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Pseudoexfoliation Ringvista 564 vecesPatient's VA 20/50 with pinhole no improvement. Patient will have cataract surgery in the future. Notice Pseudoexfoliation ring centrally.

Angioid Streaks and Macular Degeneration - CNVM OS - Band Keratopathy vista 564 veces79-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.

Retinitis Pigmentosa - Autosomal Dominant - Vision Loss at Young Age - Infraredvista 564 veces 54-year-old woman has autosomal dominant retinitis pigmentosa. Her mother and grandmother both had it and she has one son who has it and one daughter who doesnâ€™t. She also has a sister with it. She lost vision since she was younger. She had cataract surgery done in January and February of this year. She has been seeing unusual flashing lights throughout the periphery and central vision for about the last year or two.

VISUAL ACUITY: OD 20/160, OS 20/160

Asymptomatic Juxtapapillary Choroidal Neovascular Membrane - Reticular Macular Disease (Wet AMD) vista 564 veces

Large Retinal Detachment with PVRvista 564 vecesPatient with poor vision in the left eye. Fundus photography shows rhegamatogenous retinal detachment with proliferative vitreoretinopathy in the left eye. Silicone oil is also present in the left eye.

Pseudoxanthoma Elasticum with Angioid Streaksvista 564 vecesYoung female patient who comes in for routine eye exam, VA 20/20 in both eyes. Fundus photos shows a Peu'd orange appearance in the periphery of the retina and angioid streaks around the optic nerve.

Branch Retinal Vein Occlusion with NVE (Neovascularization Elsewhere)vista 564 vecesSD-OCT of NVE - shows it to be pre-retinal

Sickle Retinpoathy SC Disease - Vitreous Hemorrhage Left Eye - 29 Year oldvista 564 vecesD OCT shows foveal atrophy not uncommon in Sickle from ischemia

Unilateral Acute Idiopathic Maculopathy (UAIM)vista 564 veces41 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.

Cystoid macular edema 4 months following cataract surgery with serous retinal detachmentvista 564 vecesCME which is chronic will often cause a serous reitnal detachment because of loss of the integrity of the external limiting membrane

Acute Branch Retinal Artery Occlusion Left Eyevista 564 vecesThis 84 year old woman had an old BRVO in the right eye and saw a shadow for 2 days in the left eye. She has a superotemporal BRAO. The photos show retinal whitening, the OCT shows inner retinal edema and the FA shows poor circulation.

Syphillitic Optic Neuropathy and Maculopathyvista 564 veces46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.

Giant Retinal Tear Retinal Detachmentvista 564 veces13 year old african american girl high myope. These intra-operative photos show parts of the procedure for this giant tear detachment. The video is on youtube. You can see the center of the macula with no overlying retina.

Macular Atrophy - Phototoxicity - Macular Hole Surgeryvista 564 veces25 years ago patient suffered immediate severe vision loss following macular hole surgery. You can almost see light pipe tracks in the atrophy in the macula. Vision is 5/200

Syphilitic Chorioretinitisvista 564 vecesSevere 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.

Optic Nerve Pit Retinal Detachment - SD OCT of Nerve EDI shows Pitvista 564 veces9 Year old with morning glory disc who developed nerve pit RD. Raster scans of the optic nerve on EDI setting show the communication between the subretinal space and the fluid around the cerebrospinal fluid surrounding the optic nerve sheath.

Cystoid Macular Edema following Cataract surgery and vitrectomy for floatersvista 564 veces73 year old woman who had decreased vision 4 months following combined vitrectomy and cataract surgery. VA 20/63 improved in 1 month to 20/25 with ketorolac and prednisolone drops.

Lupus Choroidopathy - Multifocal PEDvista 564 veces82 year old female with spot in her vision for over a year. PEDs have been stable with VA 20/20 OD; 20/40 OS

Foveal hypoplasia - aplasiavista 564 vecesSD OCT shows persistent plexiform layers in the center of the macula
EXTENDED HPI: He is having some trouble seeing his gadgets (like his watch). He was diagnosed with morning glory syndrome at about 3 yeras old. This last visit you saw fluid under the retina and asked him to come here. The vision is a little worse.
VA OD: Dcc20/40+2 NccJ2-2
VA OS: Dcc20/25-2 NccJ1-2

Autoimmune Retinopathyvista 564 veces91 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

Peripheral Exudative Hemorrhagic Chorioretinopathyvista 564 veces93 year old female with shadow in side vision in the left eye. Referred for retinal detachment - Exudative lesion subsided in about 6 months without treatment.
Vision 20/63 OD and 20/100 OS (from dry AMD)

Type 1 Retinal Arteriovenous Malformationvista 564 veces42 year old female VA 20/32 OD, 20/20 OS MRI was negative.

