Most viewed - Macular Disease
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New Subfoveal Classic CNVM OS - Wet AMD - Macular Scar Congenital Toxoplasmosis Right Eye 498 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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Vitreomacular traction with traction over retinal vessels in non-diabetic - Fluorescein leakage in areas of traction - Progressing vision loss left eye498 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 Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel 498 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Retinal Pigment Epithelial Detachment with no Sub-Retinal Fluid...498 viewsA 38-year old male who comes in with blurred vision in the left eye. VA is 20/30. Notices a defect inferior of his central vision. Did an Fluorescence Angiogram to determine an RPE with no sub retinal fluid. Also OCT confirms. Patient was injected with Avastin.
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Macular Telangiectasia and dry AMD - Simulating wet AMD498 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.
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Asymptomatic wet AMD - Subfoveal CNM both eyes498 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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Asymptomatic wet AMD - Subfoveal CNM both eyes498 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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Chronic CSC Both Eyes - Recent vision loss Right Eye Treated with PDT498 views50 year old man The right eye has had vision loss for a few weeks. He had previous episodes seen by me in 2012 OS and 2008 OD. This was 2018. VA OS has been poor for several years.
VA OD: Dcc20/100
VA OS: Dcc20/200-3
The patient had PDT to leaky area superotemporal to the fovea 1/2 dose and within 3 months was back up to 20/25. The last two OCT scans show fluid absorbing
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Macular Pucker497 views. This pleasant 59-year-old man had vitrectomy for a macular pucker in the right eye in July. His vision is gradually improving.
VISUAL ACUITY: Vision OD is 20/30. IOP: OD 22. There is 2+ nuclear sclerosis.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.5. The macula is smooth and the retina is attached.
OCT SCAN: The OCT scan shows an average central foveal thickness of 349 microns, which compares favorably to the pre-op thickness of 482 microns.
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Chronic Central Serous Retinopathy treated with Photodynamic Laser and Visudyne497 views48-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.
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 497 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
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Juxtafoveal Telangiectasis - After Hemorrhage Absorbed Right Eye with Avastin Injections497 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.
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Macular Pucker 20/40 Vision 497 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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Central Serous Retinopathy 25 year old professional baseball player - Atypical - Choroidal Hypo-perfusion?497 views
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Dry AMD - Confluent Drusen Sparing Center of Macula which has Atrophy497 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
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Submacular Hemorrhage - wet AMD497 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.
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Pattern Dystrophy - Adult Vitellifrom (Best)497 views71 year old female - lesions nasal to the fovea in both eyes. (20/40 OU)
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Chronic Central Serous Chorioretinopathy497 views77 year old man was seen at uveitis clinic and tested positive to Anti-retinal antibody against 35 kDa and anti-optic nerve antibody. He did not have EDI OCT, FAF, or ICG. All testing was consistent with Chronic CSR. His immunosuppresives were stopped and he did fine for 3 years.
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Myopic CNVM in the left eye. New Classic subfoveal lesion497 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
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Severe Geographic Atrophy from Dry Age-Related Macular Degeneration497 views90 year old female with severe vision loss over the last few years.
VA 3/200 OD
1/200 OS
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Chronic Central Serous Retinopathy treated with Photodynamic Laser and Visudyne496 views48-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.
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496 views
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Vitreomacular traction with traction over retinal vessels in non-diabetic - Fluorescein leakage in areas of traction - Progressing vision loss left eye496 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 Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel 496 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Angioid Streaks and Macular Degeneration - CNVM OS - Band Keratopathy 496 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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Central Serous Retinopathy496 viewsPatient comes in with blurred vision. Patient also had a lung transplant. VA was 20/150 with pinhole correction to 20/60 in the right eye. Fundus exam in the right eye shows a great amount of sub retinal fluid over the macula. Will monitor to see if it goes away on its own, if not then will consider laser treatment.
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496 views
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OCT shows lamellar macular hole left eye496 viewsWet 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.
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Wet AMD 1 month after Eylea - macula is dry and vision is better496 views
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Pseudophakic CME with serous retinal detachment - FA shows leakage in both eyes496 views68 year old man with 2 months of vision loss. FA shows CME, notice that the nerve also leaks. This is typical for pseudophakic inflammatory cystoid macular edema
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hydroxychloroquine (Plaquenil) Toxicity - Taiwanese 56 year old female (Asian)496 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)
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Central Serous Retinopathy - Subretinal Fibrin496 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
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Macular Telangiectasis with Symptomatic Blind Spots496 views55 year old man with non-neovascular MacTel. VA 20/20 right eye 20/50 left eye. The color images show gray areas temporally. The FAF shows decreased macular pigment. The OCT shows outer retinal atrophy.
