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Myelinated Nerve Fiber Layer1188 views69-year-old woman OD is 20/30, OS is 20/40.
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Macular Telangiectasis (Group 2a Juxtafoveal Telangiectasis) Decreased Fundus Autofluorescence1188 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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Regressed Proliferative Diabetic Retinopathy with Recurrent Vitreous Hemorrhage from Vitreoretinal Traction over a Major Retinal Vessel (Vein)1187 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 Deficiency1185 views
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Acute Zonal Occult Outer Retinopathy1184 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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Macular Hole with Peripheral Laser Scars1184 viewsDiabetic patient comes in with flashes and floaters in both eyes. Patient's VA is 20/400, right eye and 20/25, left eye. Fundus exam presents with large macular hole with diabetic changes in the retina. Laser scars in the peripheral.
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Pseudoxanthoma Elasticum with Angioid Streaks1183 viewsYoung female patient who comes in for routine eye exam, VA 20/20 in both eyes. Fundus photos shows a Peu'd orange appearance in the periphery of the retina and angioid streaks around the optic nerve.
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Retinal Artery Occlusion1183 viewsPatient comes in for eval on artery occlusions in both eyes. VA is 20/400, right eye and NLP, left eye. Fundus photos show paniretinal scars in the right eye with arterial narrowing and the left eye has arterial narrowing as well.
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman 1182 views70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
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Ghost Cell Glaucoma1182 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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Myopic Macular Degeneration - Dry 1181 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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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification1180 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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Ghost Cell Glaucoma1180 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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Choroidal Nevus with Drusen1179 viewsLow risk choroidal nevus with many overlying drusen
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Calcified Drusen - Dry Age-related Macular Degeneration - Geographic Atrophy1177 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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Hemicentral Retinal Vein Occlusion Vision 20/60 1176 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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Subluxed IOL with TID1176 viewsPatient comes in with blurred vision in the left eye. Slit lamp exam shows dislocated IOL, inferior, left eye. PXF material on the implant inferiorly.
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hypertension retinopathy w/ disc edema and CRVO1175 views64 year old white male w/ a vision of 20/200 which eventually improved to 20/60 without treatment
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - SD-OCT Line Scan Inner retinal edema1175 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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Choroidal Melanoma with Sub Retinal Fluid1175 viewsFundus photography shows choroidal melanoma superiorily between 11-12-o'clock in the left eye. VA is 20/150 in the left eye.
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DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematode1171 views
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Corneal Foreign Body 1171 viewsPatient complains of foreign body sensation in the right eye. Slit lamp photos shows a piece of glass metal embedded into the inferior part of the cornea at 7-o'clock in the right eye. Foreign body was removed.
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Choroidal Rupture Secondary to Ocular Trauma1168 views
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1168 views6 week fu - CWS are Fading
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360-Degree's Pseudoexfoliation1168 viewsFollow-up on glaucoma. Patient has sever pseudoexfoliation in the right eye. VA is 20/25 with IOP at 27. Patient will return in 6-months for re-evaluation.
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Toxocariasis1167 views15-year-old one year ago had pink eye then her vision has been abnormal. She recently went for a drivers’ test and failed, OD: 20/80; OS: 20/20.
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Full Thickness Macular Hole1167 viewsFull Thickness Macular Hole
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Central Serous Retinopathy Acute - Indocyanine Green Angiogram - Leakage Choriocapillaris 1166 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 Hypoplasia1166 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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Glaucomatous optic nerve with severe cupping1166 views
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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome1165 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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Choroidal Tumor consistent with Uveal Melanoma1164 viewsPatient comes in for second opinion for 2-melanomas in the right eye. Patient's VA is 20/20, both eyes. Fundus exam reveals melanoma superior to the macula which measured at 0.7-mm thick. Second melanoma is nasally which measured at 4.1-mm thick and has low internal reflectivity. Patient will be followed up with MRI and ocular protocol.
