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1080 views
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Recurrent Macula Off Retinal Detachment - Corrugated Shallow Appearance1080 views
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Fundus Albipunctatus1080 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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PDR with heavy PRP laser and worsening macular edema 1079 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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Anomalous Branch Retinal Artery 1079 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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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo1079 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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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female Old Macular Scar OD1078 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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Plaquenil Toxicity - Bulls Eye Maculopathy1077 views70-year-old woman with systemic Lupus erythematosus and clotting problems. She was on the Plaquenil for about eight years and then off the Plaquenil for the last eight years because she developed macular toxicity. Although her vision was hazy, it was stable. Recent deceased vision left eye: OD 20/60, OS 20/100. IOP: OD 18, OS 19.
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Choroidal Metastasis Tumor 1077 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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Myopic Macular Degeneration - Dry 1076 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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Macular Scars - Laser (1980s) Ocular Histoplasmosis1076 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 Zonal Occult Outer Retinopathy1075 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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Multifocal Choroiditis Old Scars - Also Peripapillary Scar 82 Year Old Woman1075 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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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fundus Photo - Color1075 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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Choroidal Nevus1075 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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DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematode1074 views
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Optic Disc Drusen1074 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 1074 views6 week fu - CWS are Fading
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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome1073 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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Acute Zonal Occult Outer Retinopathy1073 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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Best Disease - Left Eye Treated Previously, Elsewhere, with PDT and Avastin1073 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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Capillary Non-Perfusion - Severe Non-Proliferative (Background) Diabetic Retinopathy - Type I - 20 Year Old Man Diabetic 16 years1073 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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Drusen Maculopathy - Confluent Subfoveal Soft Hydrophobic Drusen - Early Fluorescein Angiogram Drusen do not yet stain1072 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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Optic Nerve Head Drusen B-Scan 1072 views57-year-old woman has optic nerve drusen in both eyes.
VISUAL ACUITY: OU 20/20.
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Amelanotic Choroidal Nevus 1072 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 OS1072 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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Asteroid Hyalosis Before Vitrectomy 1072 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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Central Serous Retinopathy Acute - Indocyanine Green Angiogram - Leakage Choriocapillaris 1072 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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Cornea Ulcer with Iris Prolaps1072 views
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Acute Non-arteritic Anterior Ischemic Optic Neuropathy Right Eye - Previous NA-AION left eye 1072 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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Old BRAO twig with plaque1071 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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late phase FA1071 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 - Asymptomatic1070 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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DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematode1069 views
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Drusen Maculopathy - Confluent Subfoveal Soft Hydrophobic Drusen - Yellow Drusen in the Center of the Macula1068 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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Proliferative Diabetic Retinopathy - Vitreous Hemorrhage and Tractional Retinal Detachment Left Eye1068 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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Peripheral Iridotomy1068 viewsSlit lamp photo of peripheral iridotomy for narrow angles. A hole was place at 10-o'clock superior temporally.
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Best Disease, Vitelliform Macular Dystrophy - 6 year old child1067 viewsVISUAL ACUITY: Vision OD is 20/30, OS is 20/100.
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Choroidal Nevus with Overlying Drusen1067 views48-year-old woman Vision OD is 20/16, OS is 20/20.
