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Stage 2 Macular Hole with 20/70 Vision994 views57-year-old woman blurred central vision in the right eye for about two to three weeks. OD 20/70
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Choroidal Melanoma994 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 Disc Drusen992 viewsOptic Nerve Head Drusen in teenage patient.
James L. Perron, C.R.A.
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Radioactive Plaque Placement for Choroidal Melanoma Plaque Placed but not Sutured to Eye Ye991 views
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Peripapillary Choroidal Nevus991 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 Retinal Artery Occlusion991 viewsCentral Retinal Artery Occlusion with cilio artery perfusion.
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CNV secondary to Angioid Streaks, PXE990 views
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Traumatic Vitreous Hemorrhage - Firecracker in Face - Teenager990 viewsSixteen year-old with traumatic vitreous hemorrhage following injury from firecracker exploding in his face.
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Steel Dart Perforating Injury - 15 year old - 3 weeks post-injury Vision 20/400989 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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Weiss Ring989 views
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Cytomegalovirus Retinitis989 viewsPatient who is HIV Positive with Cytomegalovirus Retinitis. Patient was treated with Gangcyclovir Intra-Vitreal injection.
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Proliferative Diabetic Retinopathy - Vitreous Hemorrhage and Tractional Retinal Detachment Left Eye988 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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Atypical Birdshot Chorioretinitis and Retinal Arterial Macroaneurysm Right Eye - HLA-B29 Positive987 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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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome986 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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Lupus Retinopathy986 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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Metastatic Choroidal Lesion986 viewsYoung female with choroidal lesion with subretinal fluid in the left eye. VA is finger count in the left eye.
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Macular Pre-Retinal Hemorrhage 984 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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Hyperpigmentation of Retinal Pigment Epithlium in Dry AMD (hyperplasia)983 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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Peripapillary Choroidal Nevus983 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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Giant Cell Arteritis - 85 year old woman sudden vision loss left eye - AION- Pale Swollen Optic Nerve982 views 85-year-old woman has felt sick and weak for about the last two months. She is having headaches, jaw claudication, and her eyes ache. Then, three days ago she had sudden vision loss in the left eye. You saw her with optic nerve swelling and suggested she come in here for evaluation. She had coronary bypass surgery in 2004.
VISUAL ACUITY: Vision OD is 20/80, OS is light perception
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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification982 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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DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematode982 views
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Acute Multifocal Vitelliform Exudative Maculopathy Left Eye982 views41 yr old male with decreased central vision 10 days OU
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Choroidal Melanoma with Sub Retinal Fluid982 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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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 981 views
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Choroidal Tumor consistent with Uveal Melanoma981 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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Retinocytoma - Retinoma - Regressed Retinoblastoma 43 year old male incidental finding 980 views
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Macular Scars - Laser (1980s) Ocular Histoplasmosis980 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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Capillary Non-Perfusion - Severe Non-Proliferative (Background) Diabetic Retinopathy - Type I - 20 Year Old Man Diabetic 16 years980 views20 year old diabetic with poor vision for the past three or four years. He has been diabetic for sixteen years and hemoglobin A1C of 10.0. 20/25 OD, 20/30 OS.
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Melanoma of Optic Nerve979 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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Sarcoid Multifocal Choroiditis - Posterior Uveitis979 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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Myelinated Nerve Fiber Layer978 views
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Free Floating Dislocated Lens in Vitreous978 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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West Nile Virus Multifocal Choroiditis and diabetic retinopathy978 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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Birdshot Chorioretinitis Mild - Asymptomatic977 views59-year-old man has birdshot chorioretinopathy in both eyes. Vision OD 20/25, OS 20/20. IOP: OD 16, OS 14. The right eye has a posterior chamber intraocular lens in good position. There is 1+ posterior capsular opacity. The left eye has 2+ nuclear sclerosis.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ration is 0.8. There is patchy depigmented lesion in the nasal periphery. The retina is attached with peripheral laser.
OS: Vertical C/D ratio is 0.4. There are peripheral punched out lesions in the periphery
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Central Serous Retinopathy - Acute977 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification977 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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Fibrosis Traction977 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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Acute Zonal Occult Outer Retinopathy976 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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Old Subhyaloid - Preretinal Hemorrhage (Yellow) Traumatic Optic Neuropathy976 views53-year-old man 3 monts previous was hit in a motor vehicle/pedestrian accident and was mostly bedridden and in and out of consciousness for two months. It is now three months since the injury. His right eye has permanent vision loss from optic nerve injury. His left eye has reasonable vision, but he does notice a floater often obstructing his vision in that eye. OD is 1/200, OS is 20/20.
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Bullseye Maculopathy without Plaquinel976 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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Myopic - Tilted - Optic Nerves with Torsion975 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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Myopic - Tilted - Optic Nerves with Torsion974 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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Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child974 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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Best Disease, Vitelliform Macular Dystrophy - 6 year old child973 viewsVISUAL ACUITY: Vision OD is 20/30, OS is 20/100.
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Recurrent Macula Off Retinal Detachment - Corrugated Shallow Appearance973 views
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Multifocal Choroiditis Old Scars - Also Peripapillary Scar 82 Year Old Woman973 views82-year-old woman with multifocal chorioretinal scars, more in the right than the left eye. OD is 20/40, OS is 20/20.
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Choroidal Rupture and small Hemorrhage - Assault972 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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Radioactive Plaque Placement for Choroidal Melanoma Plaque Placed but not Sutured to Eye Ye972 views
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Propionibacterium acnes endophthalmitis with capsular plaque and uveitis972 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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Congenital Hypertrophy of the Retinal Pigment Epithelium CHRPE has Satellite Lesions972 views
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Ghost Cell Glaucoma972 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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Glaucoma (also Diabetes and Previous Retinal Detachment both Eyes)971 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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Mild Clinically Significant Diabetic Macular Edema971 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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Anomalous Branch Retinal Artery 971 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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971 views46 year old man seen for diabetic macular edema. The patient recieve several laser treatments for the swelling.
