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Macular Telangiectasia - Stage 3 right eye 20/40 visionvista 538 vecesSpectral Domain OCT Line Scan

Macular Hole Left Eye - progression from VMT - Stage II macular hole - Spontaneously Closed Macular Holevista 538 vecesVision better left eye VMT has released the fovea (was 20/25)

Myopic Traction Maculopathy - Long Term Follow-upvista 538 veces88-92 year old woman with about 20/40 vision and myopic tractional maculopathy. Her vision fluctuates a little. The serial OCT's show no progression.

Cuticular Drusen - 26 year old female - Glomerulonephritisvista 538 vecesVA 20/25 OU. Images are over 4 years

Macular Telangiectasis - Very Mildvista 538 veces52 year old female with normal vision and suspicious OCT referred. Multimodal imaging shows very mild mactel (loss of macular pigment, ring on multicolor image and very mild OCT findings)

Chronic Central Serous Retinopathy - Gutter in Both Eyes - Treated with PDT - Visudynevista 537 veces69-year-old man with blurred vision in the right eye for about three weeks. He had a similar episode about twenty years ago which lasted about six weeks. He is not taking any steroids. He takes Lupron injections for his prostate cancer every three months.

VISUAL ACUITY: Vision OD is 20/80
FU: Treated with PDT after 6 months of observation with success. Treatment was done to area between nerve and fovea at 1/2 fluence.

Idiopathic Central Serous Retinopathy - Bilateral - Acute vista 537 veces49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400

Juxtafoveal Telangiectasis - After Hemorrhage Absorbed Right Eye with Avastin Injectionsvista 537 veces73-year-old woman has juxtafoveal retinal telangiectasis in both eyes. The right eye has stage 5 disease. Her last Avastin treatment in the right eye was in 6 months ago. The right eye has been the worst of her two eyes for years.

VISUAL ACUITY: Vision OD is 20/200, OS is 20/50.

New Subfoveal Classic CNVM OS - Wet AMD - Macular Scar Congenital Toxoplasmosis Right Eye vista 537 veces77-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.

Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachmentvista 537 veces38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.

VISUAL ACUITY: OD 20/100, OS 20/50.

Central Serous Retinopathy 25 year old professional baseball player - Atypical - Choroidal Hypo-perfusion?vista 537 veces

Macular Degeneration with Hemorrhagevista 537 vecesPatient comes in with active leaking of AMD in the left eye. VA is 20/40 in the left eye. Patient was treated with Eylea and will return in 1-month for follow up.

Cartwheel CNVM - Classic - wet AMD - evidence of possible old CSR - ICG is normal - shows nothingvista 537 veces75 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

Vitreomacular traction - one month post-Vitrectomy left eye - vision is back to normal - SD OCT Line Scanvista 537 veces

New wet AMD OS with subretinal hemorrhage and recent vision loss, Scar ODvista 537 veces

Macular Edema and dry AMD - excellent example of why FA and ICG are necessary in management of wet AMDvista 537 vecesThis 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.

hydroxychloroquine (Plaquenil) Toxicity - Taiwanese 56 year old female (Asian)vista 537 veces56 year old female on 400 mg plaquenil for 22 years presents with vision loss. VA 20/50 both eyes. Plaquenil was stopped. The vision in the left eye continued to deteriorate to 3/200. 5'2" 127 lb (6.6 mg/kg body weight)

Cystoid Macular Edema 10 years after Cataract Surgeryvista 537 vecesNo 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

Small Retinal Pigment Epithelial Rip and Poor Vision (20/400)vista 536 veces80-year-old woman vision in the right eye has substantially declined.
OD: 20/400; OS: 20/50

Juxtafoveal Telangiectasis and Newly Decreasing Visionvista 536 veces70-year-old woman followed for 10 years with IJFT with newly decreasing vision OU OD: 20/160; OD: 20/80

Juxtafoveal Telangiectasis - (MacTel) - Stage 4 both Eyesvista 536 veces57-year-old woman with a history of decreased vision. The patient reports that her vision has been gradually decreasing in the left more so than the right eye. 20/50 OD and 20/60

Acute Central Serous Chorioretinopathy with Symptoms in Hazy Vision Both Eyesvista 536 veces48-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

Basal Laminar (cuticular) Drusen both eyes 60 Year Old Womanvista 536 veces60-year-old woman with minimal vision loss. Vision OD is 20/30 OS 20/40

Asymptomatic 20/200 Macular Pucker 79 year old man - Left Eyevista 536 veces79-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 doesnâ€™t notice much difference between the eyes, although he doesnâ€™t usually compare them. He has a prescription for new glasses.

VISUAL ACUITY: OD 20/80, Pinhole 20/50. OS 20/200.

Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman vista 536 veces70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.