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Pattern Dystrophy - Adult Vitellifrom (Best)496 views71 year old female - lesions nasal to the fovea in both eyes. (20/40 OU)
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Polypoidal Choroidal Vasculopathy Left Eye496 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.
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Pattern Dystrophy - Foveal Atrophy496 views73 year old female with vision loss - looks like macular hole
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Pseudophakic Cystoid Macular Edema Both Eyes496 views81 year old man with vision loss about 4 months following ECCE. Did not respond to topical therapy but did fine with PST kenalog
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Concentric Geographic Atrophy496 views76 year old man Gradual vision loss
20/32 OD; 20/40 OS
No medicines, Non-smoker
Working and Driving
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Macular Scar Left Eye from Age-Related Macular Degeneration495 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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495 views
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel 495 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Group 2a Juxtafoveal Telangiectasis - MacTel - Stage 5 left eye - Macular Hole Right eye495 views76-year-old woman has juxtafoveal retinal telangiectasis. She had Stage five neovascularization in the left eye I treated with injections between September of 2007 and October of 2008 with Avastin (3 years ago). OCT scan today shows macular hole right eye. VISUAL ACUITY: OD 20/400, OS 20/40.
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Post-Retinal Detachment Repair Occult Subfoveal CNVM495 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
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OCT shows lamellar macular hole right eye - macula is DRY after 9 months without local treatment - VA 20/40495 viewsWet 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.
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Vitreomacular traction - 20/40 vision and symptomatic with metamorphopsia495 views
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Adult Vitelliform Macular Dystrophy - Pattern Dystrophy495 views
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Macular Telangiectasis and Vision loss following vitrectomy with membrane peel495 views76 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
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494 views
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Wet AMD controlled with Avastin 20/60 Vision494 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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Choroidal Effusions and Serous retinal detachment with Systemic Testosterone and Cialis in 75 year old Man494 viewsSD OCT shows choroidal thickening and subretinal fluid
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Vitreomacular traction - 20/25 vision 6 months post- vitrectomy494 views
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Submacular Hemorrhage - wet AMD494 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.
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Chronic CSR with mild vision loss - Macular Atrophy Right Eye494 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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Pattern Dystrophy - Adult Vitellifrom (Best)494 views71 year old female - lesions nasal to the fovea in both eyes. (20/40 OU)
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Angioid Streaks New Vision Change in Good Right Eye Treated with Lucentis493 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
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Juxtafoveal Telangiectasis and Newly Decreasing Vision493 views70-year-old woman followed for 10 years with IJFT with newly decreasing vision OU OD: 20/160; OD: 20/80
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Choriodal Neovascular Membrane - Subfoveal - Pseudo-Retinitis Pigmentosa - 50 years post Retinal Detachment Repair493 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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Vitreomacular traction - recent vision loss Right Eye 493 views
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Vitrectomy with membrane peel493 viewsIntraoperative images showing the peeling of an epiretinal membrane - macular pucker - with a 25 gauge forcepts.
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Confluent Soft Drusen with Subetinal Fluid - Right Eye493 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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Confluent Soft Drusen with Subetinal Fluid - Right Eye493 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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Vitreomacular traction OU - Aborted in 3 months - left eye 3 months f-u493 views62 year old female with blurred vision in both eyes for 2 months intermittently. She was referred for macular edema.
A 20/32 OD, 20/25 OS
OCT showed VMT in one eye and edema in the other
3 months later in the last 2 OCT scans
VA 20/20 OD, 20/16 OS and VMT had released.
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Macular Telangiectasia - Mild493 views56 year old female with good vision and mild macular telangiectasia. VA 20/40 OD 20/16 OS
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Acute Central Serous Retinopathy (Chorioretinopathy) Right Eye492 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 Membrane492 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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Central Serous Retinopathy492 viewsPatient comes in with blurred vision. Patient also had a lung transplant. VA was 20/150 with pinhole correction to 20/60 in the right eye. Fundus exam in the right eye shows a great amount of sub retinal fluid over the macula. Will monitor to see if it goes away on its own, if not then will consider laser treatment.
