Most viewed - Macular Disease
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Vitreomacular traction with traction over retinal vessels in non-diabetic - Fluorescein leakage in areas of traction - Progressing vision loss left eye417 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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Spontaneously Peeled Macular Pucker 20/20417 views
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Outer Retinal Tubulation417 views78 year old man chronic wet AMD - 20/200
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Angioid Streaks - CNVM OS with vision loss417 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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Chronic Central Serous Chorioretinopathy417 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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Vitreomacular Traction -> Macular Hole -> Aborted Macular hole417 viewsProgression of VMT in both eyes over time
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Polypoidal Choroidal Vasculopathy - Right Eye417 views83 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
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Central Serous Chorioretinopathy - Moderate417 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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Macular Telangiectasis - Mild - Retinal Crystals417 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 - Mild - Retinal Crystals417 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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Rapid macular atrophy with anti-VEGF therapy for myopic CNVM417 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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Concentric Geographic Atrophy - 76 year old man417 viewsGradual vision loss, worse at night. VA 20/40 OU.
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Polypiodal Choroidal Vasculopathy - Temporal Macula - Left eye417 views82 year old man with asymptomatic PCV in the left eye. Vision 20/50 OD, 20/32 OS did well with Lucentis
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Polypiodal Choroidal Vasculopathy - Temporal Macula - Left eye417 views82 year old man with asymptomatic PCV in the left eye. Vision 20/50 OD, 20/32 OS did well with Lucentis
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Polypiodal Choroidal Vasculopathy - Temporal Macula - Left eye417 views82 year old man with asymptomatic PCV in the left eye. Vision 20/50 OD, 20/32 OS did well with Lucentis
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Choroidal Neovascular Membrane following Prior Central Serous Chorioretinopathy - OCT-A417 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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Choroidal Neovascular Membrane following Prior Central Serous Chorioretinopathy - OCT-A417 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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Macular Telangiectasi - Stage V - CNVM OU417 views60 year old female who has been treated with injections for 5 years starting in the left eye. She had no treatment 6 months prior to this visit and her vision has been getting worse. Her vision is 20/100 OD, 20/32 OS. Vision improved with intravitreal Avastin to 20/30 OU.
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Hydroxychloroquine retinopathy - Plaquenil - Moderate417 views51 year old female on with trouble driving at night for a year. No eye examination for several years. 2009 (11 years ago) Plaquenil 300 then up to 400 a few years ago now down to 300 - 5'2" 135 lbs
VA 20/20 OD, 20/25 OS
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Lamellar Macular Hole - Evoluation over 5 years417 views65 year old man with Sturge weber and a choroidal hemangioma in the left eye. (See other images under sturge weber on this website). Has ongoing problem with his left eye. Now with Blurred vision in the right eye gradually worse the last few weeks. He has had a vitrectomy in the right eye 4 years ago for floaters. Laser for tears and cryo in the right eye 5 years ago. He is on Dorzolamide and Lumigan for glaucoma.
VA 20/32 OD, 20/40 OS
IOP 23 OD, 19 OS
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Macular Telangiectasia (MacTel) and Pattern Dystrophy417 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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Age-related macular degeneration - Geographic Atrophy - Intermittent CME left eye from CRVO, Anemia, Diabetes417 views79 year old female - 3 years post CRVO in the left eye (20/32 VA) with intermittent CME. Left eye is the better eye. Vision is stable since 2 years ago
PMHx: Type II DM x 20 years, Chronic Anemia, Hyperlipidemia
VA 20/200 OD, 20/50 OS (usually 20/40)
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Wet AMD OD and Lamellar Macular hole OS416 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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Submacular Hemorrhage - wet AMD416 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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Central Serous Chorioretinopathy - Moderate416 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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Rapid macular atrophy with anti-VEGF therapy for myopic CNVM416 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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Acute Bilateral Central Serous Chorioretinopathy - Female - Smokestack416 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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Polypiodal Choroidal Vasculopathy - Temporal Macula - Left eye416 views82 year old man with asymptomatic PCV in the left eye. Vision 20/50 OD, 20/32 OS did well with Lucentis
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Cystoid Macular Edema and Macular Pucker416 viewshas been particular bad for 3 years. She has a macular pucker and severe CME.
