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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Fluorescein Angiogram678 views48-year-old woman noticed when she was blinking there was a white flash in the left eye starting about a month ago. She sees it temporally. OD 20/16, OS 20/20. There is a serous retinal detachment superotemporal to the optic nerve falling short of the fovea. Her blood pressure 165/120.

NVD - proliferative diabetic retinopathy Heidelberg False Color678 views

Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 677 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200

Hemi Central Retinal Vein Occlusion 35 year old non-compliant man677 views35-year-old man hazy vision in his left eye for about the last three days. OD 20/20, OS 20/30

Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception677 views

Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day677 views

Proliferative Diabetic Retinopathy both eyes Type I Diabetic for 25 years676 views47-year-old woman with diabetes for 25 years and decreased vision for 3 months. OD 20/40, OS 20/40

Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion676 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.

VISUAL ACUITY: OD 20/30, OS: Hand motion

Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male676 views49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.

VISUAL ACUITY: OD 20/60, OS 20/25.

Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporally676 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.

autofluorescence. od676 viewsautofluorescence helps localize the subretiinal fluid

Acute Branch Retinal Artery Occlusion Left Eye676 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.

Branch Retinal Vein Occlusion with NVE (Neovascularization Elsewhere)675 viewsLate Leakage on FA - NV is adjacent to non-perfusion

Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 674 views80-year-old woman one month ago had vision loss and a vascular occlusion in the right eye. Vision loss occurred in the left eye about 9 years ago with cotton wool spots. Patients has a 30 year history of tinnitis.

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

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

Hemi Central Retinal Vein Occlusion 35 year old non-compliant man673 views35-year-old man hazy vision in his left eye for about the last three days. OD 20/20, OS 20/30

NVD - proliferative diabetic retinopathy Heidelberg False Color673 views

AIDS - HIV Retinopathy - Cotton Wool Spots672 views54-year-old woman HIV positive for 18 years. Her CD4 count is currently less than 50 and she was hospitalized for pneumocystis carinii pneumonia 5 months ago. She has noticed just for the last few weeks a few blind spots in the paracentral vision. Predominantly out of her right eye when she closes her left eye, she sees a few temporal blind spots. VA 20/25 in both eyes.

Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute672 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.

Macroaneurysm FA672 viewsMacroaneurysm with Subretinal Hemorrhage and ME in OS of an Elderly Female

Proliferative Diabetic Retinopathy - Vitreous Hemorrhage and Tractional Retinal Detachment Left Eye671 views52-year-old man has been diabetic for nineteen years developed substantial vision loss over the last month or two. OD 20/70, OS 20/200.

Central Retinal Vein Occlusion and Laser Induced Chorioretinal Anastomosis671 views84-year-old woman has age-related macular degeneration in both eyes with foveal atrophy. She also has a central retinal vein occlusion
in the left eye for which she had intravitreal Kenalog and finally chorioretinal anastomosis laser a year
ago. VISUAL ACUITY: Vision OD is 20/160, OS is 7/200

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

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

FA showing NVE, NVD, non- perfusion left eye inferonasally with neovascularization at the margin of the non-perfusion670 views

BRAO and PAMM670 views

PDR NVD left eye and NVE right eye670 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

Pattern Dystrophy - Adult Vitelliform Macular Degeneration669 views72-year-old woman 2 months post ECCE with poor vision since surgery especially left eye.
VISUAL ACUITY: OD 20/50, OS 20/200

Purtscher's Retinopathy669 views19 year old female after pregnancy

Late669 viewsCorresponding FA for Cilioretinal artery occlusion with early venous stasis retinopathy

Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE 669 viewsFA shows leakage from neovascularization and dark areas in periphery from non-perfusion

Branch Retinal Vein Occlusion with NVE (Neovascularization Elsewhere)669 viewsLate Leakage on FA - NV is adjacent to non-perfusion