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Acute Zonal Occult Outer Retinopathy1163 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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Retinitis Pigmentosa - Leber's Congenital Amaurosis - 7 Year Old Child - Left Eye1162 views7-year-old child who trips over things that the other children do not have trouble seeing. She is the only person in the family tree that the mother knows has any vision problems. Vision is 20/20 in each eye
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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fundus Photo - Color1162 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 Multifocal Vitelliform Exudative Maculopathy Right Eye At 1 Mo Follow Up1162 views
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Cytomegalovirus Retinitis1162 viewsPatient who is HIV Positive with Cytomegalovirus Retinitis. Patient was treated with Gangcyclovir Intra-Vitreal injection.
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Steel Dart Perforating Injury - 15 year old - 3 weeks post-injury Vision 20/4001161 views15-year-old injured in his left eye with a steel dart. The dart entered superiorly at the pars plana and his vision is clearing as the blood absorbs.
VISUAL ACUITY: OD 20/20, OS 20/400.
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Bullseye Maculopathy without Plaquinel1161 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.
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Gonioscopy, Mass in the Angle of Anterior Chamber1161 viewsSlit Lamp and goinoscopy photos show a mass at 7-o'clock i the right eye. The mass extends beneath the iris behind the lens.
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Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child1160 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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Hyperpigmentation of Retinal Pigment Epithlium in Dry AMD (hyperplasia)1159 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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Toxoplasmosis Macular Scar (acquired not congenital) 31 Year Old Man- Recent Vision Change - Creeping Scar1159 views31-year-old man had an episode of toxoplasmosis in the left eye, where unfortunately it adversely affected his central vision that was back in 2004 (7 years ago)
He did notice recently a change in his visual function. He plays softball, he was getting hit by the ball and having trouble seeing and he said that is how he noticed the toxoplasmosis when it first occurred and he was concerned it might have recurred.
OD 20/16, OS 20/80.
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Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left1158 views
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Fibrosis Traction1158 viewsYoung female patient with severe diabetes. Patients VA is 20/400 in the right eye. Fundus photos show a lot of fibrosis traction throughout the macula area. Fovea seems flat. Patient will undergo surgery for peeling of traction.
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Myopic Degeneration with RPE Loss1158 viewsPatient comes in for follow up for glaucoma. VA is 20/30 in both eyes. Fundus photography shows the RPE loss due to myopic degeneration, nasally, inferiority in the left eye.
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Central Serous Retinopathy Acute - Indocyanine Green Angiogram - Leakage Choriocapillaris 1156 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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Pseudophakic Macula-Off Retinal Detachment with Larger Retinal Tear1155 views68-year-old woman with veil over her vision just the last few days. She had cataract surgery a year ago. OD 20/200 -- One year later vision 20/30!
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CHRPE - Congenital Hypertrophy of the Pigment Epithelium - Peripheral1155 views55-year-old woman OD 20/30, OS 20/25
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Macular Hole with Subretinal Hemorrhage Secondary to Ocular Trauma1154 views
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PDR OS with NVE1153 views57-year-old man has diabetic retinopathy in both eyes.
Diabetic for 14 years with HgB A1C often over 10.
VISUAL ACUITY: OD 20/30, OS 20/40. PDR OS BDR OD
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AMD - Wet - Fibrovascular Hemorrhagic PED - Occult CNVM1152 views87-year-old woman for one month OS: 20/60 Fibrovascular PED and Hemorrhage
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1152 views
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Central Retinal Vein Occlusion with Disc Collaterals1151 views
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Stage 2 Macular Hole with 20/70 Vision1149 views57-year-old woman blurred central vision in the right eye for about two to three weeks. OD 20/70
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New Subfoveal Classic CNVM OS - Wet AMD - Macular Scar Congenital Toxoplasmosis Right Eye 1149 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.
