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Silicone Oil in Anterior Chamber and Band Keratopathy 8 Years Post Complex Retinal Detachment Repair1260 views81-year-old man had complex retinal detachment repairs in both eyes with silicone oil 8 years ago. The left eye has an oil fill. He had a retinotomy very near to the macula and he has had silicone oil in the eye for a few years. His eye is comfortable and the vision is stable. OD is 20/200, OS is light perception
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Anterior Ischemic Optic Neuropathy - Non-Arteritic - AION1259 views72-year-old woman sudden vision loss in the right eye about four days ago. She also has noticed that things are dim out of that eye. She has no headaches. She does feel a little tired. She has no pain in her jaw when she chews and she has no fevers.
OD is 20/80, PH 20/25; OS is 20/25
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Accordioning Crystalline Lens with loss of Posterior Capsule1259 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 Syndrome1259 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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Plaquenil Toxicity - Bulls Eye Maculopathy1258 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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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 1257 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Propionibacterium acnes endophthalmitis with capsular plaque and uveitis1257 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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Patterned Pigment Dystrophy of the Fovea 2 year later VA still good1254 views
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Acute Central Serous Retinopathy - Classic Smokestack on Fluorescein Angiogram 1254 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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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome1253 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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Retinal Vasculitis due to Lupus (FA)1252 viewsSystemic Lupus Erythematosis - Vasculitis
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1252 views
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Silicone Oil in the Anterior Chamber1252 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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Multiple Evanescent White Dot Syndrome - Atypical Yellow Foveal Spot Right Eye1251 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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Acute Central Serous Retinopathy - Classic Smokestack on Fluorescein Angiogram 1251 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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Angioid Streaks and Treated CNVM1250 viewsMaculopathy associated to angioid streaks in a 45 years old patient, man,
treated for related CNV
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Epiretinal Membrane with Flecks of Hemorrhage1247 views
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Silicone Oil in the Anterior Chamber1246 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 Avastin1245 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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Radioactive Plaque Placement for Choroidal Melanoma Iodine Radioactive Seeds in Plaque1245 views
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Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left1245 views
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Preretinal Fibrosis - Tractional Retinal Detachment - Proliferative Diabetic Retinopathy 1245 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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Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin OCT OS EDI1243 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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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fundus Autofluorescence1243 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 Suspect1243 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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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)1239 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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Choroidal Melanoma - Exudative Retinal Detachment 82 Year Old Man B Scan Ultrasound Longitudinal1239 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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Gonioscopy of Blood in the Angle1237 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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Prominent Corneal Nerves1237 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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Chorodial Sclerosis1236 views74 year old female diagnosed with Chorodial Sclerosis OU and ARMD OU. Va 20/400 OD 2'200 OS
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Choroideremia1236 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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Pigmented Peripheral Retinal Degeneration1236 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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Macular Telangiectasis - visible telangiectasia on color photos1235 viewsMulticolor photos too show pathology. This patient had 20/50 vision with pinhole to 20/25
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CHRPE lesion in the left eye - Irregular pigmentation1234 views63 year old female with normal vision and CHRPE lesion in the right eye.
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Diabetic Macular Edema and Hypertensive Retinopathy - Circinate Exudate (Ring Exudate) 1234 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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Ghost Cell Glaucoma1233 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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Central Serous Retinopathy Acute - Fundus Autofluorescence1232 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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Pigmented Peripheral Retinal Degeneration1232 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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Occult Metallic Intraocular Foreign Body - WINNER JANUARY 2011 - BEST IMAGE1231 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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Fundus Albipunctatus1231 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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Hyperpigmentation of Retinal Pigment Epithlium in Dry AMD (hyperplasia)1230 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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1228 views
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo1228 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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Commotio Retinae - One Day following Basketball to Eye1228 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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Retinocytoma - Retinoma - Regressed Retinoblastoma 43 year old male incidental finding 1227 views
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Calcified Drusen - Dry Age-related Macular Degeneration - Geographic Atrophy1227 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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Flower Cataract1227 viewsPatient with ahmed tube and flower cataract
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Central Serous Retinopathy Acute - Fluorescein Angiogram1226 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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Multiple Evanescent White Dot Syndrome - Atypical Yellow Foveal Spot Right Eye1225 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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AVM1224 viewsFP of AVM in OS of a 48 yr old female.
