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Acute Central Serous Retinopathy - Classic Smokestack on Fluorescein Angiogram 1240 views34-year-old man noticed about five days ago decreased vision in the right eye. He was having difficulty playing video games and seeing with that eye. He thought maybe his refractive error was shifting.
VISUAL ACUITY: Vision OD is 20/40, OS is 20/16
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Accordioning Crystalline Lens with loss of Posterior Capsule1239 views71-year old male complains of blurred vision in the left eye. VA 20/40, right eye and 20/400, left eye without correction. Slit lamp exam shows Crystalline lens, both eyes. Right eye IOL is aligned and centered. Left eye shows an accordion of the crystalline lens. Retro Illumination shows the IOL bent inward in the left eye. There was a 6-diopter difference of astigmatism between the right and left eye. Patient will have surgery to correct the issue.
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Gonioscopy, Pigment Dispersion Syndrome1239 viewsPatient comes in with elevated pressures. Goinoscopy shows heavy pigment dusted off the iris into the trabecular meshwork. Laser procedure was done to break up the pigment for more aqueous flow.
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Patterned Pigment Dystrophy of the Fovea 2 year later VA still good1238 views
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 1237 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Silicone Oil in the Anterior Chamber1237 viewsPatient comes in for second opinion for retinal detachment in the left eye. VA is hand motion in the left eye. Poor view to look into the retina. Small silicone bubble at 12 o'clock superior in the anterior chamber. Surgery was not recommended due to the silicone oil in the left eye.
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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome1236 views80-year-old man vision loss for one year. He died about one year after these photos from Metastatic Poorly Differentiated Large Cell Carcinoma of unknown primary. He was a smoker.
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Propionibacterium acnes endophthalmitis with capsular plaque and uveitis1235 views61 year old man with inflammation after cataract surgery who ultimately needed removal of intraocular lens and capsule to quiet eye.
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Multiple Evanescent White Dot Syndrome - Atypical Yellow Foveal Spot Right Eye1235 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.
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Retinitis Pigmentosa Sine Pigmento 1233 views
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Retinal Vasculitis due to Lupus (FA)1230 viewsSystemic Lupus Erythematosis - Vasculitis
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1230 views
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Radioactive Plaque Placement for Choroidal Melanoma Iodine Radioactive Seeds in Plaque1227 views
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Plaquenil Toxicity - Bulls Eye Maculopathy1227 views70-year-old woman with systemic Lupus erythematosus and clotting problems. She was on the Plaquenil for about eight years and then off the Plaquenil for the last eight years because she developed macular toxicity. Although her vision was hazy, it was stable. Recent deceased vision left eye: OD 20/60, OS 20/100. IOP: OD 18, OS 19.
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Angioid Streaks and Treated CNVM1226 viewsMaculopathy associated to angioid streaks in a 45 years old patient, man,
treated for related CNV
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Pigmented Peripheral Retinal Degeneration1226 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.
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Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left1225 views
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)1225 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25
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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fundus Autofluorescence1225 views 25-year-old man with one and half weeks ago he woke up with night chills. Also around that time his joints started hurting him. He also has headaches, although the headache at this point is not severe. His vision has been changing for about the last week and a half. He sees some spots in his vision and they are blurred spots. They are not in the central vision.
VISUAL ACUITY: OD 20/32, OS 20/32
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Gonioscopy- Pigmentary Glaucoma Suspect1224 viewsPatient with no family history of glaucoma, comes in with elevated IOP. During Gonioscopy exam. brown pigment overlying the trabecular meshwork. Also, trans-illumination defects on the iris.
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Silicone Oil in the Anterior Chamber1224 viewsPatient comes in for second opinion for retinal detachment in the left eye. VA is hand motion in the left eye. Poor view to look into the retina. Small silicone bubble at 12 o'clock superior in the anterior chamber. Surgery was not recommended due to the silicone oil in the left eye.
