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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fluorescein Angiogram1090 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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Occult Maculopathy - Thin Fovea on OCT and Normal Color VA, Photos, FA VA 20/80 OU1089 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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Toxoplasmosis Macular Scar (acquired not congenital) 31 Year Old Man- Recent Vision Change - Creeping Scar1089 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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Optic Nerve Hypoplasia1089 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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Retinal Artery Occlusion1089 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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AMD - Wet - Fibrovascular Hemorrhagic PED - Occult CNVM1088 views87-year-old woman for one month OS: 20/60 Fibrovascular PED and Hemorrhage
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Stargardt's Juvenille Macular Dystrophy - Fundus Flavimaculatus - Famlial1088 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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New Subfoveal Classic CNVM OS - Wet AMD - Macular Scar Congenital Toxoplasmosis Right Eye 1088 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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Macular Hole with Subretinal Hemorrhage Secondary to Ocular Trauma1087 views
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Gonioscopy of Blood in the Angle1087 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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Retinal Pigment Epithelial Dysgenesis1086 views
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Optic Nerve Drusen - - Nerve Fiber Layer Scan1086 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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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome1084 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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Macular Hole with Peripheral Laser Scars1084 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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360-Degree's Pseudoexfoliation1082 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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Retinitis Pigmentosa - Leber's Congenital Amaurosis - 7 Year Old Child - Left Eye1081 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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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman 1080 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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DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematode1079 views
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Gonioscopy; Scattered Peripheral Anterior Synechiae1079 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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Dislocated IOL with Tube Shunt1079 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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Central Serous Retinopathy Acute - Indocyanine Green Angiogram - Leakage Choriocapillaris 1077 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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Macroaneurysm FP1077 viewsMacroaneurysm with Subretinal Hemorrhage and ME in OS of an Elderly Female
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Pseudophakic Macula-Off Retinal Detachment with Larger Retinal Tear1076 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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Adult Vitelliform Macular Dystrophy - Pattern Dystrophy1076 views69-year-old woman sees a dark spot centrally. When she looks at things she loses letters and numbers and is having more and more difficulty balancing her checkbook. OD is 20/80, OS is 20/40
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Myopic Degeneration with RPE Loss1076 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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Low Tension Glaucoma1074 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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Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left1073 views
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1073 views
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Acute Zonal Occult Outer Retinopathy1072 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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Glaucoma (also Diabetes and Previous Retinal Detachment both Eyes)1072 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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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - SD-OCT Line Scan Inner retinal edema1072 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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Retinal Tear Before Laser1071 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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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1071 views6 week fu - CWS are Fading
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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Sequential color photos show progression1070 viewsVision in right eye dropped to 5/200 by the last photo.
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Diabetic Macular Edema and Hypertensive Retinopathy - Circinate Exudate (Ring Exudate) 1068 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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Fuch's heterochromic iridocyclitis - inflammed blue eye1068 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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50 Year Old woman with Congenital Retinal Vascular Tortuosity - Normal Vision1068 views
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Central Serous Retinopathy Acute - Fundus Autofluorescence1067 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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Subluxed IOL with TID1067 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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Juxtafoveal Telangiectasis - MacTel - Group 2a - Stage IV - Pigment Plaque 89 Year Old Man1066 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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Glaucomatous optic nerve with severe cupping1066 views
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PDR OS with NVE1065 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 CNVM1065 views87-year-old woman for one month OS: 20/60 Fibrovascular PED and Hemorrhage
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Amelanotic Choroidal Nevus 1065 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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Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child - IR Photo1065 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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Gonioscopy; Scattered Peripheral Anterior Synechiae1065 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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Equatorial Drusen Fundus Photo Right Eye1064 views
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Angioid Streaks - Peau D'Orange - Pseudoxanthoma Elasticum - Asymptomatic Extrafoveal Choroidal Neovascular Membrane1064 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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Melanoma - Large Ciliary Body Photo shows tumor visible through the pupil1063 views
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AVM1063 viewsFP of AVM in OS of a 48 yr old female.
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Crystalline retinopathy associated with chronic retinal detachment (Macular Crystals)1062 views54-year-old man with an asymptomatic chronic inferotemporal retinal detachment (10 years old) OD 20/25, OS 20/30
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Pseudoxanthoma Elasticum with Angioid Streaks1062 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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Subretinal Perfluoro-n-octane Droplets - Color1061 viewsSubretinal Perfluoro-n-octane droplets
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Silicone Oil in the Anterior Chamber1061 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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Toxocariasis1059 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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Hemi Central Retinal Vein Occlusion 35 year old non-compliant man1059 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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A case of DUSN-21059 views
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Retinitis Pigmentosa1059 viewsRetinitis Pigmentosa
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Cone Rod Dystrophy1058 viewsCone Rod Dystrophy in OD of seven year old girl
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Gonioscopy, Mass in the Angle of Anterior Chamber1057 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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Best Disease, Vitelliform Macular Dystrophy - 6 year old child1056 viewsVISUAL ACUITY: Vision OD is 20/30, OS is 20/100.
