Most viewed - Retinal Vascular Disease
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Hemicentral Vein Occlusion Left Eye566 viewsVision improved from 20/100 - 2 to 20/32 with 5 monthly Avastin treatments.
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BDR and Diabetic Macular Edema with Fresh Laser Right Eye565 views60-year old man OD 20/60, OS 20/50 worsening vision both eyes
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Sickle Cell (FA)565 views
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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 565 views48-year-old woman noticed when she was blinking there was a white flash in the left eye starting about a month ago. She sees it temporally. OD 20/16, OS 20/20. There is a serous retinal detachment superotemporal to the optic nerve falling short of the fovea. Her blood pressure 165/120.
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FAF565 views
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Vitreo-Traction due to Diabetic Retinopathy565 viewsPatient comes in for follow up on her diabetes. VA is 20/30 in the right eye. Fundus photos shows thick traction nasally to the optic nerve forming a ring around the macula. Will follow up in 6-months.
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Self Sealed Retinal Arteriol Macroaneurysm - one month after presentation - edema nearly gone565 viewsSD OCT line scan
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Branch Retinal Artery Occlusion565 viewsAcute Inferotemporal Occlusion Right Eye - FA shows delayed circulation, OCT shows edema of superficial layers of retina
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Hemicentral Vein Occlusion Left Eye565 viewsVision improved from 20/100 - 2 to 20/32 with 5 monthly Avastin treatments.
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Diabetic Retinopathy - Non-Perfusion - Possible Central Retinal Vein Occlusion564 views68-year-old woman OD 20/70, OS 20/200 CYSTOID MACULAR EDEMA, POSSIBLE EITHER OCULAR ISCHEMIC SYNDROME IN THE RIGHT EYE OR OCCULT CENTRAL RETINAL VEIN OCCLUSION IN THE RIGHT EYE,S EVERE NON-PerfUSION WITH DIABETIC RETINOPATHY IN THE LEFT EYE.
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.564 views
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Malignany Hypertension - BP 250/130 - Vision 1/200 in each eye - Diabetic564 views68-year-old woman poor vision in both eyes for the last few years. She is diabetic since 1989. Her blood pressure has been very high. She was in the hospital Friday. Her blood pressure during that visit was 250/130 and her blood pressure in your office she reports was somewhere around the same. I just checked her blood pressure at the beginning of my visit and it was 200/120 in her right arm sitting. Her vision is poor enough that she can barely see to walk around. She has also been feeling nauseous
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Cilioretinal artery occlusion and Ophthalmic Artery Occlusion with Relative Sparing of the Central Retinal Artery564 views80-year-old woman who says she was looking in the mirror, covered her right eye and noticed she could not see well out of the left eye. That just happened yesterday. Her last eye check was a few years ago. She also had a carotid endarterectomy on the right side in 2006 shortly after coronary bypass surgery. OD is 20/40, OS is 20/200.
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564 views63-year-old man diabetic for twenty two years. His central vision is fine.
VISUAL ACUITY: OD 20/25, OS 20/25
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Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE564 views
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Hypertensive Retinopathy - BP 240 / 130 mmHg - Grade 4564 views71 year old woman who claims to be asymptomatic with decreased vision, macular edema, cotton wool spots, subretinal fluid and optic nerve edema
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Hemicentral Vein Occlusion Left Eye564 viewsVision improved from 20/100 - 2 to 20/32 with 5 monthly Avastin treatments.
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Cardiac Catheterization induced Cilioretinal Artery Occlusion - Paracentral Acute Middle Maculopathy564 views69 year old female with sudden vision loss on completing cardiac catheterization. The SD OCT shows a PAMM lesion and the lesion looks gray on color imaging. There is delayed filling of the cilioretinal artery.
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Chronic BRAO with Hemorrhages - Sclerosed Vessel564 views95 year old female with blurred vision in both eyes in for a checkup. History of perpapillary CNVM in the left eye 2 years prior not treated. History of stroke with multiple emboli 1 year ago.