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Best Disease - Left Eye Treated Previously, Elsewhere, with PDT and Avastin1223 views11-year-old has Best’s disease that runs in his family on his mothers side. At another retina specialists office, he had photodynamic laser in April of 2009 and Avastin subsequently in June of 2009. Unfortunately with that his vision is substantially declining. OD 20/30, OS 20/100
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Preretinal Fibrosis - Tractional Retinal Detachment - Proliferative Diabetic Retinopathy 1223 views33-year-old woman has proliferative diabetic retinopathy in the left eye with fibrosis and tractional retinal detachment. Her vision is hazy in that eye. VISUAL ACUITY: Vision OD is 20/30, OS 20/120
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Diabetic Macular Edema and Hypertensive Retinopathy - Circinate Exudate (Ring Exudate) 1222 views55-year-old woman diabetic for fifteen years and high blood pressure, especially over the last few months. She has had problems with nosebleeds, headaches, and there has been some difficulty bringing her blood pressure down. She said now the blood pressure is under control but it was running 220/120 mmHg for some time. Her vision in the right eye has been poor for four weeks with a spot in the central vision and both eyes have been blurred.
VISUAL ACUITY: Vision OD is 20/160, OS is 20/60
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Choroidal Melanoma - Exudative Retinal Detachment 82 Year Old Man B Scan Ultrasound Longitudinal1221 views82-year-old man who had 3 falls 2 weeks ago. After the falls he started checking his vision and noticed there was a veil over the left eye, which he had seen for about two weeks in the superior visual field. OD 20/25, OS 20/40
(patient was medically never well enough for brachytherapy and died 6 months later from heart disease)
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Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin OCT OS EDI1221 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.
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CHRPE lesion in the left eye - Irregular pigmentation1218 views63 year old female with normal vision and CHRPE lesion in the right eye.
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Occult Metallic Intraocular Foreign Body - WINNER JANUARY 2011 - BEST IMAGE1217 viewsFundus photograph of a 28 year old male who presented with intermittent, painless, blurred vision of his left eye secondary to an occult metallic intraocular foreign body with old vitreous hemorrhage. He later admitted to feeling a mild gritty sensation of his affected eye while working with a circular saw the previous year. He was then misdiagnosed as having a subconjunctival hemorrhage from the emergency physician. He later underwent successful pars plana vitrectomy and foreign body removal.
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Epiretinal Membrane with Flecks of Hemorrhage1217 views
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Flower Cataract1217 viewsPatient with ahmed tube and flower cataract
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Chorodial Sclerosis1215 views74 year old female diagnosed with Chorodial Sclerosis OU and ARMD OU. Va 20/400 OD 2'200 OS
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Choroideremia1215 views62-year old female who has extensive retinal damage in both eyes. VA 20/50 right eye, HM, left eye. Spot in vision, which is PSC, both eyes.
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Central Serous Retinopathy Acute - Fundus Autofluorescence1214 views42-year-old man was seen in the office on October 5, 2011. He had noticed starting in August after a course of antibiotic and steroids, that he developed new spots in his vision in the right eye. He may have had an episode like this sometime in the past. He did take steroids a few years ago and his vision did change at that time, but then returned.
VISUAL ACUITY: OD 20/32, OS 20/32
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Prominent Corneal Nerves1214 viewsSlit lamp exam shows prominent corneal nerves present at 8-10-o'clock and 4-6-o'clock. Baseline work to rule out Fuch's dystrophy and recurrent corneal erosion.
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1213 views
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Central Serous Retinopathy Acute - Fluorescein Angiogram1213 views42-year-old man was seen in the office on October 5, 2011. He had noticed starting in August after a course of antibiotic and steroids, that he developed new spots in his vision in the right eye. He may have had an episode like this sometime in the past. He did take steroids a few years ago and his vision did change at that time, but then returned.
