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Acute Non-arteritic Anterior Ischemic Optic Neuropathy Right Eye - Previous NA-AION left eye 1074 views69-year-old man previously lost vision in the left eye from nonarteritic anterior ischemic optic neuropathy in 2006. About a week ago and noticed blurred vision in the inferonasal part of the vision in the right eye.
VISUAL ACUITY: Vision OD is 20/16, OS is 20/40
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Choroidal Metastasis Tumor 1074 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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Macular Scars - Laser (1980s) Ocular Histoplasmosis1073 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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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fundus Photo - Color1073 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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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female Old Macular Scar OD1072 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.
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Anomalous Branch Retinal Artery 1072 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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Myopic Macular Degeneration - Dry 1071 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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DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematode1071 views
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Optic Disc Drusen1071 viewsOptic Nerve Head Drusen in teenage patient.
James L. Perron, C.R.A.
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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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PDR with heavy PRP laser and worsening macular edema 1070 views51-year-old woman has had extensive laser in both eyes done years ago elsewhere. Her left eye has gradually been declining with macular edema.
VISUAL ACUITY: OD 20/40, OS 20/40
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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome1070 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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Capillary Non-Perfusion - Severe Non-Proliferative (Background) Diabetic Retinopathy - Type I - 20 Year Old Man Diabetic 16 years1070 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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Choroidal Nevus1070 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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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo1069 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 1069 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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Old BRAO twig with plaque1068 views81-year-old woman Her left eye is amblyopic. Her right eye was doing fine until about last Sunday, which is five days ago. She had a change in vision where for five minutes she saw a shadow in her side vision out of the right eye. She describes it as being more up into the left. It lasted for just a brief time and then went away. She has had atrial fibrillation since January of 2008. She is on Coumadin for that. She is diabetic for eleven years. OD is 20/25, OS is 20/60. IOP: OD 15, OS 18.
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Acute Zonal Occult Outer Retinopathy1068 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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Amelanotic Choroidal Nevus 1068 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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Serpiginouse Choroiditis (Chorioretinitis) - Acute Right Eye - Old Left Eye VA 20/25 OD , 20/50 OS1068 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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Best Disease - Left Eye Treated Previously, Elsewhere, with PDT and Avastin1067 views11-year-old has Best’s disease that runs in his family on his mothers side. At another retina specialists office, he had photodynamic laser in April of 2009 and Avastin subsequently in June of 2009. Unfortunately with that his vision is substantially declining. OD 20/30, OS 20/100
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Optic Nerve Head Drusen B-Scan 1067 views57-year-old woman has optic nerve drusen in both eyes.
VISUAL ACUITY: OU 20/20.
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DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematode1067 views
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Acute Non-arteritic Anterior Ischemic Optic Neuropathy Right Eye - Previous NA-AION left eye 1067 views69-year-old man previously lost vision in the left eye from nonarteritic anterior ischemic optic neuropathy in 2006. About a week ago and noticed blurred vision in the inferonasal part of the vision in the right eye.
VISUAL ACUITY: Vision OD is 20/16, OS is 20/40
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late phase FA1067 views50+ YO female presented with DM type 1;
PT presented with PDR s/p extensive PRP
FA showed CNV OD
VA stable at 20/150 for 1 year
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Birdshot Chorioretinitis Mild - Asymptomatic1066 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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Drusen Maculopathy - Confluent Subfoveal Soft Hydrophobic Drusen - Early Fluorescein Angiogram Drusen do not yet stain1066 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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Cornea Ulcer with Iris Prolaps1066 views
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Acute Zonal Occult Outer Retinopathy1065 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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Drusen Maculopathy - Confluent Subfoveal Soft Hydrophobic Drusen - Yellow Drusen in the Center of the Macula1064 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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Multifocal Choroiditis Old Scars - Also Peripapillary Scar 82 Year Old Woman1064 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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Best Disease, Vitelliform Macular Dystrophy - 6 year old child1063 viewsVISUAL ACUITY: Vision OD is 20/30, OS is 20/100.
