Most viewed - Optic Nerve Disease
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Tilted Disc Syndrome420 views56 year old female. Recent motor vehicle accident. Vision is 20/50 OD, 20/25 OS.
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Temporal Pallor - Optic Atrophy - Multiple Sclerosis420 views42 year old man - Starting about 2 weeks ago he noticed when coming in from walking a dog from bright to dark and when looking at a piece of mail there was a yellow outline on the text that would only last for a few minutes. The patient has been legally blind for about 6-7 years. He is legally blind from MS.
VA OD: DccCF 4ft NccJ16
VA OS: Dcc20/200 PHNI NccJ16
IOP: TP: OD:17 OS:14
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Papilledema - Benign Intracranial hypertension - Idiopathic intracranial hypertension419 views35 year old obese female. Normal vision and headache. Opening pressure was 30 cm water (normal 10-20). Nerve swelling responded to diamox.
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Diabetic Papillitis418 viewsPatient is about to undergo surgery for CNS Aneurysm. Patient woke up with little spots which never cleared up. Patients VA was 20/30-OD and 20/40-OS. Both eyes appeared to have disc edema with hemorrhages in the right eye. Ordered a CT of the brain to make sure the aneurysm didn't ruptured.
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Syphilitic Optic Neuritis - possible Gumma418 views82 year old woman with vision loss in the left eye 20/32 and positive FTA-ABS (negative RPR). - this may be a gumma
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Giant Cell Arteritis - Anterior Ischemic Optic Neuropathy - Left Eye418 views78 year old female with vision loss on steroid taper for GCA. Superior pole of optic nerve left eye is swollen
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417 views
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Syphilitic Optic Neuritis - possible Gumma416 views82 year old woman with vision loss in the left eye 20/32 and positive FTA-ABS (negative RPR). - this may be a gumma
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Papilledema - Benign Intracranial hypertension - Idiopathic intracranial hypertension416 views35 year old obese female. Normal vision and headache. Opening pressure was 30 cm water (normal 10-20). Nerve swelling responded to diamox.
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Congenital Hydrocephalus - 21 year old - Papilledema416 views21 year old man The patient had a v-p shunt removed in January 2017. He has not had escalating headaches. The shunt was put in in 2015. He was born with hydrocephalus. The shunt was possibly overdraining for 5 years so there were problems with slipped ventricles and low CSR pressure. The pressure was checked today and it was perfect. There is still a bulb so the CSF pressure can be checked. There was eye examination in November showing possible papilledema.
VA OD: sc20/40+2 NscJ5
VA OS: sc20/32+2 NscJ1
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Tilted Disc Syndrome415 views56 year old female. Recent motor vehicle accident. Vision is 20/50 OD, 20/25 OS.
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Giant Cell Arteritis - Anterior Ischemic Optic Neuropathy - Left Eye412 views78 year old female with vision loss on steroid taper for GCA. Superior pole of optic nerve left eye is swollen
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Giant Cell Arteritis - Anterior Ischemic Optic Neuropathy - Left Eye411 views78 year old female with vision loss on steroid taper for GCA. Superior pole of optic nerve left eye is swollen
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Giant Cell Arteritis - Anterior Ischemic Optic Neuropathy - Left Eye411 views78 year old female with vision loss on steroid taper for GCA. Superior pole of optic nerve left eye is swollen
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Giant Cell Arteritis - Anterior Ischemic Optic Neuropathy - Left Eye410 views78 year old female with vision loss on steroid taper for GCA. Superior pole of optic nerve left eye is swollen
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Giant Cell Arteritis - Anterior Ischemic Optic Neuropathy - Left Eye410 views78 year old female with vision loss on steroid taper for GCA. Superior pole of optic nerve left eye is swollen
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408 views
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408 views
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Tilted Disc Syndrome408 views56 year old female. Recent motor vehicle accident. Vision is 20/50 OD, 20/25 OS.
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406 views
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Papilledema - Benign Intracranial hypertension - Idiopathic intracranial hypertension406 views35 year old obese female. Normal vision and headache. Opening pressure was 30 cm water (normal 10-20). Nerve swelling responded to diamox.
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Autosomal Dominant Optic Atrophy - Son406 views12 year old man. His vision was not correctable to 20/20. There was concern about possible macula problem. His was diagnosed with Streff syndrome in NY.
VA OD: Dcc20/63 PH20/50-2 NccJ2
VA OS: Dcc20/63 PH20/50-2 NccJ3
IOP: TP: OD:10 OS:15 Time:02:24 PM
The diagnostic criteria for Streff syndrome are not well established, and the validity of this condition has not been recognized by The American Academy of Ophthalmology, The American Academy of Pediatric Ophthalmology, The American Academy of Optometry or The American academy of Pediatrics.
