Most viewed - Macular Disease
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IPCV - idiopathic polypoidal choroidal vasculopathy - juxtapapillary CNVM with hemorrhage both eyes (also choroidal nevus right eye) - Subretinal hemorrhage both eyes453 views86 year old woman with shadow in vision OD and new hemmorhage OU.
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Multifocal Bilateral Central Serous Retinopathy in African American Male453 views67 year old african american male with : Blurred Vision OD. Duration of Problem: 4-6 weeks. VA 20/32 OD 20/20 OS
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Submacular Hemorrhage - wet AMD453 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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Severe Macular Pucker453 views57 year old female with 20/200 vision and dense macular pucker. Vision improved to 20/50 within about 6 months of surgery.
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Polypoidal Choroidal Vasculopathy Left Eye453 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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Pseudophakic Cystoid Macular Edema Both Eyes453 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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Pseudophakic Cystoid Macular Edema Both Eyes453 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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Stage 2-3 Macular Hole - Closed with Vitrectomy and ILM peel with Brilliant blue453 views68 year old female was 20/100 with macular hole - VA improved to 20/25 post-op. C3F8 was used
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Chronic CSC Both Eyes - Recent vision loss Right Eye Treated with PDT453 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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Chronic CSC Both Eyes - Recent vision loss Right Eye Treated with PDT453 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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Hydroxychloroquine Toxicity - Mild453 views71 year old female with 200 mg BID plaquenil for 25 years. Recent visual field showed abnomality. FAF shows hyper FAF temporally and OCT shows mild outer retinal atrophy
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Plaquenil Toxicity - 4 years use453 views47 year old female She started plaquenil 4 years ago for lupus with cutaneous findings. She has never been on the plaquenil before. Her renal function is normal (her husband is an internist) and she is not on Tamoxifen. Stopped the medication about 2.5 weeks ago. She noticed vision when she started the depacote. She is also myopic. (-9.50)
Her dose was 6.3 mg/kg. She is 5'1" tall.
VA 20/25 OU
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Wet Macular Degeneration Left Eye with Gutter (atypical) and Geographic Atrophy Right Eye452 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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Macular Pucker 20/40 vision and recent cataract surgery452 views 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.
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Vitreomacular traction with traction over retinal vessels in non-diabetic - Fluorescein leakage in areas of traction - Progressing vision loss left eye452 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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452 viewsIndocyanine Green Angiogram
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New wet AMD OS with subretinal hemorrhage and recent vision loss, Scar OD452 views
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Macular Telangiectasia and dry AMD - Simulating wet AMD452 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 eyes452 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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Multifocal Bilateral Central Serous Retinopathy in African American Male452 views67 year old african american male with : Blurred Vision OD. Duration of Problem: 4-6 weeks. VA 20/32 OD 20/20 OS
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Multifocal Bilateral Central Serous Retinopathy in African American Male452 views67 year old african american male with : Blurred Vision OD. Duration of Problem: 4-6 weeks. VA 20/32 OD 20/20 OS
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Chronic CSR with mild vision loss - Macular Atrophy Right Eye452 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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Chronic CSR with mild vision loss - Macular Atrophy Right Eye452 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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Spontaneously Peeled Macular Pucker 20/20 Vision452 views
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Chronic Central Serous Chorioretinopathy452 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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Concentric Geographic Atrophy - 76 year old man452 viewsGradual vision loss, worse at night. VA 20/40 OU.
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451 views
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Wet AMD OD and Lamellar Macular hole OS451 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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Fellow eye451 views
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Macular Telangiectasis (MacTel)451 views
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Macular Telangiectasis with Symptomatic Blind Spots451 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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Outer Retinal Tubulation451 views78 year old man chronic wet AMD - 20/200
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Vitreomacular Traction -> Macular Hole -> Aborted Macular hole451 viewsProgression of VMT in both eyes over time
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Vitreomacular Traction -> Macular Hole -> Aborted Macular hole451 viewsProgression of VMT in both eyes over time
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Non-exudative wet AMD right eye (treatment naive quiescent)451 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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Vitreomacular traction OU - Aborted in 3 months - right eye 3 months f-u451 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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Chronic CSC Both Eyes - Recent vision loss Right Eye Treated with PDT451 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 Telangiectasis - Mild - Retinal Crystals451 views58 year old man with long term mild vision loss. Considering Cataract surgery. VA 20/50 OD and 20/63 OS - Moderate cataract are present
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Macular Telangiectasis and Vision loss following vitrectomy with membrane peel451 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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Plaquenil Toxicity - 4 years use451 views47 year old female She started plaquenil 4 years ago for lupus with cutaneous findings. She has never been on the plaquenil before. Her renal function is normal (her husband is an internist) and she is not on Tamoxifen. Stopped the medication about 2.5 weeks ago. She noticed vision when she started the depacote. She is also myopic. (-9.50)
Her dose was 6.3 mg/kg. She is 5'1" tall.
