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Most viewed - Macular Disease

Macular Telangiectasia - Stage 3 right eye 20/40 vision530 viewsConfocal Green Reflectance

Choroidal Effusions and Serous retinal detachment with Systemic Testosterone and Cialis in 75 year old Man530 views1 month following presentation, the eyes look better and vision is a little better

Multifocal Pattern Dystrophy530 views51 year old with normal vision - images look a lot like fundus flavimaculatus

Prefoveal Opercula and early Lamellar Macular Hole530 views73 year old man with 20/32 vision and pre-foveal opercula. The OCT shows very early lamellar hole with lamellar hole epiretinal proliferation

Concentric Geographic Atrophy530 views76 year old man Gradual vision loss
20/32 OD; 20/40 OS
No medicines, Non-smoker
Working and Driving

Idiopathic Central Serous Retinopathy - Bilateral - Acute 529 views49-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

Vitreomacular traction - recent vision loss left eye - FA529 views

Vitreomacular traction - recent vision loss Right Eye - initially worse after Jetrea529 views

IPCV - idiopathic polypoidal choroidal vasculopathy - juxtapapillary CNVM with hemorrhage both eyes (also choroidal nevus right eye) - Subretinal hemorrhage both eyes529 views86 year old woman with shadow in vision OD and new hemmorhage OU. OCT map shows progression of jpcnvm

hydroxychloroquine (Plaquenil) Toxicity - Taiwanese 56 year old female (Asian)529 views56 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 Telangiectasis - visible telangiectasia on color photos529 viewsMulticolor photos too show pathology. This patient had 20/50 vision with pinhole to 20/25

Confluent Soft Drusen with Subetinal Fluid - Right Eye529 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.

Angioid Streaks - Pseudoxanthoma Elasticum - Supressed CNVM528 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

Macular Telangiectasia and dry AMD - Simulating wet AMD528 viewsThis 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.

Asymptomatic wet AMD - Subfoveal CNM both eyes528 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.

Chronic Pseudophakic Cystoid Macular Edema in a Patient with Diabetes527 views74-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.

527 views

Macular Pucker - Diabetic - Severe non-foveal Edema OS527 views74-year-old man has a macular pucker in the left eye and diabetic retinopathy.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/40.

Angioid Streaks - Pseudoxanthoma Elasticum - Supressed CNVM527 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

Chorioretinal Scar with Radiating Chorioretinal Folds527 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.

Vitreomacular traction with traction over retinal vessels in non-diabetic - Fluorescein leakage in areas of traction - Progressing vision loss left eye527 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

Macular Hole Left Eye - progression from VMT - Stage II macular hole - Spontaneously Closed Macular Hole527 views

Presumed Ocular Histoplasmosis with new CNVM in right and better eye - VA 20/80 OD; 20/800 OS527 viewsIndocyanine Green Angiogram

Cystoid Macular Edema 10 years after Cataract Surgery527 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

Macular Telangiectasia and dry AMD - Simulating wet AMD527 viewsThis 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 Eye527 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.

Travatan Induced CME Left eye527 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.

Dry AMD - Confluent Drusen Sparing Center of Macula which has Atrophy527 views65 year old woman, VA 20/40 OD; 20/80 OS. The center of the macula has few or no drusen with predominantly non-geographic atrophy

Macular Hole Closed with Vitrectomy - Preop526 views

Idiopathic Central Serous Retinopathy - Bilateral - Acute 526 views49-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

Plaquenil (Hydroxycholorquine) Toxicity - Bull's Eye Maculopathy - 73 year old womand 25 Years therapy - 64 inches tall - 110 lbs526 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.

Juxtafoveal Telangiectasis - After Hemorrhage Absorbed Right Eye with Avastin Injections526 views73-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.

Juxtafoveal Telangiectasis (MacTel) and Asymptomatic Extrafoveal Juxtapapillary Choroidal Neovascular Membrane526 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.

526 views 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

Central Serous Retinopathy 25 year old professional baseball player - Atypical - Choroidal Hypo-perfusion?526 views

Serous Macular Detachment Both Eyes - Wet AMD vs. CSR - 62 Year Old Man - Fluorescein angiogram526 views

Asymptomatic wet AMD - Subfoveal CNM both eyes526 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.