Non-Foveal Geographic Atrophy Both Eyesvista 536 veces81-year-old man has age-related macular degeneration in both eyes. Vision OD is 20/40, OS is 20/80.

Macular Telangiectasia - Stage 3 right eye 20/40 vision - Bulls Eye Blue Reflectancevista 536 vecesConfocal Blue Reflectance

IPCV - idiopathic polypoidal choroidal vasculopathy - juxtapapillary CNVM with hemorrhage both eyes (also choroidal nevus right eye) - Subretinal hemorrhage both eyesvista 536 veces86 year old woman with shadow in vision OD and new hemmorhage OU.

Macular Telangiectasis - visible telangiectasia on color photosvista 536 vecesMulticolor photos too show pathology. This patient had 20/50 vision with pinhole to 20/25

Macular Telangiectasis and Vision loss following vitrectomy with membrane peelvista 536 veces76 year old man with MacTel who had membrane peel in the right eye 10 years ago with permanent vision loss.
VA OD: sc20/200-4 and VA OS: sc20/25-1

Chronic Central Serous Retinopathy - Gutter in Both Eyes - Treated with PDT - Visudynevista 535 veces69-year-old man with blurred vision in the right eye for about three weeks. He had a similar episode about twenty years ago which lasted about six weeks. He is not taking any steroids. He takes Lupron injections for his prostate cancer every three months.

VISUAL ACUITY: Vision OD is 20/80
FU: Treated with PDT after 6 months of observation with success. Treatment was done to area between nerve and fovea at 1/2 fluence.

Macular Pucker Post-OP 20/30vista 535 veces

Plaquenil (Hydroxycholorquine) Toxicity - Bull's Eye Maculopathy - 73 year old womand 25 Years therapy - 64 inches tall - 110 lbsvista 535 veces73-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.

Acute Central Serous Retinopathy (Chorioretinopathy) Right Eyevista 535 veces45-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.

Vitreomacular traction with traction over retinal vessels in non-diabetic - Fluorescein leakage in areas of traction - Progressing vision loss left eyevista 535 veces80-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

Pattern Dystrophy - Adult Vitelliform - Both Eyesvista 535 veces60-year-old woman noticing less distortion and less blind spots.
OD is 20/20, OS is 20/40

vista 535 veces 82-year-old man had cataract surgery in 1993. He has had glaucoma for seven or eight years for a long time. He is taking Lumigan only in the left eye. About a year ago he started in the right eye and then starting just about a few months ago he has noticed intermittent blurring in the vision in the right eye. Vision 20/25 OD, 20/20 OS

Plaquenil Toxicity ODvista 535 vecesPlaquenil Toxicity

Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye vista 535 vecesIndocyanine Green Angiogram

Macular Hole Left Eye - progression from VMT - Stage II macular hole - Spontaneously Closed Macular Holevista 535 vecesMacular hole is closing and vision has improved to 20/40

Myopic Traction Maculopathy - Long Term Follow-upvista 535 veces88-92 year old woman with about 20/40 vision and myopic tractional maculopathy. Her vision fluctuates a little. The serial OCT's show no progression.

Macular Telangiectasia and dry AMD - Simulating wet AMDvista 535 vecesThis patient was told different things by different retina specialists. Her case is complex because she has OCT findings of Macular Telangiectasis and dry AMD. This makes it look like she has wet AMD. Her vision is stable.

Confluent Soft Drusen with Subetinal Fluid - Right Eyevista 535 vecesAsymptomatic 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.

Central Serous Retinopathy - Subretinal Fibrinvista 535 veces66 year old female with 20 year history of single episode of CSR. Now with vision loss for a month but improving - VA 20/63 OD; 20/32 OS

Adult Pseudovitelliform Macular Dystrophyvista 535 veces89 year old female states dark smudge on ceiling during night time came and went. Decreased vision in the left eye
VA OD: Dcc20/32
VA OS: Dcc20/63

vista 534 veces

Macular Hemorrahge and Probable CNVM Right eye for 2 weeks VA 20/400 - 20 Year oldvista 534 veces20-year-old man noticed vision loss in the right eye about two weeks ago and if anything it seems to be getting worse. He is a high myope. VISUAL ACUITY: OD 20/400

Macular Pucker 20/40 vision and recent cataract surgeryvista 534 veces 73-year-old man distortion and vision loss since ECCE 6 months ago OS. Patient taking anti-inflammatory drops. VISUAL ACUITY: OD 20/30, OS 20/40.

Angioid Streaks - Pseudoxanthoma Elasticum - Supressed CNVMvista 534 veces54-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

New Subfoveal Classic CNVM OS - Wet AMD - Macular Scar Congenital Toxoplasmosis Right Eye vista 534 veces77-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.