PDR and Vitreous Hemorrhage - High Risk Left Eye - Low Risk Right Eye669 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

Branch Retinal Arterial Occlusion Right Eye - Atheromata - Both Eyes668 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

Central Retinal Vein Occlusion and Laser Induced Chorioretinal Anastomosis667 views84-year-old woman has age-related macular degeneration in both eyes with foveal atrophy. She also has a central retinal vein occlusion
in the left eye for which she had intravitreal Kenalog and finally chorioretinal anastomosis laser a year
ago. VISUAL ACUITY: Vision OD is 20/160, OS is 7/200

Hypertensive Retinopathy667 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.

Proliferative Diabetic Retinopathy - NVD regressed with PRP laser667 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.

Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy666 views39-year-old man two days ago he noticed poor vision in his right eye OD: 8/200; OS: 20/20. BP is 240/120

Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day666 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes

Macular Atrophy - Macular Degeneration and Previous Diabetic Macular Laser 72 Year Old Man666 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

oct superior macula 2. od666 views

Diabetic Retinopathy - Foveal Laser Scar Right Eye665 views74-year-old woman has diabetic retinopathy in both eyes. She has had focal laser in her right eye done elsewhere in the mid 90â€™s and unfortunately the laser was fairly close to the center and as time progressed she developed foveal atrophy around the scars. She has noticed her vision declining since she was here last a year ago. She does take Travatan in both eyes at night for glaucoma.

VISUAL ACUITY: OD 20/200, OS 20/40.

Pattern Dystrophy - Adult Vitelliform Macular Degeneration665 views72-year-old woman 2 months post ECCE with poor vision since surgery especially left eye.
VISUAL ACUITY: OD 20/50, OS 20/200

CRVO with Paracentral Acute Middle Maculopath - PAMM665 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

Diabetic and Pseudophakic Cystoid Macular Edema Pretreatment Mid FA664 views56-year-old woman has diabetic retinopathy in both eyes and macular edema. She is recently pseudophakic. OD 20/80, OS 20/200.

Proliferative Diabetic Retinopathy - Vitreous Hemorrhage and Tractional Retinal Detachment Left Eye664 views52-year-old man has been diabetic for nineteen years developed substantial vision loss over the last month or two. OD 20/70, OS 20/200.

Non-Ischemic Central Retinal Vein Occlusion in Young Man (30 years) - Many Cotton Wool Spots664 views30-year-old man with a history of a central retinal vein occlusion for which he was first examined on 2 months ago and his vision then was 4/200. He responded nicely to two Avastin treatments. OD is 20/20, OS is 20/60

Chronic Macula-off Tractional Retinal Detachment Left Eye Proliferative Diabetic Retinopathy664 views81-year-old man with diabetes for 24 years has proliferative diabetic retinopathy in both eyes with a chronic tractional retinal detachment in the left eye 4 years old. OD is 20/40, OS is 2/200

Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing663 views1 month after initial laser

Diabetic Macular Edema and Hypertensive Retinopathy - Circinate Exudate (Ring Exudate) 662 views55-year-old woman diabetic for fifteen years and high blood pressure, especially over the last few months. She has had problems with nosebleeds, headaches, and there has been some difficulty bringing her blood pressure down. She said now the blood pressure is under control but it was running 220/120 mmHg for some time. Her vision in the right eye has been poor for four weeks with a spot in the central vision and both eyes have been blurred.

VISUAL ACUITY: Vision OD is 20/160, OS is 20/60

Macular and Peripheral Retinal Scarring from Diabetic Laser Done 25 years previously662 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.

PDR and subhyloid hem662 views

Retinal Arterial Macroaneurysm - Untreated Hypertension (250/135) - Serous Macular Detachment662 views82 year old asian woman. VA 20/80 Headaches and vision loss for 1 month. Negative medical history but has not been to the doctor for years. (no insurance)

BDR OD with Edema661 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

Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy 661 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.