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405 views
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Arteritic Anterior Ischmic Optic Neuropathy Left Eye405 views78 year old female with 5 day history of decreased vision in the left eye (sudden onset) She has been treated for GCA but her steroids were tapered down to 20 mg daily and she is not feeling well since the taper:
VA 20/20 OD, 20/25 OS ( APD OS)
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Diabetic Papillitis404 viewsPatient is about to undergo surgery for CNS Aneurysm. Patient woke up with little spots which never cleared up. Patients VA was 20/30-OD and 20/40-OS. Both eyes appeared to have disc edema with hemorrhages in the right eye. Ordered a CT of the brain to make sure the aneurysm didn't ruptured.
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Giant Cell Arteritis - Anterior Ischemic Optic Neuropathy - Left Eye403 views78 year old female with vision loss on steroid taper for GCA. Superior pole of optic nerve left eye is swollen
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Tilted Disc Syndrome403 views56 year old female. Recent motor vehicle accident. Vision is 20/50 OD, 20/25 OS.
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Temporal Pallor - Optic Atrophy - Multiple Sclerosis402 views42 year old man - Starting about 2 weeks ago he noticed when coming in from walking a dog from bright to dark and when looking at a piece of mail there was a yellow outline on the text that would only last for a few minutes. The patient has been legally blind for about 6-7 years. He is legally blind from MS.
VA OD: DccCF 4ft NccJ16
VA OS: Dcc20/200 PHNI NccJ16
IOP: TP: OD:17 OS:14
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Congenital Hydrocephalus - 21 year old - Papilledema400 views21 year old man The patient had a v-p shunt removed in January 2017. He has not had escalating headaches. The shunt was put in in 2015. He was born with hydrocephalus. The shunt was possibly overdraining for 5 years so there were problems with slipped ventricles and low CSR pressure. The pressure was checked today and it was perfect. There is still a bulb so the CSF pressure can be checked. There was eye examination in November showing possible papilledema.
VA OD: sc20/40+2 NscJ5
VA OS: sc20/32+2 NscJ1
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Papilledema Lateral Sinus Thrombosis398 views35 year old female Noticed blurred vision when waking up in the morning. Also, vision blacks out for a few seconds when she gets up quickly. About 3 months ago she had a history of intermittent vomiting.
VA 20/20 OD, 20/25 OS
MRI normal, MRA showed lateral sinus thrombosis. Lupus anticoagulant was positive
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397 views
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Tilted Disc Syndrome397 views56 year old female. Recent motor vehicle accident. Vision is 20/50 OD, 20/25 OS.
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Congenital Hydrocephalus - 21 year old - Papilledema396 views21 year old man The patient had a v-p shunt removed in January 2017. He has not had escalating headaches. The shunt was put in in 2015. He was born with hydrocephalus. The shunt was possibly overdraining for 5 years so there were problems with slipped ventricles and low CSR pressure. The pressure was checked today and it was perfect. There is still a bulb so the CSF pressure can be checked. There was eye examination in November showing possible papilledema.
VA OD: sc20/40+2 NscJ5
VA OS: sc20/32+2 NscJ1
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Diabetic Papillitis395 viewsPatient is about to undergo surgery for CNS Aneurysm. Patient woke up with little spots which never cleared up. Patients VA was 20/30-OD and 20/40-OS. Both eyes appeared to have disc edema with hemorrhages in the right eye. Ordered a CT of the brain to make sure the aneurysm didn't ruptured.
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Temporal Pallor - Optic Atrophy - Multiple Sclerosis395 views42 year old man - Starting about 2 weeks ago he noticed when coming in from walking a dog from bright to dark and when looking at a piece of mail there was a yellow outline on the text that would only last for a few minutes. The patient has been legally blind for about 6-7 years. He is legally blind from MS.
VA OD: DccCF 4ft NccJ16
VA OS: Dcc20/200 PHNI NccJ16
IOP: TP: OD:17 OS:14
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Temporal Pallor - Optic Atrophy - Multiple Sclerosis394 views42 year old man - Starting about 2 weeks ago he noticed when coming in from walking a dog from bright to dark and when looking at a piece of mail there was a yellow outline on the text that would only last for a few minutes. The patient has been legally blind for about 6-7 years. He is legally blind from MS.
VA OD: DccCF 4ft NccJ16
VA OS: Dcc20/200 PHNI NccJ16
IOP: TP: OD:17 OS:14
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Papilledema Lateral Sinus Thrombosis394 views35 year old female Noticed blurred vision when waking up in the morning. Also, vision blacks out for a few seconds when she gets up quickly. About 3 months ago she had a history of intermittent vomiting.
VA 20/20 OD, 20/25 OS
MRI normal, MRA showed lateral sinus thrombosis. Lupus anticoagulant was positive
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Papilledema - Benign Intracranial hypertension - Idiopathic intracranial hypertension393 views35 year old obese female. Normal vision and headache. Opening pressure was 30 cm water (normal 10-20). Nerve swelling responded to diamox.
