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Retinal Detachment - Treated Horseshoe Tear on segmental buckle1114 viewssegmental buckle
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Posterior Staphyloma and Geographic Atrophy Myopic Degeneration1113 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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80 year old woman with Reticular Drusen (pseudodrusen) 20/30 Vision1113 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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Fundus Photograph - Enhanced S Cone Syndrome - Goldmann Favre - 1112 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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HD Grayscale OCT of Central Serous Retinopathy1111 views
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Metastatic Choroidal Lesion1111 viewsYoung female with choroidal lesion with subretinal fluid in the left eye. VA is finger count in the left eye.
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Amelanotic Choroidal Nevus 1110 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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1110 viewsPHPV - Left eye - optic nerve
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Branch Retinal Vein Occlusion1110 viewsPatient comes in for eval on retinal hemorrhage in the right eye. VA is 20/30 in the right eye. Fundus photography shows branch retinal vein occlusion inferior of the macula with retinal hemorrhage present. Will reevaluate in 2-months.
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69 Year Old Woman Normal Fundus Photograph1109 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
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Stage 2 20/100 Idiopathic Macular Hole1108 views62-year-old woman has a macular hole in the left eye. Her vision is worse than when she was here 1 month ago with a 100 micron hole
VISUAL ACUITY: OS 20/100.
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Melanoma of Optic Nerve1108 viewsPatient comes in for evaluation on Optic Nerve Melanoma in the right eye. Patient's VA is 20/40 in the right eye. Fundus photograph reveals melanoma invading optic nerve and ultrasound reveals behind the optic nerve as well.
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Acute Zonal Occult Outer Retinopathy1107 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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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fundus Autofluorescence1107 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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Corneal Abrasion with Foreign Body Present 1104 viewsER patient comes in with corneal abrasion in the left eye which was getting worst. VA 20/25. Slit lamp exam showed corneal abrasion superiorly at 2-o'clock. Flipped eyelid and foreign body appeared on the upper tarsal plate. Foreign body was removed.
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Radioactive Plaque Placement for Choroidal Melanoma Eye After Surgery with Conjunctiva Closed1102 views
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Proliferative Diabetic Retinopathy - Vitreous Hemorrhage and Tractional Retinal Detachment Left Eye1101 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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Choriodal Rupture with Hemorrhage1101 views
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Mild Clinically Significant Diabetic Macular Edema1100 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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Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child - IR Photo1100 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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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Infrared Image OS1099 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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Peripheral Exudative Hemorrhagic Chorioretinopathy1099 views70 year old man with recurrent peripheral choroidal hemorrhages - no treatment - b-scan shows hemorrhage shrinking over a month
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Central Areolar Choroidal Sclerosis1099 views66 year old woman with 20/160 vision - loss of central vision 11 years ago. Strong family history of vision loss.
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Toxoplasmosis Macular Scar (acquired not congenital) 31 Year Old Man- Recent Vision Change - Creeping Scar1098 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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Pterygium and RK Scars1098 viewsPatient comes in for SCL fitting. VA is 20/30. right eye and 20/70, left eye. Slit lamp photos show 8-RK Scars in both eyes. Pterygium, nasally, left eye.
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Extensive PRP scarring1097 views64 year old male with extensive PRP scarring due to diabetic retinopathy.
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Radioactive Plaque Placement for Choroidal Melanoma Plaque Placed but not Sutured to Eye Ye1096 views
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Macular Scar with Retinal Pigment Epithelial Hyperplasia - Hyperpigmentation - Wet Macular Degeneration1096 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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MEWDS1096 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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Optic Neuritis with Suspected Harada's Disease 1095 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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Proliferative Diabetic Retinopathy - Vitreous Hemorrhage and Tractional Retinal Detachment Left Eye1094 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 Rupture and small Hemorrhage - Assault1093 views34 year old man. The patient reports he was assaulted by a couple of adolescents near downtown St. Petersburg about forty-eight hours ago. He reports the pain in the left eye has significantly improved, but his vision is a little fuzzy and he sees some floaters in the left eye. 20/125 OD, 20/20 OS. Pinhole improves in the right eye to 20/50. IOP: 15 OD, 13 OS.
SLIT LAMP EXAMINATION: Biomicroscopy reveals 3+ pupillary reaction OD, 2+ OS with no afferent pupillary defect. EXTENDED OPHTHALMOSCOPY: Extended funduscopy with Volk 90-diopter lens and fundus drawings of both eyes reveal a clear view with no posterior vitreous separation. C/D ratio is 0.2. There is no vitreous debris or hemorrhage. Large retinal vessels and macula are healthy. The retinal periphery, inspected with scleral depression for 360° shows no retinal tears, breaks, or detachments.