Myopic CNVM in the left eye. New Classic subfoveal lesion526 views64 year old female. She had retinal detachment repair in the right eye in 1996 (25 years ago). The left eye has new distortion for a week or two.
VA 20/40 OU.
Left eye has a very small subfoveal CNVM

Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intact525 views85-year-old woman has age-related macular degeneration in both eyes with geographic atrophy. She has noticed her vision getting slightly worse in the past 6 months. VISUAL ACUITY: OD 20/70, OS 20/400

Angioid Streaks - New Extrafoveal Choroidal Neovascular Membrane Right Eye525 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.

Macular Pucker - Diabetic - Severe non-foveal Edema OS525 views74-year-old man has a macular pucker in the left eye and diabetic retinopathy.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/40.

Concentric Geograophic Atrophy - Age-related Macular Degeneration - Charles Bonnet Syndrome - Bulls Eye525 views88-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.

Pattern Dystrophy - Adult Vitelliform - Both Eyes525 views60-year-old woman noticing less distortion and less blind spots.
OD is 20/20, OS is 20/40

Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin FA OS525 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.

Macular Hole Left Eye - progression from VMT - Stage II macular hole - Spontaneously Closed Macular Hole525 viewsVision better left eye VMT has released the fovea (was 20/25)

Presumed Ocular Histoplasmosis with new CNVM in right and better eye - VA 20/80 OD; 20/800 OS525 viewsFluorescein Angiogram

IPCV - idiopathic polypoidal choroidal vasculopathy - juxtapapillary CNVM with hemorrhage both eyes (also choroidal nevus right eye) - Subretinal hemorrhage both eyes525 views86 year old woman with shadow in vision OD and new hemmorhage OU. ICG angiogram

Cuticular Drusen - 26 year old female - Glomerulonephritis525 viewsVA 20/25 OU. Images are over 4 years

Cystoid Macular Edema 10 years after Cataract Surgery525 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

Central Serous Retinopathy - Subretinal Fibrin525 views66 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

Pattern Dystrophy - Adult Vitellifrom (Best)525 views71 year old female - lesions nasal to the fovea in both eyes. (20/40 OU)

Outer Retinal Tubulation525 views78 year old man chronic wet AMD - 20/200

New Subfoveal Classic CNVM OS - Wet AMD - Macular Scar Congenital Toxoplasmosis Right Eye 524 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.

Angioid Streaks and Macular Degeneration - CNVM OS - Band Keratopathy 524 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.

Macular Telangiectasia - Stage 5 left eye - 20/40 vision after 2 years of Avastin - Bulls Eye Blue Reflectance524 viewsConfocal Blue Reflectance

Presumed Ocular Histoplasmosis with new CNVM in right and better eye - VA 20/80 OD; 20/800 OS524 viewsIndocyanine Green Angiogram

Cystoid Macular Edema 10 years after Cataract Surgery524 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

Asymptomatic wet AMD - Subfoveal CNM both eyes524 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.

Small Retinal Pigment Epithelial Rip and Poor Vision (20/400)523 views80-year-old woman vision in the right eye has substantially declined.
OD: 20/400; OS: 20/50

Juxtfoveal Telangiectasis Group 2a - Type II - MacTel - also Juxtapapillary Asymptomatic CNVM Right Eye523 views82-year-old woman who has juxtafoveal retinal telangiectasis in both eyes. She recently had cataract surgery in the right eye and the vision in the right eye is still limited. OD 20/100, OS 20/40.

523 views

Acute Central Serous Retinopathy - CSR - Steroid Induced (probably) - Good Vision - ICG Affected Eye - Choroidal Leakage523 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.

Presumed Ocular Histoplasmosis with new CNVM in right and better eye - VA 20/80 OD; 20/800 OS523 viewsIndocyanine Green Angiogram

Vitrectomy with membrane peel523 viewsIntraoperative images showing the peeling of an epiretinal membrane - macular pucker - with a 25 gauge forcepts.

Submacular Hemorrhage - wet AMD523 views84 year old man with 20/200 from submacular hemorrhage. Vision improved to 20/32 with only Avastin therapy (no surgical intervention). The initial FAF is interesting because parts of the blood hyper auto fluoresce.

