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Most viewed - Macular Disease

Hydroxychloroquine (plaquenil) Toxicity - Advanced292 views78 year old female No visual complaints referred for evaluation
Medical Hx: Rheumatoid Arthritis. Atrial Fibrillation. Benign Intracranial Hypertension. Sjogrens Syndrome. Osteoporosis.
Systemic Meds: PLAQUENIL (Stopped 2 months ago). Leflunomide. Lidocaine. Gabapentin. Vitamin D. Multaq. DILTIAZEM.
VA OD: Dcc20/32-2 NccJ2
VA OS: Dcc20/25+1 NccJ1-1
IOP: TP: OD:14 OS:15
Color Ishihara OD 9/11 correct, OS 9.5/11 correct
Weight 100 lbs, Height 4â€™ 2â€ tall.
1993 Plaquenil Initially 400 mg /day (9 mg/kg/day x 18 years) then 2011 200 mg daily - (4.6 mg/kg/day x 10 years) STOPPED 3/2021
The patient weighs 100 lbs and is 4â€™ 2â€ tall - Images are from 3/2021 and 5/2022
There was no progression 1 year after stopping plaquenil in this patient.

Optic nerve (disc) drusen and choroidal neovascular membrane292 views85 year old man - The left eye has had poor vision for 7-8 years.Â The right eye is OK.Â He was in for a checkup and his ophthalmologist noticed a problem and asked him to see retina doctor.Â Â
Medical Hx: Cancer.
Surgical Hx: Back Surgery. Gallbladder. Appendectomy. Colon Cancer.
Systemic Meds: Propafenone Hydrochloride, 225 mg oral tablet. Rosuvastatin. PAROXETINE HCL. GABAPENTIN. DONEPEZIL. Asp
VA OD: Dcc20/25-2 OS: DccCF 1ft
IOP: TP: OD:13 OS:12
Patient's right eye was treated with Avastin and was dry with one shot.

Pigment epithelial detachment with cholesterol crystals292 viewsOnion sign

wet AMD - extrafoveal classic choroidal neovascular membrane292 views72 year old man with good vision in both eyes. Extrafoveal classic cnvm was picked up and treated with vabysmo

Macular pucker in the left eye292 viewsVision was 20/125 pre-op and 20/25 post-op.

292 views

Choroidal Neovascular Membrane (CNVM) secondary to laser scar from TTT for choroidal melanoma 20 years earlier291 views71-year old female - Vision loss in the right eye for 1 week. She had transpupillary thermotherapy 20 years ago in the right eye for choroidal melanoma.
VA 4/200 OD, 20/20 OS

Asymptomatic exudative wet age-related macular degeneration291 views78 year old man with scar in the left eye being treated regularly and returns with new lesions in the right eye which is not symptomatic. Vision is 20/25 right eye and 20/125 left eye. The lesion was treated and responded to anti-VEGF therapy

Stage V (neovascular) Macular Telangiectasia - Fluorescein291 views67 year old female with vision in only the left eye. She has mild CNVM which is treated with Avastin and does well over several years.

Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy291 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.

Pigment epithelial detachment with cholesterol crystals291 viewsOnion sign

wet AMD - extrafoveal classic choroidal neovascular membrane291 views72 year old man with good vision in both eyes. Extrafoveal classic cnvm was picked up and treated with vabysmo

Pseudophakic cystoid macular edema (CME)291 views66 year old female 4 months following cataract surgery. Never had very good vision after surgery. On PF QID for one month. VA 20/50 in both eyes.

Asymptomatic exudative wet age-related macular degeneration290 views78 year old man with scar in the left eye being treated regularly and returns with new lesions in the right eye which is not symptomatic. Vision is 20/25 right eye and 20/125 left eye. The lesion was treated and responded to anti-VEGF therapy

Stage V (neovascular) Macular Telangiectasia - Fluorescein290 views67 year old female with vision in only the left eye. She has mild CNVM which is treated with Avastin and does well over several years.

Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy290 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.

Pigment epithelial detachment with cholesterol crystals290 viewsOnion sign

Pattern dystrophy with progressive foveal atrophy left eye290 views72 year old man. Vision in the left eye is 20/80. It declined to 5/200 over about 3 years.

Central Serous Chorioretinopathy - Expanding hot spot - photodynamic laser290 views35 year old man with acute central serous chorioretinopathy. The fluid got better then worse and the patient was treated with full strength juxtafoveal PDT and then got better.

Pseudophakic cystoid macular edema (CME)290 views66 year old female 4 months following cataract surgery. Never had very good vision after surgery. On PF QID for one month. VA 20/50 in both eyes.

Presumed ocular histoplasmosis syndrome and CNVM - responded to Avastin289 views62 year old female with 3 days of vision loss in the right eye. Vision is 20/40 OD, 5/200 OS. Left eye had been treated years ago elsewhere. She grew up in the Mississippi River valley.
She was treated with Avastin and the vision improved to 20/20 in 4 months. She continues, 3 years later, on every 2 months Avastin.

Hydroxychloroquine (plaquenil) Toxicity - Advanced289 views78 year old female No visual complaints referred for evaluation
Medical Hx: Rheumatoid Arthritis. Atrial Fibrillation. Benign Intracranial Hypertension. Sjogrens Syndrome. Osteoporosis.
Systemic Meds: PLAQUENIL (Stopped 2 months ago). Leflunomide. Lidocaine. Gabapentin. Vitamin D. Multaq. DILTIAZEM.
VA OD: Dcc20/32-2 NccJ2
VA OS: Dcc20/25+1 NccJ1-1
IOP: TP: OD:14 OS:15
Color Ishihara OD 9/11 correct, OS 9.5/11 correct
Weight 100 lbs, Height 4â€™ 2â€ tall.
1993 Plaquenil Initially 400 mg /day (9 mg/kg/day x 18 years) then 2011 200 mg daily - (4.6 mg/kg/day x 10 years) STOPPED 3/2021
The patient weighs 100 lbs and is 4â€™ 2â€ tall - Images are from 3/2021 and 5/2022
There was no progression 1 year after stopping plaquenil in this patient.

Optic nerve (disc) drusen and choroidal neovascular membrane289 views85 year old man - The left eye has had poor vision for 7-8 years.Â The right eye is OK.Â He was in for a checkup and his ophthalmologist noticed a problem and asked him to see retina doctor.Â Â
Medical Hx: Cancer.
Surgical Hx: Back Surgery. Gallbladder. Appendectomy. Colon Cancer.
Systemic Meds: Propafenone Hydrochloride, 225 mg oral tablet. Rosuvastatin. PAROXETINE HCL. GABAPENTIN. DONEPEZIL. Asp
VA OD: Dcc20/25-2 OS: DccCF 1ft
IOP: TP: OD:13 OS:12
Patient's right eye was treated with Avastin and was dry with one shot.

Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy289 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.

Pigment epithelial detachment with cholesterol crystals289 viewsOnion sign

289 views

Wet age-related macular degeneration - Classic Juxtafoveal Choroidal Neovascular Membrane288 views80 year old female with mild vision loss. 20/40 OD, 20/25 OS. Avastin controlled disease. VA improved to 20/25 after 2 injections. At 1 year she is getting every 2 months treatment

Macular Scars from Presumed Ocular Histoplasmosis Syndrome288 views85 year old man
He sometimes sees double vision. When he sees people walking they are sometimes double for about 6 months.
VA OD: sc20/25 PH20/20 NccJ3
VA OS: sc20/20-2 NccJ2
IOP: TP: OD:12 OS:14

Punctate inner choroidopathy and CNVM288 views23 year old female noticed vision loss for 4 days.
VA 20/200 OD, 20/25 OS.
VA improved one month later to 20/40 with Avastin. She received a second injection and was lost to follow-up

Presumed ocular histoplasmosis syndrome and CNVM - responded to Avastin288 views62 year old female with 3 days of vision loss in the right eye. Vision is 20/40 OD, 5/200 OS. Left eye had been treated years ago elsewhere. She grew up in the Mississippi River valley.
She was treated with Avastin and the vision improved to 20/20 in 4 months. She continues, 3 years later, on every 2 months Avastin.

