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Central Serous Retinopathy - Subretinal Fibrin576 views66 year old female with 20 year history of single episode of CSR. Now with vision loss for a month but improving - VA 20/63 OD; 20/32 OS

Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement575 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

Acute Zonal Occult Outer Retinopathy with Severe Peripheral Vision Loss Left Eye 575 views 58-year-old man developed a peripheral vision problem about 25 years ago. OD 20/30, OS 20/40.

Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS575 views63-year-old woman has serpiginous choroiditis (date - March 2011). The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that.

VISUAL ACUITY: Vision OD is 20/25, OS is 20/50

Chronic - Old Diabetic Tractional Retinal Detachment Left Eye575 views77-year-old woman Vision OD is 20/40, OS is 7/200OD: Vertical C/D ratio is 0.3. There is panretinal laser. The macula is flat and attached.
OS: Vertical C/D ratio is 0.3. There is panretinal laser. There is a tractional retinal detachment with preretinal fibrosis nasal to the optic nerves.

DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematode575 views

Hyperpigmentation of Retinal Pigment Epithlium in Dry AMD (hyperplasia)575 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

Nanopthalmous (Microphthalmous) Chorioretinal Folds and Choroidal Thickening Both Eyes575 views67-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.

Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph575 views25-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 didnâ€™t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU

Macular Pucker - Spontaneously Partial Peel after 20 Years. Vision improved to 20/30575 views83-year-old woman decreased vision in the right eye for about a month. 20 years ago she was diagnosed with a macular pucker OD 20/50, OS 20/20.

Hyperpigmentation of the Retinal Pigment Epithelium Right Eye (Treated wet AMD OS)575 views85-year-old man has wet age-related macular degeneration in the left eye treated for one year most recently one year ago. OD is 20/30, OS is 20/60

Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 575 viewsFundus Autofluorescence

BDR OD with Macular Edema575 views

Dislocated IOL with Tube Shunt575 viewsPatient comes in with a dislocated lens in the right eye. Decreased vision in the right eye. Slit lamp photos shows lens dislocated halfway inferior. Ahmed Tube shut is visible at 11-o'clock superiorly in the right eye.

Choroidal Folds Hyperope (+5.00)575 views

Birdshot Chorioretinitis - Fresh Presentation575 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive

Cystoid Macular Edema 10 years after Cataract Surgery575 viewsNo overt uveitis but the patient had aching in the eyes and responded to topical anti-inflammatory drops with recurrence of the CME on discontinuation of topical therapy

Syphilitic Chorioretinitis575 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.

Hemicentral Vein Occlusion Left Eye575 viewsVision improved from 20/100 - 2 to 20/32 with 5 monthly Avastin treatments.

Ocular Lymphoma - non-Hodgkins - B-Cell575 viewsMultifocal sub-RPE lesions in the left eye of a patient with history of Non-hodgkins B-cell Lymphoma last active 2 years ago

Branch Retinal Vein Occlusion (BRVO) no macular edema - cotton wool spot575 views85 year old man with asymptomatic BRVO - his vision stayed great without needing any treatment.

PAMM with Follow-up575 views

Stellate Non-heredtiary Idiopathic Foveomacular Retinoschisis (SNIFR)575 views77 year old man who is healthy and 6'6" tall with 20/40 vision and no complaints. OCT shows diffuse retinoschisis.

Cystoid Macular Edema - Xalatan - ECCE was done 20 years previously574 views71 Year old woman who noticed about a month ago the central vision in the right eye fogged up. OD 20/200 POSSIBLE XALATAN INDUCED CYSTOID MACULAR EDEMA

Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 574 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50

Diabetic Retinopathy - Non-Perfusion - Possible Central Retinal Vein Occlusion574 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.

Juxtfoveal Telangiectasis Group 2a - Type II - MacTel - also Juxtapapillary Asymptomatic CNVM Right Eye574 views82-year-old woman who has juxtafoveal retinal telangiectasis in both eyes. She recently had cataract surgery in the right eye and the vision in the right eye is still limited. OD 20/100, OS 20/40.

