Most viewed - Retinal Vascular Disease
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Eales Disease and fresh vitreous hemorrhage - 20 year old man479 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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Proliferative Diabetic Retinopathy in patient with Moyamoya Disease478 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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478 viewsred free of a 27 year old male with crvo os VA 20/20
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Central Arterial Occlusion with Embolism Present478 viewsPatient comes in with CRAO in the right eye. VA was hand motion. Fundus photo shows white veil over the retina with 2-emboli in a branch artery temporal in the right eye. She will be evaluated for emboli and followed up in a month
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Branch Retinal Arterial Occlusion Right Eye - Atheromata - Both Eyes478 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 laser478 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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Microaneursyms and Macular Edema Not Diabetic478 views85 year old man has been tested about 2-3 times and is always negative for diabetes
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White Retinal Artiole Left eye - Inferotemporal478 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
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Grade 4 hypertensive retinopathy478 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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Moderate PDR478 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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Acute Branch Retinal Vein Occlusion - 20/200478 views66 year old female with 3 weeks of vision loss in the left eye. VA 20/20 OD 20/200 OS
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Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood478 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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478 views
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.477 views
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.477 views
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Self Sealed Retinal Arteriol Macroaneurysm477 viewsFA on presentation showed minimal to no active leakage. Also, there is a small cuff of blood around the MA which is favorable for closure
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Branch Retinal Vein Occlusion477 views84 year old man - 2 months vision loss - VA 20/40 - 20/20 with one injection of Eylea
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Bilateral Branch Retinal Artery Occlusion - Intraarterial (hollenhorst) plaques visible477 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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Intraluminal Plaque Retinal Vessel 477 views69 year old female referred with atypical plaque in the right retina. Her vision is normal. The plaque looks to be adjacent to the blood column visible on the images and the SC OCT shows it to be in the vessel wall.
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White Retinal Artiole Left eye - Inferotemporal477 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
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PDR - Mild Vitreous Hemorrhage and Good Vision476 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 Macular Edema with Circinate Exudate 476 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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476 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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Malignany Hypertension - BP 250/130 - Vision 1/200 in each eye - Diabetic476 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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Ischemic BRVO with non-perfusion (nonperfusion) - recovered from severe vitreous hemorrhage476 views
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Branch Retinal Arterial Occlusion Right Eye - Atheromata - Both Eyes476 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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Cardiac Catheterization induced Cilioretinal Artery Occlusion - Paracentral Acute Middle Maculopathy476 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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Diabetic Macular Edema with Exudates476 viewsPatient did not want injection therapy and did well with laser
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Vitreous Hemorrhage with no evidence of PDR in the left eye476 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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Ischemic CRVO OD and Arterial Macroaneurysm OS476 views83 year old female post PPV, Laser, Ahmed valve for CRVO with vitreous heme and NVG in the right eye. VA was 20/160 3 months following vitrectomy. Left eye has MA which was not treated and involuted post-heme
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Grade 4 hypertensive retinopathy476 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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PDR and DME and VH476 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
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Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood476 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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BDR and Diabetic Macular Edema with Fresh Laser Right Eye475 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 Edema475 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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Macular Atrophy - Macular Degeneration and Previous Diabetic Macular Laser 72 Year Old Man475 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
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Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion475 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 male475 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 Vein Occlusion475 views84 year old man - 2 months vision loss - VA 20/40 - 20/20 with one injection of Eylea
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Macroaneurysm - Macular Hemorrhage - Branch Retinal Aterial Occlusion475 views62 year old African American female with chronic hypertension and vision loss for 2 weeks. VA is 20/400
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Subtle Branch Retinal Artery Occlusion475 views68 year old man with shadow in the left eye yesterday. IR and OCT show subtle retinal swelling. FA is normal
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Cilioretinal Artery Occlusion - Good vision475 views67 year old female - 5 days ago she was getting ready for bed and closed one eye (she had worked for an optometrist for 20 years) and she noticed a spot in the vision in the right eye and came in. She has no focal neurological problems. She once in a while gets some weakness. She has a neurologist and there are some brain lesions. Father had stroke at age 52.
VA OD: Dcc20/20 NccJ1
VA OS: Dcc20/16-2 NccJ1-2
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Central Retinal Artery Occlusion475 views80 Year old man Sudden severe vision loss about 2 weeks ago. Today he can see light for the first time. The right eye is OK. His neuroimaging showed a brain stroke along with the eye stroke. He was stepping in the shower and the vision was suddenly worse. He went, later, to the ER and had a full evaluation. VA 20/25 right eye, LP left eye
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474 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 - Mild474 views70 year old man with mild edema did well without treatment
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Branch Retinal Vein Occlusion with NVE (Neovascularization Elsewhere)474 viewsSD-OCT of NVE - shows it to be pre-retinal
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Minimal macular changes on SD OCT474 viewsSuperficial and deep capillary plexus visible because of collateral vessels
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Acute Branch Retinal Artery Occlusion Left Eye474 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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Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion474 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 male474 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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Proliferative Diabetic Retinopathy - NVD regressed with PRP laser - Regression following Initial PRP laser474 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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Cardiac Catheterization induced Cilioretinal Artery Occlusion - Paracentral Acute Middle Maculopathy474 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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Cardiac Catheterization induced Cilioretinal Artery Occlusion - Paracentral Acute Middle Maculopathy474 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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Acute Central Retinal Artery Occlusion474 views1 day of vision loss 79 year old man to HM. NVG developed 2 months later.
