Most viewed - Retinal Vascular Disease
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Diabetic Macular Edema Left Eye - Pre Laser515 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 with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy515 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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Central Retinal Vein Occlusion with Macular Edema and Retinal Hemorrhages 515 viewsFemale patient of 86-years of age presents a central retinal vein occlusion with macular edema in the right eye. Patient's VA was 20/70 in the right eye. Proceeded with laser treatment to the right eye.
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Embolic CRAO B&W515 views
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Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE 515 viewsVenous beading, vascular loops and NVE are visible on photos
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515 views
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Acute Branch Retinal Artery Occlusion Left Eye515 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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Vascular Remodeling Bilateral BRVO515 views85 year old female 20/25 OU with BRVO 7 years ago in both eyes. She has a change in vision. The FA shows extensive collaterallization and vascular remodeling in each macula.
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Grade 4 hypertensive retinopathy515 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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Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spot515 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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Severe PDR with preretinal fibrosis515 views71 year old female untreated for a year following injections because of hurricane Irma. VA 20/30 OD and 5/200 OS. Sudden vision loss 1 month ago left eye was likely an ischemic event. Right eye is being treated with injections and PRP laser.
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Diabetic Macular Ischemia - Enlarged FAZ - OCT-A515 views70 year old female diagnosed with diabetes 2 years ago. Her blood pressure was normal at 116/73. She has vision loss for 6 months in both eyes. VA is 20/100 OU. OCT-A shows macular ischemia.
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514 views
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New BRVO Left Eye Old BRVO Right Eye - Left Eye Shows Twig Superior Vein Occlusion with Edema514 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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Malignany Hypertension - BP 250/130 - Vision 1/200 in each eye - Diabetic514 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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Bilateral Branch Retinal Artery Occlusion - Intraarterial (hollenhorst) plaques visible514 views67 year old with acute visual field loss in each eye. Vision is 20/25 right eye 20/32 left eye. Images show intra-arterial plaques in each eye. The right eye on the optic nerve and the left eye in a branch retinal artery.
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Hemicentral Vein Occlusion Left Eye514 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 Maculopathy514 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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Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood514 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis
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Ruptured Retinal Arterial Macroaneurysm - Submacular Hemorrhage - Vision 20/400 never recovered - Hypertension 205/94513 views
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Macular Pre-Retinal Hemorrhage 513 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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BRAO and PAMM513 views
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Orbital Cellulitis - Optic nerve compression with ocular ischemia513 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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Central Retinal Vein Occlusion with Macular Edema513 views74 year old female The vision in the left eye has gotten worse over the last 3 weeks.
VA OD: Dcc20/25
VA OS: DccCF 3ft
IOP: TP: OD:16 OS:14
Vision improved to 20/40 in 3 months with monthly Aflibercept
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Diabetic Macular Edema Left Eye - Pre Laser512 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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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion512 views
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Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE 512 viewsFA shows leakage from neovascularization and dark areas in periphery from non-perfusion
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Self Sealed Retinal Arteriol Macroaneurysm512 viewsIR image shows MA on presentation
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512 views
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Central retinal artery and vein occlusion - Protein C Deficiency 33 year old male512 views33 year old male with vision loss for 3 hours. VA 20/12 right eye, 5/200 left eye. He has a protein C deficiency. The left eye recovered vision in about 1 month to 20/16. FA shows very slow recirculation time.
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Branch Retinal Artery Occlusion512 viewsAcute Inferotemporal Occlusion Right Eye - FA shows delayed circulation, OCT shows edema of superficial layers of retina
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Branch Retinal Arterial Occlusion Right Eye - Atheromata - Both Eyes512 views83 year old woman with no symptoms - VA 20/40 in both eyes. Right eye has ST BRAO with silver wiring. Left eye has superotemporal atheromata
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Proliferative Diabetic Retinopathy - NVD regressed with PRP laser512 views76 year old diabetic man - Presented one year ago with NVD in the left eye. This regressed with laser but then a year later worsened. Additional PRP was done and the NVD regressed again.
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Diabetic Macular Edema with Exudates512 viewsPatient did not want injection therapy and did well with laser
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New BRVO Left Eye Old BRVO Right Eye - Right Eye Showing Bulls Eye Atrophy from Chronic CME and Non-Perfusion Infero-temporally511 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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Proliferative Diabetic Retinopathy in patient with Moyamoya Disease511 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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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.511 views
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Central retinal artery and vein occlusion - Protein C Deficiency 33 year old male511 views33 year old male with vision loss for 3 hours. VA 20/12 right eye, 5/200 left eye. He has a protein C deficiency. The left eye recovered vision in about 1 month to 20/16. FA shows very slow recirculation time.