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Congenital Hydrocephalus - 21 year old - Papilledema391 views21 year old man The patient had a v-p shunt removed in January 2017. He has not had escalating headaches. The shunt was put in in 2015. He was born with hydrocephalus. The shunt was possibly overdraining for 5 years so there were problems with slipped ventricles and low CSR pressure. The pressure was checked today and it was perfect. There is still a bulb so the CSF pressure can be checked. There was eye examination in November showing possible papilledema.
VA OD: sc20/40+2 NscJ5
VA OS: sc20/32+2 NscJ1
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Temporal Pallor - Optic Atrophy - Multiple Sclerosis390 views42 year old man - Starting about 2 weeks ago he noticed when coming in from walking a dog from bright to dark and when looking at a piece of mail there was a yellow outline on the text that would only last for a few minutes. The patient has been legally blind for about 6-7 years. He is legally blind from MS.
VA OD: DccCF 4ft NccJ16
VA OS: Dcc20/200 PHNI NccJ16
IOP: TP: OD:17 OS:14
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Temporal Pallor - Optic Atrophy - Multiple Sclerosis388 views42 year old man - Starting about 2 weeks ago he noticed when coming in from walking a dog from bright to dark and when looking at a piece of mail there was a yellow outline on the text that would only last for a few minutes. The patient has been legally blind for about 6-7 years. He is legally blind from MS.
VA OD: DccCF 4ft NccJ16
VA OS: Dcc20/200 PHNI NccJ16
IOP: TP: OD:17 OS:14
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Giant Cell Arteritis - Anterior Ischemic Optic Neuropathy - Left Eye387 views78 year old female with vision loss on steroid taper for GCA. Superior pole of optic nerve left eye is swollen
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Congenital Hydrocephalus - 21 year old - Papilledema386 views21 year old man The patient had a v-p shunt removed in January 2017. He has not had escalating headaches. The shunt was put in in 2015. He was born with hydrocephalus. The shunt was possibly overdraining for 5 years so there were problems with slipped ventricles and low CSR pressure. The pressure was checked today and it was perfect. There is still a bulb so the CSF pressure can be checked. There was eye examination in November showing possible papilledema.
VA OD: sc20/40+2 NscJ5
VA OS: sc20/32+2 NscJ1
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Papilledema following carotid endarterectomy - Cerebral Reperfusion Injury383 views77 year old man His vision has been a little fuzzy for the last few weeks. He was examined by another eye doctor who was concerned about the optic nerves. The patient has also had double vision for 6 weeks which is improving
PMHx – HTN,
Surgery – Carotic Endarterectomy 6 weeks ago (both sides)
VA 20/25 OD, 20/20 OS
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Tilted Disc Syndrome378 views56 year old female. Recent motor vehicle accident. Vision is 20/50 OD, 20/25 OS.
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Temporal Pallor - Optic Atrophy - Multiple Sclerosis377 views42 year old man - Starting about 2 weeks ago he noticed when coming in from walking a dog from bright to dark and when looking at a piece of mail there was a yellow outline on the text that would only last for a few minutes. The patient has been legally blind for about 6-7 years. He is legally blind from MS.
VA OD: DccCF 4ft NccJ16
VA OS: Dcc20/200 PHNI NccJ16
IOP: TP: OD:17 OS:14
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Congenital Hydrocephalus - 21 year old - Papilledema376 views21 year old man The patient had a v-p shunt removed in January 2017. He has not had escalating headaches. The shunt was put in in 2015. He was born with hydrocephalus. The shunt was possibly overdraining for 5 years so there were problems with slipped ventricles and low CSR pressure. The pressure was checked today and it was perfect. There is still a bulb so the CSF pressure can be checked. There was eye examination in November showing possible papilledema.
VA OD: sc20/40+2 NscJ5
VA OS: sc20/32+2 NscJ1
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Papilledema following carotid endarterectomy - Cerebral Reperfusion Injury375 views77 year old man His vision has been a little fuzzy for the last few weeks. He was examined by another eye doctor who was concerned about the optic nerves. The patient has also had double vision for 6 weeks which is improving
PMHx – HTN,
Surgery – Carotic Endarterectomy 6 weeks ago (both sides)
VA 20/25 OD, 20/20 OS
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Idiopathic Intracranial Hypertension - Papilledema373 views37 year old obese female Was on for an eye examination and a problem was noted. Her vision is normal. She has mild headaches which are from TMJ.
PMhx: Polycystic Ovary Syndrome (not diabetic)
Meds: Metformin, Vitamin D, Spironolactone
VA 20/12 OD, 20/16 OS
Opening ICP on spinal tap was 30 CM water.
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Tilted Disc Syndrome370 views56 year old female. Recent motor vehicle accident. Vision is 20/50 OD, 20/25 OS.