VA 20/160 left eye
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Wet AMD OD and Lamellar Macular hole OS415 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 Male415 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 Spots415 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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Spontaneously Peeled Macular Pucker 20/20 Vision415 views
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Polypoidal Choroidal Vasculopathy Left Eye415 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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Outer Retinal Tubulation415 views78 year old man chronic wet AMD - 20/200
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MacTel - Juxtafoveal Telangiectasis415 views56 year old man with a lot of difficulty adjusting to vision loss
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MacTel - Juxtafoveal Telangiectasis415 views56 year old man with a lot of difficulty adjusting to vision loss
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Polypoidal Choroidal Vasculopathy - Right Eye415 views83 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
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Polypoidal Choroidal Vasculopathy - Right Eye415 views83 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
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Macular Telangiectasia - Mild415 views56 year old female with good vision and mild macular telangiectasia. VA 20/40 OD 20/16 OS
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Mild Central Serous Chorioretinopathy - Flonase related415 views58 year old man with vision loss in the left eye for 8 days. This has never happened before. He started taking flonase about a month ago. He stopped the flonase and the vision improved in less than a month. Initial vision was 20/20 OD, 20/40 OS
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Focal Hyperpigmentation in Dry Age-Related Macular Degeneration415 views74 year old female with 20/32 vision right eye and 20/25 vision in the left eye. Images show focal hyper-pigmentation which is a risk factor for progression to wet AMD
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Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye414 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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Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye414 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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OCT Macular Hole 414 viewsMacular Hole OCT
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Submacular Hemorrhage - wet AMD414 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 Eye414 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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Stage 4 Macular Hole414 views57 year old female with 20/160 vision and stage 4 macular hole
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Hydroxychloroquine Toxicity - Mild414 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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Non-central vitreomacular traction414 views
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Macular Scars - Laser (1980s) Ocular Histoplasmosis414 views70 year old man who had laser at Wills, Wilmer and the Mayo clinic before better therapies were available for ocular histoplasmosis related CNVM
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Plaquenil Toxicity - 4 years use414 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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Choroidal Neovascular Membrane following Prior Central Serous Chorioretinopathy - OCT-A414 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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Myopic CNVM in the left eye. New Classic subfoveal lesion414 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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Lamellar Macular Hole - Evoluation over 5 years414 views65 year old man with Sturge weber and a choroidal hemangioma in the left eye. (See other images under sturge weber on this website). Has ongoing problem with his left eye. Now with Blurred vision in the right eye gradually worse the last few weeks. He has had a vitrectomy in the right eye 4 years ago for floaters. Laser for tears and cryo in the right eye 5 years ago. He is on Dorzolamide and Lumigan for glaucoma.
VA 20/32 OD, 20/40 OS
IOP 23 OD, 19 OS
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Lamellar Macular Hole - Evoluation over 5 years414 views65 year old man with Sturge weber and a choroidal hemangioma in the left eye. (See other images under sturge weber on this website). Has ongoing problem with his left eye. Now with Blurred vision in the right eye gradually worse the last few weeks. He has had a vitrectomy in the right eye 4 years ago for floaters. Laser for tears and cryo in the right eye 5 years ago. He is on Dorzolamide and Lumigan for glaucoma.
VA 20/32 OD, 20/40 OS
IOP 23 OD, 19 OS
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Polypoidal Choroidal Vasculopathy Left Eye413 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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Macular Hole - Asymptomatic413 views71 year old female did not notice 20/200 macular hole. Post surgery vision improved to 20/30
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Angioid Streaks - CNVM OS with vision loss413 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 Eyes413 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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Polypoidal Choroidal Vasculopathy - Right Eye413 views83 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
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Polypoidal Choroidal Vasculopathy - Right Eye413 views83 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
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Chronic CSC Both Eyes - Recent vision loss Right Eye Treated with PDT413 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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Punctate Inner Choroidopathy and Choroidal Neovascular Membrane413 views27 year old female with vision loss for 4 months. VA was 20/200. She had a CNVM which was extrafoveal with no subretinal fluid. Her vision improved over 6 months to 20/50 with Ranibizumab injections (she might have improved without treatment)
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Polypiodal Choroidal Vasculopathy - Temporal Macula - Left eye413 views82 year old man with asymptomatic PCV in the left eye. Vision 20/50 OD, 20/32 OS did well with Lucentis
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Polypiodal Choroidal Vasculopathy - Temporal Macula - Left eye413 views82 year old man with asymptomatic PCV in the left eye. Vision 20/50 OD, 20/32 OS did well with Lucentis
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Macular Hole with Limited Retinal Detachment - 9 months post-op413 views87 year old female with decreased vision in the left eye for 2 months. VA 5/200. Initial three images are pre-op. Then there is 3 months 6 months and 9 months post-op scans. VA improved at 1 year to 20/50. Surgery was done with Brilliant Blue.