Central Serous Retinopathy - Female on steroids288 views35 year old female Noticed blurred vision when waking up in the morning. Also, vision blacks out for a few seconds when she gets up quickly. About 3 months ago she had a history of intermittent vomiting.

VA 20/20 OD, 20/25 OS

MRI normal, MRA showed lateral sinus thrombosis. Lupus anticoagulant was positive

Hydroxychloroquine (plaquenil) Toxicity - Advanced288 views78 year old female No visual complaints referred for evaluation
Medical Hx: Rheumatoid Arthritis. Atrial Fibrillation. Benign Intracranial Hypertension. Sjogrens Syndrome. Osteoporosis.
Systemic Meds: PLAQUENIL (Stopped 2 months ago). Leflunomide. Lidocaine. Gabapentin. Vitamin D. Multaq. DILTIAZEM.
VA OD: Dcc20/32-2 NccJ2
VA OS: Dcc20/25+1 NccJ1-1
IOP: TP: OD:14 OS:15
Color Ishihara OD 9/11 correct, OS 9.5/11 correct
Weight 100 lbs, Height 4â€™ 2â€ tall.
1993 Plaquenil Initially 400 mg /day (9 mg/kg/day x 18 years) then 2011 200 mg daily - (4.6 mg/kg/day x 10 years) STOPPED 3/2021
The patient weighs 100 lbs and is 4â€™ 2â€ tall - Images are from 3/2021 and 5/2022
There was no progression 1 year after stopping plaquenil in this patient.

Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy288 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.

wet AMD - extrafoveal classic choroidal neovascular membrane288 views72 year old man with good vision in both eyes. Extrafoveal classic cnvm was picked up and treated with vabysmo

Macular pucker in the left eye288 viewsVision was 20/125 pre-op and 20/25 post-op.

Wet age-related macular degeneration - Classic Juxtafoveal Choroidal Neovascular Membrane287 views80 year old female with mild vision loss. 20/40 OD, 20/25 OS. Avastin controlled disease. VA improved to 20/25 after 2 injections. At 1 year she is getting every 2 months treatment

Central Serous Retinopathy - Female on steroids287 views35 year old female Noticed blurred vision when waking up in the morning. Also, vision blacks out for a few seconds when she gets up quickly. About 3 months ago she had a history of intermittent vomiting.

VA 20/20 OD, 20/25 OS

MRI normal, MRA showed lateral sinus thrombosis. Lupus anticoagulant was positive

Stage V (neovascular) Macular Telangiectasia - Fluorescein287 views67 year old female with vision in only the left eye. She has mild CNVM which is treated with Avastin and does well over several years.

Optic nerve (disc) drusen and choroidal neovascular membrane287 views85 year old man - The left eye has had poor vision for 7-8 years.Â The right eye is OK.Â He was in for a checkup and his ophthalmologist noticed a problem and asked him to see retina doctor.Â Â
Medical Hx: Cancer.
Surgical Hx: Back Surgery. Gallbladder. Appendectomy. Colon Cancer.
Systemic Meds: Propafenone Hydrochloride, 225 mg oral tablet. Rosuvastatin. PAROXETINE HCL. GABAPENTIN. DONEPEZIL. Asp
VA OD: Dcc20/25-2 OS: DccCF 1ft
IOP: TP: OD:13 OS:12
Patient's right eye was treated with Avastin and was dry with one shot.

Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy287 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.

