with
Fluctuating vision in the right eye.
VA 20/200 OD, 20/32 OS
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Wet AMD - Subfoveal CNVM - Excellent Response to Avastin583 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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Wet AMD 62 year old male smoker 583 views62-year-old man has wet age-related macular degeneration in the right eye. He has been undergoing treatment with Lucentis for that. Then his left eye developed hazy vision a few weeks ago while he was overseas and now his vision is hazy in both eyes. OD 20/40, OS 20/30. FA shows a classic subfoveal choroidal neovascular membrane in the left eye, which is leaking and in the right eye, which is dry. He is going to stop smoking today. FU: VA 20/30 OU with 2 years of every 6 weeks bilateral avastin!
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Diabetic Patient with Macular Edema and Blood Pressure 200/95583 views49-year-old decreasing vision over the last year. OD is 20/80, OS 20/80. blood pressure which was 200/95.
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Serpiginous choroiditis583 viewsInactive scars in both eyes
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Wet Macular Degeneration with Juxtapapillary Neovascular Membrane and Choroidal Laser Treatment583 views87-year-old woman has wet age-related macular degeneration in the left eye with an extrafoveal choroidal neovascular membrane OD is 20/25, OS is 20/25
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Wet Macular Degeneration with Juxtapapillary Neovascular Membrane and Choroidal Laser Treatment583 views87-year-old woman has wet age-related macular degeneration in the left eye with an extrafoveal choroidal neovascular membrane OD is 20/25, OS is 20/25
White spots are laser treatment (fresh)
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Ruptured Retinal Arterial Macroaneurysm - Submacular Hemorrhage - Vision 20/400 never recovered - Hypertension 205/94583 views
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Macular Pucker - Diabetic - Severe non-foveal Edema OS583 views74-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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Macular Pucker - Diabetic - Severe non-foveal Edema OS583 views74-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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Non-Arteritic Anterior Ischemic Optic Neuropathy - Peripapillary Choroidal Ischemia583 views68-year-old woman noticed central vision loss in the right eye about a week ago. It is getting a little bit better. OD 20/160, OS 20/25.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visit583 views71-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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Video - TAKES A LONG TIME TO LOAD - X-linked Juvenille Retinoschisis - Peripheral Retinal Vascular Anomalies - Vitreous Hemorrhage - 8 Year Old Boy583 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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Retinitis Pigmentosa Sine Pigmento or Unknown Dystrophy - Peripheral Superficial White Spots and Recurrent CME - FA MID583 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 - Retinitis - Vasculitis - possibly Syphilitis583 viewsVisit 1: 12-06-12
74-year-old man 12-3-12 visit. 2 months ago noticed vision loss, first in the right eye than the left. He is getting tired easily. He can’t walk for a long distance. He has lost five pounds within the last month. He also had a severe itchy episode, but not quite a rash a few days ago, which went away after he took a shower. FTA-ABS is positive but a spinal tap, which was negative. OD 1/200, OS 20/63.
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Wet AMD - New Small Hemorrhage Both Eyes - Mature CNVM visible on Early Indocyanine Green Angiogram583 views
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Pre-retinal hemorrhage following Posterior Vitreous Detachment (separation - PVD)583 views68 year old woman with acute PVD OD and new preretinal hemorrhage - also there is a macular nevus
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Posterior Uveal Effusion583 views
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Non macular BRVO with good vision (Fellow eye has severe BRVO)583 views
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Cystoid macular edema 4 months following cataract surgery with serous retinal detachment583 viewsCME which is chronic will often cause a serous reitnal detachment because of loss of the integrity of the external limiting membrane
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Multifocal Vitelliform Macular Dystrophy583 views58 year old female with mild vision loss - 20/20 OU - extensive testing has shown no cancer. Case of Karina Findlay, MD
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Perforating Needle injury retrobulbar anesthetic - excellent final vision583 views71 year old man who had a vitrectomy for macular pucker and then developed a retinal detachment. There was an accidental needle stick during a retrobulbar anesthetic. The posterior puncture site is just inferior to the macula. The patient had a vitrectomy the next day for the retinal detachment and then 3 months later a vitrectomy to remove the fibrous proliferation from the puncture site. The final visual acuity was 20/20.
