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Choroidal Melanoma - Exudative Retinal Detachment 82 Year Old Man B Scan Ultrasound Longitudinal1154 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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Diabetic Retinopathy with CME1154 viewsSecond opinion for diabetic retinopathy. VA is 20/30, right eye, 20/50, left eye. Patient has mild swelling in the macula of the right eye. No evidence of CME but does have a moderate cataract in the left eye.
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Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left1152 views
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Nearly complete coloboma1152 viewsNearly complete coloboma from necropsy of infant born with multiple congenital anomalies, incompatable with life, including holorprosencephaly. Infant expired on 3rd post-partum day
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Plaquenil Toxicity - Bulls Eye Maculopathy1151 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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Central Serous Retinopathy Acute - Fluorescein Angiogram1151 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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Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left1150 views
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Retinal Tear Before Laser1150 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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Choroidal Folds1150 viewsChoroidal Folds imaged during angiography and the corresponding OCT
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Gonioscopy; Scattered Peripheral Anterior Synechiae1149 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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Macular Pucker1149 viewsPatient comes in for followup on macular pucker, right eye. VA is 20/50 in the right eye...Fundus photo shows prominent pucker centrally pulling temporally in the right eye.
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Glaucoma (also Diabetes and Previous Retinal Detachment both Eyes)1148 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 Degeneration1147 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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Iris Nevus1147 viewsRoutine eye exam. Iris nevus located around 4-o'clock off the pupil.
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Retinocytoma - Retinoma - Regressed Retinoblastoma 43 year old male incidental finding 1146 views
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Infrared Image OD1146 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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Central Serous Retinopathy Acute - Indocyanine Green Angiogram - Leakage Choriocapillaris 1146 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- Pigmentary Glaucoma Suspect1146 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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Equatorial Drusen Fundus Photo Left Eye1144 views
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1144 views
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo1144 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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A case of Valsalva Retinopathy -11144 views
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Phacoantigenic Reaction1144 viewsPicture shows a Left eye enucleation with H&E staining.
Anterior capsule of lens is broken with evidence of granulomatous inflammation.
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Commotio Retinae - One Day following Basketball to Eye1142 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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Conjunctival Melanoma1141 viewsRight conjunctival melanoma extending into anterior orbit, right eye. Temporally and nasally with pigmented masses/nodules. VA was 20/30 without correction in the right eye. Follow up to proceed with proton beam therapy.
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Central Serous Retinopathy Acute - Fundus Autofluorescence1139 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 Posterior Hyaloid with Background Diabetic Retinopathy1138 viewsPatient comes in for follow up on her Diabetic Retinopathy and glaucoma. Patient's VA was 20/30 in the left eye. Fundus exam presents a Posterior Hyaloid with hemorrhage inferiorily. Patient will be seen again in 6-months for follow up.
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Epiretinal Membrane with Flecks of Hemorrhage1138 views
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Central Areolar Choroidal Dystrophy1138 viewsVision loss from early 60's. This 78 year old woman has choroidal atrophy centrally.
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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions1137 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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Ectopia Lentis - Marfan's Syndrome - Intermittent Pupillary Block Glaucoma Right Eye1136 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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Hemicentral Retinal Vein Occlusion Vision 20/60 1136 views84-year-old man has a hemicentral retinal vein occlusion in the right eye. His vision has declined since then.
VISUAL ACUITY: Vision OD is 20/60.
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1135 views
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Flower Cataract1135 viewsPatient with ahmed tube and flower cataract
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Multiple Evanescent White Dot Syndrome - Atypical Yellow Foveal Spot Right Eye1133 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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Optic Nerve Drusen - Line Scan over Optic Nerve1133 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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Giant Papillary Conjunctivitis, Left Upper Eyelid1133 viewsContact lens wearer, comes in for exam. Has rough feeling underneath both eyelids. Patient thought it was through SCL wear. Patient VA was 20/20. right eye, 20/30, left eye. Underneath the left upper eyelid, you can see papillary inflammation and redness.
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CHRPE lesion in the left eye - Irregular pigmentation1131 views63 year old female with normal vision and CHRPE lesion in the right eye.
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Chorodial Sclerosis1131 views74 year old female diagnosed with Chorodial Sclerosis OU and ARMD OU. Va 20/400 OD 2'200 OS
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Optic Nerve Head Drusen Nerve Fiber Layer Scan1130 views57-year-old woman has optic nerve drusen in both eyes.
VISUAL ACUITY: OU 20/20.
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Asymptomatic Retinal Detachment Confirmed with Optical Coherence Tomography (OCT)1130 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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Accordioning Crystalline Lens with loss of Posterior Capsule1130 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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Fundus Albipunctatus1130 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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Mild Proliferative Diabetic Retinopathy1130 viewsRight eye has NVE and left eye has NVD and NVE. VA 20/25 OU.
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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification1129 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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Mild Clinically Significant Diabetic Macular Edema1129 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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Silicone Oil in the Anterior Chamber1129 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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Calcified Drusen - Dry Age-related Macular Degeneration - Geographic Atrophy1128 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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PDR with subhyloid hem1128 viewsPDR with subhyloid hem
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Vitreo-Traction due to Diabetic Retinopathy1128 viewsPatient comes in for follow up on her diabetes. VA is 20/30 in the right eye. Fundus photos shows thick traction nasally to the optic nerve forming a ring around the macula. Will follow up in 6-months.
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HTN Retinopathy w/ cotton wool spots and hemorrhages1127 views23 year old african american male w/ visual acuity of 20/20
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Macular Degeneration with Hemorrhage1125 viewsPatient comes in for follow up exam for wet AMD. Fundus photography reveals retinal hemorrhage temporally to the macula. Patient was not treated. Wait to see if the blood will absorb on its own.
