Most viewed - Macular Disease
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Myopic Traction Maculopathy - Vitreoretinal Traction - Possible Occult Neovascular Membrane620 views58-year-old woman was seen in the office on June 30, 2011. In 2002, her vision was 20/30. Subsequent to that she had her left eye made her distance eye, which was dominate. She had LASIK surgery on the right eye to make that her near eye and she was getting along well until about a year ago when she noticed substantial vision loss in the left eye only. VISUAL ACUITY: The near eye is 20/200, but she reads J2. OS 20/100- and J16.
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New Subfoveal Classic CNVM OS - Wet AMD - Macular Scar Congenital Toxoplasmosis Right Eye 620 views77-year-old woman as had poor vision in the right eye since birth from congenital toxoplasmosis of her macula in the right eye. Two to three weeks ago when she noticed vision loss in the left eye. VISUAL ACUITY: OD 2/200, OS 20/200.
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Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin OCT OD VIDEO TAKES A LONG LONG TIME TO LOAD620 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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Macular Hole Closed with Vitrectomy - Preop619 views
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Subfoveal CNVM wet AMD early fa619 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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Plaquenil Toxicity - Bulls Eye Maculopathy619 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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Angioid Streaks - New Extrafoveal Choroidal Neovascular Membrane Right Eye619 views61-year-old woman twelve days ago, saw a spot to the right of her central vision. OD is 20/25, OS is 20/25
Treated with one year of avastin with good result and no vision loss.
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Hyperpigmentation of Retinal Pigment Epithlium in Dry AMD (hyperplasia)619 views87-year-old woman has wet age-related macular degeneration in the left eye. She had treatment up north but there has been a gap in therapy and the vision in the left eye is poor. Vision OD is 20/25, OS is 20/400
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Pigment Epithelial Detachment with Subretinal Fluid and Exudate 20/400 Vision619 views87-year-old woman has wet age-related macular degeneration in the left eye. She had treatment up north but there has been a gap in therapy and the vision in the left eye is poor. Vision OD is 20/25, OS is 20/400
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Macular Pucker - 1 year after Vitrectomy - 20/25 Vision - Postoperative Images619 views60-year-old man had vitrectomy for a macular pucker in the right eye a year ago. His vision is good.
VISUAL ACUITY: Vision OD is 20/25 Eye is now pseudophakic
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Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye619 views
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Pattern Dystrophy - Foveal Atrophy619 views73 year old female with vision loss - looks like macular hole
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Macular Pucker in eye following giant retinal tear RD repair post-op macular photo618 viewsnow that the bubble is gone, but he is starting to notice distortion of central vision. He had a giant retinal tear retinal detachment repair emergently done on November 8, 2007, and subsequent laser on November 15th.
VISUAL ACUITY: Vision OD 20/400.
6 weeks post-op VA 20/40
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Myopic CNVM - Wet - rx Avastin for 1 year618 views55-year-old woman OD is 20/40, OS is 20/20. There is a hyperpigmented disc diameter choroidal neovascular membrane with fluid touching the fovea.
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Plaquenil (Hydroxycholorquine) Toxicity - Bull's Eye Maculopathy - 73 year old womand 25 Years therapy - 64 inches tall - 110 lbs618 views73-year-old woman has been on Plaquenil for twenty five years. She noticed loss of paracentral vision a few months ago. VISUAL ACUITY: OD 20/70, OS 20/30. Her color vision was 0 out 10 correct in both eyes and she also missed the controls.
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Pigment Epithelial Detachment with Subretinal Fluid and Exudate 20/400 Vision618 views87-year-old woman has wet age-related macular degeneration in the left eye. She had treatment up north but there has been a gap in therapy and the vision in the left eye is poor. Vision OD is 20/25, OS is 20/400
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Basal Laminar Drusen - Cuticular Drusen - 19 Year Old with Lupus Nephritis618 views19-year-old. She has a history of developing severe systemic lupus erythematosus in 2001. She was in renal failure and had biopsy proven Class 2 lupus nephritis. She is currently on Plaquenil 400 mg for six years, as well as Prednisolone orally, every other day. OD 20/20, OS 20/25.
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Angioid Streaks and Macular Degeneration - CNVM OS - Band Keratopathy 618 views79-year-old man has wet age-related macular degeneration in the left eye, for which he is having Lucentis treatment. OD 20/40, Pinhole 20/32. OS 20/160, Pinhole 20/50. He has band keratopathy sparing the visual axis in both eyes. ICG shows angioid streaks both eye.