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Papilledema following carotid endarterectomy - Cerebral Reperfusion Injury366 views77 year old man His vision has been a little fuzzy for the last few weeks. He was examined by another eye doctor who was concerned about the optic nerves. The patient has also had double vision for 6 weeks which is improving
PMHx – HTN,
Surgery – Carotic Endarterectomy 6 weeks ago (both sides)
VA 20/25 OD, 20/20 OS
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Alcohol Amblyopia - Toxic Optic Neuropathy359 views59 year old man HPI: CC: Blurred Vision OU. Duration of Problem: about 7 months. Location: central vision. Context Onset/Aggravation: Started after using Accutane for 1 month. Associated Symptoms: no flashes or floaters.
HX TECH: EA
VA OD: sc20/100 PH20/80+1 Nsc20/400 PAM20/50+2
VA OS: sc20/100 PH20/80-2 NscJ16 PAM20/50+1
IOP 24 OD, 26 OS
B-12 and Folate were normal - Presumed ETOH amblyopia - improved to 20/63,20/80 after one year of B-12 supplements
IOP: TP: OD:24 OS:26 Time:02:08 PM
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Alcohol Amblyopia - Toxic Optic Neuropathy358 views59 year old man HPI: CC: Blurred Vision OU. Duration of Problem: about 7 months. Location: central vision. Context Onset/Aggravation: Started after using Accutane for 1 month. Associated Symptoms: no flashes or floaters.
HX TECH: EA
VA OD: sc20/100 PH20/80+1 Nsc20/400 PAM20/50+2
VA OS: sc20/100 PH20/80-2 NscJ16 PAM20/50+1
IOP 24 OD, 26 OS
B-12 and Folate were normal - Presumed ETOH amblyopia - improved to 20/63,20/80 after one year of B-12 supplements
IOP: TP: OD:24 OS:26 Time:02:08 PM
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Papilledema following carotid endarterectomy - Cerebral Reperfusion Injury357 views77 year old man His vision has been a little fuzzy for the last few weeks. He was examined by another eye doctor who was concerned about the optic nerves. The patient has also had double vision for 6 weeks which is improving
PMHx – HTN,
Surgery – Carotic Endarterectomy 6 weeks ago (both sides)
VA 20/25 OD, 20/20 OS
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Papilledema following carotid endarterectomy - Cerebral Reperfusion Injury357 views77 year old man His vision has been a little fuzzy for the last few weeks. He was examined by another eye doctor who was concerned about the optic nerves. The patient has also had double vision for 6 weeks which is improving
PMHx – HTN,
Surgery – Carotic Endarterectomy 6 weeks ago (both sides)
VA 20/25 OD, 20/20 OS
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Idiopathic Intracranial Hypertension - Papilledema357 views37 year old obese female Was on for an eye examination and a problem was noted. Her vision is normal. She has mild headaches which are from TMJ.
PMhx: Polycystic Ovary Syndrome (not diabetic)
Meds: Metformin, Vitamin D, Spironolactone
VA 20/12 OD, 20/16 OS
Opening ICP on spinal tap was 30 CM water.
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Congenital Hydrocephalus - 21 year old - Papilledema356 views21 year old man The patient had a v-p shunt removed in January 2017. He has not had escalating headaches. The shunt was put in in 2015. He was born with hydrocephalus. The shunt was possibly overdraining for 5 years so there were problems with slipped ventricles and low CSR pressure. The pressure was checked today and it was perfect. There is still a bulb so the CSF pressure can be checked. There was eye examination in November showing possible papilledema.
VA OD: sc20/40+2 NscJ5
VA OS: sc20/32+2 NscJ1
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Alcohol Amblyopia - Toxic Optic Neuropathy354 views59 year old man HPI: CC: Blurred Vision OU. Duration of Problem: about 7 months. Location: central vision. Context Onset/Aggravation: Started after using Accutane for 1 month. Associated Symptoms: no flashes or floaters.
HX TECH: EA
VA OD: sc20/100 PH20/80+1 Nsc20/400 PAM20/50+2
VA OS: sc20/100 PH20/80-2 NscJ16 PAM20/50+1
IOP 24 OD, 26 OS
B-12 and Folate were normal - Presumed ETOH amblyopia - improved to 20/63,20/80 after one year of B-12 supplements
IOP: TP: OD:24 OS:26 Time:02:08 PM
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Congenital Hydrocephalus - 21 year old - Papilledema352 views21 year old man The patient had a v-p shunt removed in January 2017. He has not had escalating headaches. The shunt was put in in 2015. He was born with hydrocephalus. The shunt was possibly overdraining for 5 years so there were problems with slipped ventricles and low CSR pressure. The pressure was checked today and it was perfect. There is still a bulb so the CSF pressure can be checked. There was eye examination in November showing possible papilledema.
VA OD: sc20/40+2 NscJ5
VA OS: sc20/32+2 NscJ1
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Alcohol Amblyopia - Toxic Optic Neuropathy350 views59 year old man HPI: CC: Blurred Vision OU. Duration of Problem: about 7 months. Location: central vision. Context Onset/Aggravation: Started after using Accutane for 1 month. Associated Symptoms: no flashes or floaters.