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Optic Nerve Drusen - - Nerve Fiber Layer Scan1223 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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Hyperpigmentation of the Retinal Pigment Epithelium Right Eye (Treated wet AMD OS)1223 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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Equatorial Drusen Fundus Photo Left Eye1222 views
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Ectopia Lentis - Marfan's Syndrome - Intermittent Pupillary Block Glaucoma Right Eye1221 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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PXE with Angioid Streaks1221 viewsPXE with angioid streaks OS (12/09/2011)
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Glaucoma (also Diabetes and Previous Retinal Detachment both Eyes)1218 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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Gonioscopy; Scattered Peripheral Anterior Synechiae1218 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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Central Areolar Choroidal Dystrophy1218 viewsVision loss from early 60's. This 78 year old woman has choroidal atrophy centrally.
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute1217 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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Central Serous Retinopathy Acute - Fundus Autofluorescence1216 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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Radioactive Plaque Placement for Choroidal Melanoma Eye is Anesthetized Prior to Surgery1215 views
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Retinal Tear Before Laser1214 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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Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE 1213 viewsVenous beading, vascular loops and NVE are visible on photos
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Disorganized Retinal Inner Layers (DRIL)1212 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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Hemi Central Retinal Vein Occlusion 35 year old non-compliant man1211 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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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangioma1211 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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Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left1210 views
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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification1210 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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Central Serous Retinopathy Acute - Indocyanine Green Angiogram - Leakage Choriocapillaris 1210 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 Areolar Choroidal Sclerosis1210 viewsElderly man with poor central vision starting in his 50's
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Juxtafoveal Retinal Telangiectasia (Telangiectasis) - MacTel - Striking Gray Ring in Macula1210 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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Asymptomatic Retinal Detachment Confirmed with Optical Coherence Tomography (OCT)1210 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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CNV secondary to Angioid Streaks, PXE1209 views
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A case of Valsalva Retinopathy -11209 views
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Ruptured Retinal Arterial Macroaneurysm - Submacular Hemorrhage - Vision 20/400 never recovered - Hypertension 205/941208 views
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Mild Proliferative Diabetic Retinopathy1208 viewsRight eye has NVE and left eye has NVD and NVE. VA 20/25 OU.
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Mild Clinically Significant Diabetic Macular Edema1207 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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Dislocated Intraocular Lens1207 viewsDislocated Intraocular Lens
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Dislocated IOL with Tube Shunt1206 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 rx1205 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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Choroidal Folds1205 viewsChoroidal Folds imaged during angiography and the corresponding OCT
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Occult Maculopathy - Thin Fovea on OCT and Normal Color VA, Photos, FA VA 20/80 OU1204 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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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions1204 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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Optic Nerve Drusen - Line Scan over Optic Nerve1204 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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Non-Ischemic Central Retinal Vein Occlusion in Young Man (30 years) - Many Cotton Wool Spots1204 views30-year-old man with a history of a central retinal vein occlusion for which he was first examined on 2 months ago and his vision then was 4/200. He responded nicely to two Avastin treatments. OD is 20/20, OS is 20/60
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1204 views6 week fu - CWS are Fading
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Lattice Degeneration1204 viewsAprox 180 degree lattice degeneration in OD of a 17yr old girl.
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PDR with heavy PRP laser and worsening macular edema 1203 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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Optic Nerve Head Drusen Nerve Fiber Layer Scan1203 views57-year-old woman has optic nerve drusen in both eyes.
VISUAL ACUITY: OU 20/20.
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Retinal Pigment Epithelial Dysgenesis1203 views
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Central Serous Retinopathy Acute 1203 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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Plaquenil Toxicity - Bulls Eye Maculopathy1202 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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Cilia and Cement Intraocular Foreign Body1202 viewsConstruction worker jack-hammering 3 months prior to pictures. Asymptomatic. 20/20 OU. Corneal wound seen superiorly (not in pictures)
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CHOROIDAL Melanoma1201 views
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Macroaneurysm FP1201 viewsMacroaneurysm with Subretinal Hemorrhage and ME in OS of an Elderly Female
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Cone Rod Dystrophy1199 viewsCone Rod Dystrophy in OD of seven year old girl
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Optic Pit OCT1198 viewsOCT Scan of an Optic Pit in OS of a 40 yr old male
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Stargardt's Juvenille Macular Dystrophy - Fundus Flavimaculatus - Famlial1197 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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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)1197 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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Retinal Arterial Macroaneurysm - Normal Vision (2 Years before rupture)1196 views78-year-old woman has a retinal arterial macroaneurysm in the right eye. VA 20/25 (pre-rupture photos)
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