Macular Telangiectasis (MacTel)vista 534 vecesFAF shows decrease macular pigment

Myopic Traction Maculopathy - Long Term Follow-upvista 534 veces88-92 year old woman with about 20/40 vision and myopic tractional maculopathy. Her vision fluctuates a little. The serial OCT's show no progression.

hydroxychloroquine (Plaquenil) Toxicity - Taiwanese 56 year old female (Asian)vista 534 veces56 year old female on 400 mg plaquenil for 22 years presents with vision loss. VA 20/50 both eyes. Plaquenil was stopped. The vision in the left eye continued to deteriorate to 3/200. 5'2" 127 lb (6.6 mg/kg body weight)

Macular Hole - Asymptomaticvista 534 veces71 year old female did not notice 20/200 macular hole. Post surgery vision improved to 20/30

Polypoidal Choroidal Vasculopathy - Right Eyevista 534 veces83 year old female presented in June 2013 with vision loss for 3 months. She had 2 injections elsewhere with no improvement (avastin). The first images show a peripapillary CNVM with polyps. I treated her once with PDT and she stayed dry with good vision for 5 years (2019). VA on presentation 20/80 OD. Improved to 20/40

Chronic Central Serous Retinopathy - Gutter in Both Eyes - Treated with PDT - Visudynevista 533 veces69-year-old man with blurred vision in the right eye for about three weeks. He had a similar episode about twenty years ago which lasted about six weeks. He is not taking any steroids. He takes Lupron injections for his prostate cancer every three months.

VISUAL ACUITY: Vision OD is 20/80
FU: Treated with PDT after 6 months of observation with success. Treatment was done to area between nerve and fovea at 1/2 fluence.

Disciform Macular Scar Both Eyes from Wet Macular Degenerationvista 533 veces86-year-old woman has disciform scars OD: 20/400; OS: 20/100

Macular Pucker - 3 Weeks Vision Loss - 20/50 Vision - Preoperative Imagesvista 533 vecesPREOP:
59-year-old man new onset floaters about a year ago. Subsequent to that his vision was not quite right in the right eye and then he noticed, starting about three weeks ago, substantial change in the vision. VISUAL ACUITY: Vision OD is 20/50, OS is 20/16

Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin - Fill ICG FA ODvista 533 veces66-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.

Macular Hole Left Eye - progression from VMT - Stage II macular hole - Spontaneously Closed Macular Holevista 533 vecesAsymptomatic VMT OS with 20/30 VA

Confluent Soft Drusen with Subetinal Fluid - Right Eyevista 533 vecesAsymptomatic 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.

Chronic Central Serous Retinopathy - Gutter in Both Eyes - Treated with PDT - Visudynevista 532 veces69-year-old man with blurred vision in the right eye for about three weeks. He had a similar episode about twenty years ago which lasted about six weeks. He is not taking any steroids. He takes Lupron injections for his prostate cancer every three months.

VISUAL ACUITY: Vision OD is 20/80
FU: Treated with PDT after 6 months of observation with success. Treatment was done to area between nerve and fovea at 1/2 fluence.

Group 2a Juxtafoveal Retinal Telangiectasis (type 2)vista 532 veces58-year-old man decreased vision right eye and not better since cataract surgery one year ago. OD 20/40, OS 20/40.

Chronic Pseudophakic Cystoid Macular Edema in a Patient with Diabetesvista 532 veces74-year-old woman has chronic cystoid macular edema in the left eye. She has had vision loss intermittently in that eye for 2 years, the right eye, unfortunately, lost vision from a central retinal vein occlusion in 6 years ago.

Macular Degeneration - Choroidal Laser Left eye - New Subfoveal CNVM left eye - Did well with Avastinvista 532 veces69-year-old woman new vision loss right eye and old macular scar left eye. OD 20/40, OS 20/200

Macular Hole Left Eye - progression from VMT - Stage II macular hole - Spontaneously Closed Macular Holevista 532 veces

hydroxychloroquine (Plaquenil) Toxicity - Taiwanese 56 year old female (Asian)vista 532 veces56 year old female on 400 mg plaquenil for 22 years presents with vision loss. VA 20/50 both eyes. Plaquenil was stopped. The vision in the left eye continued to deteriorate to 3/200. 5'2" 127 lb (6.6 mg/kg body weight)

Multifocal Bilateral Central Serous Retinopathy in African American Malevista 532 veces67 year old african american male with : Blurred Vision OD. Duration of Problem: 4-6 weeks. VA 20/32 OD 20/20 OS

Pattern Dystrophy - Adult Vitellifrom (Best)vista 532 veces71 year old female - lesions nasal to the fovea in both eyes. (20/40 OU)