VA 20/25 OU
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Plaquenil Toxicity - 4 years use451 views47 year old female She started plaquenil 4 years ago for lupus with cutaneous findings. She has never been on the plaquenil before. Her renal function is normal (her husband is an internist) and she is not on Tamoxifen. Stopped the medication about 2.5 weeks ago. She noticed vision when she started the depacote. She is also myopic. (-9.50)
Her dose was 6.3 mg/kg. She is 5'1" tall.
VA 20/25 OU
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Myopic CNVM in the left eye. New Classic subfoveal lesion451 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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Macular Telangiectasia (MacTel) and Pattern Dystrophy451 views71 year old man with diabetes for 5 years and blurred vision in the left eye. VA 20/25 OD, 20/50 OS. OCT OS shows MacTel
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80 Year Old Woman Macular Degeneration Disciform Scar - Fibrosis450 viewsVA 5/200
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Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachment450 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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Polypoidal Choroidal Vasculopathy Left Eye450 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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MacTel - Juxtafoveal Telangiectasis450 views56 year old man with a lot of difficulty adjusting to vision loss
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Non-exudative wet AMD right eye (treatment naive quiescent)450 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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450 views
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Central Serous Chorioretinopathy - Moderate450 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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Acute Bilateral Central Serous Chorioretinopathy - Female - Smokestack450 views39 year old female She had no prior epsisodes of vision loss and then a week ago she noticed decreased vision in the right eye. She has not had any health problems and she is not pregnant. Phendimetrazine started 3 months ago. She is not on steroids. VA OD: sc20/63-1 NscJ16 VA OS: sc20/125-1 Dcc20/80 NscJ16 IOP: TP: OD:14 OS:14 Time:11:23 AM
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Large and Extensive Macular Drusen450 views64 year old female with 20/25 vision taking vitamins in for a checkup.
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Vitreomacular traction - 20/50 vision and symptomatic with metamorphopsia449 views
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Macular Telangiectasia and dry AMD - Simulating wet AMD449 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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Chronic CSR with mild vision loss - Macular Atrophy Right Eye449 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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Outer Retinal Tubulation449 views78 year old man chronic wet AMD - 20/200
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Angioid Streaks - CNVM OS with vision loss449 views48 year old soccer player. Prior trauma OS (with soccer ball). Vision loss for 3 weeks to 20/60 - with Lucentis vision improved to 20/30
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Pseudophakic Cystoid Macular Edema Both Eyes449 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 Atrophy449 views76 year old man Gradual vision loss
20/32 OD; 20/40 OS
No medicines, Non-smoker
Working and Driving
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Adult Pseudovitelliform Macular Dystrophy449 views89 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
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Rapid macular atrophy with anti-VEGF therapy for myopic CNVM449 views64 year old female with 20/32 vision and distortion in the left and better eye. She was treated with monthly lucentis and her vision declined to 20/100. Medicine was stopped and she improved a little to 20/80.
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Choroidal Neovascular Membrane following Prior Central Serous Chorioretinopathy - OCT-A449 views67 year old female with CSR in the left eye first 20 years ago. She was managed with out therapy and has had a few episodes since. Now ther eis distortion in the left eye for a few days. She had a steroid shot in her shoulder 5 months ago.
VA 20/20 OD, 20/50 OS- ICG and OCT-A confirm CNVM in the left eye
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Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye448 views84-year-old woman has polypoidal choroidal vasculopathy in both eyes with macular degeneration. She has macular scars in both eyes and she remains with remarkably good vision in the right eye despite the scarring.
VISUAL ACUITY: OD 20/30, OS 1/200
Avastin Rx OD
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman 448 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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Vitreomacular Traction 1 month - 20/60 vision - Fellow Eye Normal - 80 Year Old Man 448 views80-year-old man has a macular pucker in the right eye with vitreomacular traction and vision loss for 1 month. His vision seems about stable to him. OD 20/60.
(these images are from initial presentation)
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Juxtafoveal Telangiectasis - MacTel - Group 2a - Stage IV - Pigment Plaque 89 Year Old Man - Line Scan OD448 views89-year-old man has stage IV juxtafoveal retinal telangiectasis in both eyes with background diabetic retinopathy. His vision is stable since he was here last which is about 6 months ago. OD 20/50, OS 20/70.
