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Papilledema - Sagittal Cerebral Vein Thrombosis - Lung Transplant Cystic Fibrosis 36 Year Old Man555 viewsLine scan through optic nerve

Vitreomacular traction - recent vision loss Right Eye 555 views

Acute AION OS - Mild disc pallor OD555 viewsSudden vision loss OS x 1 week with optic nerve swelling. Evidence of optic atrophy in right eye.

Choroideremia - Female Carrier - Patchy Atrophy of Choroid and RPE - Lyonization555 views

HIV Retinopathy555 viewsCentral white spot is an artifact. The small vascular abnormalities are from HIV

Acute Posterior Multifocal Placoid Pigment Epitheliopathy - 4 years after onset555 views4 years after presentation - vision 20/80 OD 20/16 OS and there is subretinal fibrosis

Macular Telangiectasia and dry AMD - Simulating wet AMD555 viewsThis patient was told different things by different retina specialists. Her case is complex because she has OCT findings of Macular Telangiectasis and dry AMD. This makes it look like she has wet AMD. Her vision is stable.

Multifocal Choroiditis Panuveitis - New Choroidal Neovascular Membrane Right Eye555 views74 year old female had vitrectomy elsewhere for possible ocular lymphoma - 5 years of shimmery vision changes then 3 weeks ago noticed vision loss right eye.

Type 1 Retinal Arteriovenous Malformation555 views42 year old female VA 20/32 OD, 20/20 OS MRI was negative.

Peripheral reticular pigment degeneration - pavingstone degeneration - age-related macular degeneration555 views60 year old healthy man with intermediate AMD and peripheral pigment degeneration and pavinstone degeneration. Vision is 20/20 OU and the patient is asymptomatic. No significant history of AMD and he is a non-smoker.

BDR and Diabetic Macular Edema with Fresh Laser Right Eye554 views60-year old man OD 20/60, OS 20/50 worsening vision both eyes

Juxtafoveal Telangiectasis and Newly Decreasing Vision554 views70-year-old woman followed for 10 years with IJFT with newly decreasing vision OU OD: 20/160; OD: 20/80

Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 554 views80-year-old woman one month ago had vision loss and a vascular occlusion in the right eye. Vision loss occurred in the left eye about 9 years ago with cotton wool spots. Patients has a 30 year history of tinnitis.

Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement554 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

Diabetic Macular Edema Left Eye - Pre Laser554 views82-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.

Macular Pucker Post-op 20/30 Vision554 viewsVa 20/30 after surgery

Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy554 views39-year-old man two days ago he noticed poor vision in his right eye OD: 8/200; OS: 20/20. BP is 240/120

554 views

Acute Central Serous Retinopathy (Chorioretinopathy) Right Eye554 views45-year-old man decreased vision in the right eye starting about two days ago. VISUAL ACUITY: Vision OD is 20/60, OS is 20/20.

Non-arteritic Anterior Ischemic Optic Neuropathy following Intravitreal Injection 554 views81-year-old woman has had injections in both eyes for wet age-related macular degeneration. 2 weeks ago the left eye was treated. Less than a week ago she noticed a change in vision in the left eye. She had a dull left frontal headache and noticed her vision was hazy as if there was a veil over the vision. OD is 20/25, OS is 20/25. IOP: OD 18, OS 26. The left eye has a 3+ APD

Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel 554 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM

Juxtafoveal Telangiectasis (MacTel) and Asymptomatic Extrafoveal Juxtapapillary Choroidal Neovascular Membrane554 views84-year-old woman has juxtafoveal retinal telangiectasis in both eyes. The right eye has an asymptomatic extra foveal juxtapapillary choroidal neovascular membrane. OD 20/400, OS 20/63.

Equatorial Drusen554 views76-year-old man with equatorial drusen

VISUAL ACUITY: Vision OD is 20/40, OS is 20/25.

48.2 seconds554 viewsCorresponding FA for Cilioretinal artery occlusion with early venous stasis retinopathy

Asymptomatic Juxtapapillary Choroidal Neovascular Membrane - Reticular Macular Disease (Wet AMD) 554 views

BDR554 views

FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion554 views

Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 554 viewsIndocyanine Green Angiogram

Post-Op Vitrectomy with Membrane Stripping and Laser554 viewsPatient had surgery to help clear up some vision in the left eye. Pre-op VA was count fingers at 1-ft. Post op VA was 20/200 in the left eye. Patient will return in 3-months for follow-up.

Macular Star, Toxoplasmosis554 viewsYoung male with visual disturbance in the right eye. Fundus photo shows swelling around the optic nerve with macular star visible.

Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye554 views

Posterior Uveal Effusion554 views

Retinal Atrophy 1 year following Streptococcus sanguinis endophthalmitis - Vision 5/200554 views79 year old woman with sleep apnea who sleeps with CPAP machine

Coats' Disease - 14 year old - Asymptomatic554 viewsPresented with macular exudates. Temporal macroaneurysms responded to laser. Ultra-wide field FA shows nonperfusion

Syphilitic Chorioretinitis554 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.

Optic Nerve Pit Retinal Detachment - SD OCT of Nerve EDI shows Pit554 views9 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.

Operculated tear with fresh blood554 views

Fundus Albipunctatus554 views12 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.

Myelinated Nerve Fiber Layer - Optic Nerve554 viewsRight eye subtle and inferior - left eye obvious

Juxtapapillary CNVM and Serous Macular Detachment Wet AMD Rx Laser553 views85-year-old man OD is 20/25, OS is 20/100. IOP: OD 21, OS 22.

OS: Vertical C/D ratio is 0.1. There is a posterior vitreous separation. There is a hemorrhagic pigment epithelial detachment on the superior pole of the optic nerve, extending a disc-and-a-half diameter off the nerve, with adjacent exudates. There is a serous macular detachment involving the center of the fovea.

VA improved from 20/100 to 20/50 in four months from laser.

Cystoid Macular Edema - Xalatan - ECCE was done 20 years previously553 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

Toxoplasmosis - Inner Retinal - Recurrent - Treated with Bactrim DS 553 views43-year-old man has macular toxoplasmosis. He has responded nicely to Bactrim OS: 20/60

New BRVO Left Eye Old BRVO Right Eye - Right Eye Showing Bulls Eye Atrophy from Chronic CME and Non-Perfusion Infero-temporally553 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

Clinically Significant Diabetic Macular Edema both Eyes with Exudates553 views56-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.

Diabetic Macular Edema Left Eye - Pre Laser553 views82-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.

Angioid Streaks - New Extrafoveal Choroidal Neovascular Membrane Right Eye553 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.

Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left553 views

Cystoid Macular Edema - Xalatan - ECCE was done 20 years previously - 1 year later 20/40 Vision553 viewsXalatan stopped and a brief course of topical anti-inflammatory drops was prescribed. One year later vision is back to normal

Macular Pucker - 3 Weeks Vision Loss - 20/50 Vision - Preoperative Images553 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

New Subfoveal Classic CNVM OS - Wet AMD - Macular Scar Congenital Toxoplasmosis Right Eye 553 views77-year-old woman as had poor vision in the right eye since birth from congenital toxoplasmosis of her macula in the right eye. Two to three weeks ago when she noticed vision loss in the left eye. VISUAL ACUITY: OD 2/200, OS 20/200.

Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye553 views84-year-old woman has polypoidal choroidal vasculopathy in both eyes with macular degeneration. She has macular scars in both eyes and she remains with remarkably good vision in the right eye despite the scarring.

VISUAL ACUITY: OD 20/30, OS 1/200

Avastin Rx OD

Radiation Retinopathy and Macular Pucker 4 years following Brachytherapy (Plaque) for Nasal Melanoma553 views67-year-old woman has a macular pucker in the left eye. She had radiation for a melanoma in that eye 4 years aog. She had cataract surgery 2 years ago and a posterior sub-Tenon Kenalog injection in 7 months ago. Her vision in the left eye is hazy and she has trouble seeing out of it. VA OS 20/70.

Plaquenil Toxicity - Bull's Eye Maculopathy - 25 Years Therapy - InfraRed Image553 views73-year-old woman has been on Plaquenil for twenty five years. Plaquenil has now been stopped for 6 months. VA continues to decline as does visual function - 20/80 OD , 20/40 OS

Malignany Hypertension - BP 250/130 - Vision 1/200 in each eye - Diabetic553 views68-year-old woman poor vision in both eyes for the last few years. She is diabetic since 1989. Her blood pressure has been very high. She was in the hospital Friday. Her blood pressure during that visit was 250/130 and her blood pressure in your office she reports was somewhere around the same. I just checked her blood pressure at the beginning of my visit and it was 200/120 in her right arm sitting. Her vision is poor enough that she can barely see to walk around. She has also been feeling nauseous

Macular Branch Retinal Vein Occlusion and Adult Vitelliform Dystrophy553 views72-year-old woman 2 months post ECCE with poor vision since surgery especially left eye.
VISUAL ACUITY: OD 20/50, OS 20/200

Retinitis Pigmentosa Newly Diagnosed 55 Year Old553 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.

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

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

Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Fluorescein Angiogram553 views48-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.