Macular Puckervista 563 vecesThis pleasant 59-year-old man was seen in the office on 7/9/2010. He had 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. In the morning he sees what he calls a small gray circle with a ring of fire around it and then subsequent to that the vision becomes more normal but not quite right. His vision in the left eye is fine. Vision OD is 20/50, OS is 20/16.

Angioid Streaks New Vision Change in Good Right Eye Treated with Lucentisvista 563 veces53-year-old man has angioid streaks. He has a macular scar in the left eye from choroidal neovasculari-zation that was treated with photodynamic laser 5-8 years ago. His vision in the right eye had been fine until about a week ago when he noticed temporally in the right eye an area that does not look normal and looks a little distorted.
VISUAL ACUITY: Vision OD is 20/30, OS is 20/400. Treatment was started within a month and patient responded well and is now 3 years out requiring every 3 month Lucentis

Group 2a Juxtafoveal Retinal Telangiectasis (type 2)vista 563 veces58-year-old man decreased vision right eye and not better since cataract surgery one year ago. OD 20/40, OS 20/40.

Retinal Arterial Atheromatavista 563 veces68-year-old woman with records going back 7 years, which clearly document retinal arterial plaques in both eyes.

Clinically Significant Diabetic Macular Edema both Eyes with Exudatesvista 563 veces56-year-old woman with diabetes for twelve years. She has noticed blurring of the vision in the right eye for about six months. OD is 20/70, OS is 20/25.

Chronic Pseudophakic Cystoid Macular Edema in a Patient with Diabetesvista 563 veces74-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.

Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intactvista 563 veces85-year-old woman has age-related macular degeneration in both eyes with geographic atrophy. She has noticed her vision getting slightly worse in the past 6 months. VISUAL ACUITY: OD 20/70, OS 20/400

Macular Pucker Post-OP 20/30vista 563 veces

Macular Fold - 40 years post retinal detachment repair - Glaucoma vista 563 veces79-year-old woman has had a long-standing macular fold in the right eye associated with retinal detachment repair in 1970. (40 years ago) She has a macular scar in that eye. She has optic atrophy in both eyes from glaucoma. Vision OD is hand motion, OS is 20/50

Proliferative Sickle Retinopathy - Hemoglobin SCvista 563 veces53-year-old woman with a new spider-like floater in the right eye for about six days. She sees one big floater and another little one. She does have hemoglobin SC hemoglobinopathy. VISUAL ACUITY: Vision OD is 20/20; OS is 20/50, PH is 20/20.

Myopic Macular Degeneration - Staphyloma - Recent Vision Loss Right Eye - Possible CNVMvista 563 veces83-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

Central Retinal Vein Occlusion and Laser Induced Chorioretinal Anastomosisvista 563 veces84-year-old woman has age-related macular degeneration in both eyes with foveal atrophy. She also has a central retinal vein occlusion
in the left eye for which she had intravitreal Kenalog and finally chorioretinal anastomosis laser a year
ago. VISUAL ACUITY: Vision OD is 20/160, OS is 7/200

Chorioretinal Scar with Radiating Chorioretinal Foldsvista 563 veces79-year-old woman has wet age-related macular degeneration in both eyes. The left eye had intravitreal injections of Avastin starting in May of 2009. Her vision remains good in the left eye and poor in the right eye.

VISUAL ACUITY: OD 8/200, OS 20/60.

AIDS - HIV Retinopathy - Cotton Wool Spotsvista 563 veces54-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.

Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visitvista 563 veces71-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

Congenital Achromatopsia vista 563 veces26-year-old man was diagnosed with congenital achromatopsia by ERG as a child. He has family members who also have this disorder. OD 20/200, OS 20/200.

vista 563 veces

Giant Retinal Tear Initial Presentationvista 563 veces61 yo phakic male with giant retinal tear OD

FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusionvista 563 veces

Medium Choroidal Melanoma Left Eye vista 563 veces

Papilledema - Sagittal Cerebral Vein Thrombosis - Lung Transplant Cystic Fibrosis 36 Year Old Manvista 563 vecesColor Photo

Papilledema - Sagittal Cerebral Vein Thrombosis - Lung Transplant Cystic Fibrosis 36 Year Old Manvista 563 vecesRNFL Analysis