Vision 20/32 OD, 20/40 OS
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Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 563 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
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Diabetic Patient with Macular Edema and Blood Pressure 200/95563 views49-year-old decreasing vision over the last year. OD is 20/80, OS 20/80. blood pressure which was 200/95.
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Retinal Arterial Atheromata563 views68-year-old woman with records going back 7 years, which clearly document retinal arterial plaques in both eyes.
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Diabetic Retinopathy - Foveal Laser Scar Right Eye563 views74-year-old woman has diabetic retinopathy in both eyes. She has had focal laser in her right eye done elsewhere in the mid 90’s and unfortunately the laser was fairly close to the center and as time progressed she developed foveal atrophy around the scars. She has noticed her vision declining since she was here last a year ago. She does take Travatan in both eyes at night for glaucoma.
VISUAL ACUITY: OD 20/200, OS 20/40.
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Diabetic Macular Edema563 views63 yr old Male
VA 20/20 OD 20/25 OS
No complaints
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Diabetic Macular Edema - Mild563 views70 year old man with mild edema did well without treatment
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early phase FA563 views50+ YO female presented with DM type 1;
PT presented with PDR s/p extensive PRP
FA showed CNV OD
VA stable at 20/150 for 1 year
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PDR NVD left eye and NVE right eye563 views41 year old diabetic woman with PDR in both eyes. High risk in the left eye. She had PRP, Avastin, and vitrectomy x 2 in the left eye with final vision of 20/25. The right eye had eventually PRP laser
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CRVO with Paracentral Acute Middle Maculopath - PAMM563 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
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Branch Retinal Vein Occlusion (BRVO) no macular edema - cotton wool spot563 views85 year old man with asymptomatic BRVO - his vision stayed great without needing any treatment.
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Diabetic Macular Edema with Circinate Exudate Early FA562 views74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80
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Branch Retinal Vein Occlusion with Macular Edema562 viewsCentral foveal thickness came to normal after laser and intravitreal Kenalog
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Clinically Significant Diabetic Macular Edema both Eyes with Exudates562 views56-year-old woman with diabetes for twelve years. She has noticed blurring of the vision in the right eye for about six months. OD is 20/70, OS is 20/25.
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562 views
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Ruptured Retinal Arterial Macroaneurysm - Submacular Hemorrhage - Vision 20/400 never recovered - Hypertension 205/94562 views
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Proliferative Diabetic Retinopathy Both Eyes - Vitreous Hemorrahge Left Eye562 views67-year-old man has proliferative diabetic retinopathy in both eyes with vitreous hemorrhage in the left eye. He has had pan retinal laser in the left eye. The vitreous hemorrhage has been there for greater than two years and his vision is still hazy. He takes Lumigan in both eyes for his glaucoma.
VISUAL ACUITY: OD 20/40, OS 20/40
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Macular and Peripheral Retinal Scarring from Diabetic Laser Done 25 years previously562 views72-year-old man had macular and peripheral laser done in the past(1980's)(25 years ago). His vision, although limited, seems about stable to him. He is diabetic for 30 years. OD is 20/160, OS is 20/160.
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Macular Pre-Retinal Hemorrhage 562 viewsPatient complains of loss of vision in his left eye. Patient is diabetic. VA was 20/20, right eye and 20/150, left eye with no improvement pinhole. Fundus exam reveals very large pre retinal hemorrhage in the left eye. Embolism located inferior, nasally just off the optic nerve in the left eye. Patient underwent PRP for treatment of the hemorrhage.
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562 views
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Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spot562 views58 year old man with sudden vision loss in the right eye. The vision had been 20/40 and dropped to 20/200 the day prior to presentation.
VA 20/200 OD, 20/20 OS
FA shows CRAO. No cherry red spot.