HX TECH: EA
VA OD: sc20/100 PH20/80+1 Nsc20/400 PAM20/50+2
VA OS: sc20/100 PH20/80-2 NscJ16 PAM20/50+1
IOP 24 OD, 26 OS
B-12 and Folate were normal - Presumed ETOH amblyopia - improved to 20/63,20/80 after one year of B-12 supplements
IOP: TP: OD:24 OS:26 Time:02:08 PM
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Papilledema following carotid endarterectomy - Cerebral Reperfusion Injury347 views77 year old man His vision has been a little fuzzy for the last few weeks. He was examined by another eye doctor who was concerned about the optic nerves. The patient has also had double vision for 6 weeks which is improving
PMHx – HTN,
Surgery – Carotic Endarterectomy 6 weeks ago (both sides)
VA 20/25 OD, 20/20 OS
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Alcohol Amblyopia - Toxic Optic Neuropathy347 views59 year old man HPI: CC: Blurred Vision OU. Duration of Problem: about 7 months. Location: central vision. Context Onset/Aggravation: Started after using Accutane for 1 month. Associated Symptoms: no flashes or floaters.
HX TECH: EA
VA OD: sc20/100 PH20/80+1 Nsc20/400 PAM20/50+2
VA OS: sc20/100 PH20/80-2 NscJ16 PAM20/50+1
IOP 24 OD, 26 OS
B-12 and Folate were normal - Presumed ETOH amblyopia - improved to 20/63,20/80 after one year of B-12 supplements
IOP: TP: OD:24 OS:26 Time:02:08 PM
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Alcohol Amblyopia - Toxic Optic Neuropathy347 views59 year old man HPI: CC: Blurred Vision OU. Duration of Problem: about 7 months. Location: central vision. Context Onset/Aggravation: Started after using Accutane for 1 month. Associated Symptoms: no flashes or floaters.
HX TECH: EA
VA OD: sc20/100 PH20/80+1 Nsc20/400 PAM20/50+2
VA OS: sc20/100 PH20/80-2 NscJ16 PAM20/50+1
IOP 24 OD, 26 OS
B-12 and Folate were normal - Presumed ETOH amblyopia - improved to 20/63,20/80 after one year of B-12 supplements
IOP: TP: OD:24 OS:26 Time:02:08 PM
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Disc drusen 8 year old boy - fluorescein shows no leakage347 views8 year old boy with headache and nausea. He had a negative MRI. Images show hyper FAF from drusen and no leakage on FA. No spinal tap was done. VA was 20/40 both eyes.
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Papilledema following carotid endarterectomy - Cerebral Reperfusion Injury346 views77 year old man His vision has been a little fuzzy for the last few weeks. He was examined by another eye doctor who was concerned about the optic nerves. The patient has also had double vision for 6 weeks which is improving
PMHx – HTN,
Surgery – Carotic Endarterectomy 6 weeks ago (both sides)
VA 20/25 OD, 20/20 OS
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Idiopathic Intracranial Hypertension - Papilledema345 views37 year old obese female Was on for an eye examination and a problem was noted. Her vision is normal. She has mild headaches which are from TMJ.
PMhx: Polycystic Ovary Syndrome (not diabetic)
Meds: Metformin, Vitamin D, Spironolactone
VA 20/12 OD, 20/16 OS
Opening ICP on spinal tap was 30 CM water.
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Papilledema Lateral Sinus Thrombosis345 views35 year old female Noticed blurred vision when waking up in the morning. Also, vision blacks out for a few seconds when she gets up quickly. About 3 months ago she had a history of intermittent vomiting.
VA 20/20 OD, 20/25 OS
MRI normal, MRA showed lateral sinus thrombosis. Lupus anticoagulant was positive
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Subretinal Fluid - Inferior to the Nerve - Probable occult nerve pit344 views82 year old female. History of visual "discolorations" but cannot differentiate which eye. Denies loss in visual acuity, eye pain, or any systemic complaints. Referring doctor found fluid on the OCT scan
VA OD: Ncc20/25
VA OS: Ncc20/30
IOP: TP: OD:15 OS:13
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Papilledema following carotid endarterectomy - Cerebral Reperfusion Injury344 views77 year old man His vision has been a little fuzzy for the last few weeks. He was examined by another eye doctor who was concerned about the optic nerves. The patient has also had double vision for 6 weeks which is improving
PMHx – HTN,
Surgery – Carotic Endarterectomy 6 weeks ago (both sides)
VA 20/25 OD, 20/20 OS
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Disc drusen 8 year old boy - fluorescein shows no leakage344 views8 year old boy with headache and nausea. He had a negative MRI. Images show hyper FAF from drusen and no leakage on FA. No spinal tap was done. VA was 20/40 both eyes.
