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Most viewed - Retinal Vascular Disease

Non-ischemic Central Retinal Vein Occlusion with Macular Edema461 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

460 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

Proliferative Diabetic Retinopathy both eyes Type I Diabetic for 25 years460 views47-year-old woman with diabetes for 25 years and decreased vision for 3 months. OD 20/40, OS 20/40

Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporally460 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.

Proliferative Diabetic Retinopathy and Mild Vitreous Hemorrhage460 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

Branch Retinal Vein Occlusion with worse macular edema from hypertension - FA shows Edema Right Eye460 views

Branch Retinal Vein Occlusion460 views84 year old man - 2 months vision loss - VA 20/40 - 20/20 with one injection of Eylea

Sickle Retinopathy - Chronic retinal detachment OS - Proliferation OD460 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.

Twig Old Macular Branch Retinal Vein Occlusion - Venous Venous Collaterals460 views88 year old man with 20/25 vision in his left and only eye. There is vascular remodeling consistent with an old twig BRVO.

Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spot460 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.

Perifoveal Microaneurysm - Not Diabetic (also reticular pseudodrusen)460 views87 year old female with fluctuating macular edema in the right eye from a perifoveal MA. (no treatment). VA 20/40 OU

460 views

459 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

Hemicentral Vein Occlusion Left Eye459 viewsVision improved from 20/100 - 2 to 20/32 with 5 monthly Avastin treatments.

PDR NVD left eye and NVE right eye459 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

Branch Retinal Arterial Occlusion Right Eye - Atheromata - Both Eyes459 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

Branch Retinal Vein Occlusion (BRVO) no macular edema - cotton wool spot459 views85 year old man with asymptomatic BRVO - his vision stayed great without needing any treatment.

Foveal Hypoplasia in 23 year old patient with ROP459 views

Parafoveal Microaneurysm - Not Diabetic459 views88 year old man asymptomatic with parafoveal microaneurysm

White Retinal Artiole Left eye - Inferotemporal459 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

Vitreous Hemorrhage with no evidence of PDR in the left eye459 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.

Central Retinal Vein Occlusion with Macular Edema459 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

Acute Branch Retinal Vein Occlusion - 20/200459 views66 year old female with 3 weeks of vision loss in the left eye. VA 20/20 OD 20/200 OS

Central Retinal Vein Occlusion with Macular Edema458 viewsPatient notices decreased vision in the left eye. VA is 20/60, left eye. Fundus and Fluorescence Angiogram shows CRVO in the left eye with scattered hemorrhages throughout the retina.

Branch Retinal Vein Occlusion with worse macular edema from hypertension - Photo from 2014 - vision 20/40458 views

Diabetic Macular Edema with Exudates458 viewsPatient did not want injection therapy and did well with laser

Twig Old Macular Branch Retinal Vein Occlusion - Venous Venous Collaterals458 views88 year old man with 20/25 vision in his left and only eye. There is vascular remodeling consistent with an old twig BRVO.

Acute Central Retinal Artery Occlusion458 views1 day of vision loss 79 year old man to HM. NVG developed 2 months later.

Venous Macroaneurysm 6 year old CRVO - treated with focal laser458 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.

Macroaneurysm - Macular Hemorrhage - Branch Retinal Aterial Occlusion458 views62 year old African American female with chronic hypertension and vision loss for 2 weeks. VA is 20/400

Branch Retinal Vein Occlusion with NVE (Neovascularization Elsewhere)457 views

PDR NVD left eye and NVE right eye457 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

Branch Retinal Arterial Occlusion Right Eye - Atheromata - Both Eyes457 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

Cardiac Catheterization induced Cilioretinal Artery Occlusion - Paracentral Acute Middle Maculopathy457 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 Glaucoma457 views81 year old male with sudden vision loss. 2 months later developed NVG

Diabetic Macular Edema with Exudates457 viewsPatient did not want injection therapy and did well with laser

Macroaneurysm - Resolved without treatment457 views87 year old female with vision loss OD. Initial FA showed no leakage so no treatment was done and the fluid absorbed over 4 months. Initial VA 20/100, Final VA 20/80

Sickle Retinopathy - Chronic retinal detachment OS - Proliferation OD457 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.

Central Retinal Vein Occlusion - No macular edema - Pre-foveal opercula457 views62 year old female with 20/20 vision. She had been seeing a spot out of the left eye for 4 years and then noticed splotches in her vision. She never devleoped edema or NV

Moderate PDR457 views43 year old man 20/32 vision in both eyes. Being started on Anti-VEGF injections which will be followed by PRP.

Macroaneurysm - Macular Hemorrhage - Branch Retinal Aterial Occlusion457 views62 year old African American female with chronic hypertension and vision loss for 2 weeks. VA is 20/400

Acute Branch Retinal Vein Occlusion - 20/200457 views66 year old female with 3 weeks of vision loss in the left eye. VA 20/20 OD 20/200 OS

Branch retinal vein occlusion with macular edema457 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

Old BRVO with venous MA - post-laser OCT Maps457 views

Self Sealed Retinal Arteriol Macroaneurysm456 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

Central retinal artery and vein occlusion - Protein C Deficiency 33 year old male456 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.

Cardiac Catheterization induced Cilioretinal Artery Occlusion - Paracentral Acute Middle Maculopathy456 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.

