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574 x angesehen
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Optic Disk Drusen - Pucker - Pattern Dystrophy574 x angesehenAutofluorescence from Drusen and Macular Dystrophy
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Corneal Foreign Body574 x angesehenPatient was cutting tile and debris flew in his eyes. Patient complained of discomfort and redness in the right eye. VA is 20/20 in the right eye. Slit lamp photography shows foreign body inferior nasal in the right eye. Removed foreign body and patched with antibiotic and will be re examined the next day.
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Acute AION OS - Mild disc pallor OD574 x angesehenSudden vision loss OS x 1 week with optic nerve swelling. Evidence of optic atrophy in right eye.
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Outer Retinal Holes - Probably Solar Retinopathy (history is negative)574 x angesehen
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Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion574 x angesehen79 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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Scleromalacia and Uveitis574 x angesehenPoor vision from uveitis and cataract. She was treated with Remicade and the uveitis abated and she had the right eye cataract done. The initial vision was 20/400 OD, 20/200 OS Final vision 20/60 OD, 20/32 OS
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574 x angesehen
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Photic Maculopathy Following Cataract Surgery574 x angesehenInitial images are from 1 week and subsequent images from 1 month post surgery.
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Occult Macular Dystrophy - 9 Years later 574 x angesehen53 year old man. Vision is better at 20/50 OU
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Heavy Panretinal Photocoagulation for Proliferative Diabetic Retinopathy about 40 years ago574 x angesehen64 year old female - images from 2018 - heavy PRP about 30 years ago
VA 20/20 OD, 20/50 OS
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Peripheral exudative hemorrhagic chorioretinopathy - PECHR - Subfoveal fluid574 x angesehen85 year old female with
Fluctuating vision in the right eye.
VA 20/200 OD, 20/32 OS
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Myopic Choroidal Neovascular Membrane 54 year old woman 20/20573 x angesehen54-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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Cytomegalovirus Retinitis - Partially Treated and AIDS retinopathy573 x angesehen44-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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Macular Degeneration - Choroidal Laser Left eye - New Subfoveal CNVM left eye - Did well with Avastin573 x angesehen69-year-old woman new vision loss right eye and old macular scar left eye. OD 20/40, OS 20/200
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Wet Macular Degeneration with Juxtapapillary Neovascular Membrane and Choroidal Laser Treatment573 x angesehen87-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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Idiopathic Central Serous Retinopathy - Bilateral - Acute 573 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/400
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Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporally573 x angesehen66-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.
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Nanopthalmous (Microphthalmous) Chorioretinal Folds and Choroidal Thickening Both Eyes573 x angesehen67-year-old woman with microphthalmos/nanophthalmos Her vision has gradually been getting a little bit worse, especially in the right eye. Also the anterior chamber is getting crowded and there is concern about the need for cataract surgery. She has one sister and one cousin who also have nanophthalmos.
VISUAL ACUITY: OD 20/50, OS 20/80.
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Non-Ischemic Central Retinal Vein Occlusion in Young Man (30 years) - Many Cotton Wool Spots573 x angesehen30-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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Non-Ischemic Central Retinal Vein Occlusion in Young Man (30 years) - Many Cotton Wool Spots573 x angesehen30-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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Non-Ischemic Central Retinal Vein Occlusion in Young Man (30 years) - Many Cotton Wool Spots573 x angesehen30-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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Retinitis Pigmentosa Newly Diagnosed 55 Year Old573 x angesehen55-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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Post-Retinal Detachment Repair Occult Subfoveal CNVM573 x angesehenThis 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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Angioid Streaks and Macular Degeneration - CNVM OS - Band Keratopathy 573 x angesehen79-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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Retinitis Pigmentosa Sine Pigmento or Unknown Dystrophy - Peripheral Superficial White Spots and Recurrent CME - FA MID573 x angesehen46-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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Asymptomatic Juxtapapillary Choroidal Neovascular Membrane - Reticular Macular Disease (Wet AMD) 573 x angesehen
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Central Areolar Choroidal Dystrophy573 x angesehenPatient 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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Branch Retinal Vein Occlusion with worse macular edema from hypertension - FA shows Edema Right Eye573 x angesehen
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Pre-retinal hemorrhage following Posterior Vitreous Detachment (separation - PVD)573 x angesehen68 year old woman with acute PVD OD and new preretinal hemorrhage - also there is a macular nevus
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Vitreomacular traction - 20/40 vision and symptomatic with metamorphopsia573 x angesehen
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy573 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus
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PDR NVD left eye and NVE right eye573 x angesehen41 year old diabetic woman with PDR in both eyes. High risk in the left eye. She had PRP, Avastin, and vitrectomy x 2 in the left eye with final vision of 20/25. The right eye had eventually PRP laser
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CRVO with Paracentral Acute Middle Maculopath - PAMM573 x angesehen56 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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Severe PDR with preretinal fibrosis573 x angesehen71 year old female untreated for a year following injections because of hurricane Irma. VA 20/30 OD and 5/200 OS. Sudden vision loss 1 month ago left eye was likely an ischemic event. Right eye is being treated with injections and PRP laser.