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Papilledema Lateral Sinus Thrombosis343 views35 year old female Noticed blurred vision when waking up in the morning. Also, vision blacks out for a few seconds when she gets up quickly. About 3 months ago she had a history of intermittent vomiting.
VA 20/20 OD, 20/25 OS
MRI normal, MRA showed lateral sinus thrombosis. Lupus anticoagulant was positive
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Alcohol Amblyopia - Toxic Optic Neuropathy341 views59 year old man HPI: CC: Blurred Vision OU. Duration of Problem: about 7 months. Location: central vision. Context Onset/Aggravation: Started after using Accutane for 1 month. Associated Symptoms: no flashes or floaters.
HX TECH: EA
VA OD: sc20/100 PH20/80+1 Nsc20/400 PAM20/50+2
VA OS: sc20/100 PH20/80-2 NscJ16 PAM20/50+1
IOP 24 OD, 26 OS
B-12 and Folate were normal - Presumed ETOH amblyopia - improved to 20/63,20/80 after one year of B-12 supplements
IOP: TP: OD:24 OS:26 Time:02:08 PM
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Methanol Toxic Optic Neuropathy340 views51 year old female lost vision 2 years ago in Indonesia presumably from bad Vodka. She was treated with 1 gram per day steroids. Her vision remains NLP in both eyes. She also suffers from peripheral neuropathy and parkinson's like symptoms.
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Alcohol Amblyopia - Toxic Optic Neuropathy339 views59 year old man HPI: CC: Blurred Vision OU. Duration of Problem: about 7 months. Location: central vision. Context Onset/Aggravation: Started after using Accutane for 1 month. Associated Symptoms: no flashes or floaters.
HX TECH: EA
VA OD: sc20/100 PH20/80+1 Nsc20/400 PAM20/50+2
VA OS: sc20/100 PH20/80-2 NscJ16 PAM20/50+1
IOP 24 OD, 26 OS
B-12 and Folate were normal - Presumed ETOH amblyopia - improved to 20/63,20/80 after one year of B-12 supplements
IOP: TP: OD:24 OS:26 Time:02:08 PM
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Disc drusen 8 year old boy - fluorescein shows no leakage339 views8 year old boy with headache and nausea. He had a negative MRI. Images show hyper FAF from drusen and no leakage on FA. No spinal tap was done. VA was 20/40 both eyes.
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Papilledema following carotid endarterectomy - Cerebral Reperfusion Injury338 views77 year old man His vision has been a little fuzzy for the last few weeks. He was examined by another eye doctor who was concerned about the optic nerves. The patient has also had double vision for 6 weeks which is improving
PMHx – HTN,
Surgery – Carotic Endarterectomy 6 weeks ago (both sides)
VA 20/25 OD, 20/20 OS
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Papilledema Lateral Sinus Thrombosis337 views35 year old female Noticed blurred vision when waking up in the morning. Also, vision blacks out for a few seconds when she gets up quickly. About 3 months ago she had a history of intermittent vomiting.
VA 20/20 OD, 20/25 OS
MRI normal, MRA showed lateral sinus thrombosis. Lupus anticoagulant was positive
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Idiopathic Intracranial Hypertension - Papilledema334 views37 year old obese female Was on for an eye examination and a problem was noted. Her vision is normal. She has mild headaches which are from TMJ.
PMhx: Polycystic Ovary Syndrome (not diabetic)
Meds: Metformin, Vitamin D, Spironolactone
VA 20/12 OD, 20/16 OS
Opening ICP on spinal tap was 30 CM water.
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Alcohol Amblyopia - Toxic Optic Neuropathy333 views59 year old man HPI: CC: Blurred Vision OU. Duration of Problem: about 7 months. Location: central vision. Context Onset/Aggravation: Started after using Accutane for 1 month. Associated Symptoms: no flashes or floaters.
HX TECH: EA
VA OD: sc20/100 PH20/80+1 Nsc20/400 PAM20/50+2
VA OS: sc20/100 PH20/80-2 NscJ16 PAM20/50+1
IOP 24 OD, 26 OS
B-12 and Folate were normal - Presumed ETOH amblyopia - improved to 20/63,20/80 after one year of B-12 supplements
IOP: TP: OD:24 OS:26 Time:02:08 PM
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Idiopathic Intracranial Hypertension - Papilledema332 views37 year old obese female Was on for an eye examination and a problem was noted. Her vision is normal. She has mild headaches which are from TMJ.
PMhx: Polycystic Ovary Syndrome (not diabetic)
Meds: Metformin, Vitamin D, Spironolactone
VA 20/12 OD, 20/16 OS
Opening ICP on spinal tap was 30 CM water.
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Idiopathic Intracranial Hypertension - Papilledema332 views37 year old obese female Was on for an eye examination and a problem was noted. Her vision is normal. She has mild headaches which are from TMJ.
PMhx: Polycystic Ovary Syndrome (not diabetic)
Meds: Metformin, Vitamin D, Spironolactone
VA 20/12 OD, 20/16 OS
Opening ICP on spinal tap was 30 CM water.
