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Most viewed - Macular Disease

ipcv1_dahuy_012121_24.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy278 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.
wetAMD_gamus_061422_09.jpg
wet AMD - extrafoveal classic choroidal neovascular membrane278 views72 year old man with good vision in both eyes. Extrafoveal classic cnvm was picked up and treated with vabysmo
mactel_bltic_021921_03.jpg
Macular telangiectasia - images from 10 years later - crystals 278 views75 year old man with MacTel and a lot of crystals VA 20/63 OD, 20/50 OS.
CSR_sajoh1_122816_11.jpg
Central Serous Retinopathy - Female on steroids277 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
CSR_sajoh1_122816_30.jpg
Central Serous Retinopathy - Female on steroids277 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
mactel_sudrew_052317_01.png
Stage V (neovascular) Macular Telangiectasia - Fluorescein277 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.
ipcv3_072721_dahuy_09.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy277 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.
PED-cholesterol_elsup_022022_13.jpg
Pigment epithelial detachment with cholesterol crystals277 viewsOnion sign
patterndys_husmi_021816_14.jpg
Pattern dystrophy with progressive foveal atrophy left eye277 views72 year old man. Vision in the left eye is 20/80. It declined to 5/200 over about 3 years.
pucker2_dejar_6weekpostop_22.jpg
Macular pucker in the left eye277 viewsVision was 20/125 pre-op and 20/25 post-op.
pedrip_anbri2_020323_36.jpg
RPE tear following single treatment of vabysmo in the left eye277 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.
CSR_matho3_08062021_25.jpg
Central Serous Chorioretinopathy - Expanding hot spot - photodynamic laser277 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.
cme_macon_060523_19.jpg
Pseudophakic cystoid macular edema (CME)277 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.
histo_liste1_050119_18.jpg
Presumed ocular histoplasmosis syndrome and CNVM - responded to Avastin276 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.
histo_liste1_050119_21.jpg
Presumed ocular histoplasmosis syndrome and CNVM - responded to Avastin276 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.
histo_liste1_050119_31.jpg
Presumed ocular histoplasmosis syndrome and CNVM - responded to Avastin276 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.
mactel_sudrew_052317_15.jpg
Stage V (neovascular) Macular Telangiectasia - Fluorescein276 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.
plaquenil_elmcc2_020322_14.jpg
Hydroxychloroquine (plaquenil) Toxicity - Advanced276 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 4’ 2” 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 4’ 2” tall - Images are from 3/2021 and 5/2022
There was no progression 1 year after stopping plaquenil in this patient.
drusen-cnvm_dasou1_061322_23.jpg
Optic nerve (disc) drusen and choroidal neovascular membrane276 views85 year old man - The left eye has had poor vision for 7-8 years.  The right eye is OK.  He was in for a checkup and his ophthalmologist noticed a problem and asked him to see retina doctor.  
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.
wetAMD_gamus_061422_11.jpg
wet AMD - extrafoveal classic choroidal neovascular membrane276 views72 year old man with good vision in both eyes. Extrafoveal classic cnvm was picked up and treated with vabysmo
wetAMD_gamus_061422_29.jpg
wet AMD - extrafoveal classic choroidal neovascular membrane276 views72 year old man with good vision in both eyes. Extrafoveal classic cnvm was picked up and treated with vabysmo
wetAMD_gamus_061422_48.JPG
wet AMD - extrafoveal classic choroidal neovascular membrane276 views72 year old man with good vision in both eyes. Extrafoveal classic cnvm was picked up and treated with vabysmo
Maps_OD28329.JPG
Non-exudative neovascular AMD right eye276 viewsVision 20/20 at 6 year follow-up - no exudation
cme_macon_060523_06.jpg
Pseudophakic cystoid macular edema (CME)276 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.
cme_macon_060523_10.jpg
Pseudophakic cystoid macular edema (CME)276 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.