Pigment epithelial detachment with cholesterol crystals287 viewsOnion sign

Presumed ocular histoplasmosis syndrome and CNVM - responded to Avastin286 views62 year old female with 3 days of vision loss in the right eye. Vision is 20/40 OD, 5/200 OS. Left eye had been treated years ago elsewhere. She grew up in the Mississippi River valley.
She was treated with Avastin and the vision improved to 20/20 in 4 months. She continues, 3 years later, on every 2 months Avastin.

Optic nerve (disc) drusen and choroidal neovascular membrane286 views85 year old man - The left eye has had poor vision for 7-8 years.Â The right eye is OK.Â He was in for a checkup and his ophthalmologist noticed a problem and asked him to see retina doctor.Â Â
Medical Hx: Cancer.
Surgical Hx: Back Surgery. Gallbladder. Appendectomy. Colon Cancer.
Systemic Meds: Propafenone Hydrochloride, 225 mg oral tablet. Rosuvastatin. PAROXETINE HCL. GABAPENTIN. DONEPEZIL. Asp
VA OD: Dcc20/25-2 OS: DccCF 1ft
IOP: TP: OD:13 OS:12
Patient's right eye was treated with Avastin and was dry with one shot.

Pigment epithelial detachment with cholesterol crystals286 viewsOnion sign

wet AMD - extrafoveal classic choroidal neovascular membrane286 views72 year old man with good vision in both eyes. Extrafoveal classic cnvm was picked up and treated with vabysmo

Macular pucker in the left eye286 viewsVision was 20/125 pre-op and 20/25 post-op.

Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy285 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.

Central Serous Chorioretinopathy - Expanding hot spot - photodynamic laser285 views35 year old man with acute central serous chorioretinopathy. The fluid got better then worse and the patient was treated with full strength juxtafoveal PDT and then got better.

Pseudophakic cystoid macular edema (CME)285 views66 year old female 4 months following cataract surgery. Never had very good vision after surgery. On PF QID for one month. VA 20/50 in both eyes.

Choroidal Neovascular Membrane (CNVM) secondary to laser scar from TTT for choroidal melanoma 20 years earlier284 views71-year old female - Vision loss in the right eye for 1 week. She had transpupillary thermotherapy 20 years ago in the right eye for choroidal melanoma.
VA 4/200 OD, 20/20 OS

Presumed ocular histoplasmosis syndrome and CNVM - responded to Avastin284 views62 year old female with 3 days of vision loss in the right eye. Vision is 20/40 OD, 5/200 OS. Left eye had been treated years ago elsewhere. She grew up in the Mississippi River valley.
She was treated with Avastin and the vision improved to 20/20 in 4 months. She continues, 3 years later, on every 2 months Avastin.

RPE tear following single treatment of vabysmo in the left eye284 views80 year old patient with HemiCRVO and wet AMD in the left eye. The right eye has recent vision loss from 20/40 - 20/100. She has a high PED and wet AMD. She was given one treatment of half-dose vabysmo and presented next visit with a PED tear and vision of 4/200.

Punctate Inner Choroidopathy and Choroidal Neovascular Membrane (CNVM)283 views24 year old female She was doing fine until 4 days ago when the right eye fogged up on her.Â The left eye is seeing fine.Â In the end of January (3 months ago) she went to the doctor and got checked for everything and it was negative.Â She had a bad cough at the time and no fevers that she knows of.Â Â
VA OD: sc20/200+1, VA OS: sc20/25 - Uveitis work up was negative. VA improved to 20/40 with a single avastin treatment and then the patient was lost to follow-up

Presumed ocular histoplasmosis syndrome and CNVM - responded to Avastin283 views62 year old female with 3 days of vision loss in the right eye. Vision is 20/40 OD, 5/200 OS. Left eye had been treated years ago elsewhere. She grew up in the Mississippi River valley.
She was treated with Avastin and the vision improved to 20/20 in 4 months. She continues, 3 years later, on every 2 months Avastin.

