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Most viewed - Retinal Vascular Disease associated with Systemic Disease

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Purtscher's Retinopathy - Motor Vehicle Accident4260 viewsNerve Fiber Layer Inflammation and retinal hemorrhages due to severe trauma. Patient was a teenage boy that got into a car accident.
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Retinal Vasculitis due to Lupus (color)2525 viewsSystemic Lupus Erythematosis - Vasculitis
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 2182 viewsElschnig Spots
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 2046 viewsElschnig Spots
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Aplastic anemia1754 views29 y.o.m. with aplastic anemia OD VA 20/25.
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1691 views
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1644 viewsElschnig Spots are pigment spots in periphery
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1624 views
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Eales Disease1503 views
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1453 views
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1422 views
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Post- treatment1393 views
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Post- treatment1368 views
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Sickle Cell1357 views
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1342 viewsElschnig Spots are pigment spots in periphery
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 1323 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.
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago1323 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
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Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male1318 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.
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1317 views
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Three years after Injury - Optic Atrophy - Vision is 1/200 in each eye1286 views
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HTN Retinopathy w/ cotton wool spots and hemorrhages1275 views23 year old african american male w/ visual acuity of 20/20
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 1248 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Retinal Vasculitis due to Lupus (FA)1246 viewsSystemic Lupus Erythematosis - Vasculitis
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1241 views
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A case of Valsalva Retinopathy -11202 views
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1192 views6 week fu - CWS are Fading
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hypertension retinopathy w/ disc edema and CRVO1174 views64 year old white male w/ a vision of 20/200 which eventually improved to 20/60 without treatment
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1165 views6 week fu - CWS are Fading
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1148 views
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Lupus Retinopathy1134 viewsFemale patient comes in for eval on Lupus Retinopathy. Has poor vision in the right eye. VA is hand motion in the right eye. Fundus photos show fibrosis along the temporal arcades and narrowing of the arteries. No macular edema found.
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1068 views6 week fu - CWS are Fading
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Macular Hemorrhage1062 viewsPatient comes in with central vision loss in the right eye. Fundus photography shows a macular hemorrhage in the central portion of the fovea. Cotton wool spots are present around the optic nerve and a little hemorrhage present inferiorily at 6-o'clock.
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago1049 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
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AIDS - HIV Retinopathy - Cotton Wool Spots1041 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.
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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy1025 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
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Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male1020 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.
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Diabetic Patient with Macular Edema and Blood Pressure 200/951006 views49-year-old decreasing vision over the last year. OD is 20/80, OS 20/80. blood pressure which was 200/95.
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Hypertensive Retinopathy1002 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.
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Optic Nerve Edema with Retinal Hemorrhages.992 viewsFemale patient diagnosed with lupus a year ago, comes in with spot and decreased vision in the right eye. VA is 20/400 in the right eye and 20/40, in the left eye. Fundus photography shows multiple retinal hemorrhages and possible bilateral papilledema.
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Valsalva Retinopathy991 viewsSmall central hemorrhage due to straining
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Diabetic Patient with Macular Edema and Blood Pressure 200/95968 views49-year-old decreasing vision over the last year. OD is 20/80, OS 20/80. blood pressure which was 200/95.
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago961 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
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Proliferative Sickle Retinopathy - Hemoglobin SC955 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.
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 952 views
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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Fluorescein Angiogram947 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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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Fundus Autofluorescence (FAF)902 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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Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion901 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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Purtscher's Retinopathy892 views19 year old female after pregnancy
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago888 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
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Purtscher's Retinopathy887 views19 year old female after pregnancy
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AIDS - HIV Retinopathy - Cotton Wool Spots886 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.
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Three years after Injury - Optic Atrophy - Vision is 1/200 in each eye885 views
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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Fluorescein Angiogram878 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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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 877 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema (NFL Scan - Black Line this visit, Gray line 6 weeks ago)877 viewsNerve Swelling is Less
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 872 views6 week fu - CWS are Fading
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 859 views6 week fu - CWS are Fading
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago852 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
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A case of Valsalva Retinopathy -3849 views
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 846 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.
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Proliferative Sickle Retinopathy - Hemoglobin SC845 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.
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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy841 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
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 837 viewsMacular Scan Shows Cotton Wool Spots and Nerve Swelling (on Left)
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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy836 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
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 833 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 830 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.
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Cotton Wool Spots and New Diagnosis of Chronic Lymphocytic leukemia828 views73-year-old man with cotton wool spots diagnosed subsequently with with Chronic Lymphocytice Leukemia
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Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion826 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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Retinal Arterial Atheromata824 views68-year-old woman with records going back 7 years, which clearly document retinal arterial plaques in both eyes.
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy 822 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.
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Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion821 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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Cotton Wool Spots and New Diagnosis of Chronic Lymphocytic leukemia818 views73-year-old man with cotton wool spots diagnosed subsequently with with Chronic Lymphocytice Leukemia
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy early fa817 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.
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Serous Retinal Detachment - Hypertensive Retinopathy - 1 month later - less fluid (better blood pressure) - SD OCT816 views48 Year old woman resolving hypertensive serous retinal detachment.
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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 814 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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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy 808 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.
59-year-old woman had a blood pressure spike to 170/90 and was on medications for tha
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 806 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.
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago806 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
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Cotton Wool Spots and New Diagnosis of Chronic Lymphocytic leukemia804 views73-year-old man with cotton wool spots diagnosed subsequently with with Chronic Lymphocytice Leukemia
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Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male803 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.
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago801 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
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799 views
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 789 views6 week fu - CWS are Fading
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Anemic Retinopathy788 viewsMyelodysplasia - HgB 8 and very low platelet count
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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy787 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
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Cotton Wool Spots and New Diagnosis of Chronic Lymphocytic leukemia777 views73-year-old man with cotton wool spots diagnosed subsequently with with Chronic Lymphocytice Leukemia
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 776 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.
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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy775 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
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy 774 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.
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Anemic Retinopathy772 viewsMyelodysplasia - HgB 8 and very low platelet count
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Microaneursyms and Macular Edema Not Diabetic770 views85 year old man has been tested about 2-3 times and is always negative for diabetes
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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy769 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
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy OCT right eye line scan766 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.
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Serous Macular Detachment Left Eye - Possible Hypertensive Choroidopathy v. Central Serous Retinopathy764 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
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Retinal Arterial Atheromata759 views68-year-old woman with records going back 7 years, which clearly document retinal arterial plaques in both eyes.
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Three years after Injury - Optic Atrophy - Vision is 1/200 in each eye758 views
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago757 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
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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Indocyanine Green Angiogram757 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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Serous Retinal Detachment - Hypertensive Retinopathy - 3 months later - Fluid has absorbed751 views48 Year old woman resolved hypertensive serous retinal detachment.
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 751 viewsNerve Swelling is less
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