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Macular Hemorrhage1063 viewsPatient comes in with central vision loss in the right eye. Fundus photography shows a macular hemorrhage in the central portion of the fovea. Cotton wool spots are present around the optic nerve and a little hemorrhage present inferiorily at 6-o'clock.
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Central Serous Retinopathy - Acute1062 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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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Wet AMD OS - Dry AMD OD FAF1062 views84-year-old woman has wet age-related macular degeneration in the left eye and dry macular degeneration in the right eye. She takes the eye vitamins and her vision is stable since she was treated three months ago with Avastin. OD 20/50, OS 20/32
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Punctate Inner Choroidopathy - PIC and Choroidal Neovascular Membrane - Right Eye - Color Fundus Photograph1062 views34-year-old woman with a change in vision in the right eye about eight days ago. Her vision was hazy and she saw waviness in the vision. She does have a history of aches and pains and she was diagnosed with Sjogren’s and 2 months ago she had some fevers and some sinus drainage and that went on for about two months. She is a moderate myope. OD 20/25, OS 20/20.
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Congenital Hypertrophy of the Retinal Pigment Epithelium CHRPE has Satellite Lesions1062 views
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Peripheral Iridotomy1062 viewsSlit lamp photo of peripheral iridotomy for narrow angles. A hole was place at 10-o'clock superior temporally.
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female1062 viewsSD OCT shows disruption of the outer retina nasal to the fovea
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Proliferative Diabetic Retinopathy - Vitreous Hemorrhage and Tractional Retinal Detachment Left Eye1061 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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1061 views
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Asteroid Hyalosis Before Vitrectomy 1061 views80 year old woman with decreased vision and blurring in the left eye for the past year. She reports that she has blurring that comes and goes and floaters that bother her when she reads.
The patient reports that the floaters that bother her have been occurring on a daily basis lately. She reports that she is having a “hard time readingâ€. Visual acuity with correction 20/30-3 OD and 20/30-2
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Cartwheel CNVM - Classic - wet AMD - evidence of possible old CSR - Subretinal hemorrhage next to subfoveal lesion1061 views75 y.o Decreased Vision right eye for one year. VA OD: sc20/125+2 OS 20/25. Autofluorescence and SD OCT show evidence of old serous retinal detachment superior to the fovea suggesting a history of CSR. The macular lesion on FA shows a classic cartwheel appearance
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Treated Choroidal Melanoma1061 viewsFollow up patient for melanoma in the right eye that was treated with proton beam therapy. VA is 20/50 in the right eye. Fundus photo shows scattered hemorrhages inferiorly with tumor temporal inferior at 8-o'clock. Patient will be followed up in 6-months
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Hemi Central Retinal Vein Occlusion 35 year old non-compliant man1060 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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Glaucoma (also Diabetes and Previous Retinal Detachment both Eyes)1060 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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Choroidal Nevus with Overlying Drusen1060 views48-year-old woman Vision OD is 20/16, OS is 20/20.
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DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematode1059 views
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Weiss Ring1059 views
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Gonioscopy; Scattered Peripheral Anterior Synechiae1059 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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Giant Papillary Conjunctivitis1059 viewsPatient wears soft contact lenses complained of irritation when the SCL would move. Inverted eyelid in both eyes and there was papillary +2 underneath the eyelid.
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Retinal Coloboma1059 viewsYoung 19-year old female with Charge Syndrome comes in for eye exam. VA is 20/400, right eye, 20/30, left eye. Fundus photography shows coloboma covering the macula and pushing the optic nerve in the right eye.
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Bullous Retinal Detachment1059 viewsPatient comes in with a curtain down in his vision in the right eye. Patient was hand motion. Fundus photograph shows retinal detachment with macula detached temporal superiorly in the right eye. There were 3-retinal tears between 10-12-o'clock. Schedule scleral buckle to fix RD.