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Outer Retinal Holes - Probably Solar Retinopathy (history is negative)618 views
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Macular Pucker in eye following giant retinal tear RD repair post-op Fundus Photo617 viewsnow that the bubble is gone, but he is starting to notice distortion of central vision. He had a giant retinal tear retinal detachment repair emergently done on November 8, 2007, and subsequent laser on November 15th.
VISUAL ACUITY: Vision OD 20/400.
6 weeks post-op VA 20/40
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Acute Central Serous Chorioretinopathy with Symptoms in Hazy Vision Both Eyes617 views48-year-old man with hazy vision in the right eye for about three days. He has a little more of a headache than usual. He is under a fair amount of stress. He does not take any steroids that he knows of. He does use a nasal spray, which he is not sure if that is a steroid spray or not. He is going to call us with that medicine. I checked his blood pressure today is was 115/95.
VISUAL ACUITY: OD 20/15, OS 20/25
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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 617 viewsFluorescein Angiogram
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Chronic Central Serous Retinopathy - Indocyanine Green Angiogram 617 viewsGood Eye
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617 views
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Macular Pucker in eye following giant retinal tear RD repair post-op OCT map616 viewsnow that the bubble is gone, but he is starting to notice distortion of central vision. He had a giant retinal tear retinal detachment repair emergently done on November 8, 2007, and subsequent laser on November 15th.
VISUAL ACUITY: Vision OD 20/400.
6 weeks post-op VA 20/40
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Wet Macular Degeneration Left Eye with Gutter (atypical) and Geographic Atrophy Right Eye616 views80-year-old man has wet age-related macular degeneration in his left eye. He has an atypical angiogram and that there is a gutter under the choroidal neovascular membrane suggesting still leakage of subretinal fluid. OS 20/400.
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Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left616 views
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Macular Pucker 20/40 vision - minimal symptoms for 1 year Right eye616 viewsMulticolor
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Cartwheel CNVM - Classic - wet AMD - evidence of possible old CSR - ICG is normal - shows nothing616 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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Myopic Choroidal Neovascular Membrane 54 year old woman 20/20615 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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Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left615 views
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Wet AMD - PED with exudate 20/400 87 Year old615 views87-year-old woman has wet age-related macular degeneration in the left eye. Vision OD is 20/25, OS is 20/400
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Angioid Streaks and Macular Degeneration - CNVM OS - Band Keratopathy 615 views79-year-old man has wet age-related macular degeneration in the left eye, for which he is having Lucentis treatment. OD 20/40, Pinhole 20/32. OS 20/160, Pinhole 20/50. He has band keratopathy sparing the visual axis in both eyes. ICG shows angioid streaks both eye.
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Asymptomatic Juxtapapillary Choroidal Neovascular Membrane - Reticular Macular Disease (Wet AMD) - FAF615 views
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Psuedomacular Hole - Epiretinal Membrane - Vision unchanged 20/40 for 6 months615 views
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Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye615 views
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Outer Retinal Holes - Probably Solar Retinopathy (history is negative)615 views
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Juxtapapillary CNVM and Serous Macular Detachment Wet AMD Rx Laser614 views85-year-old man OD is 20/25, OS is 20/100. IOP: OD 21, OS 22.
OS: Vertical C/D ratio is 0.1. There is a posterior vitreous separation. There is a hemorrhagic pigment epithelial detachment on the superior pole of the optic nerve, extending a disc-and-a-half diameter off the nerve, with adjacent exudates. There is a serous macular detachment involving the center of the fovea.
VA improved from 20/100 to 20/50 in four months from laser.