Hemi Central Retinal Vein Occlusion 35 year old non-compliant man661 views35-year-old man hazy vision in his left eye for about the last three days. OD 20/20, OS 20/30

Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day661 views

AIDS - HIV Retinopathy - Cotton Wool Spots661 views54-year-old woman HIV positive for 18 years. Her CD4 count is currently less than 50 and she was hospitalized for pneumocystis carinii pneumonia 5 months ago. She has noticed just for the last few weeks a few blind spots in the paracentral vision. Predominantly out of her right eye when she closes her left eye, she sees a few temporal blind spots. VA 20/25 in both eyes.

Branch Retinal Vein Occlusion with NVE (Neovascularization Elsewhere)661 views

Acute Branch Retinal Artery Occlusion Left Eye661 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.

BDR and Diabetic Macular Edema with Fresh Laser Right Eye660 views60-year old man OD 20/60, OS 20/50 worsening vision both eyes

Central Retinal Vein Occlusion and Tractional Retinal Detachment for 3 Years (Patient is Diabetic)660 views67-year-old woman has severe vision loss in the left eye for 3 years OD 20/32, OS 3/200

Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Fluorescein Angiogram660 views48-year-old woman noticed when she was blinking there was a white flash in the left eye starting about a month ago. She sees it temporally. OD 20/16, OS 20/20. There is a serous retinal detachment superotemporal to the optic nerve falling short of the fovea. Her blood pressure 165/120.

BRAO and PAMM660 views

Hypertensive Retinopathy - BP 240 / 130 mmHg - Grade 4660 views71 year old woman who claims to be asymptomatic with decreased vision, macular edema, cotton wool spots, subretinal fluid and optic nerve edema

Serous Macular Detachment Left Eye - Possible Hypertensive Choroidopathy v. Central Serous Retinopathy659 views59-year-old woman decreasing vision in the left eye for about two days. She sees a spot in front of her vision. It is a yellow spot which is just straight ahead and moves with her eye. She does have high blood pressure. She checks her blood pressure at home, and even at home her blood pressure runs very high, with the systolic running around 200 and the diastolic around 100, although occasionally it does return to the normal range.

VISUAL ACUITY: Vision OD is 20/60, OS is 20/30

Macular Branch Retinal Vein Occlusions (2) Left Eye - No Macular Edema (yet) 659 views77-year-old woman with two macular branch retinal vein occlusions in the left eye OD 20/25

Retinal Arterial Macroaneurysm - Untreated Hypertension (250/135) - Serous Macular Detachment659 views82 year old asian woman. VA 20/80 Headaches and vision loss for 1 month. Negative medical history but has not been to the doctor for years. (no insurance)

BRAO and PAMM659 viewsGray paracentral lesion from BRAO is a PAMM lesion

Acute Branch Retinal Artery Occlusion Left Eye659 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.

Hypertensive Retinopathy One Year later with good Vision IgA Nephropathy658 viewsOD 20/30, OS 20/25 One year following initial episode.

Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception658 views

Malignany Hypertension - BP 250/130 - Vision 1/200 in each eye - Diabetic658 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

Diabetic Edema Better - 3 Months Follow-UP - No treatment - SD OCT658 viewsPatient remains asymptomatic and OCT shows less edema

Acute Branch Retinal Artery Occlusion Left Eye658 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.

Trousseau Sign - CRVO and Pancreatic Cancer658 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.

Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy very early fa657 views59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.

Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male657 views49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.

VISUAL ACUITY: OD 20/60, OS 20/25.

Retinal Arterial Macroaneurysm - Ruptured and self-sealed after hemorrhage657 views6 Month Follow-up
91-year-old woman had a retinal arterial macroaneurysm in the right eye 6 Month Follow-up Vision is 20/200.