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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Wet AMD OS - Dry AMD OD FAF1067 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 Photograph1067 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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Macular Hemorrhage1066 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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Treated Choroidal Melanoma1066 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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Bullous Retinal Detachment1066 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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Central Serous Retinopathy - Acute1065 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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1065 views
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Congenital Hypertrophy of the Retinal Pigment Epithelium CHRPE has Satellite Lesions1065 views
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Cartwheel CNVM - Classic - wet AMD - evidence of possible old CSR - Subretinal hemorrhage next to subfoveal lesion1065 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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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female1065 viewsSD OCT shows disruption of the outer retina nasal to the fovea
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Hemi Central Retinal Vein Occlusion 35 year old non-compliant man1064 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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Gonioscopy; Scattered Peripheral Anterior Synechiae1064 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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Retinal Coloboma1064 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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DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematode1063 views
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Weiss Ring1063 views
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Congenital Hypertrophy of the Retinal Pigment Epithelium CHRPE has Satellite Lesions1063 views
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Giant Papillary Conjunctivitis1063 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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Epiretinal Membrane1063 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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Equatorial Drusen Fundus Photo Right Eye1062 views
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Glaucoma (also Diabetes and Previous Retinal Detachment both Eyes)1062 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 possible Cone Dystrophy - Fundus Autofluorescence1062 views
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Retinoblastoma - Bilateral - Regressed - Chemotherapy, Thermal Therapy, Cryotherapy1061 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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Sclerochoroidal Calcification - 72 Year Old Woman 1060 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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Ruptured Retinal Arterial Macroaneurysm - Submacular Hemorrhage - Vision 20/400 never recovered - Hypertension 205/941060 views
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Ectopia Lentis and Cataract - Marfan's Syndrome1060 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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Punctate Inner Choroidopathy - PIC and Choroidal Neovascular Membrane - Right Eye - ICG Angiogram1060 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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Pigmented Lattice Degeneration1060 viewsPigmented Lattice - Incidental Finding
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Radioactive Plaque Placement for Choroidal Melanoma Plaque Placed but not Sutured to Eye Ye1059 views
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58 year old man with a Subhyaloid Hemorrhage1059 views
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14.5 seconds1059 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 Detachment1058 views72 year old woman - just noticed vision loss.
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Molteno Drainage Tube1058 views
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Ghost Cell Glaucoma1058 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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Myopic Choroidal Neovascular Membrane 54 year old woman 20/201057 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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Giant Cell Arteritis - 85 year old woman sudden vision loss left eye - AION- Pale Swollen Optic Nerve1057 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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Fundus Flavimaculatus - Asymptomatic - Spectral Domain OCT Line Scan1057 views45 year old man was told to come in because of ‘white spots on their retina’.
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Albinism and Foveal Hypoplasia1056 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 Chorioretinopathy1056 views70 year old man with recurrent peripheral choroidal hemorrhages - no treatment - b-scan shows hemorrhage shrinking over a month
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Central Retinal Vein Occlusion - Severe Optic Nerve Edema1056 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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Optic Nerve Head Drusen B-Scan 1055 views57-year-old woman has optic nerve drusen in both eyes.
VISUAL ACUITY: OU 20/20.
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Gyrate Atrophy - 15 year old male - 20/25 vision both eyes - Positive Family History1055 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 Degeneration1055 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 ago1055 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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Fundus Albipunctatus1055 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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Subfoveal CNVM wet AMD oct line scan1054 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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Retinal Tear with Vitreous Hemorrhage before and after Laser Photocoagulation1054 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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HD OCT of Macular Hole with Operculum1053 views
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Equatorial Drusen Fundus Photo Left Eye1052 views60-year-old woman OD 20/30, OS 20/20
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Proliferative Diabetic Retinopathy with Tractional Retinal Detachment1052 viewsProliferative Diabetic Retinopathy with Tractional Retinal Detachment
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Optic Nerve Drusen - Nerve Fiber Layer Scan1051 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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1051 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 CNVM1050 views87-year-old woman for one month OS: 20/60 Fibrovascular PED and Hemorrhage
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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification1050 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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Shotgun wound to face with Perforating Pellet - Final Vision 20/400 1050 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 Membrane1050 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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Old Retinal Detachment Repair with Silicone Oil1050 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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Old Subhyaloid - Preretinal Hemorrhage (Yellow) Traumatic Optic Neuropathy1049 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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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visit and 4 Month Follow-Up - Color Photo1048 viewsPigmented lesion is visible in the superior half of the macular on the follow-up visit.
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Stargardt's Dystrophy - Silent Choroid - Fluorscein Angiogram1048 views
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Proliferative Diabetic Retinopathy both Eyes Neovascularization of the Disc1047 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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Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin OCT OD EDI1047 views66-year-old man with bilateral subfoveal fluid unresponsive to one year of monthly avastin therapy.
OD 20/160, Pinhole 20/80. OS 20/63, Pinhole 20/50. OCT scan shows subretinal fluid with normal choroidal thickness. Fluorescein angiogram shows cuticular/basal laminar drusen. ICG shows no foci of choriocapillaris leakage.
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