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Myopic Choroidal Neovascular Membrane 54 year old woman 20/20614 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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Myopic Choroidal Neovascular Membrane 54 year old woman 20/20614 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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Macular Hole - Traumatic - 11 year old boy (also retinal whitening Berlins Edema)614 views11-year-old boy with a history of blunt trauma to the left eye yesterday. He reports he lost vision immediately but it has gotten somewhat better. He reports he sees “red streamers†and he has very blurry visual acuity., 20/200 OS
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Post Retinal Detachment Repair Macular Pucker - VA 20/400 Pre-op 20/25 Post-op614 views72 year old woman who is 6 months post macula-on retinal detachment repair developed a 20/400 macular pucker. 8 months after surgery vision had improved to 20/25
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Chronic Pseudophakic Cystoid Macular Edema - Haptic Migrated into Anterior Chamber Through Peripheral Iridotomy614 views57-year-old man with congenital nystagmus. He had cataract surgery done 30 years ago and has decreased vision left eye for 6 months. OD is 20/50, OS is 20/100
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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 614 viewsInfra-Red
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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 614 viewsIndocyanine Green Angiogram
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Macular Hole Closed with Vitrectomy - Preop613 views
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Juxtapapillary CNVM and Serous Macular Detachment Wet AMD Rx Laser613 views85-year-old man OD is 20/25, OS is 20/100. IOP: OD 21, OS 22.
OS: Vertical C/D ratio is 0.1. There is a posterior vitreous separation. There is a hemorrhagic pigment epithelial detachment on the superior pole of the optic nerve, extending a disc-and-a-half diameter off the nerve, with adjacent exudates. There is a serous macular detachment involving the center of the fovea.
VA improved from 20/100 to 20/50 in four months from laser.
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 4 months later VA 20/40 OU613 viewsNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.
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Macular Pucker 20/40 Vision - Pigment Bottom of Photo from Old Retinal Detachment 613 views59-year-old woman blurry vision in the right eye for about the last one or two years. She had cataract surgery in 1981, a retinal detachment repair with scleral buckle in 1988 in the right eye, and then she had lens implants in both eyes, anterior chamber lenses, in 1994. She did start taking Latisse for eyelashes about a year and a half ago.
VISUAL ACUITY: Vision OD is 20/40, OS is 20/20
(4 months later with a short course of antiinflammatory drops and new glasses her vision improved to 20/25)
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Non-Foveal Geographic Atrophy Both Eyes613 views81-year-old man has age-related macular degeneration in both eyes. Vision OD is 20/40, OS is 20/80.
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613 views
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Macular Hole Left Eye - progression from VMT - Stage II macular hole - Spontaneously Closed Macular Hole613 views
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Choroidal Effusions and Serous retinal detachment with Systemic Testosterone and Cialis in 75 year old Man613 viewsIR of good eye looks normal
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Wet AMD 62 year old male smoker 612 views62-year-old man has wet age-related macular degeneration in the right eye. He has been undergoing treatment with Lucentis for that. Then his left eye developed hazy vision a few weeks ago while he was overseas and now his vision is hazy in both eyes. OD 20/40, OS 20/30. FA shows a classic subfoveal choroidal neovascular membrane in the left eye, which is leaking and in the right eye, which is dry.
He is going to stop smoking today.
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Macular Pucker Pre-OP 20/200 612 views
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Plaquenil Toxicity - Bull's Eye Maculopathy - 25 Years Therapy OCT Posterior Pole MAP612 views73-year-old woman has been on Plaquenil for twenty five years. Plaquenil has now been stopped for 6 months. VA continues to decline as does visual function - 20/80 OD , 20/40 OS
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Wet Age-related Macular Degeneration (AMD) Radiating Chorioretinal Folds from Contracting Macular Scar612 views93-year-old man has wet age-related macular degeneration in his left eye with a subfoveal pigment epithelial detachment.
Vision OS is 20/40. There are striking radiating chorioretinal folds emanating off of the scar, which suggests it is contracting.
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Travatan Induced CME Left eye - 1 month post stopping travatan CME is gone612 views63 year old woman 4 years post ECCE and 2 years post PPV for floaters. She developed CME in the left eye after 1 year of travatan. The travatan was stopped and the CME and serous retinal detachment resolved.
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Retinal fold following removal of severe macular pucker612 views75 year old man had macula on inferior retinal detachment repair. He then developed a 5/200 dense macular pucker. After the pucker was removed the vision returned to 20/40 but there was a persistent superior retinal fold that looks a little like a snake.
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Acute Central Serous Retinopathy (Chorioretinopathy) Right Eye611 views45-year-old man decreased vision in the right eye starting about two days ago. VISUAL ACUITY: Vision OD is 20/60, OS is 20/20.
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Juxtafoveal Telangiectasis (MacTel) and Asymptomatic Extrafoveal Juxtapapillary Choroidal Neovascular Membrane611 views84-year-old woman has juxtafoveal retinal telangiectasis in both eyes. The right eye has an asymptomatic extra foveal juxtapapillary choroidal neovascular membrane. OD 20/400, OS 20/63.