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BDR and Diabetic Macular Edema with Fresh Laser Right Eye582 views60-year old man OD 20/60, OS 20/50 worsening vision both eyes
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Group 2a Juxtafoveal Retinal Telangiectasis (type 2)582 views58-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 Asymptomatic New Hemorrhage582 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.
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Retinal Arterial Atheromata582 views68-year-old woman with records going back 7 years, which clearly document retinal arterial plaques in both eyes.
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Chronic Pseudophakic Cystoid Macular Edema in a Patient with Diabetes582 views74-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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Chronic Central Serous Retinopathy treated with Photodynamic Laser and Visudyne582 views48-year-old man has had waxing and waning vision in the left eye for the last year from central serous retinopathy. OD is 20/16, OS is 20/30.
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Macular Pucker - 3 Weeks Vision Loss - 20/50 Vision - Preoperative Images582 viewsPREOP:
59-year-old man new onset floaters about a year ago. Subsequent to that his vision was not quite right in the right eye and then he noticed, starting about three weeks ago, substantial change in the vision. VISUAL ACUITY: Vision OD is 20/50, OS is 20/16
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Images582 views71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Branch Retinal Vein Occlusion with Cotton Wool Spot 582 views70-year-old man with blurred vision in the right eye for about one or two months. OD is 20/80, OS is 20/25.
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Cytomeglovirus582 views25 year old male experiencing blurry vision OS for two days. Onset very rapid. VA 20/40 OS 20/30 OD. After HIV titer test, determined the pt. had HIV and Cytomeglovirus.
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Central Retinal Vein Occlusion582 views
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Retinitis Pigmentosa - Autosomal Dominant - Vision Loss at Young Age - Infrared582 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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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Indocyanine Green Angiogram582 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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FAF582 views
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BRVO Inferiorly with Retinal Hemorrhages in the Left Eye582 viewsPatient comes in with complaint of "spot in vision", sort of a cloudy haze in the left eye. Patient's VA was 20/100-1 with no improvement with pinhole in the left eye. Fundus photos show multiple retinal hemorrhages scattered with a branch retinal vein occlusion inferiorily. Patient is also diabetic.
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Retinal Arterial Macroaneurysm - Untreated Hypertension (250/135) - Serous Macular Detachment582 views82 year old asian woman. VA 20/80 Headaches and vision loss for 1 month. Negative medical history but has not been to the doctor for years. (no insurance)
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Central Areolar Choroidal Dystrophy582 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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August;Acute Ischemic Optic Neuropathy with Hemorrhage582 views
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Retinitis Pigmentosa Sine Pigmento 582 views
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CRAO WITH SPARING OF CILIORETINAL ARTERY582 viewsThis patient was found to have retinal edema from a Central Retinal Artery Occlusion with sparing of the cilioretinal artery. There were no discernible Hollenhorst plaques
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Trousseau Sign - CRVO and Pancreatic Cancer582 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.
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Central retinal artery and vein occlusion - Protein C Deficiency 33 year old male582 views33 year old male with vision loss for 3 hours. VA 20/12 right eye, 5/200 left eye. He has a protein C deficiency. The left eye recovered vision in about 1 month to 20/16. FA shows very slow recirculation time.
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Myelinated Nerve Fiber Layer - Optic Nerve582 viewsRight eye subtle and inferior - left eye obvious
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Exogenous Fungal Endophthalmitis582 views69 year old female with endophthalmitis 2 months after ECCE. Treated with vitrectomy and 3 injections of amphotericin B. Vision improved from 5/200 - 20/50
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Photic Maculopathy Following Cataract Surgery582 viewsInitial images are from 1 week and subsequent images from 1 month post surgery.
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Serpiginous choroiditis581 viewsInactive scars in both eyes
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Branch Retinal Vein Occlusion with Macular Edema581 viewsCentral foveal thickness came to normal after laser and intravitreal Kenalog
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Cytomegalovirus Retinitis - Partially Treated and AIDS retinopathy581 views44-year-old man a month agoe was diagnosed with HIV and he had pneumonia. He has had blurred vision for about a month, more in the left eye than the right eye. He has not yet seen anyone to start anti-AIDS therapy. He was given a medical doctor's name for a follow-up visit. He thinks his CD4 count is somewhere in the low 100s. Vision OU is 20/30
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Wet Macular Degeneration Left Eye with Gutter (atypical) and Geographic Atrophy Right Eye581 views80-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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