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Alcohol Amblyopia - Toxic Optic Neuropathy332 views59 year old man HPI: CC: Blurred Vision OU. Duration of Problem: about 7 months. Location: central vision. Context Onset/Aggravation: Started after using Accutane for 1 month. Associated Symptoms: no flashes or floaters.
HX TECH: EA
VA OD: sc20/100 PH20/80+1 Nsc20/400 PAM20/50+2
VA OS: sc20/100 PH20/80-2 NscJ16 PAM20/50+1
IOP 24 OD, 26 OS
B-12 and Folate were normal - Presumed ETOH amblyopia - improved to 20/63,20/80 after one year of B-12 supplements
IOP: TP: OD:24 OS:26 Time:02:08 PM
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Alcohol Amblyopia - Toxic Optic Neuropathy331 views59 year old man HPI: CC: Blurred Vision OU. Duration of Problem: about 7 months. Location: central vision. Context Onset/Aggravation: Started after using Accutane for 1 month. Associated Symptoms: no flashes or floaters.
HX TECH: EA
VA OD: sc20/100 PH20/80+1 Nsc20/400 PAM20/50+2
VA OS: sc20/100 PH20/80-2 NscJ16 PAM20/50+1
IOP 24 OD, 26 OS
B-12 and Folate were normal - Presumed ETOH amblyopia - improved to 20/63,20/80 after one year of B-12 supplements
IOP: TP: OD:24 OS:26 Time:02:08 PM
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Alcohol Amblyopia - Toxic Optic Neuropathy331 views59 year old man HPI: CC: Blurred Vision OU. Duration of Problem: about 7 months. Location: central vision. Context Onset/Aggravation: Started after using Accutane for 1 month. Associated Symptoms: no flashes or floaters.
HX TECH: EA
VA OD: sc20/100 PH20/80+1 Nsc20/400 PAM20/50+2
VA OS: sc20/100 PH20/80-2 NscJ16 PAM20/50+1
IOP 24 OD, 26 OS
B-12 and Folate were normal - Presumed ETOH amblyopia - improved to 20/63,20/80 after one year of B-12 supplements
IOP: TP: OD:24 OS:26 Time:02:08 PM
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Idiopathic Intracranial Hypertension - Papilledema327 views37 year old obese female Was on for an eye examination and a problem was noted. Her vision is normal. She has mild headaches which are from TMJ.
PMhx: Polycystic Ovary Syndrome (not diabetic)
Meds: Metformin, Vitamin D, Spironolactone
VA 20/12 OD, 20/16 OS
Opening ICP on spinal tap was 30 CM water.
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Idiopathic Intracranial Hypertension - Papilledema326 views37 year old obese female Was on for an eye examination and a problem was noted. Her vision is normal. She has mild headaches which are from TMJ.
PMhx: Polycystic Ovary Syndrome (not diabetic)
Meds: Metformin, Vitamin D, Spironolactone
VA 20/12 OD, 20/16 OS
Opening ICP on spinal tap was 30 CM water.
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Idiopathic Intracranial Hypertension - Papilledema324 views37 year old obese female Was on for an eye examination and a problem was noted. Her vision is normal. She has mild headaches which are from TMJ.
PMhx: Polycystic Ovary Syndrome (not diabetic)
Meds: Metformin, Vitamin D, Spironolactone
VA 20/12 OD, 20/16 OS
Opening ICP on spinal tap was 30 CM water.
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Idiopathic Intracranial Hypertension - Papilledema320 views37 year old obese female Was on for an eye examination and a problem was noted. Her vision is normal. She has mild headaches which are from TMJ.
PMhx: Polycystic Ovary Syndrome (not diabetic)
Meds: Metformin, Vitamin D, Spironolactone
VA 20/12 OD, 20/16 OS
Opening ICP on spinal tap was 30 CM water.
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Idiopathic Intracranial Hypertension - Papilledema320 views37 year old obese female Was on for an eye examination and a problem was noted. Her vision is normal. She has mild headaches which are from TMJ.
PMhx: Polycystic Ovary Syndrome (not diabetic)
Meds: Metformin, Vitamin D, Spironolactone
VA 20/12 OD, 20/16 OS
Opening ICP on spinal tap was 30 CM water.
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Idiopathic Intracranial Hypertension - Papilledema317 views37 year old obese female Was on for an eye examination and a problem was noted. Her vision is normal. She has mild headaches which are from TMJ.
PMhx: Polycystic Ovary Syndrome (not diabetic)
Meds: Metformin, Vitamin D, Spironolactone
VA 20/12 OD, 20/16 OS
Opening ICP on spinal tap was 30 CM water.
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Idiopathic Intracranial Hypertension - Papilledema315 views37 year old obese female Was on for an eye examination and a problem was noted. Her vision is normal. She has mild headaches which are from TMJ.
