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Retinal Tear Before Laser1020 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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Asymptomatic Retinal Detachment Confirmed with Optical Coherence Tomography (OCT)1020 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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Gonioscopy; Scattered Peripheral Anterior Synechiae1020 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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Preretinal Fibrosis - Tractional Retinal Detachment - Proliferative Diabetic Retinopathy 1019 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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Central Serous Choroidopathy with Smoke Stack and Mushroom Cloud - Fluorescein Angiogram1019 views
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1019 views6 week fu - CWS are Fading
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Retinitis Pigmentosa - Leber's Congenital Amaurosis - 7 Year Old Child - Left Eye1018 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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Diabetic Macular Edema and Hypertensive Retinopathy - Circinate Exudate (Ring Exudate) 1017 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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Adult Vitelliform Macular Dystrophy - Pattern Dystrophy1017 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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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fluorescein Angiogram1017 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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Pseudophakic Macula-Off Retinal Detachment with Larger Retinal Tear1016 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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Optic Nerve Hypoplasia1016 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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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman 1015 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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Silicone Oil in the Anterior Chamber1015 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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Macular Scars - Laser (1980s) Ocular Histoplasmosis1013 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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Fuch's heterochromic iridocyclitis - inflammed blue eye1013 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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HD Grayscale OCT of Central Serous Retinopathy1012 views
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Optic Nerve (Disc) Drusen - Spectral Domain Optical Coherence Tomography Line Scan1012 views34 Year Old woman no headaches normal vision
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Angioid Streaks - Peau D'Orange - Pseudoxanthoma Elasticum - Asymptomatic Extrafoveal Choroidal Neovascular Membrane1011 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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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute1011 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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Low Tension Glaucoma1010 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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Toxoplasmosis Macular Scar (acquired not congenital) 31 Year Old Man- Recent Vision Change - Creeping Scar1010 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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Gonioscopy; Scattered Peripheral Anterior Synechiae1010 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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Gonioscopy of Blood in the Angle1010 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 Posterior Hyaloid with Background Diabetic Retinopathy1009 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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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female Macula OS 2 months post rx1008 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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AMD - Wet - Fibrovascular Hemorrhagic PED - Occult CNVM1008 views87-year-old woman for one month OS: 20/60 Fibrovascular PED and Hemorrhage
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Prominent Corneal Nerves1007 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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Retinal Pigment Epithelial Dysgenesis1006 views
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Dislocated IOL with Tube Shunt1006 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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AMD - Wet - Fibrovascular Hemorrhagic PED - Occult CNVM1005 views87-year-old woman for one month OS: 20/60 Fibrovascular PED and Hemorrhage
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Glaucoma (also Diabetes and Previous Retinal Detachment both Eyes)1005 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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Macular Hole with Peripheral Laser Scars1005 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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Ghost Cell Glaucoma1004 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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Acute Zonal Occult Outer Retinopathy1003 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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Subretinal Perfluoro-n-octane Droplets - Color1003 viewsSubretinal Perfluoro-n-octane droplets
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PDR OS with NVE1002 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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Toxocariasis1002 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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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fundus Photo - Color1001 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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80 year old woman with Reticular Drusen (pseudodrusen) 20/30 Vision1000 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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Peripheral Bullous Retinoschisis Spectral Domain Optical Coherence Tomography (SD-OCT)1000 views64-year-old man with peripheral retinal problem noted during comprehensive eye examination. OD 20/32, OS 20/25
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Melanoma - Large Ciliary Body Photo shows tumor visible through the pupil999 views
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Glaucoma (also Diabetes and Previous Retinal Detachment both Eyes)999 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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Radioactive Plaque Placement for Choroidal Melanoma Radioactive Plaque Placement for Choroidal Melanoma 998 views
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A case of DUSN-2998 views
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Occult Maculopathy - Thin Fovea on OCT and Normal Color VA, Photos, FA VA 20/80 OU997 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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Central Serous Retinopathy Acute - Fundus Autofluorescence997 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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Fundus Photograph - Enhanced S Cone Syndrome - Goldmann Favre - 997 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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Toxoplasmosis Macular Scar (acquired not congenital) 31 Year Old Man- Recent Vision Change - Creeping Scar997 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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69 Year Old Woman Normal Fundus Photograph996 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