Dry AMD - Pigment - AREDS risk score of 4283 views65 year old woman with 20/32 vision. A little blurred. Pigment and large drusen in each eye. AREDS risk score of four.

Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy283 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.

Central Serous Chorioretinopathy - Expanding hot spot - photodynamic laser283 views35 year old man with acute central serous chorioretinopathy. The fluid got better then worse and the patient was treated with full strength juxtafoveal PDT and then got better.

Hydroxychloroquine (plaquenil) Toxicity - Advanced282 views78 year old female No visual complaints referred for evaluation
Medical Hx: Rheumatoid Arthritis. Atrial Fibrillation. Benign Intracranial Hypertension. Sjogrens Syndrome. Osteoporosis.
Systemic Meds: PLAQUENIL (Stopped 2 months ago). Leflunomide. Lidocaine. Gabapentin. Vitamin D. Multaq. DILTIAZEM.
VA OD: Dcc20/32-2 NccJ2
VA OS: Dcc20/25+1 NccJ1-1
IOP: TP: OD:14 OS:15
Color Ishihara OD 9/11 correct, OS 9.5/11 correct
Weight 100 lbs, Height 4â€™ 2â€ tall.
1993 Plaquenil Initially 400 mg /day (9 mg/kg/day x 18 years) then 2011 200 mg daily - (4.6 mg/kg/day x 10 years) STOPPED 3/2021
The patient weighs 100 lbs and is 4â€™ 2â€ tall - Images are from 3/2021 and 5/2022
There was no progression 1 year after stopping plaquenil in this patient.

Optic nerve (disc) drusen and choroidal neovascular membrane282 views85 year old man - The left eye has had poor vision for 7-8 years.Â The right eye is OK.Â He was in for a checkup and his ophthalmologist noticed a problem and asked him to see retina doctor.Â Â
Medical Hx: Cancer.
Surgical Hx: Back Surgery. Gallbladder. Appendectomy. Colon Cancer.
Systemic Meds: Propafenone Hydrochloride, 225 mg oral tablet. Rosuvastatin. PAROXETINE HCL. GABAPENTIN. DONEPEZIL. Asp
VA OD: Dcc20/25-2 OS: DccCF 1ft
IOP: TP: OD:13 OS:12
Patient's right eye was treated with Avastin and was dry with one shot.

Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy282 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.

Central Serous Chorioretinopathy - Expanding hot spot - photodynamic laser282 views35 year old man with acute central serous chorioretinopathy. The fluid got better then worse and the patient was treated with full strength juxtafoveal PDT and then got better.

Macular telangiectasia - images from 10 years later - crystals 282 views75 year old man with MacTel and a lot of crystals VA 20/63 OD, 20/50 OS.

Non-exudative wet AMD - OCT angiogram281 views85 year old female with minimal visual complaints.
VA OD: sc20/80+1 PHNI NccJ3
VA OS: sc20/40-2 PH20/32+1 NccJ3
IOP: TP: OD:14 OS:16

Presumed ocular histoplasmosis syndrome and CNVM - responded to Avastin281 views62 year old female with 3 days of vision loss in the right eye. Vision is 20/40 OD, 5/200 OS. Left eye had been treated years ago elsewhere. She grew up in the Mississippi River valley.
She was treated with Avastin and the vision improved to 20/20 in 4 months. She continues, 3 years later, on every 2 months Avastin.

Stage V (neovascular) Macular Telangiectasia - Fluorescein281 views67 year old female with vision in only the left eye. She has mild CNVM which is treated with Avastin and does well over several years.

