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Cilioretinal Artery Occlusion - Good vision429 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 edema429 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

Proliferative Diabetic Retinopathy Both Eyes - Vitreous Hemorrahge Left Eye428 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 - NVD regressed with PRP laser428 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.

Foveal Hypoplasia in adult with ROP - good Vision428 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.

Central Retinal Vein Occlusion - No macular edema - Pre-foveal opercula428 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 improved428 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

Moderate PDR428 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 Occlusion428 views62 year old African American female with chronic hypertension and vision loss for 2 weeks. VA is 20/400

Chronic BRAO with Hemorrhages - Sclerosed Vessel428 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

Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood428 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

PDR and Vitreous Hemorrhage - High Risk Left Eye - Low Risk Right Eye428 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 man428 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.

428 views

Cilioretinal Artery Occlusion - Good vision428 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

Non-ischemic Central Retinal Vein Occlusion with Macular Edema428 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

Branch Retinal Vein Occlusion - Both Eyes - Edema OD and NVE OS - Severe Non-perfusion Both Eyes428 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

Retinal Arterial Macroaneursym428 views69 year old female with vision loss for a few months in the right eye. Images show a macroaneurysm in the right eye. The lesion had bled and FA showed no leakage. No treatment was done. VA improved from 20/40 - 20/32

Branch Retinal Arterial Occlusion Right Eye - Atheromata - Both Eyes427 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

Proliferative Diabetic Retinopathy - NVD regressed with PRP laser427 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 treatment427 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

427 views

Vitreous Hemorrhage with no evidence of PDR in the left eye427 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 OD427 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 opercula427 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

Mild Proliferative Diabetic Retinopathy427 viewsRight eye has NVE and left eye has NVD and NVE. VA 20/25 OU.

Severe PDR with preretinal fibrosis427 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.

PDR and DME and VH427 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

Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood427 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

Perifoveal Microaneurysm - Not Diabetic (also reticular pseudodrusen)427 views87 year old female with fluctuating macular edema in the right eye from a perifoveal MA. (no treatment). VA 20/40 OU

Cilioretinal Artery Occlusion - Nasal (not macular)427 views77 year old female There is a shadow in the top half of her temporal vision in the left eye that came on suddenly yesterday morning.Â It has not changed since then and the right eye is OK.Â She has had sinus headaches.Â She had no focal neurological changes.Â Â
VA OD: Dcc20/32
VA OS: Dcc20/16-1
IOP: TP: OD:18 OS:19Â

Heavy Panretinal Photocoagulation for Proliferative Diabetic Retinopathy about 40 years ago427 views64 year old female - images from 2018 - heavy PRP about 30 years ago
VA 20/20 OD, 20/50 OS

Combined Artery and Vein Occlusion426 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.

Central Retinal Vein Occlusion with Macular Edema426 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.

426 views

Severe PDR with preretinal fibrosis426 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.

Venous Macroaneurysm 6 year old CRVO - treated with focal laser426 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.

Diabetic Macular Edema - One eye treated with Eylea and 2 weeks later both were improved426 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

PDR and DME and VH426 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

Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood426 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

Eales Disease and fresh vitreous hemorrhage - 20 year old man426 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.

Branch retinal vein occlusion with macular edema426 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

Diabetic Macular Edema with Circinate Exudate 425 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 in patient with Moyamoya Disease425 views28-year-old womandiabetic since age nine, and she also has had multiple strokes. OD is 20/30, OS is 20/30.

Macroaneurysm - Resolved without treatment425 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

CRVO 25 year old man - Heterozygous Factor V Leiden425 views20/100 initial vision. Improved to 20/30 with Lucentis which continued for 3 years, treat and extend, and stopped.

Microaneursyms and Macular Edema Not Diabetic425 views85 year old man has been tested about 2-3 times and is always negative for diabetes

White Retinal Artiole Left eye - Inferotemporal425 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

Sickle Retinopathy - Chronic retinal detachment OS - Proliferation OD425 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 opercula425 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

Acute Central Retinal Artery Occlusion425 views1 day of vision loss 79 year old man to HM. NVG developed 2 months later.

Subtle Branch Retinal Artery Occlusion425 views68 year old man with shadow in the left eye yesterday. IR and OCT show subtle retinal swelling. FA is normal

PDR and Vitreous Hemorrhage - High Risk Left Eye - Low Risk Right Eye425 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

425 views

Branch Retinal Vein Occlusion with Edema - Failed avastin (bevacizumab) and did well with Eylea (Aflibercept)425 views67 year old female The vision in the left eye was good until about 4 months ago.Â Prior to that it was OK.Â The vision in the right eye is fine.Â She is not sure if she has had strokes from studies taken in December.Â She was, at that time, sent to the ER for high blood pressure.Â Â
VA OD: Dcc20/40 OS: 20/100
Four treatments with Avastin she was still 20/100 with edema. With two Eylea treatments she improved to 20/32 and has remained dry and with good vision

Lipemia Retinalis - Lipid Obscuring Vitreous425 views31 year old man The patient at the time of imaging had triglycerides of >5680, cholesterol of 1136.

He also does have uncontrolled hypertension and insulin dependent type 2 diabetes, which may be the reason for vitreous extension of the lipids.

Proliferative Diabetic Retinopathy Both Eyes - Vitreous Hemorrahge Left Eye424 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

PDR NVD left eye and NVE right eye424 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 Eyes424 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 Maculopathy424 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.

424 views

White Retinal Artiole Left eye - Inferotemporal424 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

Venous Macroaneurysm 6 year old CRVO - treated with focal laser424 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.

Moderate PDR424 views43 year old man 20/32 vision in both eyes. Being started on Anti-VEGF injections which will be followed by PRP.

Eales Disease and fresh vitreous hemorrhage - 20 year old man424 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-A424 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.

Branch retinal vein occlusion with macular edema424 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

Central Retinal Vein Occlusion with Macular Edema and Retinal Hemorrhages 423 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.

CRVO with Paracentral Acute Middle Maculopath - PAMM423 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

Proliferative Diabetic Retinopathy - NVD regressed with PRP laser423 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.

CRVO 25 year old man - Heterozygous Factor V Leiden423 views20/100 initial vision. Improved to 20/30 with Lucentis which continued for 3 years, treat and extend, and stopped.

423 views

White Retinal Artiole Left eye - Inferotemporal423 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

Sickle Retinopathy - Chronic retinal detachment OS - Proliferation OD423 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.

Severe PDR with preretinal fibrosis423 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.

Chronic BRAO with Hemorrhages - Sclerosed Vessel423 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 - 20/200423 views66 year old female with 3 weeks of vision loss in the left eye. VA 20/20 OD 20/200 OS

Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood423 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

Perifoveal Microaneurysm - Not Diabetic (also reticular pseudodrusen)423 views87 year old female with fluctuating macular edema in the right eye from a perifoveal MA. (no treatment). VA 20/40 OU

422 views

CRVO 25 year old man - Heterozygous Factor V Leiden422 views20/100 initial vision. Improved to 20/30 with Lucentis which continued for 3 years, treat and extend, and stopped.

422 views

Non-ischemic Central Retinal Vein Occlusion with Macular Edema422 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

Branch retinal vein occlusion with macular edema422 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

Nonproliferative Diabetic Retinopathy and Good Vision422 views59 year old man Vision is good. Just referred following annual eye examination
PMHx: Type II DM, HTN, Cholesterol,
MEDS: Lantus, Metformin, lisinopril, atorvastatin, gabapentin

VA 20/20 OU
2+ NS OU

Observation

422 views

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