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Central Serous Retinopathy448 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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Lamellar macular hole448 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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Multifocal Bilateral Central Serous Retinopathy in African American Male448 views67 year old african american male with : Blurred Vision OD. Duration of Problem: 4-6 weeks. VA 20/32 OD 20/20 OS
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Multifocal Bilateral Central Serous Retinopathy in African American Male448 views67 year old african american male with : Blurred Vision OD. Duration of Problem: 4-6 weeks. VA 20/32 OD 20/20 OS
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Submacular Hemorrhage - wet AMD448 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)448 views71 year old female - lesions nasal to the fovea in both eyes. (20/40 OU)
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Pseudophakic Cystoid Macular Edema Both Eyes448 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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Choroidal Neovascular Membrane following Prior Central Serous Chorioretinopathy - OCT-A448 views67 year old female with CSR in the left eye first 20 years ago. She was managed with out therapy and has had a few episodes since. Now ther eis distortion in the left eye for a few days. She had a steroid shot in her shoulder 5 months ago.
VA 20/20 OD, 20/50 OS- ICG and OCT-A confirm CNVM in the left eye
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Choriodal Neovascular Membrane - Subfoveal - Pseudo-Retinitis Pigmentosa - 50 years post Retinal Detachment Repair447 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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Wet AMD controlled with Avastin 20/60 Vision447 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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Vitreomacular traction with traction over retinal vessels in non-diabetic - Fluorescein leakage in areas of traction - Progressing vision loss left eye447 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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Vitreomacular traction with traction over retinal vessels in non-diabetic - Fluorescein leakage in areas of traction - Progressing vision loss left eye447 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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447 views
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Multifocal Bilateral Central Serous Retinopathy in African American Male447 views67 year old african american male with : Blurred Vision OD. Duration of Problem: 4-6 weeks. VA 20/32 OD 20/20 OS
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Multifocal Bilateral Central Serous Retinopathy in African American Male447 views67 year old african american male with : Blurred Vision OD. Duration of Problem: 4-6 weeks. VA 20/32 OD 20/20 OS
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Macular Telangiectasis with Symptomatic Blind Spots447 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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Chronic CSR with mild vision loss - Macular Atrophy Right Eye447 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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Chronic Central Serous Chorioretinopathy Both Eyes447 views60 year old man with 20 year history of chronic CSR. He has had laser and PDT in the past. The left eye has been 20/100 for decades. The right eye is now declining. Was 20/32 and is down to 20/50. There is chronic low grade subretinal fluid away from the center in the right eye. (focal laser in the right eye in 2005, left eye 2001 at BPEI). Refampin tried in 2012, Aldactone in 2013. PDT in 204 and 2017 Images are from 2017
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PAMM post CRAO447 views
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Polypoidal Choroidal Vasculopathy Left Eye447 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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Chronic CSC Both Eyes - Recent vision loss Right Eye Treated with PDT447 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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Concentric Geographic Atrophy447 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 - Mild - Retinal Crystals447 views58 year old man with long term mild vision loss. Considering Cataract surgery. VA 20/50 OD and 20/63 OS - Moderate cataract are present
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Cystoid Macular Edema and Macular Pucker447 viewshas been particular bad for 3 years. She has a macular pucker and severe CME.
VA 20/160 left eye
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Myopic CNVM in the left eye. New Classic subfoveal lesion447 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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Macular Telangiectasia (MacTel) and Pattern Dystrophy447 views71 year old man with diabetes for 5 years and blurred vision in the left eye. VA 20/25 OD, 20/50 OS. OCT OS shows MacTel
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446 views
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Central Serous Retinopathy 25 year old professional baseball player - Atypical - Choroidal Hypo-perfusion?446 views
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446 views
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IPCV - idiopathic polypoidal choroidal vasculopathy - juxtapapillary CNVM with hemorrhage both eyes (also choroidal nevus right eye) - Subretinal hemorrhage both eyes446 views86 year old woman with shadow in vision OD and new hemmorhage OU.
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IPCV - idiopathic polypoidal choroidal vasculopathy - juxtapapillary CNVM with hemorrhage both eyes (also choroidal nevus right eye) - Subretinal hemorrhage both eyes446 views86 year old woman with shadow in vision OD and new hemmorhage OU.
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hydroxychloroquine (Plaquenil) Toxicity - Taiwanese 56 year old female (Asian)446 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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Cystoid Macular Edema 10 years after Cataract Surgery446 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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Travatan Induced CME Left eye446 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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