Sickle Retinopathy - Chronic retinal detachment OS - Proliferation OD456 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.

Diabetic Macular Edema - One eye treated with Eylea and 2 weeks later both were improved456 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

Acute Branch Retinal Vein Occlusion - 20/200456 views66 year old female with 3 weeks of vision loss in the left eye. VA 20/20 OD 20/200 OS

Branch Retinal Vein Occlusion with worse macular edema from hypertension - FA shows Edema Right Eye455 views

Central retinal artery and vein occlusion - Protein C Deficiency 33 year old male455 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.

Microaneursyms and Macular Edema Not Diabetic455 views85 year old man has been tested about 2-3 times and is always negative for diabetes

White Retinal Artiole Left eye - Inferotemporal455 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

Acute Central Retinal Artery Occlusion455 views1 day of vision loss 79 year old man to HM. NVG developed 2 months later.

Severe PDR with preretinal fibrosis455 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.

Macroaneurysm - Macular Hemorrhage - Branch Retinal Aterial Occlusion455 views62 year old African American female with chronic hypertension and vision loss for 2 weeks. VA is 20/400

Chronic BRAO with Hemorrhages - Sclerosed Vessel455 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

455 views

Diabetic Macular Edema with Circinate Exudate 454 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

Proliferative Diabetic Retinopathy Both Eyes - Vitreous Hemorrahge Left Eye454 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

Branch Retinal Vein Occlusion with Cotton Wool Spot 454 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.

CRAO454 viewsCRAO in OD Tranisit Phase of FA

Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE 454 viewsFA shows leakage from neovascularization and dark areas in periphery from non-perfusion

Macroaneurysm - Resolved without treatment454 views87 year old female with vision loss OD. Initial FA showed no leakage so no treatment was done and the fluid absorbed over 4 months. Initial VA 20/100, Final VA 20/80

Microaneursyms and Macular Edema Not Diabetic454 views85 year old man has been tested about 2-3 times and is always negative for diabetes

Sickle Retinopathy - Chronic retinal detachment OS - Proliferation OD454 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.

Subtle Branch Retinal Artery Occlusion454 views68 year old man with shadow in the left eye yesterday. IR and OCT show subtle retinal swelling. FA is normal

Acute Branch Retinal Vein Occlusion - 20/200454 views66 year old female with 3 weeks of vision loss in the left eye. VA 20/20 OD 20/200 OS

Cilioretinal Artery Occlusion - Good vision454 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

Branch Retinal Vein Occlusion with Neovascularization Elsewhere and Vitreous Hemorrhage454 views57 year old man New floaters in the left eye about a month ago. Now they are getting better. PMHx A-Fib on Pradaxa
VA 20/32 OD, 20/40 OS
1+ NS OU
BP 137/77, 200LBs, 5â€™8â€

PRP laser was done

453 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

Proliferative Diabetic Retinopathy Both Eyes - Vitreous Hemorrahge Left Eye453 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

BRVO Inferiorly with Retinal Hemorrhages in the Left Eye453 viewsPatient comes in with complaint of "spot in vision", sort of a cloudy haze in the left eye. Patient's VA was 20/100-1 with no improvement with pinhole in the left eye. Fundus photos show multiple retinal hemorrhages scattered with a branch retinal vein occlusion inferiorily. Patient is also diabetic.

Central retinal artery and vein occlusion - Protein C Deficiency 33 year old male453 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.

Branch Retinal Vein Occlusion453 views84 year old man - 2 months vision loss - VA 20/40 - 20/20 with one injection of Eylea

Branch Retinal Arterial Occlusion Right Eye - Atheromata - Both Eyes453 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

Foveal Hypoplasia in adult with ROP - good Vision453 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.

White Retinal Artiole Left eye - Inferotemporal453 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

Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE 452 viewsSD OCT shows no significant macular edema

Self Sealed Retinal Arteriol Macroaneurysm452 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

452 views

452 views

Grade 4 hypertensive retinopathy452 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

Moderate PDR452 views43 year old man 20/32 vision in both eyes. Being started on Anti-VEGF injections which will be followed by PRP.

Cilioretinal Artery Occlusion - Good vision452 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

Proliferative Diabetic Retinopathy both eyes Type I Diabetic for 25 years451 views47-year-old woman with diabetes for 25 years and decreased vision for 3 months. OD 20/40, OS 20/40

Proliferative Diabetic Retinopathy Both Eyes - Vitreous Hemorrahge Left Eye451 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

Proliferative Diabetic Retinopathy Both Eyes - Vitreous Hemorrahge Left Eye - Dark Area is Non-Perfusion451 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

Branch Retinal Vein Occlusion with Cotton Wool Spot 451 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.

Ischemic BRVO with non-perfusion (nonperfusion) - recovered from severe vitreous hemorrhage451 viewsVascular remodeling

Branch Retinal Vein Occlusion (BRVO) no macular edema - cotton wool spot451 views85 year old man with asymptomatic BRVO - his vision stayed great without needing any treatment.

Cardiac Catheterization induced Cilioretinal Artery Occlusion - Paracentral Acute Middle Maculopathy451 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.

Diabetic Macular Edema - One eye treated with Eylea and 2 weeks later both were improved451 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

Chronic BRAO with Hemorrhages - Sclerosed Vessel451 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

Acute Branch Retinal Vein Occlusion - 20/200451 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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