Chronic CSR with mild vision loss - Macular Atrophy Right Eye523 views55 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.

Polypoidal Choroidal Vasculopathy Left Eye523 views74 year old man with vision loss to 20/100 over a few months. He improved to 20/20 with Lucentis. The color and ICG show the polyps.

Chronic Central Serous Retinopathy - Gutter in Both Eyes - Treated with PDT - Visudyne522 views69-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.

Chronic Pseudophakic Cystoid Macular Edema in a Patient with Diabetes522 views74-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 Pucker 20/40 Vision - Pigment Bottom of Photo from Old Retinal Detachment 522 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)

Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin - Fill ICG FA OD522 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.

Serous Macular Detachment Both Eyes - Wet AMD vs. CSR - 62 Year Old Man - Fluorescein angiogram522 views

Vitreomacular traction - recent vision loss left eye - FA522 views

Vitreomacular traction - 20/25 vision 6 months post- vitrectomy522 views

Cuticular Drusen - 26 year old female - Glomerulonephritis522 viewsVA 20/25 OU. Images are over 4 years. FA shows starry sky early images - This is because of loss of RPE over the drusen creating very small window defects.

Confluent Soft Drusen with Subetinal Fluid - Right Eye522 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.

Central Serous Chorioretinopathy - Moderate522 views49 year old man with episodes in 2011, 2017, and 2018 - now with some paracentral vision loss in the right eye and subretinal fluid.

Chronic Central Serous Retinopathy - Gutter in Both Eyes - Treated with PDT - Visudyne521 views69-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.

Small Retinal Pigment Epithelial Rip and Poor Vision (20/400)521 views80-year-old woman vision in the right eye has substantially declined.
OD: 20/400; OS: 20/50

Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman 521 views70 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.

Post-Retinal Detachment Repair Occult Subfoveal CNVM521 viewsThis pleasant 56-year-old man has had a complex retinal detachment repair in the right eye. I most recently removed his silicone oil 3 months ago. His vision now is the best it has ever been.
VISUAL ACUITY: OD 4/200

hydroxychloroquine (Plaquenil) Toxicity - Taiwanese 56 year old female (Asian)521 views56 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 Surgery521 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

Macular Telangiectasis - visible telangiectasia on color photos521 viewsMulticolor photos too show pathology. This patient had 20/50 vision with pinhole to 20/25

Submacular Hemorrhage - wet AMD521 views84 year old man with 20/200 from submacular hemorrhage. Vision improved to 20/32 with only Avastin therapy (no surgical intervention). The initial FAF is interesting because parts of the blood hyper auto fluoresce.

Pattern Dystrophy - Adult Vitellifrom (Best)521 views71 year old female - lesions nasal to the fovea in both eyes. (20/40 OU)

Angioid Streaks New Vision Change in Good Right Eye Treated with Lucentis520 views53-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

Choriodal Neovascular Membrane - Subfoveal - Pseudo-Retinitis Pigmentosa - 50 years post Retinal Detachment Repair520 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.

Wet AMD controlled with Avastin 20/60 Vision520 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.

Macular Pucker - Spontaneously Partial Peel after 20 Years. Vision improved to 20/30520 views83-year-old woman decreased vision in the right eye for about a month. 20 years ago she was diagnosed with a macular pucker OD 20/50, OS 20/20.

Acute Central Serous Retinopathy - CSR - Steroid Induced (probably) - Good Vision - FA Fellow Eye520 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.

Lumigan (Bimatoprost) Cystoid Macular Edema - Eye Better 1 month after Stopping Lumigan520 views 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

Lumigan (Bimatoprost) Cystoid Macular Edema - Eye Better 1 month after Stopping LumiganLumigan (Bimatoprost) Cystoid Macular Edema - Eye Better 1 month after Stopping Lumigan520 views 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

Macular Hole Left Eye - progression from VMT - Stage II macular hole - Spontaneously Closed Macular Hole520 viewsVision has dropped to 20/50 and there is a full thickness macular hole

Chronic CSR with mild vision loss - Macular Atrophy Right Eye520 views55 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.

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