Ocular Ishemic Syndrome - Bilateral Carotid Occlusions - OD 20/60 OS 20/200 Enlarged Foveal Avascular Zone and Temporal Non-perfusion574 views75-year-old man had laryngeal cancer treated in 15 year ago with radiation. He recently was told that the carotid circulation is closed off on both sides. He does have a patent vertebral artery, which is supplying him pretty well and in addition to that his cardiac output is compromised by poor mitral valves. His consideration is to what can be done about that in the future.
VISUAL ACUITY: OD 20/60, OS 20/200

DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematode574 views

Macular Pucker 20/30 Good Vision 574 views64-year-old woman decreased vision in the left eye for about six months. You saw a wrinkle on the eye and suggested she come in here for an evaluation. She had radial keratotomy done 20 years ago.

VISUAL ACUITY: OD 20/25, OS 20/30

Diabetic Retinopathy - Foveal Laser Scar Right Eye574 views74-year-old woman has diabetic retinopathy in both eyes. She has had focal laser in her right eye done elsewhere in the mid 90â€™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.

Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachment574 views38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.

VISUAL ACUITY: OD 20/100, OS 20/50.

Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fellow Normal Eye574 views25-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 didnâ€™t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU

ECTOPIC DISCIFORM SCAR/PERIPHERAL CHOROIDAL NEOVASCULAR MEMBRANE â€“ EXUDATE â€“INFLAMMATION IN REACTION TO THE PERIPHERAL VASCULAR LESION 574 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

CRVO (retinal thrombophlebitis)574 views42 yr old Female c/o floaters
20/25 VA
Labs normal

Diabetic Macular Edema574 views63 yr old Male
VA 20/20 OD 20/25 OS
No complaints

Retinal Arterial Macroaneurysm - Ruptured and self-sealed after hemorrhage574 views90-year-old woman has vision loss in the right eye for 6 weeks. OD 8/200, OS 20/50. Initial Visit

574 views63-year-old man diabetic for twenty two years. His central vision is fine.

VISUAL ACUITY: OD 20/25, OS 20/25

Lumigan (Bimatoprost) Cystoid Macular Edema - Eye Better 1 month after Stopping Lumigan574 viewsVision back to 20/20 1 month after stopping Lumigan

Diabetic Macular Edema - Mild574 views70 year old man with mild edema did well without treatment

Retinitis Pigmentosa Sine Pigmento or Unknown Dystrophy - Peripheral Superficial White Spots and Recurrent CME574 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

Cytomegalovirus Retinitis574 viewsPatient who is HIV Positive with Cytomegalovirus Retinitis. Patient was treated with Gangcyclovir Intra-Vitreal injection.

Idiopathic Polypoidal Choroidal Vasculopathy - FAF574 views

Choroidal-Melanoma with Retinal Hemorrhages574 viewsPatient comes in with blurry vision in his inferior visual field in his right eye. Fundus photography shows choroidal melanoma superiorly at 12-o'clock. Retinal hemorrhages scattered around the periphery.

574 views

Vitreomacular traction - recent vision loss - preop SD OCT574 views

Uveitis and Cystoid Macular Edema - Probably Sarcoidosis574 viewsVA 20/63 OD 20/50 OS - 3 months vision loss - second episode by history of uveitis

Macular Hole Left Eye - progression from VMT - Stage II macular hole - Spontaneously Closed Macular Hole574 viewsVision has improved to 20/40 and the hole is closed

Sickle Retinopathy - Ultra Wide Field Angiogram - Heidelberg574 viewsLeakage from peripheral fronds of NV - HGB SC disease - 28 year old man with vision loss OS from acute vitreous hemorrhage

Retinal Atrophy 1 year following Streptococcus sanguinis endophthalmitis - Vision 5/200574 views79 year old woman with sleep apnea who sleeps with CPAP machine

Hypertensive Retinopathy - BP 240 / 130 mmHg - Grade 4574 views71 year old woman who claims to be asymptomatic with decreased vision, macular edema, cotton wool spots, subretinal fluid and optic nerve edema

Hemicentral Vein Occlusion Left Eye574 viewsVision improved from 20/100 - 2 to 20/32 with 5 monthly Avastin treatments.