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Optic Nerve Drusen - - Fundus Autofluorescence - FAF1093 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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Myopic - Tilted - Optic Nerves with Torsion1092 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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Glaucoma (also Diabetes and Previous Retinal Detachment both Eyes)1092 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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Peripheral Bullous Retinoschisis Spectral Domain Optical Coherence Tomography (SD-OCT)1091 views64-year-old man with peripheral retinal problem noted during comprehensive eye examination. OD 20/32, OS 20/25
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Macular possible Cone Dystrophy - SD-OCT1091 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception1090 views
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo1088 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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Fundus Autofluorescence - Enhanced S Cone Syndrome - Goldmann Favre - 1088 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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Reoccurring Retinal Detachment1088 viewsPatient comes in for second opinion for RD in the right eye. Patient's VA was count fingers @ 2-ft in the right eye and 20/20 in the left eye. Patient is aphakic and has had 5- retinal surgeries in the past in the right eye including a scleral buckle. RD present with the macula off. Will consider surgery with silicone oil.
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Choroidal Melanoma1088 viewsFemale patient comes in with a visual defect in the right eye. VA is 20/40 in the right eye. Fundus photography shows choroidal melanoma with retinal detachment temporally at 3-o'clock in the right eye.
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Ghost Cell Glaucoma1087 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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Peripapillary Choroidal Nevus1085 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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Best Disease- Fundus Autofluorescence1085 views
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Retinocytoma - Retinoma - Regressed Retinoblastoma 43 year old male incidental finding 1084 views
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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification1084 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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Diabetic Macular Edema and Hypertensive Retinopathy - Circinate Exudate (Ring Exudate) 1084 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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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions1084 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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Gonioscopy, Pigment Dispersion Syndrome1084 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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Sarcoid Multifocal Choroiditis - Posterior Uveitis1083 views66 year old man with biopsy proven (by dentist) sarcoidosis. Problems with recurrent vitreous cells responsive to PST kenalog injections. VA 20/32 OU
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Central Retinal Artery Occlusion1082 viewsCentral Retinal Artery Occlusion with cilio artery perfusion.
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Pseudophakic Cystoid Macular Edema FA late frame1081 views
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Myelinated Nerve Fiber Layer1080 views
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Choroidal Melanoma with Retinal Detachment1080 views57 year old female who underwent proton beam therapy for Choroidal Melanoma. VA was 20/400 at post op visit.
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50 Year Old woman with Congenital Retinal Vascular Tortuosity - Normal Vision1080 views
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Occult Maculopathy - Thin Fovea on OCT and Normal Color VA, Photos, FA VA 20/80 OU1079 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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Propionibacterium acnes endophthalmitis with capsular plaque and uveitis1079 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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Eccentric Disciform Scar - Breakthrough Vitreous Hemorrhage - InferoTemporal Subretinal Fibrosis - Ectopic Choroidal Neovascular Membranes1079 views88-year-old man has noticed for the last few months the vision in the right eye is foggy, like there is a film in the eye or a haze, His vision is 20/16 in each eye.
Right eye - inferotemporal periphery there is a hemorrhage at the equator at about 7:00 o’clock, which is about 4-disc diameters across and adjacent to that there is scarring.
Left eye - large disciform scar inferotemporally
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Optic Nerve Drusen - Fundus Autofluorescence - FAF1079 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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Angioid Streaks - Peau D'Orange - Pseudoxanthoma Elasticum - Asymptomatic Extrafoveal Choroidal Neovascular Membrane1079 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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Retinal Tear1079 views
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Papilledema 10 year old child1078 views10-year-old child has uveitis in both eyes. She probably has tubulointerstitial nephritis-uveitis syndrome, and she apparently also independently has idiopathic elevated intracranial pressure. VISUAL ACUITY: Vision OU is 20/20.
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy1078 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus
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Drusen Maculopathy - Confluent Subfoveal Soft Hydrophobic Drusen - Yellow Drusen in Center of the Macula1077 views73-year-old woman. She is diabetic for thirteen years. She is also on Coumadin for her heart disease.
VISUAL ACUITY: OD 20/25, OS 20/50.
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Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS1077 views63-year-old woman has serpiginous choroiditis (date - March 2011). The right eye has not been previously involved, and then she noticed new onset floaters in the right eye for the last two weeks. Her vision in the right eye is hazy because of that.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/50
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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome1076 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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branch retinal vein occlusion - fundus photo1075 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.