wAMDnewOD_mipil_091321_21.jpg
Asymptomatic exudative wet age-related macular degeneration275 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
CSR_sajoh1_122816_20.jpg
Central Serous Retinopathy - Female on steroids275 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
plaquenil_elmcc2_020322_16.jpg
Hydroxychloroquine (plaquenil) Toxicity - Advanced275 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 4’ 2” 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 4’ 2” tall - Images are from 3/2021 and 5/2022
There was no progression 1 year after stopping plaquenil in this patient.
drusen-cnvm_dasou1_061322_08.jpg
Optic nerve (disc) drusen and choroidal neovascular membrane275 views85 year old man - The left eye has had poor vision for 7-8 years.  The right eye is OK.  He was in for a checkup and his ophthalmologist noticed a problem and asked him to see retina doctor.  
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.
ipcv1_dahuy_012121_11.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy275 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.
ipcv3_072721_dahuy_05.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy275 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.
cme_macon_060523_09.jpg
Pseudophakic cystoid macular edema (CME)275 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.
PIC-CNVM-tamye_041420_22~0.jpg
Punctate inner choroidopathy and CNVM274 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
ipcv1_dahuy_012121_01.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy274 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.
ipcv3_072721_dahuy_16.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy274 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.
wetAMD_gamus_061422_03.jpg
wet AMD - extrafoveal classic choroidal neovascular membrane274 views72 year old man with good vision in both eyes. Extrafoveal classic cnvm was picked up and treated with vabysmo
pucker_dejar_071322_18.jpg
Macular pucker in the left eye274 viewsVision was 20/125 pre-op and 20/25 post-op.
pedrip_anbri_010323_01.jpg
RPE tear following single treatment of vabysmo in the left eye274 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.
CSR_matho3_08062021_40.jpg
Central Serous Chorioretinopathy - Expanding hot spot - photodynamic laser274 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.
mactel_bltic_021921_01.jpg
Macular telangiectasia - images from 10 years later - crystals 274 views75 year old man with MacTel and a lot of crystals VA 20/63 OD, 20/50 OS.
histo_liste1_050119_04.JPG
Presumed ocular histoplasmosis syndrome and CNVM - responded to Avastin273 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.
CSR_sajoh1_122816_15.jpg
Central Serous Retinopathy - Female on steroids273 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
mactel_sudrew_052317_13.jpg
Stage V (neovascular) Macular Telangiectasia - Fluorescein273 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.
drusen-cnvm_dasou1_061322_22.jpg
Optic nerve (disc) drusen and choroidal neovascular membrane273 views85 year old man - The left eye has had poor vision for 7-8 years.  The right eye is OK.  He was in for a checkup and his ophthalmologist noticed a problem and asked him to see retina doctor.  
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.
ipcv1_dahuy_012121_26.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy273 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.
ipcv3_072721_dahuy_04.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy273 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.
wetAMD_gamus_061422_38.jpg
wet AMD - extrafoveal classic choroidal neovascular membrane273 views72 year old man with good vision in both eyes. Extrafoveal classic cnvm was picked up and treated with vabysmo
patterndys_husmi_021816_22.jpg
Pattern dystrophy with progressive foveal atrophy left eye273 views72 year old man. Vision in the left eye is 20/80. It declined to 5/200 over about 3 years.
Maps_OD28129.JPG
Non-exudative neovascular AMD right eye273 viewsVision 20/20 at 6 year follow-up - no exudation
cme_macon_060523_03.jpg
Pseudophakic cystoid macular edema (CME)273 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.
CSR_sajoh1_122816_08.jpg
Central Serous Retinopathy - Female on steroids272 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
drusen-cnvm_dasou1_061322_03.jpg
Optic nerve (disc) drusen and choroidal neovascular membrane272 views85 year old man - The left eye has had poor vision for 7-8 years.  The right eye is OK.  He was in for a checkup and his ophthalmologist noticed a problem and asked him to see retina doctor.  