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Macular Pucker 20/40 vision - minimal symptoms for 1 year Right eye611 views SD OCT line Scan Fellow Eye 20/16
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Adult Vitelliform Macular Dystrophy - Pattern Dystrophy611 viewsSD OCT shows material to be subretinal not sub-RPE as you would see in typical AMD
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Travatan Induced CME Left eye611 views63 year old woman 4 years post ECCE and 2 years post PPV for floaters. She developed CME in the left eye after 1 year of travatan. The travatan was stopped and the CME and serous retinal detachment resolved.
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Cystoid Macular Edema - Xalatan - ECCE was done 20 years previously610 views71 Year old woman who noticed about a month ago the central vision in the right eye fogged up. OD 20/200 POSSIBLE XALATAN INDUCED CYSTOID MACULAR EDEMA
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Central Serous Retinopathy - Acute610 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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Choriodal Neovascular Membrane - Subfoveal - Pseudo-Retinitis Pigmentosa - 50 years post Retinal Detachment Repair610 views86-year-old with a history of decreased vision in the right eye. The patient reports she has lost vision in the right eye over the past two months or so. She reports the vision was always compromised in that eye since retinal detachment surgery 50 years ago with a scleral buckler. Vision dropped from 20/50 to 20/200 right eye in 2 months.
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610 views
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Macular Hole - Traumatic - 11 year old boy (also retinal whitening Berlins Edema)610 views11-year-old boy with a history of blunt trauma to the left eye yesterday. He reports he lost vision immediately but it has gotten somewhat better. He reports he sees “red streamers†and he has very blurry visual acuity., 20/200 OS
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Macular Pucker - 1 year after Vitrectomy - 20/25 Vision - Postoperative Images610 views60-year-old man had vitrectomy for a macular pucker in the right eye a year ago. His vision is good.
VISUAL ACUITY: Vision OD is 20/25 Eye is now pseudophakic
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Myopic Traction Maculopathy - Vitreoretinal Traction - Possible Occult Neovascular Membrane610 views58-year-old woman was seen in the office on June 30, 2011. In 2002, her vision was 20/30. Subsequent to that she had her left eye made her distance eye, which was dominate. She had LASIK surgery on the right eye to make that her near eye and she was getting along well until about a year ago when she noticed substantial vision loss in the left eye only. VISUAL ACUITY: The near eye is 20/200, but she reads J2. OS 20/100- and J16.
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Vitreomacular traction with traction over retinal vessels in non-diabetic - Fluorescein leakage in areas of traction - Progressing vision loss left eye610 views80-year-old woman had vitrectomy surgery done in the right eye in 2007. Vision has been poor since despite a good anatomical result. Recently her vision in the left eye has been declining. The vision has declined in the left eye. Vision OD is 20/160, OS is 20/80
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Juxtafoveal Retinal Telangiectasia (Telangiectasis) - MacTel - Striking Gray Ring in Macula - SDOCT610 views59-year-old woman decreasing vision in the right eye for a few years. She has had diabetes for five years. OD 20/100, Pinhole 20/40. OS 20/20
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Acute Central Serous Retinopathy - CSR - Steroid Induced (probably) - Good Vision - ICG Fellow Eye610 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. The OCT scan of the right eye confirms subretinal fluid.
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Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye610 views
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Macular Edema and dry AMD - excellent example of why FA and ICG are necessary in management of wet AMD610 viewsThis 72 year old woman has an OCT that looks like wet AMD. Only her FA and ICG show that she has inflammatory macular edema. She had no clinical signs or symptoms of uveitis. Nevertheless, the macular edema responded to subtenon's kenalog.
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Cystoid Macular Edema 10 years after Cataract Surgery610 viewsNo overt uveitis but the patient had aching in the eyes and responded to topical anti-inflammatory drops with recurrence of the CME on discontinuation of topical therapy
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Group 2a Juxtafoveal Retinal Telangiectasis (type 2)609 views58-year-old man decreased vision right eye and not better since cataract surgery one year ago. OD 20/40, OS 20/40.
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Macular Scar Left Eye from Age-Related Macular Degeneration609 views81-year-old woman has a macular scar in the left eye and then unfortunately developed a central retinal artery occlusion in the right eye OD 20/100, OS 6/200.