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Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE 1125 viewsVenous beading, vascular loops and NVE are visible on photos
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Retinal Arterial Macroaneurysm - Normal Vision (2 Years before rupture)1124 views78-year-old woman has a retinal arterial macroaneurysm in the right eye. VA 20/25 (pre-rupture photos)
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Hyperpigmentation of the Retinal Pigment Epithelium Right Eye (Treated wet AMD OS)1124 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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Central Serous Retinopathy Acute 1123 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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Propionibacterium acnes endophthalmitis with capsular plaque and uveitis1121 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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Gonioscopy; Scattered Peripheral Anterior Synechiae1121 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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Pigmented Peripheral Retinal Degeneration1119 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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Preretinal Fibrosis - Tractional Retinal Detachment - Proliferative Diabetic Retinopathy 1118 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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Lattice Degeneration1118 viewsAprox 180 degree lattice degeneration in OD of a 17yr old girl.
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Juxtafoveal Telangiectasis - MacTel - Retinal Telangiectasis - Both Eyes - Crystals1117 views61-year-old man has idiopathic juxtafoveal retinal telangiectasis type II in both eyes OD is 20/40, OS is 20/25
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Ruptured Retinal Arterial Macroaneurysm - Submacular Hemorrhage - Vision 20/400 never recovered - Hypertension 205/941116 views
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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangioma1116 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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Radioactive Plaque Placement for Choroidal Melanoma Eye is Anesthetized Prior to Surgery1115 views
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PXE with Angioid Streaks1115 viewsPXE with angioid streaks OS (12/09/2011)
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Central Areolar Choroidal Sclerosis1114 viewsElderly man with poor central vision starting in his 50's
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute1114 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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Ghost Cell Glaucoma1114 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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Dislocated Intraocular Lens1113 viewsDislocated Intraocular Lens
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Macular Telangiectasis (Group 2a Juxtafoveal Telangiectasis) Decreased Fundus Autofluorescence1113 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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Optic Pit OCT1112 viewsOCT Scan of an Optic Pit in OS of a 40 yr old male
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Epiretinal Membrane with Pseudohole1110 views
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Hyperpigmentation of Retinal Pigment Epithlium in Dry AMD (hyperplasia)1109 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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Cilia and Cement Intraocular Foreign Body1108 viewsConstruction worker jack-hammering 3 months prior to pictures. Asymptomatic. 20/20 OU. Corneal wound seen superiorly (not in pictures)
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)1107 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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Juxtafoveal Retinal Telangiectasia (Telangiectasis) - MacTel - Striking Gray Ring in Macula1107 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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Regressed Proliferative Diabetic Retinopathy with Recurrent Vitreous Hemorrhage from Vitreoretinal Traction over a Major Retinal Vessel (Vein)1107 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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Acute Zonal Occult Outer Retinopathy1106 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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Stasis Retinopathy, Central Retinal Vein Occlusion1106 viewsYoung male who complains of decreased vision in the left eye. VA is 20/20 in the left eye. Fundus photo shows mild central retinal vein occlusion in the left eye.
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Central Serous Retinopathy Acute - Indocyanine Green Angiogram - Leakage Choriocapillaris 1103 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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Optic Nerve Hypoplasia1103 views28-year-old man with diabetes and anomalous vessels near nerve. OD is 20/25, OS is 20/20. IOP: OD 20, OS 22.
OD: Vertical C/D ratio is 0.0. The nerve is tilted and small and there is an anomalous branching pattern of the major retinal vessels. There is a tuft of irregular telangiectatic vessels on the nasal edge of the optic nerve. There is also a buried optic nerve druse at the optic margin at 5:00 o’clock. There are rare retinal hemorrhages in the macula.
OS: Vertical C/D ratio is 0.0. Again, the nerve looks small. There is an anomalous branching pattern of the retinal vessels and rare retinal hemorrhages.
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PDR with heavy PRP laser and worsening macular edema 1102 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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Calcified Drusen - Dry Age-related Macular Degeneration - Geographic Atrophy1102 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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Myopic Macular Degeneration - Dry 1101 views55-year-old woman has myopic macular degeneration in both eyes with vision and an Amsler grid change starting a few days ago in the left eye.
VISUAL ACUITY: OD: 20/60. PH: 20/25. OS: 20/200. PH: 20/30.
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Disorganized Retinal Inner Layers (DRIL)1101 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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Myelinated Nerve Fiber Layer1099 views69-year-old woman OD is 20/30, OS is 20/40.
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Choroidal Nevus with Drusen1099 viewsLow risk choroidal nevus with many overlying drusen
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female Macula OS 2 months post rx1095 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 Degeneration1095 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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Calcified Drusen - Dry Age-related Macular Degeneration - Geographic Atrophy1095 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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Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child1095 views14-year-old was with optic nerve swelling asymptomatic - picked up during routine eye exam. OD 20/20, OS 20/32
SD-OCT is used to differentiate optic disc edema from optic nerve head drusen (which are not yet calcified in children).
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Plaquenil Toxicity - Bulls Eye Maculopathy1094 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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Retinocytoma - Retinoma - Regressed Retinoblastoma 43 year old male incidental finding 1094 views
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Alphamethlyacyl COA Racemase Deficiency1094 views
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CHOROIDAL Melanoma1094 views
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1093 views6 week fu - CWS are Fading
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Prominent Corneal Nerves1093 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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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fluorescein Angiogram1092 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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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fundus Photo - Color1091 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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