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Choroidal Neovascular Membrane following Prior Central Serous Chorioretinopathy - OCT-A413 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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Choroidal Neovascular Membrane following Prior Central Serous Chorioretinopathy - OCT-A413 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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Myopic CNVM in the left eye. New Classic subfoveal lesion413 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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Hydroxychloroquine retinopathy - Plaquenil - Moderate413 views51 year old female on with trouble driving at night for a year. No eye examination for several years. 2009 (11 years ago) Plaquenil 300 then up to 400 a few years ago now down to 300 - 5'2" 135 lbs
VA 20/20 OD, 20/25 OS
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413 views
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Submacular Hemorrhage - wet AMD412 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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Normal right eye - 4 years later gets CRAO412 views
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Juxtapapillary CNVM - Hemorrhage412 views83 year old female VA 20/200 improved to 20/32 within 2 months with Lucentis
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Juxtapapillary CNVM - Hemorrhage412 views83 year old female VA 20/200 improved to 20/32 within 2 months with Lucentis
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Vitreomacular Traction -> Macular Hole -> Aborted Macular hole412 viewsProgression of VMT in both eyes over time
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Central Serous Chorioretinopathy - Moderate412 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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Macular Scars - Laser (1980s) Ocular Histoplasmosis412 views70 year old man who had laser at Wills, Wilmer and the Mayo clinic before better therapies were available for ocular histoplasmosis related CNVM
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Rapid macular atrophy with anti-VEGF therapy for myopic CNVM412 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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Acute Bilateral Central Serous Chorioretinopathy - Female - Smokestack412 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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Angioid Streaks Scar and new CNVM412 views49 y/o WF with decreased vision x 1 month. Her OD is 20/400 and her OS is seeing 20/70. No cutaneous lesions or Ehlers-Danlos. The FP and FA show a predominant classic CNV (with fibrosis) OD and an Occult CNV OS with what appears to be a RAP lesion.
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Punctate Inner Choroidopathy and Choroidal Neovascular Membrane412 views27 year old female with vision loss for 4 months. VA was 20/200. She had a CNVM which was extrafoveal with no subretinal fluid. Her vision improved over 6 months to 20/50 with Ranibizumab injections (she might have improved without treatment)
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Macular Telangiectasia - Mild412 views56 year old female with good vision and mild macular telangiectasia. VA 20/40 OD 20/16 OS
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Choroidal Neovascular Membrane following Prior Central Serous Chorioretinopathy - OCT-A412 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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Choroidal Neovascular Membrane following Prior Central Serous Chorioretinopathy - OCT-A412 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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Myopic CNVM in the left eye. New Classic subfoveal lesion412 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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Myopic CNVM in the left eye. New Classic subfoveal lesion412 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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Mild Central Serous Chorioretinopathy - Flonase related412 views58 year old man with vision loss in the left eye for 8 days. This has never happened before. He started taking flonase about a month ago. He stopped the flonase and the vision improved in less than a month. Initial vision was 20/20 OD, 20/40 OS
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Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye411 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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Vitreomacular traction - recent vision loss Right Eye 411 views
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New wet AMD OS with subretinal hemorrhage and recent vision loss, Scar OD411 views
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Juxtapapillary CNVM - Hemorrhage411 views83 year old female VA 20/200 improved to 20/32 within 2 months with Lucentis
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Angioid Streaks - CNVM OS with vision loss411 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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Acute Bilateral Central Serous Chorioretinopathy - Female - Smokestack411 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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Macular Hole with Limited Retinal Detachment411 views87 year old female with decreased vision in the left eye for 2 months. VA 5/200. Initial three images are pre-op. Then there is 3 months 6 months and 9 months post-op scans. VA improved at 1 year to 20/50. Surgery was done with Brilliant Blue.
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Hydroxychloroquine retinopathy - Plaquenil - Moderate411 views51 year old female on with trouble driving at night for a year. No eye examination for several years. 2009 (11 years ago) Plaquenil 300 then up to 400 a few years ago now down to 300 - 5'2" 135 lbs
VA 20/20 OD, 20/25 OS
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411 views
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410 views
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Cystoid Macular Edema following Cataract surgery and vitrectomy for floaters410 views73 year old woman who had decreased vision 4 months following combined vitrectomy and cataract surgery. VA 20/63 improved in 1 month to 20/25 with ketorolac and prednisolone drops.
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