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Macular Pucker Pre-op 20/200 vision (history of retinal tears)609 views66-year-old man has had laser to retinal tears in both eyes in 1999 and in 2001. His right eye has had rapidly declining vision over the last month. VISUAL ACUITY: OD: 20/200
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Asymptomatic 20/200 Macular Pucker 79 year old man - Left Eye609 views79-year-old man who had not noticed a change in vision, but was diagnosed with a macular pucker in the left eye. Even now he doesn’t notice much difference between the eyes, although he doesn’t usually compare them. He has a prescription for new glasses.
VISUAL ACUITY: OD 20/80, Pinhole 20/50. OS 20/200.
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Confluent Soft Drusen with Subetinal Fluid - Right Eye609 viewsAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.
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608 views
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Angioid Streaks - Pseudoxanthoma Elasticum - Supressed CNVM608 views54-year-old woman had angioid streaks and macular degeneration in both eyes. She has had intravitreal Avastin in the right eye about every three months and her vision in that eye is good.
VISUAL ACUITY: Vision OD is 20/30, OS is 2/200
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Macular Hole608 views
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Chronic Central Serous Retinopathy - False Color608 views
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Asymptomatic wet AMD - Subfoveal CNM both eyes608 views82 year old woman - 20/25 OU. Images show occult subfoveal CNVM both eyes best seen on late ICG. The left eye also has probable polypoidal choroidal vasculopathy. No treatment was recommended on the first visit - follow-up at 1 month.
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Wet AMD 62 year old male smoker 607 views62-year-old man has wet age-related macular degeneration in the right eye. He has been undergoing treatment with Lucentis for that. Then his left eye developed hazy vision a few weeks ago while he was overseas and now his vision is hazy in both eyes. OD 20/40, OS 20/30. FA shows a classic subfoveal choroidal neovascular membrane in the left eye, which is leaking and in the right eye, which is dry. He is going to stop smoking today. FU: VA 20/30 OU with 2 years of every 6 weeks bilateral avastin!
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Macular Degeneration - Choroidal Laser Left eye - New Subfoveal CNVM left eye - Did well with Avastin607 views69-year-old woman new vision loss right eye and old macular scar left eye. OD 20/40, OS 20/200
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Choroidal Neovascular Membrane - Optic Disc Drusen - Hemorrhage (Coumadin) 607 views82-year-old man with decreased vision in the left eye over about the last six to 12 months. He is also on Coumadin. OD 20/20, OS 20/80
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Macular Pucker in eye following giant retinal tear RD repair photo of tear606 viewsnow that the bubble is gone, but he is starting to notice distortion of central vision. He had a giant retinal tear retinal detachment repair emergently done on November 8, 2007, and subsequent laser on November 15th.
VISUAL ACUITY: Vision OD 20/400.
6 weeks post-op VA 20/40
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Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left606 views
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Wet AMD - PED with exudate 20/400 87 Year old606 views87-year-old woman has wet age-related macular degeneration in the left eye. Vision OD is 20/25, OS is 20/400
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Chorioretinal Scar with Radiating Chorioretinal Folds606 views79-year-old woman has wet age-related macular degeneration in both eyes. The left eye had intravitreal injections of Avastin starting in May of 2009. Her vision remains good in the left eye and poor in the right eye.
VISUAL ACUITY: OD 8/200, OS 20/60.
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Juxtafoveal Retinal Telangiectasia (Telangiectasis) - MacTel - Striking Gray Ring in Macula - VIDEO TAKES A LONG TIME TO LOAD606 views59-year-old woman decreasing vision in the right eye for a few years. She has had diabetes for five years. OD 20/100, Pinhole 20/40. OS 20/20
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Reticular Macular Disease (Dry Macular Degeneration) - Fundus Autolfuorescence606 views85 year old woman with 20/25 vision OU and reticular macular disease
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Basal Laminar (cuticular) Drusen both eyes 60 Year Old Woman605 views60-year-old woman with minimal vision loss. Vision OD is 20/30 OS 20/40
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Chronic Pseudophakic Cystoid Macular Edema - Haptic Migrated into Anterior Chamber Through Peripheral Iridotomy605 views57-year-old man with congenital nystagmus. He had cataract surgery done 30 years ago and has decreased vision left eye for 6 months. OD is 20/50, OS is 20/100
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Asymptomatic Occult Subfoveal CNVM in Good Eye Visible on ICG605 views
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Macular Hole Closed with Vitrectomy - Preop604 views
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