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Severe PDR with preretinal fibrosis474 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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Central Retinal Vein Occlusion with Macular Edema474 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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Focal Laser for diabetic macular edema473 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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Proliferative Diabetic Retinopathy in patient with Moyamoya Disease473 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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Combined Artery and Vein Occlusion473 viewsPatient comes in with decreased vision in both eyes. VA 20/200-OD, 20/60-OS. Fundus exam shows great amount of macular edema due to artery and vein occlusions. There is some neovascularization on the optic nerve in the right eye. Patient was treated with Eylea Injection in the left eye today and will return for Eylea Injection in the right eye.
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Bilateral Branch Retinal Artery Occlusion - Intraarterial (hollenhorst) plaques visible473 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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Proliferative Diabetic Retinopathy - NVD regressed with PRP laser473 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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Branch Retinal Vein Occlusion (BRVO) no macular edema - cotton wool spot473 views85 year old man with asymptomatic BRVO - his vision stayed great without needing any treatment.
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Diabetic Macular Edema with Exudates473 viewsPatient did not want injection therapy and did well with laser
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Subtle Branch Retinal Artery Occlusion473 views68 year old man with shadow in the left eye yesterday. IR and OCT show subtle retinal swelling. FA is normal
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Proliferative Diabetic Retinopathy in patient with Moyamoya Disease472 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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HIV Retinopathy472 views
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Trousseau Sign - CRVO and Pancreatic Cancer472 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.
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Hypertensive Retinopathy - BP 240 / 130 mmHg - Grade 4472 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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CRVO with Paracentral Acute Middle Maculopath - PAMM472 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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CRVO with Paracentral Acute Middle Maculopath - PAMM472 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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Cardiac Catheterization induced Cilioretinal Artery Occlusion - Paracentral Acute Middle Maculopathy472 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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CRVO 25 year old man - Heterozygous Factor V Leiden472 views20/100 initial vision. Improved to 20/30 with Lucentis which continued for 3 years, treat and extend, and stopped.
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Subtle Branch Retinal Artery Occlusion472 views68 year old man with shadow in the left eye yesterday. IR and OCT show subtle retinal swelling. FA is normal
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Central Retinal Vein Occlusion with Macular Edema472 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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Branch retinal vein occlusion with macular edema472 views71 year old man Starting about 2 weeks ago the left eye was blurred. The right eye is seeing well.
VA OD: sc20/25+2 NccJ1+
VA OS: sc20/63+2 PH20/50-2 Ncc20/400
IOP: TP: OD:19 OS:16
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Capillary Non-Perfusion - Severe Non-Proliferative (Background) Diabetic Retinopathy - Type I - 20 Year Old Man Diabetic 16 years471 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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Macular and Peripheral Retinal Scarring from Diabetic Laser Done 25 years previously471 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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Branch Retinal Vein Occlusion with Cotton Wool Spot 471 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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Branch Retinal Vein Occlusion with Cotton Wool Spot 471 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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Post-Op Vitrectomy with Membrane Stripping and Laser471 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.
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HIV Retinopathy471 views
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Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion471 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 male471 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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Proliferative Diabetic Retinopathy - NVD regressed with PRP laser471 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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CRVO 25 year old man - Heterozygous Factor V Leiden471 views20/100 initial vision. Improved to 20/30 with Lucentis which continued for 3 years, treat and extend, and stopped.
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White Retinal Artiole Left eye - Inferotemporal471 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
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Diabetic Macular Edema - One eye treated with Eylea and 2 weeks later both were improved471 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
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Macroaneurysm - Macular Hemorrhage - Branch Retinal Aterial Occlusion471 views62 year old African American female with chronic hypertension and vision loss for 2 weeks. VA is 20/400
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Cilioretinal Artery Occlusion - Good vision471 views67 year old female - 5 days ago she was getting ready for bed and closed one eye (she had worked for an optometrist for 20 years) and she noticed a spot in the vision in the right eye and came in. She has no focal neurological problems. She once in a while gets some weakness. She has a neurologist and there are some brain lesions. Father had stroke at age 52.
VA OD: Dcc20/20 NccJ1
VA OS: Dcc20/16-2 NccJ1-2
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Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporally470 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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PDR470 viewsWorst florid PDR to date 1/30/2013
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Branch Retinal Vein Occlusion470 viewsPatient's VA was 20/40, right eye. Fundus exam shows branch retinal vein occlusion nasally to the optic nerve in the right eye.
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Self Sealed Retinal Arteriol Macroaneurysm IR image470 views
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HIV Retinopathy470 views
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Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion470 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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Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion470 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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Trousseau Sign - CRVO and Pancreatic Cancer470 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.
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Cardiac Catheterization induced Cilioretinal Artery Occlusion - Paracentral Acute Middle Maculopathy470 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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White Retinal Artiole Left eye - Inferotemporal470 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
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Central Retinal Vein Occlusion - New- and old Macular Scar from AMD469 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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