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Most viewed - Retinal Vascular Disease

PDR and DME and VH453 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

Cilioretinal Artery Occlusion - Good vision453 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

PDR w/TRD452 viewsPDR w/heme and traction retinal detachment

BRAO and PAMM452 views

Bilateral Branch Retinal Artery Occlusion - Intraarterial (hollenhorst) plaques visible452 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.

Proliferative Diabetic Retinopathy - NVD regressed with PRP laser452 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.

Diabetic Macular Edema - One eye treated with Eylea and 2 weeks later both were improved452 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

Central Retinal Vein Occlusion with Macular Edema452 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 - 20/200452 views66 year old female with 3 weeks of vision loss in the left eye. VA 20/20 OD 20/200 OS

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.

Central Retinal Vein Occlusion with Macular Edema and Retinal Hemorrhages 451 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.

Branch Retinal Arterial Occlusion Right Eye - Atheromata - Both Eyes451 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

Macroaneurysm - Resolved without treatment451 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

Vitreous Hemorrhage with no evidence of PDR in the left eye451 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.

Ischemic CRVO OD and Arterial Macroaneurysm OS451 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

Sickle Retinopathy - Chronic retinal detachment OS - Proliferation OD451 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.

Moderate PDR451 views43 year old man 20/32 vision in both eyes. Being started on Anti-VEGF injections which will be followed by PRP.

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

Cilioretinal Artery Occlusion - Good vision451 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

Heavy Panretinal Photocoagulation for Proliferative Diabetic Retinopathy about 40 years ago451 views64 year old female - images from 2018 - heavy PRP about 30 years ago
VA 20/20 OD, 20/50 OS

Branch Retinal Vein Occlusion - Both Eyes - Edema OD and NVE OS - Severe Non-perfusion Both Eyes451 views83 year old man with vision loss for 3 months not sure which eye. VA 20/100 OD and 20/50 OS. Tried avastin once without much improvement in the right eye and then lost to follow-up. FA in the left eye shows leaking NVE

450 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 in patient with Moyamoya Disease450 views28-year-old womandiabetic since age nine, and she also has had multiple strokes. OD is 20/30, OS is 20/30.

Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion450 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 visible450 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 eye450 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

Vascular Remodeling Bilateral BRVO450 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.

Cardiac Catheterization induced Cilioretinal Artery Occlusion - Paracentral Acute Middle Maculopathy450 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.

Vitreous Hemorrhage with no evidence of PDR in the left eye450 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.

Sickle Retinopathy - Chronic retinal detachment OS - Proliferation OD450 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.

Moderate PDR450 views43 year old man 20/32 vision in both eyes. Being started on Anti-VEGF injections which will be followed by PRP.

PDR and Vitreous Hemorrhage - High Risk Left Eye - Low Risk Right Eye450 views50 year old man with type I diabetes mellitus for 26 years. New Vitreous Hemorrhage in the left eye. Both eyes have NVE. Both also have foveal hypoplasia

Eales Disease and fresh vitreous hemorrhage - 20 year old man450 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.

450 views

Proliferative Diabetic Retinopathy both eyes Type I Diabetic for 25 years449 views47-year-old woman with diabetes for 25 years and decreased vision for 3 months. OD 20/40, OS 20/40

Hypertensive Retinopathy449 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.

HIV Retinopathy449 views

Trousseau Sign - CRVO and Pancreatic Cancer449 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.

PDR NVD left eye and NVE right eye449 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

Macroaneurysm - Resolved without treatment449 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

White Retinal Artiole Left eye - Inferotemporal449 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 both eyes Type I Diabetic for 25 years448 views47-year-old woman with diabetes for 25 years and decreased vision for 3 months. OD 20/40, OS 20/40

Ocular Ishemic Syndrome - Bilateral Carotid Occlusions - OD 20/60 OS 20/200 Enlarged Foveal Avascular Zone and Temporal Non-perfusion448 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

Mtehylenetetrahydrofolate reductase c677T homozygous CRVO pregnant woman (MTHFR)448 viewsVision improved from 20/50 to 20/16 in one month following ozurdex injections. 38 year old woman with only one eye. The left eye was removed as a child for retinoblastoma.

