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Most viewed - Retinal Vascular Disease

BDR and Diabetic Macular Edema with Fresh Laser Right Eye501 views60-year old man OD 20/60, OS 20/50 worsening vision both eyes

501 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

Cotton Wool Spots Both Eyes after Strep Pneumonia and Cardiac ICU Stay 1 Month Ago 501 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.

501 views63-year-old man diabetic for twenty two years. His central vision is fine.

VISUAL ACUITY: OD 20/25, OS 20/25

Diabetic Macular Edema - Mild501 views70 year old man with mild edema did well without treatment

Trousseau Sign - CRVO and Pancreatic Cancer501 viewsLeft eye shows CRVO with severe edema. The right eye has multiple small hemorrhages. Some of this is probably anemic retinopathy and some from hypercoaguability of cancer. The patient has pancreatic cancer.

Orbital Cellulitis - Optic nerve compression with ocular ischemia501 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.

Branch Retinal Vein Occlusion501 views84 year old man - 2 months vision loss - VA 20/40 - 20/20 with one injection of Eylea

Bilateral Branch Retinal Artery Occlusion - Intraarterial (hollenhorst) plaques visible501 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.

PDR NVD left eye and NVE right eye501 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

Foveal Hypoplasia in adult with ROP - good Vision501 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.

Cardiac Catheterization induced Cilioretinal Artery Occlusion - Paracentral Acute Middle Maculopathy501 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.

Central Retinal Artery Occlusion then Neovascular Glaucoma501 views81 year old male with sudden vision loss. 2 months later developed NVG

500 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

Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporally500 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.

AIDS - HIV Retinopathy - Cotton Wool Spots500 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.

Macular Branch Retinal Vein Occlusion and Adult Vitelliform Dystrophy500 views72-year-old woman 2 months post ECCE with poor vision since surgery especially left eye.
VISUAL ACUITY: OD 20/50, OS 20/200

Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE 500 viewsSD OCT shows no significant macular edema

Self Sealed Retinal Arteriol Macroaneurysm500 viewsSD OCT line scan with intraretinal fluid

Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion500 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

Trousseau Sign - CRVO and Pancreatic Cancer500 viewsLeft eye shows CRVO with severe edema. The right eye has multiple small hemorrhages. Some of this is probably anemic retinopathy and some from hypercoaguability of cancer. The patient has pancreatic cancer.

Hypertensive Retinopathy - BP 240 / 130 mmHg - Grade 4500 views71 year old woman who claims to be asymptomatic with decreased vision, macular edema, cotton wool spots, subretinal fluid and optic nerve edema

Orbital Cellulitis - Optic nerve compression with ocular ischemia500 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.

Branch Retinal Artery Occlusion500 viewsAcute Inferotemporal Occlusion Right Eye - FA shows delayed circulation, OCT shows edema of superficial layers of retina

Hemicentral Vein Occlusion Left Eye500 viewsVision improved from 20/100 - 2 to 20/32 with 5 monthly Avastin treatments.

Diabetic Macular Edema with Exudates500 viewsPatient did not want injection therapy and did well with laser

White Retinal Artiole Left eye - Inferotemporal500 views31 year old female with migraines and headaches for the last 12-13 years. Sometimes she gets the visual symptoms with the migraine. When she gets the migraines the pain is on the left side of her head. She gets the problem a few times a month, sometimes more. They usually last 5-6 hours. She has not had a permanent vision change. When she gets a vision change there are spotty dots of blue neon lights in her vision. With her glasses her two eyes are about the same. VA 20/16 in Each Eye

PDR - Mild Vitreous Hemorrhage and Good Vision499 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.

Central Retinal Vein Occlusion - New- and old Macular Scar from AMD499 views87-year-old woman with longstaning macular scars and new vision loss left eye for 2 months. OD: 20/200, OS 20/400.

Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day499 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes

Macular Atrophy - Macular Degeneration and Previous Diabetic Macular Laser 72 Year Old Man499 views72-year-old man has age-related macular degeneration who had macular and peripheral laser done 30 years ago for diabetic retinopathy. He has developed worsening macular atrophy in both eyes

Orbital Cellulitis - Optic nerve compression with ocular ischemia499 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.