Outer Retinal Tubulationvista 532 veces78 year old man chronic wet AMD - 20/200

Angioid Streaks New Vision Change in Good Right Eye Treated with Lucentisvista 531 veces553-year-old man has angioid streaks. He has a macular scar in the left eye from choroidal neovasculari-zation that was treated with photodynamic laser 5-8 years ago. His vision in the right eye had been fine until about a week ago when he noticed temporally in the right eye an area that does not look normal and looks a little distorted.
VISUAL ACUITY: Vision OD is 20/30, OS is 20/400. Treatment was started within a month and patient responded well and is now 3 years out requiring every 3 month Lucentis

Macular Pucker Pre-op 20/200 vision (history of retinal tears)vista 531 veces66-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

Chronic Central Serous Retinopathy treated with Photodynamic Laser and Visudynevista 531 veces48-year-old man has had waxing and waning vision in the left eye for the last year from central serous retinopathy. OD is 20/16, OS is 20/30.

vista 531 veces

Pigment Epithelial Detachment with Subretinal Fluid and Exudate 20/400 Visionvista 531 veces87-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

Myopic Traction Maculopathy - Vitreoretinal Traction - Possible Occult Neovascular Membranevista 531 veces58-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.

vista 531 veces

Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye vista 531 vecesFluorescein Angiogram

Macular Hole Left Eye - progression from VMT - Stage II macular hole - Spontaneously Closed Macular Holevista 531 vecesPucker False Color

Choroidal Effusions and Serous retinal detachment with Systemic Testosterone and Cialis in 75 year old Manvista 531 vecesPhotos (poor quality)

Cystoid Macular Edema 10 years after Cataract Surgeryvista 531 vecesNo 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

Chronic CSR with mild vision loss - Macular Atrophy Right Eyevista 531 veces55 year old man has not been to an eye doctor in years. VA 20/40 OD and 20/25 OS. OCT shows outer retinal atrophy and choroidal thickening. FAF shows guttering. FA shows no active lesions. ICG shows patchy mild leakage visible at about 5 minutes.

Pattern Dystrophy - Adult Vitellifrom (Best)vista 531 veces71 year old female - lesions nasal to the fovea in both eyes. (20/40 OU)

Small Retinal Pigment Epithelial Rip and Poor Vision (20/400)vista 530 veces80-year-old woman vision in the right eye has substantially declined.
OD: 20/400; OS: 20/50

Group 2a Juxtafoveal Retinal Telangiectasis (type 2)vista 530 veces58-year-old man decreased vision right eye and not better since cataract surgery one year ago. OD 20/40, OS 20/40.

Macular Pucker Post-OP 20/30vista 530 veces

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Concentric Geograophic Atrophy - Age-related Macular Degeneration - Charles Bonnet Syndrome - Bulls Eyevista 530 veces88-year-old woman has age-related with vision gradually declining over the last year. She sees spots in her vision, like red spots and dark spots and she even notices during the daytime, for example when she was looking at her minister, it looked like there were little flowering pots coming out of his head.

VISUAL ACUITY: OD 20/200, OS 20/400.

Chronic Pseudophakic Cystoid Macular Edema - Haptic Migrated into Anterior Chamber Through Peripheral Iridotomyvista 530 veces57-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

Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin - Fill ICG FA ODvista 530 veces66-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.

Central Serous Retinopathy 25 year old professional baseball player - Atypical - Choroidal Hypo-perfusion?vista 530 veces

Chronic Central Serous Retinopathy - Indocyanine Green Angiogram vista 530 vecesGood Eye

Macular Telangiectasia - Stage 3 right eye 20/40 visionvista 530 vecesConfocal Green Reflectance

Choroidal Effusions and Serous retinal detachment with Systemic Testosterone and Cialis in 75 year old Manvista 530 veces1 month following presentation, the eyes look better and vision is a little better

Wet AMD OD and Lamellar Macular hole OSvista 530 vecesWet AMD in right and better eye failed extend to 2 months but was able to stop therapy once he started on systemic Avastin for cancer. The last image shows the macula dry 9 months without local therapy. The left eye has a lamellar macular hole.

IPCV - idiopathic polypoidal choroidal vasculopathy - juxtapapillary CNVM with hemorrhage both eyes (also choroidal nevus right eye) - Subretinal hemorrhage both eyesvista 530 veces86 year old woman with shadow in vision OD and new hemmorhage OU.FA shows juxtapapillary CNVM

Multifocal Pattern Dystrophyvista 530 veces51 year old with normal vision - images look a lot like fundus flavimaculatus

Macular Telangiectasia and dry AMD - Simulating wet AMDvista 530 vecesThis patient was told different things by different retina specialists. Her case is complex because she has OCT findings of Macular Telangiectasis and dry AMD. This makes it look like she has wet AMD. Her vision is stable.

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