Retinitis Pigmentosa - Autosomal Dominant - Vision Loss at Young Age - Infrared553 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 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

Central Serous Retinopathy 25 year old professional baseball player - Atypical - Choroidal Hypo-perfusion?553 views

Retinitis Pigmentosa Sine Pigmento or Unknown Dystrophy - Peripheral Superficial White Spots and Recurrent CME553 views1 month of treatment with diamox 500 mg BID- cme is a little better

Uveitis and Retinal Whitening - 04-27-12 - Prior to PPV OD - Possible Primary Ocular Lymphoma 553 views

Gonioscopy, Blood in the Anterior Chamber from Hyphema553 viewsPatient comes in with blunt trauma to the right eye due to a BB gun incident. Patient was present with a hyphema at 8-o'clock about 1mm thick. Gonioscopy photos were then taken to show blood from the hyphema entered into the anterior chamber. Patient had no angle recession in the right eye.

553 views38-year old male presents with decreased vision in the left eye. VA was 20/20-right eye and 20/70-left eye with pinhole no improvement. Fundus exam shows exudates near the macula and also exudates with small hemorrhages, superior nasally in the left eye.

Proleferative Vitreoretinopathy - Panretinal Retinoschisis 553 views

Bullseye Maculopathy without Plaquinel553 viewsFundus photograph reveals Bull's-eye maculopathy without the use of plaquinel. Patients VA is 20/20, Right eye and 20/25, Left eye. There are reported cases of Scleroderma patients with retinal pigment epithelial atrophy. Will return for follow up in 6-months.

Branch Retinal Vein Occlusion with worse macular edema from hypertension - FAF Photo from 2014 - vision 20/40553 views

Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye553 views

Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female553 viewsFluorescein Angiogram is normal

Sickle Retinopathy - Ultra Wide Field Angiogram - Heidelberg553 viewsLeakage from peripheral fronds of NV - HGB SC disease - 28 year old man with vision loss OS from acute vitreous hemorrhage

Choroidal Effusions and Serous retinal detachment with Systemic Testosterone and Cialis in 75 year old Man553 viewsIR shows choroidal effusion as black (confocal system)

West Nile Virus Multifocal Choroiditis and diabetic retinopathy553 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus

Coats' Disease - 14 year old - Asymptomatic553 viewsPresented with macular exudates. Temporal macroaneurysms responded to laser. Ultra-wide field FA shows nonperfusion

Syphilitic Chorioretinitis553 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.

Optic Nerve Pit Retinal Detachment - SD OCT of Nerve EDI shows Pit553 views9 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.

Macular Laser Scars Left Eye - 5/200 Vision553 views83 year old woman who had extensive macular laser in the left eye about 15 years ago for DME. Vision is now 20/50 right eye and 3/200 left eye

553 views

Dry AMD - Confluent Drusen Sparing Center of Macula which has Atrophy553 views65 year old woman, VA 20/40 OD; 20/80 OS. The center of the macula has few or no drusen with predominantly non-geographic atrophy

Central Retinal Artery Occlusion then Neovascular Glaucoma553 views81 year old male with sudden vision loss. 2 months later developed NVG

Outer Retinal Tubulation553 views78 year old man chronic wet AMD - 20/200

Moderate PDR553 views43 year old man 20/32 vision in both eyes. Being started on Anti-VEGF injections which will be followed by PRP.

Vitreomacular traction - spontaneous release553 views80 year old man with transient vision loss from 20/20 - 20/30 from vitreomacular traction. No surgery or procedure was done.

Macular Degeneration - Choroidal Laser Left eye - New Subfoveal CNVM left eye - Did well with Avastin552 views69-year-old woman new vision loss right eye and old macular scar left eye. OD 20/40, OS 20/200

Proliferative Diabetic Retinopathy in patient with Moyamoya Disease552 views28-year-old womandiabetic since age nine, and she also has had multiple strokes. OD is 20/30, OS is 20/30.

Macular Fold - 40 years post retinal detachment repair - Glaucoma 552 views79-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

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Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin Infrared OD552 views66-year-old man with bilateral subfoveal fluid unresponsive to one year of monthly avastin therapy.
OD 20/160, Pinhole 20/80. OS 20/63, Pinhole 20/50. OCT scan shows subretinal fluid with normal choroidal thickness. Fluorescein angiogram shows cuticular/basal laminar drusen. ICG shows no foci of choriocapillaris leakage.

Hyperpigmentation of the Retinal Pigment Epithelium Right Eye (Treated wet AMD OS)552 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

Chorodial Sclerosis552 views74 year old female diagnosed with Chorodial Sclerosis OU and ARMD OU. Va 20/400 OD 2'200 OS

Retinitis Pigmentosa - Autosomal Dominant - Vision Loss at Young Age - Infrared552 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 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

Diabetic Papillitis552 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.

Retinitis Pigmentosa Sine Pigmento or Unknown Dystrophy - Peripheral Superficial White Spots and Recurrent CME - FA Early552 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

Vasculitis - Retinitis - Uveitis - Vision NLP right eye , 20/50 left eye552 views

Primary Ocular Lymphoma - 020513 552 views

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