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561 views49-year-old woman has central retinal vein occlusion right eye with fluctuating vision for a few month now with OD 20/100. IOP: OD 20
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AIDS - HIV Retinopathy - Cotton Wool Spots561 views54-year-old woman HIV positive for 18 years. Her CD4 count is currently less than 50 and she was hospitalized for pneumocystis carinii pneumonia 5 months ago. She has noticed just for the last few weeks a few blind spots in the paracentral vision. Predominantly out of her right eye when she closes her left eye, she sees a few temporal blind spots. VA 20/25 in both eyes.
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Capillary Pruning561 viewsCapillary drop out secondary to proliferative diabetic retinopathy
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Diabetic Retinopathy with CME561 viewsSecond opinion for diabetic retinopathy. VA is 20/30, right eye, 20/50, left eye. Patient has mild swelling in the macula of the right eye. No evidence of CME but does have a moderate cataract in the left eye.
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Branch Retinal Vein Occlusion with worse macular edema from hypertension - Photo from 2008 with initial occlusion - Vision 20/40561 views
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Branch Retinal Vein Occlusion with NVE (Neovascularization Elsewhere)561 views
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Ischemic BRVO with non-perfusion (nonperfusion) - recovered from severe vitreous hemorrhage561 views
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Hemicentral Vein Occlusion Left Eye561 viewsVision improved from 20/100 - 2 to 20/32 with 5 monthly Avastin treatments.
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PAMM with Follow-up561 views
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Retinal Arterial Atheromata560 views68-year-old woman with records going back 7 years, which clearly document retinal arterial plaques in both eyes.
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Diabetic Vitreous Hemorrhage Left Eye560 views35-year-old man diabetic for the last 25 years. His hemoglobin A1C has been running between 10 and 11. He was doing fine and then when he woke up from sleeping last night he noticed sudden vision loss in his left eye OD 20/30, OS 20/200.
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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy560 views39-year-old man two days ago he noticed poor vision in his right eye OD: 8/200; OS: 20/20. BP is 240/120
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Proliferative Diabetic Retinopathy in patient with Moyamoya Disease560 views28-year-old womandiabetic since age nine, and she also has had multiple strokes. OD is 20/30, OS is 20/30.
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Ocular Ishemic Syndrome - Bilateral Carotid Occlusions - OD 20/60 OS 20/200 Enlarged Foveal Avascular Zone and Temporal Non-perfusion560 views75-year-old man had laryngeal cancer treated in 15 year ago with radiation. He recently was told that the carotid circulation is closed off on both sides. He does have a patent vertebral artery, which is supplying him pretty well and in addition to that his cardiac output is compromised by poor mitral valves. His consideration is to what can be done about that in the future.
VISUAL ACUITY: OD 20/60, OS 20/200
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Chronic - Old Diabetic Tractional Retinal Detachment Left Eye560 views77-year-old woman Vision OD is 20/40, OS is 7/200OD: Vertical C/D ratio is 0.3. There is panretinal laser. The macula is flat and attached.
OS: Vertical C/D ratio is 0.3. There is panretinal laser. There is a tractional retinal detachment with preretinal fibrosis nasal to the optic nerves.
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Proliferative Sickle Retinopathy - Hemoglobin SC560 views53-year-old woman with a new spider-like floater in the right eye for about six days. She sees one big floater and another little one. She does have hemoglobin SC hemoglobinopathy. VISUAL ACUITY: Vision OD is 20/20; OS is 20/50, PH is 20/20.
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Capillary Non-Perfusion - Severe Non-Proliferative (Background) Diabetic Retinopathy - Type I - 20 Year Old Man Diabetic 16 years560 views20 year old diabetic with poor vision for the past three or four years. He has been diabetic for sixteen years and hemoglobin A1C of 10.0. 20/25 OD, 20/30 OS.
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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Fluorescein Angiogram560 views48-year-old woman noticed when she was blinking there was a white flash in the left eye starting about a month ago. She sees it temporally. OD 20/16, OS 20/20. There is a serous retinal detachment superotemporal to the optic nerve falling short of the fovea. Her blood pressure 165/120.