VISUAL ACUITY: OD 20/32, OS 20/32
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Gonioscopy of Blood in the Angle1213 viewsYoung female who has a history of uveitis, glaucoma and juvenile rheumatoid arthritis. VA is hand motion in the left eye. Pigment changes with some blood in the anterior chamber seen here on Gonioscopy.
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Calcified Drusen - Dry Age-related Macular Degeneration - Geographic Atrophy1212 views87 Year old woman with dry age-related macular degeneration in both eyes.With both eyes open she is fine, but when she closes the left eye, things are wavier.
VISUAL ACUITY: Vision OD is 20/100, OS is 20/40.
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo1212 views61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.
Pisciform Lesions and Macular Atrophy
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Retinocytoma - Retinoma - Regressed Retinoblastoma 43 year old male incidental finding 1211 views
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Ectopia Lentis - Marfan's Syndrome - Intermittent Pupillary Block Glaucoma Right Eye1210 views41-year-old woman decreased vision right eye and intermittent pupillary block glaucoma for 6 months from a dislocated natural lens in the eye, probably associated with Marfan syndrome.Vision OD is 20/160, PH 20/40; OS is 20/30, PH 20/25
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Multiple Evanescent White Dot Syndrome - Atypical Yellow Foveal Spot Right Eye1209 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.
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Hyperpigmentation of Retinal Pigment Epithlium in Dry AMD (hyperplasia)1208 views87-year-old woman has wet age-related macular degeneration in the left eye. She had treatment up north but there has been a gap in therapy and the vision in the left eye is poor. Vision OD is 20/25, OS is 20/400
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Optic Nerve Drusen - - Nerve Fiber Layer Scan1208 views72-year-old woman has had optic nerve drusen for sometime and has visual field abnormalities. OD 20/32, OS 20/32.
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Commotio Retinae - One Day following Basketball to Eye1208 views43-year-old man was playing basketball last night. He was hit straight in the left eye with the ball. Initially he had darkness in his inferior vision and now he has darkness inferonasally in the left eye.
Vision OD is 20/16, vision OS is 20/32
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Ghost Cell Glaucoma1207 viewsPost cataract surgery, patient presents with ghost cell in the anterior chamber after hemorrhage cleared. A small hyphema still is visible in the anterior chamber with a whitish ball appearance.
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Fundus Albipunctatus1206 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.
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Equatorial Drusen Fundus Photo Left Eye1203 views
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Radioactive Plaque Placement for Choroidal Melanoma Eye is Anesthetized Prior to Surgery1202 views
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Hyperpigmentation of the Retinal Pigment Epithelium Right Eye (Treated wet AMD OS)1200 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
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Gonioscopy; Scattered Peripheral Anterior Synechiae1200 viewsPatient comes in for evaluation for glaucoma. Patient also has a history of Uveitis. Last flare up was back in 1990. Patient's VA was 20/30, Right eye and 20/40-1, Left eye. Slit Lamp Gonioscopy reveals iris bow with scattered PAS around the angles of the anterior chamber. You can also see pigmentation in the trabecular meshwork. Patient will follow up in 3-months.
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Retinal Tear Before Laser1199 views65-year-old woman new onset floaters for 1 week. She initially saw flashing lights and then the flashing lights subsided and then she had the floaters VISUAL ACUITY: OD 20/25, OS 20/50
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Glaucoma (also Diabetes and Previous Retinal Detachment both Eyes)1198 views84-year-old man has had retinal detachment repairs in both eyes. He also has advanced optic atrophy. He also has had diabetes for thirty five years. OD 20/30, OS 20/40
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Pigmented Peripheral Retinal Degeneration1198 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.
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Central Serous Retinopathy Acute - Fundus Autofluorescence1197 views42-year-old man was seen in the office on October 5, 2011. He had noticed starting in August after a course of antibiotic and steroids, that he developed new spots in his vision in the right eye. He may have had an episode like this sometime in the past. He did take steroids a few years ago and his vision did change at that time, but then returned.