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Equatorial Drusen Fundus Photo Right Eye1058 views
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Ectopia Lentis and Cataract - Marfan's Syndrome1057 views40-year-old woman has had dislocated lenses since she was a child. The right eye is seeing well with an aphakic correction. The left eye unfortunately has declining vision for 4 months. OD 20/32, OS 20/125. Pinhole 20/50
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Epiretinal Membrane1057 viewsPatient with a history of pars planitis comes in with decreased vision in the left eye. VA is 20/30 in the left eye. Fundus photos show a rather large epiretinal membrane covering the optic nerve in the left eye.
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Pigmented Lattice Degeneration1057 viewsPigmented Lattice - Incidental Finding
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Sclerochoroidal Calcification - 72 Year Old Woman 1056 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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Congenital Hypertrophy of the Retinal Pigment Epithelium CHRPE has Satellite Lesions1056 views
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Radioactive Plaque Placement for Choroidal Melanoma Plaque Placed but not Sutured to Eye Ye1055 views
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Punctate Inner Choroidopathy - PIC and Choroidal Neovascular Membrane - Right Eye - ICG Angiogram1055 views34-year-old woman with a change in vision in the right eye about eight days ago. Her vision was hazy and she saw waviness in the vision. She does have a history of aches and pains and she was diagnosed with Sjogren’s and 2 months ago she had some fevers and some sinus drainage and that went on for about two months. She is a moderate myope. OD 20/25, OS 20/20.
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14.5 seconds1055 viewsCorresponding FA for Cilioretinal artery occlusion with early venous stasis retinopathy
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Grade B Proliferative Vitreo-retinopathy - Pigment in Anterior Vitreous - Chronic Retinal Detachment1055 views72 year old woman - just noticed vision loss.
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Fundus Flavimaculatus - Asymptomatic - Spectral Domain OCT Line Scan1055 views45 year old man was told to come in because of ‘white spots on their retina’.
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy1054 views10-year-old child was seen in the office on August 6, 2008. She was treated with a combination of chemotherapy at 10 months old as well as thermal therapy and cryotherapy for bilateral retinoblastoma tumors. She reportedly had nine tumors in the left eye and five tumors in the right eye
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Giant Cell Arteritis - 85 year old woman sudden vision loss left eye - AION- Pale Swollen Optic Nerve1054 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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Central Retinal Vein Occlusion - Severe Optic Nerve Edema1054 views15 yr old male presents with sudden onset of painless decreased vision in right eye x 6 days gradually worsening. No history of Trauma OD 20/30 OS 20/25, Diagnosis CRVO with ? Papillophlebitis.
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Macular possible Cone Dystrophy - Fundus Autofluorescence1054 views
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Ghost Cell Glaucoma1054 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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Albinism and Foveal Hypoplasia1053 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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Peripheral Exudative Hemorrhagic Chorioretinopathy1053 views70 year old man with recurrent peripheral choroidal hemorrhages - no treatment - b-scan shows hemorrhage shrinking over a month
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Fundus Albipunctatus1053 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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Myopic Choroidal Neovascular Membrane 54 year old woman 20/201052 views54-year-old woman has had problems in her vision in the right eye for about the last three months. Inferotemporally she sees a gray area, which is distorted. OD is 20/20, OS is 20/20
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Optic Nerve Head Drusen B-Scan 1052 views57-year-old woman has optic nerve drusen in both eyes.
VISUAL ACUITY: OU 20/20.
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Ruptured Retinal Arterial Macroaneurysm - Submacular Hemorrhage - Vision 20/400 never recovered - Hypertension 205/941052 views
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Retinal Tear with Vitreous Hemorrhage before and after Laser Photocoagulation1052 views61-year-old man has noticed increased floaters in the right eye for about the last week. Vision OD is 20/160 There is 3+ vitreous hemorrhage with a retinal tear, about 2-disc diameters posterior to the equator at 10:00 o’clock over a retinal vessel.