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Choroidal Melanoma1149 viewsPatient comes in with spot in vision in the right eye. Fundus photography shows medium size melanoma adjacent to the optic nerve and measures 13mm across horizontally and 6mm diameter in thickness. Patient will undergo proton beam therapy.
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Large serous PED1148 views63-year-old female with acute onset large retinal pigment epithelium detachment from age-related macular degeneration
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Free Floating Dislocated Lens in Vitreous1148 viewsPatient comes in aphakic with dislocated lens floating to the back of the eye when laying down. Lens is laying up against the endothelium of the cornea when patient is right side up..
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Atypical Birdshot Chorioretinitis and Retinal Arterial Macroaneurysm Right Eye - HLA-B29 Positive1147 views55-year-old woman has multifocal choroiditis in both eyes because she was HLA A-29 positive. She has presumptive birdshot chorioretinopathy. She has not noticed any vision changes. OD 20/40, OS 20/20.
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Glaucoma (also Diabetes and Previous Retinal Detachment both Eyes)1147 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 Synechiae1147 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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Bullseye Maculopathy without Plaquinel1147 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.
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Retinocytoma - Retinoma - Regressed Retinoblastoma 43 year old male incidental finding 1146 views
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Angioid Streaks - Peau D'Orange - Pseudoxanthoma Elasticum - Asymptomatic Extrafoveal Choroidal Neovascular Membrane1146 views60-year-old woman has pseudoxanthoma elasticum since 2008. Her sister has the same problem and lost vision in both eyes. She had a problem with blood vessel growth in the left eye for which she had injections of Avastin in August, September, and October of 2011 (5 months ago). Subsequent to that, the macula has been dry and you have just been watching her carefully. She is in Florida for a short time but will ultimately be spending nine months out of the year here. Both of her eyes have good vision at
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AMD - Wet - Fibrovascular Hemorrhagic PED - Occult CNVM1144 views87-year-old woman for one month OS: 20/60 Fibrovascular PED and Hemorrhage
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Juxtafoveal Telangiectasis - MacTel - Group 2a - Stage IV - Pigment Plaque 89 Year Old Man1144 views89-year-old man has stage IV juxtafoveal retinal telangiectasis in both eyes with background diabetic retinopathy. His vision is stable since he was here last which is about 6 months ago. OD 20/50, OS 20/70.
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Retinitis Pigmentosa1144 viewsRetinitis Pigmentosa
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Equatorial Drusen Fundus Photo Right Eye1143 views
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BRVO with collaterals and cystoid macular edema1142 views66 Year Old Man with has had a branch retinal vein occlusion in the right eye with vision loss for the last few months. OD is 20/40, OS is 20/20. IOP: OD 18, OS 19. There is a superotemporal macular branch retinal vein occlusion with edema, hemorrhage, and exudate.
OCT SCAN: The right eye shows edema with a central foveal thickness of 354 microns FA: shows remodeling of the superotemporal vasculature. There are already venous-venous collaterals, suggesting the vein occlusion may be a little more than a few months old. There are multiple microaneurysms superotemporal to the fovea, and there is leakage in the late frames involving the fovea.
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1142 views
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Acute Multifocal Vitelliform Exudative Maculopathy Left Eye1142 views41 yr old male with decreased central vision 10 days OU
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Best Disease, Vitelliform Macular Dystrophy - 6 year old child1141 viewsVISUAL ACUITY: Vision OD is 20/30, OS is 20/100.
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Calcified Drusen - Dry Age-related Macular Degeneration - Geographic Atrophy1141 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 - Tilted - Optic Nerves with Torsion1140 views 82-year-old man He had an injury when he was a child. The right eye unfortunately has had poor vision since he is so nearsighted, even without a lens, he sees some out of the right eye. Vision OD is 20/100, OS is 20/20.