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Venous Macroaneurysm 6 year old CRVO - treated with focal laser511 views93 year old female with CRVO in the right eye 6 years ago. The visual potential is 20/100 and has recently subjectively and objectively declined. VA is 20/200 and she has new onset macular edema from a venous macroaneurysm that formed at a collateral vessel. This responded nicely to a single laser spot.
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Focal Laser for diabetic macular edema510 views66 year old female with diabetes for 45 years. VA 20/20 OU. Extrafoveal edema in the left eye treated with light focal laser.
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Clinically Significant Diabetic Macular Edema both Eyes with Exudates510 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 Male510 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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Branch Retinal Vein Occlusion with Cotton Wool Spot 510 views70-year-old man with blurred vision in the right eye for about one or two months. OD is 20/80, OS is 20/25.
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Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE 510 viewsSD OCT shows no significant macular edema
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Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE 510 viewsFAF
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Ischemic BRVO with non-perfusion (nonperfusion) - recovered from severe vitreous hemorrhage510 views
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Ischemic BRVO with non-perfusion (nonperfusion) - recovered from severe vitreous hemorrhage510 views
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HIV Retinopathy510 views
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Branch Retinal Vein Occlusion510 views84 year old man - 2 months vision loss - VA 20/40 - 20/20 with one injection of Eylea
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Proliferative Diabetic Retinopathy - NVD regressed with PRP laser510 views76 year old diabetic man - Presented one year ago with NVD in the left eye. This regressed with laser but then a year later worsened. Additional PRP was done and the NVD regressed again.
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Grade 4 hypertensive retinopathy510 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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Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spot510 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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Moderate PDR510 views43 year old man 20/32 vision in both eyes. Being started on Anti-VEGF injections which will be followed by PRP.
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Macroaneurysm - Macular Hemorrhage - Branch Retinal Aterial Occlusion510 views62 year old African American female with chronic hypertension and vision loss for 2 weeks. VA is 20/400
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Central Retinal Vein Occlusion with Macular Edema510 views74 year old female The vision in the left eye has gotten worse over the last 3 weeks.
VA OD: Dcc20/25
VA OS: DccCF 3ft
IOP: TP: OD:16 OS:14
Vision improved to 20/40 in 3 months with monthly Aflibercept
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Eales Disease and fresh vitreous hemorrhage - 20 year old man510 views20 year old mane with fresh vitreous hemorrhage in the right eye. At age 15 he had a PPV and laser in the left eye and laser in the right eye. The vision is OD 20/80 PH 20/25, OS 20/25. The left eye has a mild cataract. He had prior testing for coagulopathies which was negative. Testing done for syphillis and TB was negative. Additional laser was done to prevent further bleeding in the right eye.
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Eales Disease and fresh vitreous hemorrhage - 20 year old man510 views20 year old mane with fresh vitreous hemorrhage in the right eye. At age 15 he had a PPV and laser in the left eye and laser in the right eye. The vision is OD 20/80 PH 20/25, OS 20/25. The left eye has a mild cataract. He had prior testing for coagulopathies which was negative. Testing done for syphillis and TB was negative. Additional laser was done to prevent further bleeding in the right eye.
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PDR - Mild Vitreous Hemorrhage and Good Vision509 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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PDR OS with NVE509 views57-year-old man has diabetic retinopathy in both eyes.
Diabetic for 14 years with HgB A1C often over 10.
VISUAL ACUITY: OD 20/30, OS 20/40. PDR OS BDR OD
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception509 views
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Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male509 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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Proliferative Diabetic Retinopathy and Mild Vitreous Hemorrhage509 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. Vision OD is 20/25, OS is 20/20
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BRAO and PAMM509 views
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Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion509 views79 year old man He has had hairy cell leukemia since 2002. He is in remission. His last blood tests were 9/2018. He just moved down here and needs a new leukemia doctor. His vision is fine.
VA OD: Dcc20/25
VA OS: Dcc20/25
IOP: TP: OD:12 OS:12
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Central retinal artery and vein occlusion - Protein C Deficiency 33 year old male509 views33 year old male with vision loss for 3 hours. VA 20/12 right eye, 5/200 left eye. He has a protein C deficiency. The left eye recovered vision in about 1 month to 20/16. FA shows very slow recirculation time.