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion560 views
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BRAO and PAMM560 views
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Acute Branch Retinal Artery Occlusion Left Eye560 viewsThis 84 year old woman had an old BRVO in the right eye and saw a shadow for 2 days in the left eye. She has a superotemporal BRAO. The photos show retinal whitening, the OCT shows inner retinal edema and the FA shows poor circulation.
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Branch Retinal Artery Occlusion560 viewsAcute Inferotemporal Occlusion Right Eye - FA shows delayed circulation, OCT shows edema of superficial layers of retina
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Clinically Significant Diabetic Macular Edema both Eyes with Exudates559 views56-year-old woman with diabetes for twelve years. She has noticed blurring of the vision in the right eye for about six months. OD is 20/70, OS is 20/25.
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Clinically Significant Diabetic Macular Edema both Eyes with Exudates559 views56-year-old woman with diabetes for twelve years. She has noticed blurring of the vision in the right eye for about six months. OD is 20/70, OS is 20/25.
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Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male559 views49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.
VISUAL ACUITY: OD 20/60, OS 20/25.
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Ocular Ishemic Syndrome - Bilateral Carotid Occlusions - OD 20/60 OS 20/200 Enlarged Foveal Avascular Zone and Temporal Non-perfusion559 views75-year-old man had laryngeal cancer treated in 15 year ago with radiation. He recently was told that the carotid circulation is closed off on both sides. He does have a patent vertebral artery, which is supplying him pretty well and in addition to that his cardiac output is compromised by poor mitral valves. His consideration is to what can be done about that in the future.
VISUAL ACUITY: OD 20/60, OS 20/200
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Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporally559 views66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining.
VISUAL ACUITY: OD 20/70, OS 20/30.
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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Indocyanine Green Angiogram559 views48-year-old woman noticed when she was blinking there was a white flash in the left eye starting about a month ago. She sees it temporally. OD 20/16, OS 20/20. There is a serous retinal detachment superotemporal to the optic nerve falling short of the fovea. Her blood pressure 165/120.
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Orbital Cellulitis - Optic nerve compression with ocular ischemia559 views81 year old woman with constricted eye movement, orbital cellulitis and severe vision loss in the right eye (LP). She has whitening of the retina and the OCT shows ischemic changes as well as subretinal fluid and blood. The vision in this eye declined to NLP and the eye remained ischemic despite control of her infection.
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558 views
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Central Retinal Vein Occlusion and Laser Induced Chorioretinal Anastomosis558 views84-year-old woman has age-related macular degeneration in both eyes with foveal atrophy. She also has a central retinal vein occlusion
in the left eye for which she had intravitreal Kenalog and finally chorioretinal anastomosis laser a year
ago. VISUAL ACUITY: Vision OD is 20/160, OS is 7/200
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Macular Branch Retinal Vein Occlusion and Adult Vitelliform Dystrophy558 views72-year-old woman 2 months post ECCE with poor vision since surgery especially left eye.
VISUAL ACUITY: OD 20/50, OS 20/200
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Sickle Retinpoathy SC Disease - Vitreous Hemorrhage Left Eye - 29 Year old558 viewsFrond of NV in the periphery
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Sickle Retinpoathy SC Disease - Vitreous Hemorrhage Left Eye - 29 Year old558 viewsD OCT shows foveal atrophy not uncommon in Sickle from ischemia
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Self Sealed Retinal Arteriol Macroaneurysm - MAP shows decreased swelling558 viewsSD OCT map
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Chronic BRAO with Hemorrhages - Sclerosed Vessel558 views95 year old female with blurred vision in both eyes in for a checkup. History of perpapillary CNVM in the left eye 2 years prior not treated. History of stroke with multiple emboli 1 year ago.
Vision 20/32 OD, 20/40 OS
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PDR - Mild Vitreous Hemorrhage and Good Vision557 views58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/20.