PMhx: Polycystic Ovary Syndrome (not diabetic)
Meds: Metformin, Vitamin D, Spironolactone
VA 20/12 OD, 20/16 OS
Opening ICP on spinal tap was 30 CM water.
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Alcohol Amblyopia - Toxic Optic Neuropathy315 views59 year old man HPI: CC: Blurred Vision OU. Duration of Problem: about 7 months. Location: central vision. Context Onset/Aggravation: Started after using Accutane for 1 month. Associated Symptoms: no flashes or floaters.
HX TECH: EA
VA OD: sc20/100 PH20/80+1 Nsc20/400 PAM20/50+2
VA OS: sc20/100 PH20/80-2 NscJ16 PAM20/50+1
IOP 24 OD, 26 OS
B-12 and Folate were normal - Presumed ETOH amblyopia - improved to 20/63,20/80 after one year of B-12 supplements
IOP: TP: OD:24 OS:26 Time:02:08 PM
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Alcohol Amblyopia - Toxic Optic Neuropathy314 views59 year old man HPI: CC: Blurred Vision OU. Duration of Problem: about 7 months. Location: central vision. Context Onset/Aggravation: Started after using Accutane for 1 month. Associated Symptoms: no flashes or floaters.
HX TECH: EA
VA OD: sc20/100 PH20/80+1 Nsc20/400 PAM20/50+2
VA OS: sc20/100 PH20/80-2 NscJ16 PAM20/50+1
IOP 24 OD, 26 OS
B-12 and Folate were normal - Presumed ETOH amblyopia - improved to 20/63,20/80 after one year of B-12 supplements
IOP: TP: OD:24 OS:26 Time:02:08 PM
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Alcohol Amblyopia - Toxic Optic Neuropathy314 views59 year old man HPI: CC: Blurred Vision OU. Duration of Problem: about 7 months. Location: central vision. Context Onset/Aggravation: Started after using Accutane for 1 month. Associated Symptoms: no flashes or floaters.
HX TECH: EA
VA OD: sc20/100 PH20/80+1 Nsc20/400 PAM20/50+2
VA OS: sc20/100 PH20/80-2 NscJ16 PAM20/50+1
IOP 24 OD, 26 OS
B-12 and Folate were normal - Presumed ETOH amblyopia - improved to 20/63,20/80 after one year of B-12 supplements
IOP: TP: OD:24 OS:26 Time:02:08 PM
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Papilledema Lateral Sinus Thrombosis314 views35 year old female Noticed blurred vision when waking up in the morning. Also, vision blacks out for a few seconds when she gets up quickly. About 3 months ago she had a history of intermittent vomiting.
VA 20/20 OD, 20/25 OS
MRI normal, MRA showed lateral sinus thrombosis. Lupus anticoagulant was positive
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optic atrophy310 views64 year old man with painless sequential vision loss in both eyes 20 years ago. Possibly LHON or AION.
VA OD: sc20/80 PH20/63 NscJ16
VA OS: sc20/200-2 PHNI Nsc20/800
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Alcohol Amblyopia - Toxic Optic Neuropathy309 views59 year old man HPI: CC: Blurred Vision OU. Duration of Problem: about 7 months. Location: central vision. Context Onset/Aggravation: Started after using Accutane for 1 month. Associated Symptoms: no flashes or floaters.
HX TECH: EA
VA OD: sc20/100 PH20/80+1 Nsc20/400 PAM20/50+2
VA OS: sc20/100 PH20/80-2 NscJ16 PAM20/50+1
IOP 24 OD, 26 OS
B-12 and Folate were normal - Presumed ETOH amblyopia - improved to 20/63,20/80 after one year of B-12 supplements
IOP: TP: OD:24 OS:26 Time:02:08 PM
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Papilledema Lateral Sinus Thrombosis309 views35 year old female Noticed blurred vision when waking up in the morning. Also, vision blacks out for a few seconds when she gets up quickly. About 3 months ago she had a history of intermittent vomiting.
VA 20/20 OD, 20/25 OS
MRI normal, MRA showed lateral sinus thrombosis. Lupus anticoagulant was positive
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Idiopathic Intracranial Hypertension - Papilledema307 views37 year old obese female Was on for an eye examination and a problem was noted. Her vision is normal. She has mild headaches which are from TMJ.
PMhx: Polycystic Ovary Syndrome (not diabetic)
Meds: Metformin, Vitamin D, Spironolactone
VA 20/12 OD, 20/16 OS
Opening ICP on spinal tap was 30 CM water.
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Subretinal Fluid - Inferior to the Nerve - Probable occult nerve pit306 views82 year old female. History of visual "discolorations" but cannot differentiate which eye. Denies loss in visual acuity, eye pain, or any systemic complaints. Referring doctor found fluid on the OCT scan
VA OD: Ncc20/25
VA OS: Ncc20/30
IOP: TP: OD:15 OS:13
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