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.
PED-cholesterol_elsup_022022_18.jpg
Pigment epithelial detachment with cholesterol crystals272 viewsOnion sign
ipcv1_dahuy_012121_12.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy271 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.
patterndys_husmi_021816_10.jpg
Pattern dystrophy with progressive foveal atrophy left eye271 views72 year old man. Vision in the left eye is 20/80. It declined to 5/200 over about 3 years.
patterndys_husmi_021816_13.jpg
Pattern dystrophy with progressive foveal atrophy left eye271 views72 year old man. Vision in the left eye is 20/80. It declined to 5/200 over about 3 years.
CSR_matho4_100821_45.JPG
Central Serous Chorioretinopathy - Expanding hot spot - photodynamic laser271 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.
cme_macon_060523_13.jpg
Pseudophakic cystoid macular edema (CME)271 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.
RAP_mawhi_093021_26.jpg
271 views
CSR_sajoh1_122816_10.jpg
Central Serous Retinopathy - Female on steroids270 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
CSR_sajoh1_122816_32.jpg
Central Serous Retinopathy - Female on steroids270 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
patterndys_husmi_021816_04.jpg
Pattern dystrophy with progressive foveal atrophy left eye270 views72 year old man. Vision in the left eye is 20/80. It declined to 5/200 over about 3 years.
patterndys_husmi_021816_15.jpg
Pattern dystrophy with progressive foveal atrophy left eye270 views72 year old man. Vision in the left eye is 20/80. It declined to 5/200 over about 3 years.
pucker_dejar_071322_19.jpg
Macular pucker in the left eye270 viewsVision was 20/125 pre-op and 20/25 post-op.
wAMDnewOD_mipil_091321_19.jpg
Asymptomatic exudative wet age-related macular degeneration269 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
drusen-cnvm_dasou1_061322_15.jpg
Optic nerve (disc) drusen and choroidal neovascular membrane269 views85 year old man - The left eye has had poor vision for 7-8 years.  The right eye is OK.  He was in for a checkup and his ophthalmologist noticed a problem and asked him to see retina doctor.  
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.
ipcv3_072721_dahuy_18.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy269 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.
ipcv4_030822_dahuy_05.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy269 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.
CSR_matho3_08062021_29.jpg
Central Serous Chorioretinopathy - Expanding hot spot - photodynamic laser269 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.
drusen-cnvm_dasou1_061322_06.jpg
Optic nerve (disc) drusen and choroidal neovascular membrane268 views85 year old man - The left eye has had poor vision for 7-8 years.  The right eye is OK.  He was in for a checkup and his ophthalmologist noticed a problem and asked him to see retina doctor.  
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.
ipcv1_dahuy_012121_03.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy268 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.
ipcv3_072721_dahuy_13.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy268 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.
PED-cholesterol_elsup_022022_24.jpg
Pigment epithelial detachment with cholesterol crystals268 viewsOnion sign
patterndys_husmi_021816_09.jpg
Pattern dystrophy with progressive foveal atrophy left eye268 views72 year old man. Vision in the left eye is 20/80. It declined to 5/200 over about 3 years.
patterndys_husmi_021816_23.JPG
Pattern dystrophy with progressive foveal atrophy left eye268 views72 year old man. Vision in the left eye is 20/80. It declined to 5/200 over about 3 years.
pucker_dejar_071322_13.jpg
Macular pucker in the left eye268 viewsVision was 20/125 pre-op and 20/25 post-op.
maps_OS_28wet_eye2928029.JPG
Asymptomatic wet AMD OS - never treated268 viewsVision remains 20/20 at 6 year follow-up with no treatment
CSR_matho3_08062021_30.jpg
Central Serous Chorioretinopathy - Expanding hot spot - photodynamic laser268 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.