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Occult Macular Dystrophy - 9 Years later 573 x angesehen53 year old man. Vision is better at 20/50 OU
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Central Retinal Vein Occlusion with Macular Edema573 x angesehen74 year old female The vision in the left eye has gotten worse over the last 3 weeks.
VA OD: Dcc20/25
VA OS: DccCF 3ft
IOP: TP: OD:16 OS:14
Vision improved to 20/40 in 3 months with monthly Aflibercept
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Serpiginous choroiditis572 x angesehenInactive scars in both eyes
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Group 2a Juxtafoveal Retinal Telangiectasis (type 2)572 x angesehen58-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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New BRVO Left Eye Old BRVO Right Eye - Left Eye Shows Twig Superior Vein Occlusion with Edema572 x angesehen90-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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Chronic Pseudophakic Cystoid Macular Edema in a Patient with Diabetes572 x angesehen74-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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Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male572 x angesehen49-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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Idiopathic Central Serous Retinopathy - Bilateral - Acute 572 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/400
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 4 months later VA 20/40 OU572 x angesehenNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.
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Pigmented Maculae - Mother and Daughter - Normal Visual Acuity572 x angesehen12-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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Macular Pucker 20/40 vision and recent cataract surgery572 x angesehen 73-year-old man distortion and vision loss since ECCE 6 months ago OS. Patient taking anti-inflammatory drops. VISUAL ACUITY: OD 20/30, OS 20/40.
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Hemicentral Retinal Vein Occlusion Vision 20/60 572 x angesehen84-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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Choroidal Melanoma (Medium) Exudative Retinal Detachment 572 x angesehen87-year-old man noticed a new onset floater a few months ago. OD is 20/40, OS is 20/30
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Alphamethlyacyl COA Racemase Deficiency572 x angesehen
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Wet Age-related Macular Degeneration (AMD) Radiating Chorioretinal Folds from Contracting Macular Scar572 x angesehen93-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.
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Retinitis Pigmentosa - Autosomal Dominant - Vision Loss at Young Age - Infrared572 x angesehen 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 Angiogram572 x angesehenJune 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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Idiopathic Polypoidal Choroidal Vasculopathy - Fluorescein Angiogram572 x angesehen
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Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE 572 x angesehenFA shows leakage from neovascularization and dark areas in periphery from non-perfusion
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Retinitis Pigmentosa Sine Pigmento 572 x angesehen
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CRAO WITH SPARING OF CILIORETINAL ARTERY572 x angesehenThis 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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Sickle Retinpoathy SC Disease - Vitreous Hemorrhage Left Eye - 29 Year old572 x angesehen
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Cystoid macular edema 4 months following cataract surgery with serous retinal detachment572 x angesehen68 year old with 2 months of vision loss OS 20/100. ECCE was 4 months ago.
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Stargardt's Macular Dystrophy ABCA4 positive572 x angesehen 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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Orbital Cellulitis - Optic nerve compression with ocular ischemia572 x angesehen81 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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Bullous Retinoschisis - Confirmed with SD OCT572 x angesehenAtypical location for retinoschisis - SD-OCT is used to confirm that this is retinoschisis and not a retinal detachment
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Coats' Disease - 14 year old - Asymptomatic572 x angesehenPresented with macular exudates. Temporal macroaneurysms responded to laser. Ultra-wide field FA shows nonperfusion
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Syphilitic Chorioretinitis572 x angesehenSevere 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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Late Onset Retinal Degeneration (L-ORD)572 x angesehen55 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.