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Branch Retinal Arterial Occlusion Right Eye - Atheromata - Both Eyes509 views83 year old woman with no symptoms - VA 20/40 in both eyes. Right eye has ST BRAO with silver wiring. Left eye has superotemporal atheromata
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Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male508 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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AIDS - HIV Retinopathy - Cotton Wool Spots508 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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Diabetic Macular Edema - Mild508 views70 year old man with mild edema did well without treatment
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FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion508 views
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Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE 508 viewsSD OCT shows no significant macular edema
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HIV Retinopathy508 views
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Orbital Cellulitis - Optic nerve compression with ocular ischemia508 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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Branch Retinal Artery Occlusion508 viewsAcute Inferotemporal Occlusion Right Eye - FA shows delayed circulation, OCT shows edema of superficial layers of retina
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PDR NVD left eye and NVE right eye508 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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PDR NVD left eye and NVE right eye508 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 - PAMM508 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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Vitreous Hemorrhage with no evidence of PDR in the left eye508 views74 year old man with vision loss OS for about a week. The FA shows no PDR in the left eye but the right eye has very mild NVD. Diabetes for 40 years now on insulin.
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Eales Disease and fresh vitreous hemorrhage - 20 year old man508 views20 year old mane with fresh vitreous hemorrhage in the right eye. At age 15 he had a PPV and laser in the left eye and laser in the right eye. The vision is OD 20/80 PH 20/25, OS 20/25. The left eye has a mild cataract. He had prior testing for coagulopathies which was negative. Testing done for syphillis and TB was negative. Additional laser was done to prevent further bleeding in the right eye.
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Non-ischemic Central Retinal Vein Occlusion with Macular Edema508 views62 year old man The vision in the right eye started to decline about 10 days ago. Prior to that the two eyes were about the same.
VA OD: Dcc20/125 PH20/50-2
VA OS: Dcc20/20
IOP: TP: OD:21 OS:21
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Diabetic Macular Edema Left Eye - Pre Laser507 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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Ocular Ishemic Syndrome - Bilateral Carotid Occlusions - OD 20/60 OS 20/200 Enlarged Foveal Avascular Zone and Temporal Non-perfusion507 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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507 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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Diabetic Macular Edema - Mild507 views70 year old man with mild edema did well without treatment
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Hypertensive Retinopathy507 viewsPatient comes in complaining of spots in vision in both eyes. VA was 20/25 - right eye and 20/20- left eye. Fundus exam reveals little hemorrhages with cotton wool spots due to hypertension and anemia.
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Branch Retinal Vein Occlusion with worse macular edema from hypertension - Photo from 2014 - vision 20/40507 views
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Branch Retinal Vein Occlusion with worse macular edema from hypertension - SD-OCT shows Edema Right Eye507 views
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Branch Retinal Artery Occlusion507 viewsAcute Inferotemporal Occlusion Right Eye - FA shows delayed circulation, OCT shows edema of superficial layers of retina
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Branch Retinal Artery Occlusion507 viewsAcute Inferotemporal Occlusion Right Eye - FA shows delayed circulation, OCT shows edema of superficial layers of retina
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PDR NVD left eye and NVE right eye507 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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Foveal Hypoplasia in adult with ROP - good Vision507 views26 year old female Born at 1 lb 15 oz and had cryo for ROP at birth.
VA OD: Dcc20/25
VA OS: Dcc20/20
SD OCT shows foveal hypoplasia
The SD OCT scan shows incursion of one or more of the plexiform layers into the center of the fovea.
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Diabetic Macular Edema with Exudates507 viewsPatient did not want injection therapy and did well with laser
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CRVO 25 year old man - Heterozygous Factor V Leiden507 views20/100 initial vision. Improved to 20/30 with Lucentis which continued for 3 years, treat and extend, and stopped.
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Acute Branch Retinal Arteriolar Occlusion507 views75 year old female treated for wet AMD with 2 days of inferior shadow in the right eye. VA 20/40. There is a plaque visible and retinal whitening from the arteriolar occlusion.
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Cotton Wool Spots now Gone in Both Eyes506 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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506 views
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Branch Retinal Vein Occlusion with Cotton Wool Spot 506 views70-year-old man with blurred vision in the right eye for about one or two months. OD is 20/80, OS is 20/25.
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CRVO506 views58 year old male with present CRVO OU. Visual Acuity 20/30 OD 20/200 OS. Pt. recently underwent surgery for cancer of the bladder and has other blood and hemoglobin issues. Pt sent for further blood work and see a neurologist.
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HIV Retinopathy506 views
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Branch Retinal Vein Occlusion506 views84 year old man - 2 months vision loss - VA 20/40 - 20/20 with one injection of Eylea
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