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Central Serous Retinopathy 25 year old professional baseball player - Atypical - Choroidal Hypo-perfusion?492 views
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Vitreomacular traction - recent vision loss - preop SD OCT492 views
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Macular Hole Left Eye - progression from VMT - Stage II macular hole - Spontaneously Closed Macular Hole492 views
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Presumed Ocular Histoplasmosis with new CNVM in right and better eye - VA 20/80 OD; 20/800 OS492 viewsFluorescein Angiogram
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Vitreomacular traction - 20/40 vision and symptomatic with metamorphopsia492 views
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Macular Telangiectasis (MacTel)492 views
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Dry AMD - Confluent Drusen Sparing Center of Macula which has Atrophy492 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
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Polypoidal Choroidal Vasculopathy Left Eye492 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.
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Non-exudative wet AMD right eye (treatment naive quiescent)492 views82 year old man. ICG shows CNVM in the right eye. This stayed quiet for 3 years and then started leaking and responded well to Avastin.
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Central Serous Chorioretinopathy - Moderate492 views49 year old man with episodes in 2011, 2017, and 2018 - now with some paracentral vision loss in the right eye and subretinal fluid.
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Concentric Geographic Atrophy492 views76 year old man Gradual vision loss
20/32 OD; 20/40 OS
No medicines, Non-smoker
Working and Driving
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Macular Telangiectasis and Vision loss following vitrectomy with membrane peel492 views76 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
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Angioid Streaks New Vision Change in Good Right Eye Treated with Lucentis491 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
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Macular Pucker Pre-OP 20/200 Macular Pucker Pre-OP 20/200 491 views
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491 views
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Plaquenil (Hydroxycholorquine) Toxicity - Bull's Eye Maculopathy - 73 year old womand 25 Years therapy - 64 inches tall - 110 lbs491 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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Asymptomatic 20/200 Macular Pucker 79 year old man - Left Eye491 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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Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachment491 views38-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.
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Central Serous Retinopathy 41 year old woman with Vision Loss for One Year491 views41-year-old woman has chronic central serous retinopathy in the right eye with decreased vision in that eye for over a year. Her vision has been waxing and waning and recently is getting worse. Her vision in the left eye is fine.
VISUAL ACUITY: OD 20/40
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Central Serous Retinopathy 25 year old professional baseball player - Atypical - Choroidal Hypo-perfusion?491 views
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Vitrectomy with membrane peel491 viewsIntraoperative images showing the peeling of an epiretinal membrane - macular pucker - with a 25 gauge forcepts.
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Pattern Dystrophy - Adult Vitellifrom (Best)491 views71 year old female - lesions nasal to the fovea in both eyes. (20/40 OU)
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Pattern Dystrophy - Foveal Atrophy491 views73 year old female with vision loss - looks like macular hole
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Concentric Geographic Atrophy491 views76 year old man Gradual vision loss
20/32 OD; 20/40 OS
No medicines, Non-smoker
Working and Driving
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Wet AMD - Subfoveal CNVM - Excellent Response to Avastin490 views76-year-old woman two to three months of vision loss OD
Vision started at 20/200 and with Avastin improved to 20/25. She has required monthly injections and as of October 2010 has been treated about 16 times. Her left eye remains good at 20/20.
The OCT from post-treatment as well as pretreatment images are in this album.
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Pattern Dystrophy - Adult Vitelliform Dystrophy - Macular Degeneration490 views 78 Year Old Woman with vision has diminished in the right eye over the past couple of years, but the diminishment has been slow.
20/60+1 OD, 20/25 OS
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman 490 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.
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490 views
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Macular Hole Left Eye - progression from VMT - Stage II macular hole - Spontaneously Closed Macular Hole490 views
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OHS CNVM post treatment with Lucentis - VA now 20/25490 views
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Myopic Traction Maculopathy - Long Term Follow-up490 views88-92 year old woman with about 20/40 vision and myopic tractional maculopathy. Her vision fluctuates a little. The serial OCT's show no progression.
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Non-exudative wet AMD right eye (treatment naive quiescent)490 views82 year old man. ICG shows CNVM in the right eye. This stayed quiet for 3 years and then started leaking and responded well to Avastin.
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Myopic Degeneration - Inferior staphyloma with severe atrophy490 views76 year old with gradual vision loss. 20/32 OD; 20/40 OS
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Macular Scar Left Eye from Age-Related Macular Degeneration489 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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