Moderate PDR574 views43 year old man 20/32 vision in both eyes. Being started on Anti-VEGF injections which will be followed by PRP.

Chronic BRAO with Hemorrhages - Sclerosed Vessel574 views95 year old female with blurred vision in both eyes in for a checkup. History of perpapillary CNVM in the left eye 2 years prior not treated. History of stroke with multiple emboli 1 year ago.
Vision 20/32 OD, 20/40 OS

Melanosis Oculi and Choroidal Melanoma574 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.

Multiple Evanescent White Dot Syndrome - Atypical Yellow Foveal Spot Right Eye573 views12-year-old had decreased vision in the left eye from reported amblyopia since around the year 2000. His right eye was doing fine until two days ago, when he had sudden severe vision loss. He sees a blurred spot in the middle of the vision in the right eye wherever he looks.
OD 20/60 with eccentric movement, OS 20/200. Pinhole 20/70. IOP: OD 14, OS 10.

New BRVO Left Eye Old BRVO Right Eye - Right Eye Showing Bulls Eye Atrophy from Chronic CME and Non-Perfusion Infero-temporally573 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

Best Disease for 30 Years - 20/50 Vision both eyes - 61 Year Old Woman573 views61-year-old woman was diagnosed with Bestâ€™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

Drusen Maculopathy 85 year old Male573 views85-year-old man has age-related macular degeneration in both eyes with drusen maculopathy. OD is 20/40, OS is 20/400

Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporally573 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.

Myopic Macular Degeneration - Staphyloma - Recent Vision Loss Right Eye - Possible CNVM573 views83-year-old woman is a high myope with myopic macular degeneration. She had a retinal detachment repair in the right eye in 1968. I saw her in June of 2003. She had posterior colobomas and areas of pigment epithelial atrophy. She has noticed over the last six weeks substantial declining vision in the right eye. Prior to that, the vision in the two eyes was about the same. She uses Xalatan in the left eye and Alphagan in both eyes.

VISUAL ACUITY: Vision OD is 20/160, OS is 20/40

Angioid Streaks - Pseudoxanthoma Elasticum - Supressed CNVM573 views54-year-old woman had angioid streaks and macular degeneration in both eyes. She has had intravitreal Avastin in the right eye about every three months and her vision in that eye is good.

VISUAL ACUITY: Vision OD is 20/30, OS is 2/200

Choroidal Metastases - Both Eyes - Exudative Retinal Detachment573 views58-year-old man smoke a pack of cigarettes a day. He has had some ribcage pain for about the last two weeks. He also had a sinus infection for about two weeks, and he has also had hazy vision on the superior visual field in the left eye for about the last two weeks. vision is 20/25 in both eyes

Diabetic Papillitis573 viewsPatient is about to undergo surgery for CNS Aneurysm. Patient woke up with little spots which never cleared up. Patients VA was 20/30-OD and 20/40-OS. Both eyes appeared to have disc edema with hemorrhages in the right eye. Ordered a CT of the brain to make sure the aneurysm didn't ruptured.

Optic Nerve Hypoplasia - 43 Year Old Man - declining vision573 views43-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

Non-specific (uncharaterized / unknown) Macular Dystrophy - FAF573 views59-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

FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion573 views

Medium Choroidal Melanoma Left Eye 573 views

Vitreomacular traction - normal vision on initial presentation573 views

Branch Retinal Vein Occlusion with NVE (Neovascularization Elsewhere)573 views

AION - Acute with Follow UP RNFL scan shows edema then atrophy573 views

Ischemic BRVO with non-perfusion (nonperfusion) - recovered from severe vitreous hemorrhage573 views

Cuticular Drusen - 26 year old female - Glomerulonephritis573 viewsVA 20/25 OU. Images are over 4 years

Syphilitic Chorioretinitis573 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.