CSR_sajoh1_122816_09.jpg
Central Serous Retinopathy - Female on steroids267 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
drusen-cnvm_dasou1_061322_05.jpg
Optic nerve (disc) drusen and choroidal neovascular membrane267 views85 year old man - The left eye has had poor vision for 7-8 years.  The right eye is OK.  He was in for a checkup and his ophthalmologist noticed a problem and asked him to see retina doctor.  
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.
patterndys_husmi_021816_19.jpg
Pattern dystrophy with progressive foveal atrophy left eye267 views72 year old man. Vision in the left eye is 20/80. It declined to 5/200 over about 3 years.
pucker_dejar_071322_12.jpg
Macular pucker in the left eye267 viewsVision was 20/125 pre-op and 20/25 post-op.
Maps_OD28229.JPG
Non-exudative neovascular AMD right eye267 viewsVision 20/20 at 6 year follow-up - no exudation
cme_macon_060523_04.jpg
Pseudophakic cystoid macular edema (CME)267 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.
cme_macon_060523_18.jpg
Pseudophakic cystoid macular edema (CME)267 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.
CSR_sajoh1_122816_04.png
Central Serous Retinopathy - Female on steroids266 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
plaquenil_elmcc1_052421_08.jpg
Hydroxychloroquine (plaquenil) Toxicity - Advanced266 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 4’ 2” 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 4’ 2” tall - Images are from 3/2021 and 5/2022
There was no progression 1 year after stopping plaquenil in this patient.
plaquenil_elmcc1_052421_09.jpg
Hydroxychloroquine (plaquenil) Toxicity - Advanced266 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 4’ 2” 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 4’ 2” tall - Images are from 3/2021 and 5/2022
There was no progression 1 year after stopping plaquenil in this patient.
drusen-cnvm_dasou1_061322_01.jpg
Optic nerve (disc) drusen and choroidal neovascular membrane266 views85 year old man - The left eye has had poor vision for 7-8 years.  The right eye is OK.  He was in for a checkup and his ophthalmologist noticed a problem and asked him to see retina doctor.  
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.
drusen-cnvm_dasou1_061322_11.jpg
Optic nerve (disc) drusen and choroidal neovascular membrane266 views85 year old man - The left eye has had poor vision for 7-8 years.  The right eye is OK.  He was in for a checkup and his ophthalmologist noticed a problem and asked him to see retina doctor.  
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.
drusen-cnvm_dasou2_maps_25.JPG
Optic nerve (disc) drusen and choroidal neovascular membrane266 views85 year old man - The left eye has had poor vision for 7-8 years.  The right eye is OK.  He was in for a checkup and his ophthalmologist noticed a problem and asked him to see retina doctor.  
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.
ipcv3_072721_dahuy_20.jpg
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy266 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.
ipcv5_MAPS_03.JPG
Massive subretinal hemorrhage right eye - polypoidal choroidal vasculopathy266 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.
wetAMD_gamus_061422_22.jpg
wet AMD - extrafoveal classic choroidal neovascular membrane266 views72 year old man with good vision in both eyes. Extrafoveal classic cnvm was picked up and treated with vabysmo
wetAMD_gamus_061422_32.jpg
wet AMD - extrafoveal classic choroidal neovascular membrane266 views72 year old man with good vision in both eyes. Extrafoveal classic cnvm was picked up and treated with vabysmo
csr_matho1_12082020_15.jpg
Central Serous Chorioretinopathy - Expanding hot spot - photodynamic laser266 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.
CSR_matho2_MAPS_22.JPG
Central Serous Chorioretinopathy - Expanding hot spot - photodynamic laser266 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.
RAP_mawhi_093021_15.jpg
266 views
LamellarMH_114951_041823_09.jpg
Lamellar Macular Hole and Good Vision266 views67 year old woman with good vision and floaters - VA 20/32 OD, 20/23 OS
CSR_sajoh1_122816_27.jpg
Central Serous Retinopathy - Female on steroids265 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
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