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Retinal Detachment - Treated Horseshoe Tear on segmental buckle996 viewssegmental buckle
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Optic Nerve Drusen - - Fundus Autofluorescence - FAF995 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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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - SD-OCT Line Scan Inner retinal edema995 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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Group 2a Juxtafoveal Telangiectasis - MacTel - Idiopathic Juxtafoveal Macular Telangiectasia - Macular Hole994 views80-year-old man has juxtafoveal retinal telangiectasis in both eyes. He also has a true full-thickness macular hole in the left eye. The vision OD is 20/40, OS is 20/160
Group 2a Juxtafoveal Retinal Telangiectasis (telangiectasia), MacTel
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Crystalline retinopathy associated with chronic retinal detachment (Macular Crystals)994 views54-year-old man with an asymptomatic chronic inferotemporal retinal detachment (10 years old) OD 20/25, OS 20/30
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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fundus Autofluorescence994 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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Retinitis Pigmentosa994 viewsRetinitis Pigmentosa
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50 Year Old woman with Congenital Retinal Vascular Tortuosity - Normal Vision993 views
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Disorganized Retinal Inner Layers (DRIL)993 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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Amelanotic Choroidal Nevus 992 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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Cone Rod Dystrophy990 viewsCone Rod Dystrophy in OD of seven year old girl
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Pseudoxanthoma Elasticum with Angioid Streaks990 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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Radioactive Plaque Placement for Choroidal Melanoma Eye After Surgery with Conjunctiva Closed988 views
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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Sequential color photos show progression988 viewsVision in right eye dropped to 5/200 by the last photo.
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Hemi Central Retinal Vein Occlusion 35 year old non-compliant man986 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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Diabetic Macular Edema and Hypertensive Retinopathy - Circinate Exudate (Ring Exudate) 986 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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Macular Hole with Subretinal Hemorrhage Secondary to Ocular Trauma986 views
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Optic Nerve (Disc) Drusen - Infrared Reflectance986 views34 Year Old woman no headaches normal vision
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Ghost Cell Glaucoma985 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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Gonioscopy, Mass in the Angle of Anterior Chamber985 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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Macular Scar with Retinal Pigment Epithelial Hyperplasia - Hyperpigmentation - Wet Macular Degeneration984 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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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification983 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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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions983 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 Disc Drusen982 viewsOptic Nerve Head Drusen in teenage patient.
James L. Perron, C.R.A.
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MEWDS981 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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Glaucomatous optic nerve with severe cupping981 views
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Large serous PED981 views63-year-old female with acute onset large retinal pigment epithelium detachment from age-related macular degeneration
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Ghost Cell Glaucoma980 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 Drusen979 viewsLow risk choroidal nevus with many overlying drusen
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Radioactive Plaque Placement for Choroidal Melanoma Plaque Placed but not Sutured to Eye Ye978 views
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Corneal Foreign Body 978 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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Radioactive Plaque Placement for Choroidal Melanoma Plaque Sutured to Globe977 views
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Acute Multifocal Vitelliform Exudative Maculopathy Right Eye At 1 Mo Follow Up977 views
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360-Degree's Pseudoexfoliation977 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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Central Retinal Vein Occlusion with Disc Collaterals977 views
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Weiss Ring975 views
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Bullseye Maculopathy without Plaquinel975 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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Peripapillary Choroidal Nevus974 views37-year-old woman was seen in the office on July 27, 2011. She has photographs from 2009 and 2010 showing a peripapillary choroidal nevus in the right eye. VISUAL ACUITY: OD 20/20
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Macular possible Cone Dystrophy - SD-OCT974 views
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CHRPE - Congenital Hypertrophy of the Pigment Epithelium - Peripheral973 views55-year-old woman OD 20/30, OS 20/25
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Traumatic Vitreous Hemorrhage - Firecracker in Face - Teenager973 viewsSixteen year-old with traumatic vitreous hemorrhage following injury from firecracker exploding in his face.
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Posterior Staphyloma and Geographic Atrophy Myopic Degeneration971 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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Pigmented Peripheral Retinal Degeneration971 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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Proliferative Diabetic Retinopathy - Vitreous Hemorrhage and Tractional Retinal Detachment Left Eye970 views52-year-old man has been diabetic for nineteen years developed substantial vision loss over the last month or two. OD 20/70, OS 20/200.
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Choroidal Melanoma970 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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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification969 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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hypertension retinopathy w/ disc edema and CRVO969 views64 year old white male w/ a vision of 20/200 which eventually improved to 20/60 without treatment
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Lupus Retinopathy969 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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Gonioscopy, Pigment Dispersion Syndrome968 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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Equatorial Drusen Fundus Photo Right Eye967 views
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