657 views15 yrs old male presents with sudden onset of painless decreased vision in right eye x 6 days gradually worsening. No history of Trauma OD 20/30 OS 20/25, Diagnosis CRVO with ? Papilophlebitis

BRAO and PAMM657 views

Proliferative Diabetic Retinopathy - Vitreous Hemorrhage and Tractional Retinal Detachment Left Eye656 views52-year-old man has been diabetic for nineteen years developed substantial vision loss over the last month or two. OD 20/70, OS 20/200.

Ocular Ishemic Syndrome - Bilateral Carotid Occlusions - OD 20/60 OS 20/200 Enlarged Foveal Avascular Zone and Temporal Non-perfusion656 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

Proliferative Sickle Retinopathy - Hemoglobin SC656 views53-year-old woman with a new spider-like floater in the right eye for about six days. She sees one big floater and another little one. She does have hemoglobin SC hemoglobinopathy. VISUAL ACUITY: Vision OD is 20/20; OS is 20/50, PH is 20/20.

Diabetic Retinopathy - Foveal Laser Scar Right Eye656 views74-year-old woman has diabetic retinopathy in both eyes. She has had focal laser in her right eye done elsewhere in the mid 90â€™s and unfortunately the laser was fairly close to the center and as time progressed she developed foveal atrophy around the scars. She has noticed her vision declining since she was here last a year ago. She does take Travatan in both eyes at night for glaucoma.

VISUAL ACUITY: OD 20/200, OS 20/40.

Sectoral Optic Atrophy from an old Branch Retinal Artery Occlusion 656 views74-year-old woman had cataract surgery 3 months ago. Her vision in the right eye has been abnormal since. She notices a shadow in the inferior vision in the right eye. OD is 20/60, OS is 20/50

Branch Retinal Vein Occlusion with NVE (Neovascularization Elsewhere)656 viewsLate Leakage on FA - NV is adjacent to non-perfusion

Normal SD OCT656 views

PDR - Mild Vitreous Hemorrhage and Good Vision655 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.

Ocular Ishemic Syndrome - Bilateral Carotid Occlusions - OD 20/60 OS 20/200 Enlarged Foveal Avascular Zone and Temporal Non-perfusion655 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

Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago655 views66-year-old woman lost vision in the left eye from a central retinal artery occlusion 1 year ago. Vision OD is fine. OD 20/25, OS 20/50

Central Retinal Vein Occlusion and Tractional Retinal Detachment for 3 Years (Patient is Diabetic)655 views67-year-old woman has severe vision loss in the left eye for 3 years OD 20/32, OS 3/200

New BRVO Left Eye Old BRVO Right Eye - Right Eye Showing Bulls Eye Atrophy from Chronic CME and Non-Perfusion Infero-temporally654 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

Acute Branch Retinal Artery Occlusion Left Eye654 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.

BDR OD with Edema653 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

Malignany Hypertension - BP 250/130 - Vision 1/200 in each eye - Diabetic653 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

Cotton Wool Spots Both Eyes after Strep Pneumonia and Cardiac ICU Stay 1 Month Ago 652 views60-year-old man was sick in the hospital in 1 month ago with streptococcal pneumonia. He was in the cardiac intensive care unit and at one point he was in critical condition. He has no visual complaints. OD 20/20, OS 20/25.

Retinal Arterial Macroaneurysm - Increased Swelling after Laser 652 viewsVisit 2 - 2 months later:
March 21, 2011. This pleasant 66-year-old woman had laser to retinal arterial microaneurysm in the right eye January 12th. Her vision was getting better, but now it is worse the last few days. She is at home taking care of her demented mother and she and her sister lift her mother a fare amount of the time. I also checked her blood pressure, which was 120/65. VISUAL ACUITY: OD 20/200

Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Fluorescein Angiogram652 views48-year-old woman noticed when she was blinking there was a white flash in the left eye starting about a month ago. She sees it temporally. OD 20/16, OS 20/20. There is a serous retinal detachment superotemporal to the optic nerve falling short of the fovea. Her blood pressure 165/120.

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