Diabetic Macular Edema with Exudates499 viewsPatient did not want injection therapy and did well with laser

Acute Central Retinal Artery Occlusion499 views1 day of vision loss 79 year old man to HM. NVG developed 2 months later.

Mild Proliferative Diabetic Retinopathy499 viewsRight eye has NVE and left eye has NVD and NVE. VA 20/25 OU.

PDR and DME and VH499 views57 year old diabetic man with vision loss in the left eye for several months. He has DME in the left eye and VH in the left eye and PDR in both eyes. He has been started in the left eye on Anti-VEGF therapy. VA on presentation was 20/25 OD and 20/200 OS

Non-ischemic Central Retinal Vein Occlusion with Macular Edema499 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

498 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

New BRVO Left Eye Old BRVO Right Eye 498 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

Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception498 views

Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day498 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes

Bilateral Branch Retinal Artery Occlusion - Intraarterial (hollenhorst) plaques visible498 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.

Parafoveal Microaneurysm - Not Diabetic498 views88 year old man asymptomatic with parafoveal microaneurysm

Diabetic Macular Edema - One eye treated with Eylea and 2 weeks later both were improved498 views68 year old female with diabetic retinopathy and macular edema
VA OD: sc20/40 PH20/32
VA OS: sc20/40 PH20/32
IOP: TP: OD:14 OS:14 Time:12:45

Branch Retinal Artery Occlusion - No Plaque498 views74 year old man with 2 days of vision loss. Vision OS is 20/200 but improved to 20/25 in 1 month. He has dysfibrinogen anemia.

Macroaneurysm - Macular Hemorrhage - Branch Retinal Aterial Occlusion498 views62 year old African American female with chronic hypertension and vision loss for 2 weeks. VA is 20/400

PDR - Mild Vitreous Hemorrhage and Good Vision497 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.

497 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

Central Retinal Vein Occlusion - New- and old Macular Scar from AMD497 views87-year-old woman with longstaning macular scars and new vision loss left eye for 2 months. OD: 20/200, OS 20/400.

Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male497 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.

Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day497 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes

Macular Branch Retinal Vein Occlusion and Adult Vitelliform Dystrophy497 views72-year-old woman 2 months post ECCE with poor vision since surgery especially left eye.
VISUAL ACUITY: OD 20/50, OS 20/200

Corresponding FA497 viewsCorresponding FA for Cilioretinal artery occlusion with early venous stasis retinopathy - early

Post-Op Vitrectomy with Membrane Stripping and Laser497 viewsPatient had surgery to help clear up some vision in the left eye. Pre-op VA was count fingers at 1-ft. Post op VA was 20/200 in the left eye. Patient will return in 3-months for follow-up.

Branch Retinal Vein Occlusion with NVE (Neovascularization Elsewhere)497 views

Sickle Retinpoathy SC Disease - Vitreous Hemorrhage Left Eye - 29 Year old497 views

Acute Branch Retinal Artery Occlusion Left Eye497 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.

Orbital Cellulitis - Optic nerve compression with ocular ischemia497 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.

Branch Retinal Arterial Occlusion Right Eye - Atheromata - Both Eyes497 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

Sickle Retinopathy - Chronic retinal detachment OS - Proliferation OD497 views40 year old with known SC disease. Failed to return 4 years ago for treatment and lost ision in the left eye. Then returned for one visit and refused further treatment.

496 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

Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day496 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes

Ocular Ishemic Syndrome - Bilateral Carotid Occlusions - OD 20/60 OS 20/200 Enlarged Foveal Avascular Zone and Temporal Non-perfusion496 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

Pattern Dystrophy - Adult Vitelliform Macular Degeneration496 views72-year-old woman 2 months post ECCE with poor vision since surgery especially left eye.
VISUAL ACUITY: OD 20/50, OS 20/200

Fibrosis Traction496 viewsYoung female patient with severe diabetes. Patients VA is 20/400 in the right eye. Fundus photos show a lot of fibrosis traction throughout the macula area. Fovea seems flat. Patient will undergo surgery for peeling of traction.