VISUAL ACUITY: OD 20/32, OS 20/32
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A case of Valsalva Retinopathy -11197 views
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AVM1197 viewsFP of AVM in OS of a 48 yr old female.
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Central Areolar Choroidal Dystrophy1197 viewsVision loss from early 60's. This 78 year old woman has choroidal atrophy centrally.
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Mild Proliferative Diabetic Retinopathy1196 viewsRight eye has NVE and left eye has NVD and NVE. VA 20/25 OU.
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Central Serous Retinopathy Acute - Indocyanine Green Angiogram - Leakage Choriocapillaris 1195 views42-year-old man was seen in the office on October 5, 2011. He had noticed starting in August after a course of antibiotic and steroids, that he developed new spots in his vision in the right eye. He may have had an episode like this sometime in the past. He did take steroids a few years ago and his vision did change at that time, but then returned.
VISUAL ACUITY: OD 20/32, OS 20/32
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute1195 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangioma1194 views61-year-old man with Sturge-Weber syndrome with a hemangioma on the left side of his face.
VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19.
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Choroidal Folds1194 viewsChoroidal Folds imaged during angiography and the corresponding OCT
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PXE with Angioid Streaks1194 viewsPXE with angioid streaks OS (12/09/2011)
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Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left1192 views
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Mild Clinically Significant Diabetic Macular Edema1192 views58-year-old woman diabetic for 20 years who has diabetic macular edema in both eyes. She has had waxing and waning edema in the past and I thought it might improve on its own but it did not. She notices her vision is still a little hazy.
VISUAL ACUITY: Vision OD is 20/30, OS is 20/25.
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Central Areolar Choroidal Sclerosis1192 viewsElderly man with poor central vision starting in his 50's
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Dislocated Intraocular Lens1191 viewsDislocated Intraocular Lens
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Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE 1191 viewsVenous beading, vascular loops and NVE are visible on photos
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Juxtafoveal Retinal Telangiectasia (Telangiectasis) - MacTel - Striking Gray Ring in Macula1190 views59-year-old woman decreasing vision in the right eye for a few years. She has had diabetes for five years. OD 20/100, Pinhole 20/40. OS 20/20
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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification1189 views7-year-old child difficulty seeing the blackboard in school. She was checked for glasses and it was noted at that time that she had unusual looking optic nerves. Vision OU is 20/50.
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Hemi Central Retinal Vein Occlusion 35 year old non-compliant man1188 views35-year-old man hazy vision in his left eye for about the last three days. OD 20/20, OS 20/30
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Optic Nerve Head Drusen Nerve Fiber Layer Scan1188 views57-year-old woman has optic nerve drusen in both eyes.
VISUAL ACUITY: OU 20/20.
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Optic Nerve Drusen - Line Scan over Optic Nerve1188 views72-year-old woman has had optic nerve drusen for sometime and has visual field abnormalities. OD 20/32, OS 20/32.
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Retinal Pigment Epithelial Dysgenesis1187 views
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CNV secondary to Angioid Streaks, PXE1187 views
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Cilia and Cement Intraocular Foreign Body1187 viewsConstruction worker jack-hammering 3 months prior to pictures. Asymptomatic. 20/20 OU. Corneal wound seen superiorly (not in pictures)
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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions1186 viewsInitial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU.
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Plaquenil Toxicity - Bulls Eye Maculopathy1185 views70-year-old woman with systemic Lupus erythematosus and clotting problems. She was on the Plaquenil for about eight years and then off the Plaquenil for the last eight years because she developed macular toxicity. Although her vision was hazy, it was stable. Recent deceased vision left eye: OD 20/60, OS 20/100. IOP: OD 18, OS 19.