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Optic Nerve Pit Retinal Detachment - Macular Detachment - 8 Year Old - 5/200 Vision OS1075 views8-year-old child on two school exams that his vision was poor in the left eye and his last normal exam was in preschool.
VISUAL ACUITY: OD 20/30, OS 5/200. OS: Vertical C/D ratio is 0.2. There is a whitening on the temporal edge of the optic nerve consistent with an optic disc pit and there is a serous macular detachment.
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Anomalous Branch Retinal Artery 1075 views59-year-old man OD 20/25, OS 20/25. TORTUOUS RETINAL ARTERY – LEF EYE
(POSSIBLE GROUP 2 WYBURN-MASON SYNDROME
POSSIBLE ACEPHALIC MIGRAINES )
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Optic Nerve (Disc) Drusen - Infrared Reflectance1075 views34 Year Old woman no headaches normal vision
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Chronic Retinal Detachment and Macular hole Pre-Op1074 views51-year-old woman about 3 or 4 months ago she noticed some flashing lights. Her vision became hazy and dark, especially when she was covering her left eye. OD 2/200, OS 20/20. Post op vision 20/200.
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Myopic Macular Degeneration - Dry 1073 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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1073 views46 year old man seen for diabetic macular edema. The patient recieve several laser treatments for the swelling.
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Multifocal CHRPE also called "Bear Tracks"1072 views
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1071 views
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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification1071 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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Group 2a Juxtafoveal Telangiectasis - MacTel - Idiopathic Juxtafoveal Macular Telangiectasia - Macular Hole1071 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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Fundus Flavimaculatus - Asymptomatic - Fundus Autofluorescence1071 views45 year old man was told to come in because of ‘white spots on their retina’. - FAF image shows that spots are strongly autofluorescent
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Equatorial Drusen Fundus Photo Right Eye1070 views
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Central Serous Retinopathy1070 viewsYoung male who comes in for follow up on CSR in the left eye. Patient had focal laser treatment 1-month ago. There are still spots of leaking and proceeded with another focal laser treatment. Notice the top of the hyperfluorescent area.
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Chronic Retinal Detachment1069 views51 year old female, with a chronic retinal detachment. The patient has been stable since 1999.
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Juxtafoveal Telangiectasis - MacTel - Retinal Telangiectasis - Both Eyes - Crystals1068 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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Recurrent Macula Off Retinal Detachment - Corrugated Shallow Appearance1068 views
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Peripapillary Choroidal Nevus1068 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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Central Serous Retinopathy Acute - Indocyanine Green Angiogram - Leakage Choriocapillaris 1068 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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Ocular Histoplasmosis both Eyes - Laser Right Eye Only 1068 views58-year-old woman who lost vision as a child in the left eye from ocular histoplasmosis. She used to play in her attic and she was told by her pulmonary doctor that is probably where she picked it up. She had laser in the right eye for a leaky lesion back in 1990. OD 20/25, OS 20/200.
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Optic Disc Drusen1068 viewsOptic Nerve Head Drusen in teenage patient.
James L. Perron, C.R.A.
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Cavernous Hemangioma1068 views
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Choroidal Metastasis Tumor 1068 viewsPatient that a history of breast cancer. She has a metastasis tumor superiority in the right eye. VA was 20/20, right eye. Patient underwent radiation and chemotherapy and mass has not changed in size for the past year.
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Fundus Albipunctatus1068 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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Drusen Maculopathy - Confluent Subfoveal Soft Hydrophobic Drusen - Red Free Image shows Confluent Drusen 1067 views73-year-old woman. She is diabetic for thirteen years. She is also on Coumadin for her heart disease.
VISUAL ACUITY: OD 20/25, OS 20/50.
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Macular Scars - Laser (1980s) Ocular Histoplasmosis1067 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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Central Serous Retinopathy Acute - Indocyanine Green Angiogram - Leakage Choriocapillaris 1067 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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HD OCT Image of Operculum1067 views
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Giant Retinal Diaylsis Retinal Detachment - Previous Inflammatory Retinitis - Small Inferior Retinal Holes1066 views25-year-old man vision loss for three days. He had a previous episode in this eye in 3 years ago with a strange sort of inflammatory lesion. He had laser in that eye and a pneumatic retinopexy at the time for a retinal detachment. That same area has a giant dialysis retinal detachment. OD 20/400, OS is 20/20
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Ruptured Retinal Arterial Macroaneurysm - Submacular Hemorrhage - Vision 20/400 never recovered - Hypertension 205/941065 views
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1065 views
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DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematode1065 views
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Central Serous Retinopathy Acute - Indocyanine Green Angiogram - Leakage Choriocapillaris 1065 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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