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Grade B Proliferative Vitreo-retinopathy - Pigment in Anterior Vitreous - Chronic Retinal Detachment971 views72 year old woman - just noticed vision loss.
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Choroidal Metastasis Tumor 970 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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Mild Clinically Significant Diabetic Macular Edema969 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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Myopic Macular Degeneration - Dry 968 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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Choroidal Rupture Secondary to Ocular Trauma968 views
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Optic Nerve Pit Retinal Detachment - Macular Detachment - 8 Year Old - 5/200 Vision OS967 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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Peripheral Exudative Hemorrhagic Chorioretinopathy967 views70 year old man with recurrent peripheral choroidal hemorrhages - no treatment - b-scan shows hemorrhage shrinking over a month
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Cavernous Hemangioma967 views
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Giant Retinal Diaylsis Retinal Detachment - Previous Inflammatory Retinitis - Small Inferior Retinal Holes966 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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Angioid Streaks - Peau D'Orange - Pseudoxanthoma Elasticum - Asymptomatic Extrafoveal Choroidal Neovascular Membrane966 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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Fundus Flavimaculatus - Asymptomatic - Fundus Autofluorescence964 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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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome962 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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Proliferative Diabetic Retinopathy - Vitreous Hemorrhage and Tractional Retinal Detachment Left Eye962 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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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo962 views61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.
Pisciform Lesions and Macular Atrophy
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception961 views
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Full Thickness Macular Hole961 viewsFull Thickness Macular Hole
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Optic Nerve Head Drusen B-Scan 960 views57-year-old woman has optic nerve drusen in both eyes.
VISUAL ACUITY: OU 20/20.
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Equatorial Drusen Fundus Photo Right Eye959 views
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Congenital Hypertrophy of the Retinal Pigment Epithelium CHRPE has Satellite Lesions959 views
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Myopic Macular Degeneration - Dry 958 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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Proliferative Diabetic Retinopathy both Eyes Neovascularization of the Disc958 views63-year-old woman has been diabetic for twenty one years who sees new floaters in the right eye. OD 20/40, OS 20/40.
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Central Serous Retinopathy Acute - Indocyanine Green Angiogram - Leakage Choriocapillaris 957 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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Angioid Streaks - Peau D'Orange - Pseudoxanthoma Elasticum - Asymptomatic Extrafoveal Choroidal Neovascular Membrane957 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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Papilledema 10 year old child956 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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Multifocal CHRPE also called "Bear Tracks"956 views
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Choroidal Nevus956 viewsPatient comes in with pigmented spot in the right eye. VA is 20/25. Fundus photography shows elevated choroidal nevus inferiorily in the right eye. Will be reevaluated in 3-months...
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Subfoveal CNVM wet AMD oct line scan955 viewsShe has noticed decreased vision in the left eye. It is hard to say for how long, maybe a few months. She had her last eye exam about a year ago. She thoughts perhaps it was cataracts, but you saw a problem with the macula and suggested she come here for evaluation.
VISUAL ACUITY: Vision OD is 20/25, OS is 2/200
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Albinism and Foveal Hypoplasia955 views65-year-old man was told about twenty years ago by a retina specialist that he spent so much time in the sun that he burned out his maculae. He does have two brothers who have dark brown hair and he has always had white hair. He had eye exercises when he was eight or nine because of a lazy eye and his brothers, when he was little, used to call him an albino. He has been diagnosed by dermatologists as having possible albinism but he has been told by other people his skin is just fair.
VA 20/70 OU
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Stage 2 20/100 Idiopathic Macular Hole955 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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Central Serous Retinopathy Acute - Indocyanine Green Angiogram - Leakage Choriocapillaris 955 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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Pattern Dystrophy - Adult Vitelliform Macular Degeneration955 views72-year-old woman 2 months post ECCE with poor vision since surgery especially left eye.
VISUAL ACUITY: OD 20/50, OS 20/200
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Toxoplasmosis - Vitreoretinal Traction955 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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Central Serous Retinopathy955 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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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome954 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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Optic Nerve Head Drusen B-Scan 954 views57-year-old woman has optic nerve drusen in both eyes.
VISUAL ACUITY: OU 20/20.
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AIDS - HIV Retinopathy - Cotton Wool Spots954 views54-year-old woman HIV positive for 18 years. Her CD4 count is currently less than 50 and she was hospitalized for pneumocystis carinii pneumonia 5 months ago. She has noticed just for the last few weeks a few blind spots in the paracentral vision. Predominantly out of her right eye when she closes her left eye, she sees a few temporal blind spots. VA 20/25 in both eyes.
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Infrared Image OS954 views61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.
Pisciform Lesions and Macular Atrophy
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Central Serous Retinopathy Acute - Indocyanine Green Angiogram - Leakage Choriocapillaris 954 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 Cystoid Macular Edema FA late frame954 views
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Drusen Maculopathy - Confluent Subfoveal Soft Hydrophobic Drusen - Yellow Drusen in Center of the Macula953 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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Choroidal Nevus with Overlying Drusen953 views48-year-old woman Vision OD is 20/16, OS is 20/20.
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Gonioscopy; Scattered Peripheral Anterior Synechiae953 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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Angioid Streaks - Peau D'Orange - Pseudoxanthoma Elasticum - Asymptomatic Extrafoveal Choroidal Neovascular Membrane952 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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Sclerochoroidal Calcification - 72 Year Old Woman 950 views72-year-old woman who has spots on her lungs, which she has been told are scar tissue 20/30 OU
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