Cartwheel CNVM - Classic - wet AMD - evidence of possible old CSR - hydrophilic drusen stain early in FAvista 563 veces75 y.o Decreased Vision right eye for one year. VA OD: sc20/125+2 OS 20/25. Autofluorescence and SD OCT show evidence of old serous retinal detachment superior to the fovea suggesting a history of CSR. The macular lesion on FA shows a classic cartwheel appearance

Pterygium and RK Scarsvista 563 vecesPatient comes in for SCL fitting. VA is 20/30. right eye and 20/70, left eye. Slit lamp photos show 8-RK Scars in both eyes. Pterygium, nasally, left eye.

Branch Retinal Vein Occlusion with NVE (Neovascularization Elsewhere)vista 563 veces

Macular Hole Left Eye - progression from VMT - Stage II macular hole - Spontaneously Closed Macular Holevista 563 vecesMacular hole is closing and vision has improved to 20/40

Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eyevista 563 veces

Ocular Lymphoma - non-Hodgkins - B-Cell - Right eye has equatorial drusenvista 563 vecesMultifocal sub-RPE lesions in the left eye of a patient with history of Non-hodgkins B-cell Lymphoma last active 2 years ago

Recurrent MEWDS Left Eye - Teenage Girlvista 563 vecesPatient 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.

Multifocal Bilateral Central Serous Retinopathy in African American Malevista 563 veces67 year old african american male with : Blurred Vision OD. Duration of Problem: 4-6 weeks. VA 20/32 OD 20/20 OS

Sarcoidosis Multifocal Choroiditisvista 563 veces66 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.

Retinal Capillary Hemangioma - Endophytic and Exophyticvista 563 veces46 year old female with normal vision - her father died of pancreatic cancer

Fundus Albipunctatusvista 563 veces12 year old female with normal vision. She has 4 siblings all of whom have either white spots or spots on IR. Genetic testing by parents was deferred.

Macular Laser Scarsvista 563 veces86 year old man who had Laser done from 2010 - 2018 for diabetic retinopathy. The right eye lost vision immediately after laser was done a few years ago. VA 1/200 OD; 20/25 OS

Foveal hypoplasia - aplasiavista 563 vecesSD OCT shows persistent plexiform layers in the center of the macula
EXTENDED HPI: He is having some trouble seeing his gadgets (like his watch). He was diagnosed with morning glory syndrome at about 3 yeras old. This last visit you saw fluid under the retina and asked him to come here. The vision is a little worse.
VA OD: Dcc20/40+2 NccJ2-2
VA OS: Dcc20/25-2 NccJ1-2

Macular Hole Closed with Vitrectomy - Preopvista 562 veces

vista 562 veces33-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

Chronic Pseudophakic Cystoid Macular Edema in a Patient with Diabetesvista 562 veces74-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.

vista 562 veces

Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intactvista 562 veces85-year-old woman has age-related macular degeneration in both eyes with geographic atrophy. She has noticed her vision getting slightly worse in the past 6 months. VISUAL ACUITY: OD 20/70, OS 20/400

Juxtfoveal Telangiectasis Group 2a - Type II - MacTel - also Juxtapapillary Asymptomatic CNVM Right Eyevista 562 veces82-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.

Proliferative Diabetic Retinopathy in patient with Moyamoya Diseasevista 562 veces28-year-old womandiabetic since age nine, and she also has had multiple strokes. OD is 20/30, OS is 20/30.

Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Malevista 562 veces49-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.

vista 562 veces

DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematodevista 562 veces

Nanopthalmous (Microphthalmous) Chorioretinal Folds and Choroidal Thickening Both Eyesvista 562 veces67-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.

vista 562 veces

Congenital Toxoplasmosis with non-macular Scars Both Eyes - Recent Reactivation (recurrence) Right Eyevista 562 veces34-year-old man has congenital toxoplasmosis with four week history of foggy vision and new floaters in the right eye. OD is 20/40, OS 20/30

Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vista 562 veces60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM

X-linked Juvenille Retinoschisis - Peripheral Retinal Vascular Anomalies - Vitreous Hemorrhage - 8 Year Old Boyvista 562 veces8-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.