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Subretinal Perfluoro-n-octane Droplets - Color1138 viewsSubretinal Perfluoro-n-octane droplets
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Lupus Retinopathy1138 viewsFemale patient comes in for eval on Lupus Retinopathy. Has poor vision in the right eye. VA is hand motion in the right eye. Fundus photos show fibrosis along the temporal arcades and narrowing of the arteries. No macular edema found.
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Radioactive Plaque Placement for Choroidal Melanoma Plaque Sutured to Globe1137 views
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Radioactive Plaque Placement for Choroidal Melanoma Radioactive Plaque Placement for Choroidal Melanoma 1137 views
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Optic Nerve Hypoplasia1137 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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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fluorescein Angiogram1137 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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50 Year Old woman with Congenital Retinal Vascular Tortuosity - Normal Vision1137 views
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Diabetic Macular Edema and Hypertensive Retinopathy - Circinate Exudate (Ring Exudate) 1136 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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Crystalline retinopathy associated with chronic retinal detachment (Macular Crystals)1134 views54-year-old man with an asymptomatic chronic inferotemporal retinal detachment (10 years old) OD 20/25, OS 20/30
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A case of DUSN-21134 views
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Melanoma - Large Ciliary Body Photo shows tumor visible through the pupil1132 views
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Gonioscopy, Pigment Dispersion Syndrome1132 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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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Sequential color photos show progression1131 viewsVision in right eye dropped to 5/200 by the last photo.
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Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child1131 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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Traumatic Vitreous Hemorrhage - Firecracker in Face - Teenager1130 viewsSixteen year-old with traumatic vitreous hemorrhage following injury from firecracker exploding in his face.
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Low Tension Glaucoma1129 views59-year-old woman has a history of glaucoma dating back to 1990. She had trabeculectomy in the left eye in 1998 and then persisted to lose vision despite normal intraocular pressures from low-tension glaucoma in the left eye. She is now on Cosopt and Travatan in both eyes.
Vision OD is 20/20, OS is 20/16. IOP: OD 9, OS 6.
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80 year old woman with Reticular Drusen (pseudodrusen) 20/30 Vision1129 views80 year old woman with asteroid hyalosis and macular degeneration.
OPHTHALMIC EXAMINATION: Visual acuity with correction 20/30-3 OD and 20/30-2
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Retinal Tear Before Laser1129 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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Ghost Cell Glaucoma1129 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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Fuch's heterochromic iridocyclitis - inflammed blue eye1128 views46-year-old man has had blurred vision in the left eye for the last two years. He had cataract surgery in that eye eight years ago. He has also had a lot of floaters in the left eye for several years. His left eye is blue and his right eye is brown. OD 20/16, OS 20/50.
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Macular Pre-Retinal Hemorrhage 1128 viewsPatient complains of loss of vision in his left eye. Patient is diabetic. VA was 20/20, right eye and 20/150, left eye with no improvement pinhole. Fundus exam reveals very large pre retinal hemorrhage in the left eye. Embolism located inferior, nasally just off the optic nerve in the left eye. Patient underwent PRP for treatment of the hemorrhage.
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Amelanotic Choroidal Nevus 1127 views45-year-old man OD 20/20, OS 20/20. 5x5 mm flat, yellow choroidal lesion just inferonasal to the optic nerve, two disc-diameters from the nerve with scalloped edges. It looks like a confluent drusen, but it is not elevated.
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Toxoplasmosis - Vitreoretinal Traction1127 viewsA 28-year old male who noticed an upper partial visual loss to his right eye for about 2-weeks. Diagnosed with retinitis and was put on acyclovir. Patient received second opinion due to culture of aqueous humor which was then diagnosed as Toxoplasmosis. VA was 20/25 in the right eye. Pt has been followed after for the past 7-months.
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Gonioscopy; Scattered Peripheral Anterior Synechiae1127 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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Optic Nerve (Disc) Drusen - Spectral Domain Optical Coherence Tomography Line Scan1126 views34 Year Old woman no headaches normal vision
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