PDR NVD left eye and NVE right eye448 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 Vision448 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.

Vascular Remodeling Bilateral BRVO448 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 - Inferotemporal448 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

Central Retinal Vein Occlusion - No macular edema - Pre-foveal opercula448 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

Diabetic Macular Edema - One eye treated with Eylea and 2 weeks later both were improved448 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

Cilioretinal Artery Occlusion - Good vision448 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

PDR OS with NVE447 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

447 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 Eye447 viewsVision improved from 20/100 - 2 to 20/32 with 5 monthly Avastin treatments.

Proliferative Diabetic Retinopathy - NVD regressed with PRP laser447 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.

Branch Retinal Vein Occlusion (BRVO) no macular edema - cotton wool spot447 views85 year old man with asymptomatic BRVO - his vision stayed great without needing any treatment.

Foveal Hypoplasia in adult with ROP - good Vision447 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.

Diabetic Macular Edema with Exudates447 viewsPatient did not want injection therapy and did well with laser

447 views

Microaneursyms and Macular Edema Not Diabetic447 views85 year old man has been tested about 2-3 times and is always negative for diabetes

Sickle Retinopathy - Chronic retinal detachment OS - Proliferation OD447 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.

Mild Proliferative Diabetic Retinopathy447 viewsRight eye has NVE and left eye has NVD and NVE. VA 20/25 OU.

Macroaneurysm - Macular Hemorrhage - Branch Retinal Aterial Occlusion447 views62 year old African American female with chronic hypertension and vision loss for 2 weeks. VA is 20/400

Chronic BRAO with Hemorrhages - Sclerosed Vessel447 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 - 20/200447 views66 year old female with 3 weeks of vision loss in the left eye. VA 20/20 OD 20/200 OS

Eales Disease and fresh vitreous hemorrhage - 20 year old man447 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.

Diabetic Macular Ischemia - Enlarged FAZ - OCT-A447 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.

447 views

Cilioretinal Artery Occlusion - Good vision447 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 macular edema447 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

Branch Retinal Vein Occlusion with worse macular edema from hypertension - FA shows Edema Right Eye446 views

PDR NVD left eye and NVE right eye446 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

Proliferative Diabetic Retinopathy - NVD regressed with PRP laser446 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.

Vitreous Hemorrhage with no evidence of PDR in the left eye446 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 - No macular edema - Pre-foveal opercula446 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

PDR and Vitreous Hemorrhage - High Risk Left Eye - Low Risk Right Eye446 views50 year old man with type I diabetes mellitus for 26 years. New Vitreous Hemorrhage in the left eye. Both eyes have NVE. Both also have foveal hypoplasia

Eales Disease and fresh vitreous hemorrhage - 20 year old man446 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.

Proliferative Diabetic Retinopathy both eyes Type I Diabetic for 25 years445 views47-year-old woman with diabetes for 25 years and decreased vision for 3 months. OD 20/40, OS 20/40

Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE 445 viewsIR reflectance

Mtehylenetetrahydrofolate reductase c677T homozygous CRVO pregnant woman (MTHFR)445 viewsVision improved from 20/50 to 20/16 in one month following ozurdex injections. 38 year old woman with only one eye. The left eye was removed as a child for retinoblastoma.

HIV Retinopathy445 views

Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion445 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

Proliferative Diabetic Retinopathy - NVD regressed with PRP laser445 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.

Macroaneurysm - Resolved without treatment445 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

Mild Proliferative Diabetic Retinopathy445 viewsRight eye has NVE and left eye has NVD and NVE. VA 20/25 OU.

Venous Macroaneurysm 6 year old CRVO - treated with focal laser445 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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