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Gyrate Atrophy - 15 year old male - 20/25 vision both eyes - Positive Family History1051 views15 year old male was diagnosed with “retinitis pigmentosa†at age seven. The patient reports that his night vision is poor. He reports he does not notice a visual field change. He reports that his maternal grandfather has lost vision and a cousin has lost vision as well. He reports he has an uncle with some visual changes.
The most significantly affected relative is a 26-year-old legally blind cousin.
20/25+ OD, 20/25 OS.
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Pattern Dystrophy - Adult Vitelliform Macular Degeneration1050 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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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago1049 views66-year-old woman lost vision in the left eye from a central retinal artery occlusion 1 year ago. Vision OD is fine. OD 20/25, OS 20/50
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58 year old man with a Subhyaloid Hemorrhage1049 views
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Equatorial Drusen Fundus Photo Left Eye1047 views60-year-old woman OD 20/30, OS 20/20
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Proliferative Diabetic Retinopathy with Tractional Retinal Detachment1047 viewsProliferative Diabetic Retinopathy with Tractional Retinal Detachment
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Molteno Drainage Tube1047 views
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Shotgun wound to face with Perforating Pellet - Final Vision 20/400 1046 views18-year-old had a gunshot wound to the left eye. He had surgery on December 31st (1 week post injury) and February 4th and his vision has remarkably done well.
VISUAL ACUITY: Vision OS is 3/200.
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Angioid Streaks - Peau D'Orange - Pseudoxanthoma Elasticum - Asymptomatic Extrafoveal Choroidal Neovascular Membrane1046 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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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visit and 4 Month Follow-Up - Color Photo1045 viewsPigmented lesion is visible in the superior half of the macular on the follow-up visit.
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1045 views23 yr old w/ chronic RD and sub retinal fibrosis. Also has a h/o scleral buckle removal
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AMD - Wet - Fibrovascular Hemorrhagic PED - Occult CNVM1044 views87-year-old woman for one month OS: 20/60 Fibrovascular PED and Hemorrhage
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Proliferative Diabetic Retinopathy both Eyes Neovascularization of the Disc1044 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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HD OCT of Macular Hole with Operculum1044 views
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Stargardt's Dystrophy - Silent Choroid - Fluorscein Angiogram1044 views
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Old Retinal Detachment Repair with Silicone Oil1044 viewsPatient comes in for eval on glaucoma. Patients VA in the right eye was CF in the right eye and 20/50. left eye. Fundus photography shows old retinal detachment with scattered laser scars in the periphery. Silicone oil visible in the macula as well.
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Subfoveal CNVM wet AMD oct line scan1043 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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Old Subhyaloid - Preretinal Hemorrhage (Yellow) Traumatic Optic Neuropathy1043 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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Optic Nerve Drusen - Nerve Fiber Layer Scan1043 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 Macular Degeneration - Dry OCT OS1042 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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Retinal Flap Tear - Horseshoe - Cystic Retinal Tuft on Flap1042 views73-year-old woman who noticed two days ago she was bending over and had a sudden “ribbon†in her
vision which looked to her like blood. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20.
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AIDS - HIV Retinopathy - Cotton Wool Spots1041 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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Punctate Inner Choroidopathy - PIC and Choroidal Neovascular Membrane - Right Eye - ICG Angiogram1041 views34-year-old woman with a change in vision in the right eye about eight days ago. Her vision was hazy and she saw waviness in the vision. She does have a history of aches and pains and she was diagnosed with Sjogren’s and 2 months ago she had some fevers and some sinus drainage and that went on for about two months. She is a moderate myope. OD 20/25, OS 20/20.
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Gonioscopy; Scattered Peripheral Anterior Synechiae1041 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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