Branch Retinal Vein Occlusion496 viewsPatient's VA was 20/40, right eye. Fundus exam shows branch retinal vein occlusion nasally to the optic nerve in the right eye.

Normal496 views

CRVO with Paracentral Acute Middle Maculopath - PAMM496 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

Vascular Remodeling Bilateral BRVO496 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.

White Retinal Artiole Left eye - Inferotemporal496 views31 year old female with migraines and headaches for the last 12-13 years. Sometimes she gets the visual symptoms with the migraine. When she gets the migraines the pain is on the left side of her head. She gets the problem a few times a month, sometimes more. They usually last 5-6 hours. She has not had a permanent vision change. When she gets a vision change there are spotty dots of blue neon lights in her vision. With her glasses her two eyes are about the same. VA 20/16 in Each Eye

Moderate PDR496 views43 year old man 20/32 vision in both eyes. Being started on Anti-VEGF injections which will be followed by PRP.

Subtle Branch Retinal Artery Occlusion496 views68 year old man with shadow in the left eye yesterday. IR and OCT show subtle retinal swelling. FA is normal

Severe Hemorrhage from NVD and NVE Due To PDR495 views60 year old female with Diabetic Retinopathy. VA 20/40 OD HM OS. History of Dot and Blot hemorrhages and cotton-wool spots associated with Diabetes. Severe Hemorrhaging due to NVD and NVE. Pt stated sight decreased very rapidly.

Diabetic Macular Edema - Mild495 views70 year old man with mild edema did well without treatment

No significant macular edema495 views

FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion495 views

Fluorescence Angiography of BDR495 viewsPatient is here for eval on diabetic retinopathy. FA photos show significant diabetic retinopathy with hemorrhage inferior temporal to the optic nerve.

Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion495 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

Bilateral Branch Retinal Artery Occlusion - Intraarterial (hollenhorst) plaques visible495 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.

Branch Retinal Artery Occlusion - No Plaque495 views74 year old man with 2 days of vision loss. Vision OS is 20/200 but improved to 20/25 in 1 month. He has dysfibrinogen anemia.

Ocular Ishemic Syndrome - Bilateral Carotid Occlusions - OD 20/60 OS 20/200 Enlarged Foveal Avascular Zone and Temporal Non-perfusion494 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

494 views63-year-old man diabetic for twenty two years. His central vision is fine.

VISUAL ACUITY: OD 20/25, OS 20/25

Macular Pre-Retinal Hemorrhage 494 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.

Branch Retinal Vein Occlusion with worse macular edema from hypertension - SD-OCT shows Edema Right Eye494 views

HIV Retinopathy494 viewsRetinal edema from microvascular disease

Branch Retinal Vein Occlusion494 views84 year old man - 2 months vision loss - VA 20/40 - 20/20 with one injection of Eylea

Hemicentral Vein Occlusion Left Eye494 viewsVision improved from 20/100 - 2 to 20/32 with 5 monthly Avastin treatments.

PDR NVD left eye and NVE right eye494 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

CRVO with Paracentral Acute Middle Maculopath - PAMM494 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

White Retinal Artiole Left eye - Inferotemporal494 views31 year old female with migraines and headaches for the last 12-13 years. Sometimes she gets the visual symptoms with the migraine. When she gets the migraines the pain is on the left side of her head. She gets the problem a few times a month, sometimes more. They usually last 5-6 hours. She has not had a permanent vision change. When she gets a vision change there are spotty dots of blue neon lights in her vision. With her glasses her two eyes are about the same. VA 20/16 in Each Eye

Severe PDR with preretinal fibrosis494 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.

Non-ischemic Central Retinal Vein Occlusion with Macular Edema494 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

Central Retinal Vein Occlusion - New- and old Macular Scar from AMD493 views87-year-old woman with longstaning macular scars and new vision loss left eye for 2 months. OD: 20/200, OS 20/400.

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