Retinal Tear vista 562 veces

Central Serous Retinopathy 25 year old professional baseball player - Atypical - Choroidal Hypo-perfusion?vista 562 veces

Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye vista 562 vecesIndocyanine Green Angiogram

Chronic Central Serous Retinopathy - Fluorescein Angiogramvista 562 veces

Posterior Uveal Effusionvista 562 veces

Posterior Uveal EffusionPosterior Uveal Effusionvista 562 veces

Posterior Uveal Effusionvista 562 veces

Myopic Traction Maculopathy - Long Term Follow-upvista 562 veces88-92 year old woman with about 20/40 vision and myopic tractional maculopathy. Her vision fluctuates a little. The serial OCT's show no progression.

Syphilitic Chorioretinitisvista 562 vecesSevere 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.

Confluent Soft Drusen with Subetinal Fluid - Right Eyevista 562 vecesAsymptomatic 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.

Optic Nerve Pit Retinal Detachment - SD OCT of Nerve EDI shows Pitvista 562 veces9 Year old with morning glory disc who developed nerve pit RD. Raster scans of the optic nerve on EDI setting show the communication between the subretinal space and the fluid around the cerebrospinal fluid surrounding the optic nerve sheath.

Cystoid Macular Edema following Cataract surgery and vitrectomy for floatersvista 562 veces73 year old woman who had decreased vision 4 months following combined vitrectomy and cataract surgery. VA 20/63 improved in 1 month to 20/25 with ketorolac and prednisolone drops.

Choroidal Osteoma 13 Year Oldvista 562 veces13 year old with 6 months of vision loss right eye and vision of 20/40

Birdshot Chorioretintis and PAMMvista 562 vecesPatient presented with paracentral acute middle maculopathy as the presenting symptom of birdshot. This case was published. RETINAL CASES & BRIEF REPORTS 10:151â€“153, 2016.

PDR - Mild Vitreous Hemorrhage and Good Visionvista 561 veces58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same.

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

Old Branch Retinal Vein Occlusion- Severe CME - Pucker - Diabetic Early FAvista 561 veces61-year old man has diabetic retinopathy in the right eye. He also had a macular pucker and macular edema. I did a vitrectomy on September 5th. His vision was initially improving. His vision in the right eye seems to be a little more foggy.

VISUAL ACUITY: OD: 20/200

New BRVO Left Eye Old BRVO Right Eye - Left Eye Shows Twig Superior Vein Occlusion with Edemavista 561 veces90-year-old man decreased vision maybe one year since cataract surgery he is no longer able to read. OD 20/200, OS 20/200

Diabetic Vitreous Hemorrhage Left Eyevista 561 veces35-year-old man diabetic for the last 25 years. His hemoglobin A1C has been running between 10 and 11. He was doing fine and then when he woke up from sleeping last night he noticed sudden vision loss in his left eye OD 20/30, OS 20/200.

Acute Zonal Occult Outer Retinopathy with Severe Peripheral Vision Loss Left Eye vista 561 veces 58-year-old man developed a peripheral vision problem about 25 years ago. OD 20/30, OS 20/40.

Cotton Wool Spots now Gone in Both Eyesvista 561 veces60-year-old man was sick in the hospital in 3 month ago with streptococcal pneumonia. He was in the cardiac intensive care unit and at one point he was in critical condition. He has no visual complaints. OD 20/20, OS 20/25. Cotton Wool Spots now GONE

Perforating Steel Tip Dart Injury - 1 year later - no vitrectomy - 20/40 Vision vista 561 veces16-year-old had a dart injury to the left eye one year ago. His vision is improving remarkably.

VISUAL ACUITY: OS: 20/40

Birdshot Chorioretinitis - Retinal Vasculitis - HLA A29 Positive vista 561 veces64-year-old woman three or four yearâ€™s fluctuations in her vision. She mostly notices them in bright light her vision glares out and she has difficulty seeing. PMHx: malaria in 1948 that was treated. She was told at one point she could possibly have had Familial Mediterranean fever.

She does intermittently get rashes around her arms. She has arthritis in her knees and ankles.
VISUAL ACUITY: OD 20/40, OS 20/50 - HLA - A29 Positive

Best Disease for 30 Years - 20/50 Vision both eyes - 61 Year Old Womanvista 561 veces61-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

Choriodal Neovascular Membrane - Subfoveal - Pseudo-Retinitis Pigmentosa - 50 years post Retinal Detachment Repairvista 561 veces86-year-old with a history of decreased vision in the right eye. The patient reports she has lost vision in the right eye over the past two months or so. She reports the vision was always compromised in that eye since retinal detachment surgery 50 years ago with a scleral buckler. Vision dropped from 20/50 to 20/200 right eye in 2 months.

DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematodevista 561 veces

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