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Branch Retinal Vein Occlusion (BRVO) no macular edema - cotton wool spot572 x angesehen85 year old man with asymptomatic BRVO - his vision stayed great without needing any treatment.
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Torpedo Maculopathy572 x angesehenLikely a variant of CHRPE
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Myelinated Nerve Fiber Layer - Optic Nerve572 x angesehenRight eye subtle and inferior - left eye obvious
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Perforating Needle injury retrobulbar anesthetic - excellent final vision572 x angesehen71 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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Wet AMD - Subfoveal CNVM - Excellent Response to Avastin571 x angesehen76-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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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 571 x angesehen50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Diabetic Macular Edema Left Eye - Pre Laser571 x angesehen82-year-old woman diabetic for many years, last eye exam 5 years ago with gradual vision loss. OD 20/60, OS 20/70. IOP: OD 16, OS 17.
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.571 x angesehen
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Ocular Ishemic Syndrome - Bilateral Carotid Occlusions - OD 20/60 OS 20/200 Enlarged Foveal Avascular Zone and Temporal Non-perfusion571 x angesehen75-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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Pigmented Maculae - Mother and Daughter - Normal Visual Acuity571 x angesehen12-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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Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes571 x angesehen69-year-old man has had vision loss in both eyes starting 20 years ago. He was diagnosed at one point with Stargardt’s macular dystrophy. When I saw him, he had retinal atrophy in each eye.
Vision is 20/200 in each eye
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Hyperpigmentation of Retinal Pigment Epithlium in Dry AMD (hyperplasia)571 x angesehen87-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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Nanopthalmous (Microphthalmous) Chorioretinal Folds and Choroidal Thickening Both Eyes571 x angesehen67-year-old woman with microphthalmos/nanophthalmos Her vision has gradually been getting a little bit worse, especially in the right eye. Also the anterior chamber is getting crowded and there is concern about the need for cataract surgery. She has one sister and one cousin who also have nanophthalmos.
VISUAL ACUITY: OD 20/50, OS 20/80.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visit571 x angesehen71-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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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visit571 x angesehen71-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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Branch Retinal Vein Occlusion with Cotton Wool Spot 571 x angesehen70-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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Retinitis Pigmentosa Newly Diagnosed 55 Year Old571 x angesehen55-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 Boy571 x angesehen8-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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Diabetic Macular Edema - Mild571 x angesehen70 year old man with mild edema did well without treatment
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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 571 x angesehen48-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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Central Retinal Vein Occlusion571 x angesehen
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Retinitis Pigmentosa Sine Pigmento or Unknown Dystrophy - Peripheral Superficial White Spots and Recurrent CME571 x angesehen1 month of treatment with diamox 500 mg BID- cme is a little better
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Posterior Polar Annular Choroidal Dystrophy571 x angesehen68 year old woman with know macular irregularities for over 20 years. She has since been followed another 6 years and her vision remains 20/25.
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Vasculitis - Retinitis - Uveitis - Vision NLP right eye , 20/50 left eye571 x angesehen
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Primary Ocular Lymphoma - 051812 571 x angesehen
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Pigmented Peripheral Retinal Degeneration571 x angesehen42-year old male comes in for routine eye exam and to follow up on peripheral retinal degeneration in both eyes. VA is 20/20, right eye and 20/25, left eye. Patient is asymptomatic with no visual complaints.
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Proleferative Vitreoretinopathy - Panretinal Retinoschisis 571 x angesehen
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Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE571 x angesehen
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Retinal Arterial Macroaneurysm - Untreated Hypertension (250/135) - Serous Macular Detachment571 x angesehen82 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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Retinal Artery Occlusion571 x angesehenPatient comes in for eval on artery occlusions in both eyes. VA is 20/400, right eye and NLP, left eye. Fundus photos show paniretinal scars in the right eye with arterial narrowing and the left eye has arterial narrowing as well.
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Acute AION OS - Mild disc pallor OD - macular scan shows increasing atrophy in left eye571 x angesehen
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female571 x angesehenFluorescein Angiogram is normal
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Sickle Retinpoathy SC Disease - Vitreous Hemorrhage Left Eye - 29 Year old571 x angesehen
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Choroidal Effusions and Serous retinal detachment with Systemic Testosterone and Cialis in 75 year old Man571 x angesehenFAF shows choroidal effusion as black (confocal system)
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Posterior Uveal Effusion571 x angesehen
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy571 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus
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