Hydroxychloroquine (plaquenil) Toxicity - Advanced281 views78 year old female No visual complaints referred for evaluation
Medical Hx: Rheumatoid Arthritis. Atrial Fibrillation. Benign Intracranial Hypertension. Sjogrens Syndrome. Osteoporosis.
Systemic Meds: PLAQUENIL (Stopped 2 months ago). Leflunomide. Lidocaine. Gabapentin. Vitamin D. Multaq. DILTIAZEM.
VA OD: Dcc20/32-2 NccJ2
VA OS: Dcc20/25+1 NccJ1-1
IOP: TP: OD:14 OS:15
Color Ishihara OD 9/11 correct, OS 9.5/11 correct
Weight 100 lbs, Height 4â€™ 2â€ tall.
1993 Plaquenil Initially 400 mg /day (9 mg/kg/day x 18 years) then 2011 200 mg daily - (4.6 mg/kg/day x 10 years) STOPPED 3/2021
The patient weighs 100 lbs and is 4â€™ 2â€ tall - Images are from 3/2021 and 5/2022
There was no progression 1 year after stopping plaquenil in this patient.

Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy281 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.

wet AMD - extrafoveal classic choroidal neovascular membrane281 views72 year old man with good vision in both eyes. Extrafoveal classic cnvm was picked up and treated with vabysmo

Non-exudative neovascular AMD right eye281 viewsVision 20/20 at 6 year follow-up - no exudation

Lamellar Macular Hole and Good Vision281 views67 year old woman with good vision and floaters - VA 20/32 OD, 20/23 OS

Punctate inner choroidopathy and CNVM280 views23 year old female noticed vision loss for 4 days.
VA 20/200 OD, 20/25 OS.
VA improved one month later to 20/40 with Avastin. She received a second injection and was lost to follow-up

Central Serous Retinopathy - Female on steroids280 views35 year old female Noticed blurred vision when waking up in the morning. Also, vision blacks out for a few seconds when she gets up quickly. About 3 months ago she had a history of intermittent vomiting.

VA 20/20 OD, 20/25 OS

MRI normal, MRA showed lateral sinus thrombosis. Lupus anticoagulant was positive

Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy280 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.

wet AMD - extrafoveal classic choroidal neovascular membrane280 views72 year old man with good vision in both eyes. Extrafoveal classic cnvm was picked up and treated with vabysmo

Macular pucker in the left eye280 viewsVision was 20/125 pre-op and 20/25 post-op.

Lamellar Macular Hole and Good Vision280 views67 year old woman with good vision and floaters - VA 20/32 OD, 20/23 OS

Punctate inner choroidopathy and CNVM279 views23 year old female noticed vision loss for 4 days.
VA 20/200 OD, 20/25 OS.
VA improved one month later to 20/40 with Avastin. She received a second injection and was lost to follow-up

Central Serous Retinopathy - Female on steroids279 views35 year old female Noticed blurred vision when waking up in the morning. Also, vision blacks out for a few seconds when she gets up quickly. About 3 months ago she had a history of intermittent vomiting.

VA 20/20 OD, 20/25 OS

MRI normal, MRA showed lateral sinus thrombosis. Lupus anticoagulant was positive

Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy279 viewsPatient had sudden vision loss right eye. Had vitrectomy. The left eye had IPCV not responsive to avastin but he did respond to PDT. See album notes for more detail.

Macular telangiectasia - images from 10 years later - crystals 279 views75 year old man with MacTel and a lot of crystals VA 20/63 OD, 20/50 OS.

Pseudophakic cystoid macular edema (CME)279 views66 year old female 4 months following cataract surgery. Never had very good vision after surgery. On PF QID for one month. VA 20/50 in both eyes.

Wet age-related macular degeneration - Classic Juxtafoveal Choroidal Neovascular Membrane278 views80 year old female with mild vision loss. 20/40 OD, 20/25 OS. Avastin controlled disease. VA improved to 20/25 after 2 injections. At 1 year she is getting every 2 months treatment

Asymptomatic exudative wet age-related macular degeneration278 views78 year old man with scar in the left eye being treated regularly and returns with new lesions in the right eye which is not symptomatic. Vision is 20/25 right eye and 20/125 left eye. The lesion was treated and responded to anti-VEGF therapy

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