Absent Macula573 viewsRetina is balled up and dragged superiorly under silicone oil. This patient started with macular pucker surgery for a mild chronic pucker. She developed 2 retinal detachments. The OCT scan is through the center of the macula under oil. There is no retina present on the scan

Sarcoidosis Multifocal Choroiditis573 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.

Photic Maculopathy Following Cataract Surgery573 viewsInitial images are from 1 week and subsequent images from 1 month post surgery.

Chronic BRAO with Hemorrhages - Sclerosed Vessel573 views95 year old female with blurred vision in both eyes in for a checkup. History of perpapillary CNVM in the left eye 2 years prior not treated. History of stroke with multiple emboli 1 year ago.
Vision 20/32 OD, 20/40 OS

Macular Hole Closed with Vitrectomy - Post-op 20/60 Vision572 views

Choroidal Melanoma Medium572 views33-year-old man with a history of decreased in the right eye. He had blurring in the eye about a year ago. He reports that it improved spontaneously until it was â€œnearly resolvedâ€. He said he had some persistent distortion, but that over the past couple of weeks he has noticed this dark spot recurring in the right eye, the left eye is unaffected. He does not have any flashes, floaters or change in his peripheral visual acuity. 20/80 OD, 20/16 OS. No improvement with pinhole. IOP: 12 OD, 11 OS.

POSTERIOR SEGMENT EXAMINATION: Shows a clear view with no PVD in either eye. C/D ratio is 0.2 OU. Large retinal vessels are unremarkable. The macula of the right eye has a brown choroidal lesion with pigment overlying the surface and orange spots along its lateral surface. The left macula is normal.
B-SCAN: B-scan ecography of the ultrasound of the right eye shows a mass about 5 mm high with a moderate to low internal reflectivity on A-scan echogram. There is serous fluid inferiorly on the echogram

Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 572 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50

BDR and Diabetic Macular Edema with Fresh Laser Right Eye572 views60-year old man OD 20/60, OS 20/50 worsening vision both eyes

Angioid Streaks - New Extrafoveal Choroidal Neovascular Membrane Right Eye572 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.

Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day572 views

Proliferative Diabetic Retinopathy Both Eyes - Vitreous Hemorrahge Left Eye572 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

Nanopthalmous (Microphthalmous) Chorioretinal Folds and Choroidal Thickening Both Eyes572 views67-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.

Choroidal Rupture - 13 year old - 3 months following injury to eye with aluminum foil ball corneal laceration 572 views13-year-old 3 months post injury to right eye with corneal laceration and cryo to a retinal tear on July 27th and then six clock hours away laser to a retinal tear on October 20th. His vision is a little better in the eye.

VISUAL ACUITY: Vision OD is 20/120.

Chronic Pseudophakic Cystoid Macular Edema - Haptic Migrated into Anterior Chamber Through Peripheral Iridotomy572 views57-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

Group 2a Juxtafoveal Telangiectasis - MacTel - Stage 5 left eye - Macular Hole Right eye572 views76-year-old woman has juxtafoveal retinal telangiectasis. She had Stage five neovascularization in the left eye I treated with injections between September of 2007 and October of 2008 with Avastin (3 years ago). OCT scan today shows macular hole right eye. VISUAL ACUITY: OD 20/400, OS 20/40.

Video - Takes a LONG TIME TO LOAD - X-linked Juvenille Retinoschisis - Peripheral Retinal Vascular Anomalies - Vitreous Hemorrhage - 8 Year Old Boy572 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.

Alphamethlyacyl COA Racemase Deficiency572 views

572 views63-year-old man diabetic for twenty two years. His central vision is fine.

VISUAL ACUITY: OD 20/25, OS 20/25

Pigmented Peripheral Retinal Degeneration572 views42-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.

FAF572 views

Rubeosis Iridis572 viewsPatient presents with Rubeosis Iridis in the right eye due to neovascular glaucoma. VA is 20/40 in the right eye. Will follow up in 3-months.

Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE572 views

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