Most viewed - Optic Nerve Disease
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Syphilitic Optic Neuritis - possible Gumma406 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 Lateral Sinus Thrombosis406 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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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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Syphilitic Optic Neuritis - possible Gumma403 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 hypertension403 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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402 views
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Giant Cell Arteritis - Anterior Ischemic Optic Neuropathy - Left Eye401 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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Temporal Pallor - Optic Atrophy - Multiple Sclerosis401 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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Tilted Disc Syndrome400 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 - 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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399 views
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Tilted Disc Syndrome398 views56 year old female. Recent motor vehicle accident. Vision is 20/50 OD, 20/25 OS.
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396 views
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Giant Cell Arteritis - Anterior Ischemic Optic Neuropathy - Left Eye396 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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Papilledema - Benign Intracranial hypertension - Idiopathic intracranial hypertension395 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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Giant Cell Arteritis - Anterior Ischemic Optic Neuropathy - Left Eye395 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 Eye395 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 Eye394 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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Arteritic Anterior Ischmic Optic Neuropathy Left Eye394 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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392 views
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Diabetic Papillitis392 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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Papilledema - Benign Intracranial hypertension - Idiopathic intracranial hypertension392 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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Giant Cell Arteritis - Anterior Ischemic Optic Neuropathy - Left Eye392 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 Syndrome390 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 - Papilledema389 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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Autosomal Dominant Optic Atrophy - Son388 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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Tilted Disc Syndrome387 views56 year old female. Recent motor vehicle accident. Vision is 20/50 OD, 20/25 OS.
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Diabetic Papillitis386 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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Papilledema Lateral Sinus Thrombosis386 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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Giant Cell Arteritis - Anterior Ischemic Optic Neuropathy - Left Eye384 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 - Papilledema384 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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383 views
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Papilledema - Benign Intracranial hypertension - Idiopathic intracranial hypertension383 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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Tilted Disc Syndrome381 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 Sclerosis381 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 Sclerosis381 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 Thrombosis380 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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Temporal Pallor - Optic Atrophy - Multiple Sclerosis378 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 - Papilledema374 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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Congenital Hydrocephalus - 21 year old - Papilledema373 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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Giant Cell Arteritis - Anterior Ischemic Optic Neuropathy - Left Eye372 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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Temporal Pallor - Optic Atrophy - Multiple Sclerosis372 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 Sclerosis368 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 - Papilledema365 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 Syndrome364 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 Injury364 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 Injury363 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 - Papilledema359 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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Temporal Pallor - Optic Atrophy - Multiple Sclerosis355 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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Tilted Disc Syndrome352 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 Injury350 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 Injury343 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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Congenital Hydrocephalus - 21 year old - Papilledema342 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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Subretinal Fluid - Inferior to the Nerve - Probable occult nerve pit339 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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Idiopathic Intracranial Hypertension - Papilledema339 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 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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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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Congenital Hydrocephalus - 21 year old - Papilledema337 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 Neuropathy337 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 Injury334 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 - 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 Neuropathy334 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 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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Disc drusen 8 year old boy - fluorescein shows no leakage332 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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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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Papilledema following carotid endarterectomy - Cerebral Reperfusion Injury329 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 Thrombosis329 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 Lateral Sinus Thrombosis329 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 following carotid endarterectomy - Cerebral Reperfusion Injury328 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 Neuropathy326 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 leakage326 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 Injury324 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 Thrombosis322 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 following carotid endarterectomy - Cerebral Reperfusion Injury321 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 Neuropathy321 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 Neuropathy321 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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Disc drusen 8 year old boy - fluorescein shows no leakage321 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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Alcohol Amblyopia - Toxic Optic Neuropathy320 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 Neuropathy317 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 - Papilledema316 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 Neuropathy316 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 - 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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Idiopathic Intracranial Hypertension - Papilledema314 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 - Papilledema311 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 Neuropathy311 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 - Papilledema309 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 - Papilledema306 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 Neuropathy304 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 - Papilledema303 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 - Papilledema303 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 - Papilledema302 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 Neuropathy302 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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optic atrophy301 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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Idiopathic Intracranial Hypertension - Papilledema299 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 pit298 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 Lateral Sinus Thrombosis298 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 pit296 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 Lateral Sinus Thrombosis295 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 Neuropathy293 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 Neuropathy292 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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