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Radioactive Plaque Placement for Choroidal Melanoma Radioactive Plaque Placement for Choroidal Melanoma 1056 views
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Macular Scars - Laser (1980s) Ocular Histoplasmosis1056 views70 year old man who had laser at Wills, Wilmer and the Mayo clinic before better therapies were available for ocular histoplasmosis related CNVM
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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification1054 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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Peripheral Bullous Retinoschisis Spectral Domain Optical Coherence Tomography (SD-OCT)1054 views64-year-old man with peripheral retinal problem noted during comprehensive eye examination. OD 20/32, OS 20/25
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hypertension retinopathy w/ disc edema and CRVO1054 views64 year old white male w/ a vision of 20/200 which eventually improved to 20/60 without treatment
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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fundus Autofluorescence1054 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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Optic Nerve Drusen - - Fundus Autofluorescence - FAF1053 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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Optic Nerve (Disc) Drusen - Spectral Domain Optical Coherence Tomography Line Scan1053 views34 Year Old woman no headaches normal vision
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Stage 2 Macular Hole with 20/70 Vision1052 views57-year-old woman blurred central vision in the right eye for about two to three weeks. OD 20/70
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Steel Dart Perforating Injury - 15 year old - 3 weeks post-injury Vision 20/4001051 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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80 year old woman with Reticular Drusen (pseudodrusen) 20/30 Vision1051 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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Radioactive Plaque Placement for Choroidal Melanoma Plaque Sutured to Globe1050 views
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Choroidal Rupture Secondary to Ocular Trauma1050 views
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Corneal Foreign Body 1049 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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Central Retinal Vein Occlusion with Disc Collaterals1048 views
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Metastatic Choroidal Lesion1048 viewsYoung female with choroidal lesion with subretinal fluid in the left eye. VA is finger count in the left eye.
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Choroidal Tumor consistent with Uveal Melanoma1047 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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CHRPE - Congenital Hypertrophy of the Pigment Epithelium - Peripheral1046 views55-year-old woman OD 20/30, OS 20/25
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Atypical Birdshot Chorioretinitis and Retinal Arterial Macroaneurysm Right Eye - HLA-B29 Positive1045 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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HD Grayscale OCT of Central Serous Retinopathy1045 views
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69 Year Old Woman Normal Fundus Photograph1044 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
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Posterior Staphyloma and Geographic Atrophy Myopic Degeneration1043 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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Acute Zonal Occult Outer Retinopathy1043 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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Glaucoma (also Diabetes and Previous Retinal Detachment both Eyes)1043 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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Lupus Retinopathy1043 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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1042 viewsPHPV - Left eye - optic nerve
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CNV secondary to Angioid Streaks, PXE1042 views
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Toxoplasmosis Macular Scar (acquired not congenital) 31 Year Old Man- Recent Vision Change - Creeping Scar1041 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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MEWDS1041 viewsMultiple evanescent white dot syndrome (MEWDS) with classic "wreath pattern" and early optic nerve hyper fluorescence during the arterial phase of the fluorescein angiogram.
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Hemicentral Retinal Vein Occlusion Vision 20/60 1040 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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Occult Maculopathy - Thin Fovea on OCT and Normal Color VA, Photos, FA VA 20/80 OU1039 views45-year-old man his mother and his maternal grandmother each had vision loss at a relatively young age. OCT MAP shows foveal thinning.
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Retinocytoma - Retinoma - Regressed Retinoblastoma 43 year old male incidental finding 1039 views
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Optic Neuritis with Suspected Harada's Disease 1039 viewsYoung female patient comes in with red and irritated eyes which were sensitive to the touch. Patient also had vision loss in both eyes. VA was 20/80, right eye, 20/60, left eye. Fundiscopic exam shows sub retinal fluid in the right eye surrounding the optic nerve. Patient will start steroid therapy to reduce any other inflammation that is active.
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Fundus Photograph - Enhanced S Cone Syndrome - Goldmann Favre - 1038 views55-year-old woman while in college her vision was poor even with glasses and she sought evaluation for that. She was told after she had an electroretinogram at USF 15 years ago, that she had something with her blue cones. She does have poor night vision, but her reading vision is pretty good.
VISUAL ACUITY: OD 20/40, OS 20/40
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Fundus Autofluorescence - Enhanced S Cone Syndrome - Goldmann Favre - 1037 views55-year-old woman while in college her vision was poor even with glasses and she sought evaluation for that. She was told after she had an electroretinogram at USF 15 years ago, that she had something with her blue cones. She does have poor night vision, but her reading vision is pretty good.
VISUAL ACUITY: OD 20/40, OS 20/40
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Peripheral Exudative Hemorrhagic Chorioretinopathy1037 views70 year old man with recurrent peripheral choroidal hemorrhages - no treatment - b-scan shows hemorrhage shrinking over a month
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Acute Multifocal Vitelliform Exudative Maculopathy Left Eye1037 views41 yr old male with decreased central vision 10 days OU
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Radioactive Plaque Placement for Choroidal Melanoma Eye After Surgery with Conjunctiva Closed1036 views
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Macular Scar with Retinal Pigment Epithelial Hyperplasia - Hyperpigmentation - Wet Macular Degeneration1036 viewsMacular Scar in age related macular degeneration with pathology showing retinal pigment epithelial hyperplasia at the edge of the scar. Histopathogy, microscopic slide, pathology.
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