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Diabetic Retinopathy - Non-Perfusion - Possible Central Retinal Vein Occlusion557 views68-year-old woman OD 20/70, OS 20/200 CYSTOID MACULAR EDEMA, POSSIBLE EITHER OCULAR ISCHEMIC SYNDROME IN THE RIGHT EYE OR OCCULT CENTRAL RETINAL VEIN OCCLUSION IN THE RIGHT EYE,S EVERE NON-PerfUSION WITH DIABETIC RETINOPATHY IN THE LEFT EYE.
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BDR and Diabetic Macular Edema with Fresh Laser Right Eye557 views60-year old man OD 20/60, OS 20/50 worsening vision both eyes
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New BRVO Left Eye Old BRVO Right Eye - Left Eye Shows Twig Superior Vein Occlusion with Edema557 views90-year-old man decreased vision maybe one year since cataract surgery he is no longer able to read. OD 20/200, OS 20/200
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Diabetic Vitreous Hemorrhage Left Eye557 views35-year-old man diabetic for the last 25 years. His hemoglobin A1C has been running between 10 and 11. He was doing fine and then when he woke up from sleeping last night he noticed sudden vision loss in his left eye OD 20/30, OS 20/200.
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Diabetic Macular Edema Left Eye - Pre Laser557 views82-year-old woman diabetic for many years, last eye exam 5 years ago with gradual vision loss. OD 20/60, OS 20/70. IOP: OD 16, OS 17.
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Hypertensive Retinopathy One Year later with good Vision IgA Nephropathy557 viewsOD 20/30, OS 20/25 One year following initial episode.
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion557 views
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Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE557 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception556 views
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AIDS - HIV Retinopathy - Cotton Wool Spots556 views54-year-old woman HIV positive for 18 years. Her CD4 count is currently less than 50 and she was hospitalized for pneumocystis carinii pneumonia 5 months ago. She has noticed just for the last few weeks a few blind spots in the paracentral vision. Predominantly out of her right eye when she closes her left eye, she sees a few temporal blind spots. VA 20/25 in both eyes.
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Hemicentral Vein Occlusion Left Eye556 viewsVision improved from 20/100 - 2 to 20/32 with 5 monthly Avastin treatments.
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PDR - Macula Line Scan555 views58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/20.
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 555 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Cotton Wool Spots Both Eyes after Strep Pneumonia and Cardiac ICU Stay 1 Month Ago 555 views60-year-old man was sick in the hospital in 1 month ago with streptococcal pneumonia. He was in the cardiac intensive care unit and at one point he was in critical condition. He has no visual complaints. OD 20/20, OS 20/25.
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day555 views
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Branch Retinal Vein Occlusion with NVE (Neovascularization Elsewhere)555 views
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CRVO with Paracentral Acute Middle Maculopath - PAMM555 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
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Grade 4 hypertensive retinopathy555 views55 year old man Hhe did have headaches a few weeks ago and also some nausea and vomiting. He noticed for a few weeks the vision in the left eye was blurred and that the vision in the left eye is dark.
VA OD: Dcc20/20
VA OS: Dcc20/100-1
He was admitted directly to ICU for blood pressure control (290 / 170 mmHg)
3 weeks later his VA increased to 20/20 OD, 20/32 OS
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Retinal Arterial Atheromata554 views68-year-old woman with records going back 7 years, which clearly document retinal arterial plaques in both eyes.
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Cotton Wool Spots now Gone in Both Eyes554 views60-year-old man was sick in the hospital in 3 month ago with streptococcal pneumonia. He was in the cardiac intensive care unit and at one point he was in critical condition. He has no visual complaints. OD 20/20, OS 20/25. Cotton Wool Spots now GONE
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Proliferative Diabetic Retinopathy in patient with Moyamoya Disease554 views28-year-old womandiabetic since age nine, and she also has had multiple strokes. OD is 20/30, OS is 20/30.
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception554 views
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Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male554 views49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.
VISUAL ACUITY: OD 20/60, OS 20/25.
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.554 views
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