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Ruptured Retinal Arterial Macroaneurysm - Submacular Hemorrhage - Vision 20/400 never recovered - Hypertension 205/941185 views
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Asymptomatic Retinal Detachment Confirmed with Optical Coherence Tomography (OCT)1185 views24-year-old 20/20 vision in each eye. Patient referred for retinoschisis. OCT confirmed retinal detachment. Patient is very active and in military so the detachment was treated with laser demarcation.
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Lattice Degeneration1185 viewsAprox 180 degree lattice degeneration in OD of a 17yr old girl.
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Disorganized Retinal Inner Layers (DRIL)1185 views72 year old man treated with Avastin for CRVO VA is still 20/200 with absent macular edema (Only 1 month post rx)
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PDR with heavy PRP laser and worsening macular edema 1184 views51-year-old woman has had extensive laser in both eyes done years ago elsewhere. Her left eye has gradually been declining with macular edema.
VISUAL ACUITY: OD 20/40, OS 20/40
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Occult Maculopathy - Thin Fovea on OCT and Normal Color VA, Photos, FA VA 20/80 OU1184 views45-year-old man his mother and his maternal grandmother each had vision loss at a relatively young age. Retina OD
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Central Serous Retinopathy Acute 1184 views42-year-old man was seen in the office on October 5, 2011. He had noticed starting in August after a course of antibiotic and steroids, that he developed new spots in his vision in the right eye. He may have had an episode like this sometime in the past. He did take steroids a few years ago and his vision did change at that time, but then returned.
VISUAL ACUITY: OD 20/32, OS 20/32
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Stargardt's Juvenille Macular Dystrophy - Fundus Flavimaculatus - Famlial1183 views55-year-old woman was seen in the office on 11/18/08. She has a half sister with Stargardt’s disease and seven other siblings who are fine. 20/120 OD, 20/160 OS.
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CHOROIDAL Melanoma1183 views
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1183 views6 week fu - CWS are Fading
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Macroaneurysm FP1182 viewsMacroaneurysm with Subretinal Hemorrhage and ME in OS of an Elderly Female
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Epiretinal Membrane with Pseudohole1180 views
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Dislocated IOL with Tube Shunt1180 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.
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female Macula OS 2 months post rx1179 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.
2 months post-rx with posterior subtenons kenalog and intravitreal avastin - va os 20/30 and lesion has retracted and organized. It never subsequently grew over 2 years follow-up
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Posterior Staphyloma and Geographic Atrophy Myopic Degeneration1179 views54-year-old man . He is a high myope. He has posterior staphylomas. He has had gradually changing vision for the last month or two. OD is 20/40, OS is 20/50.
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)1179 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25
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Regressed Proliferative Diabetic Retinopathy with Recurrent Vitreous Hemorrhage from Vitreoretinal Traction over a Major Retinal Vessel (Vein)1178 views56-year-old woman has had recurrent vitreous hemorrhage in the left eye from vitreoretinal traction. Diabetes Mellitus for 20 years and excellent response to vitrectomy in the right eye about 1 year ago for recurrent vitreous hemorrhage from traction over a major retinal vessel.
VISUAL ACUITY: Vision OS is 20/200
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Alphamethlyacyl COA Racemase Deficiency1178 views
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Macular Telangiectasis (Group 2a Juxtafoveal Telangiectasis) Decreased Fundus Autofluorescence1178 views63-year-old woman has juxtafoveal retinal telangiectasis in both eyes. She notices her vision a little worse with more distortion and change over the last six months.
VISUAL ACUITY: OD 20/40, OS 20/40.
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Acute Zonal Occult Outer Retinopathy1177 views45-year-old man noticed a few years ago peripheral vision blurriness in the left eye and also some central vision loss. Previous to that, as far as he knows, the two eyes were okay.
VISUAL ACUITY: OD: 20/20; OS: 20/40.
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Retinal Arterial Macroaneurysm - Normal Vision (2 Years before rupture)1177 views78-year-old woman has a retinal arterial macroaneurysm in the right eye. VA 20/25 (pre-rupture photos)
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