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Most viewed - Retinal Vascular Disease associated with Systemic Disease

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Purtscher's Retinopathy - Motor Vehicle Accident4708 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)2544 viewsSystemic Lupus Erythematosis - Vasculitis
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 2212 viewsElschnig Spots
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 2071 viewsElschnig Spots
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Aplastic anemia1778 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 1712 views
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1667 viewsElschnig Spots are pigment spots in periphery
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1643 views
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Eales Disease1513 views
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1470 views
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1441 views
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Post- treatment1405 views
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Post- treatment1375 views
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Sickle Cell1374 views
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1365 viewsElschnig Spots are pigment spots in periphery
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago1358 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 Male1344 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 1341 views
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 1337 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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Three years after Injury - Optic Atrophy - Vision is 1/200 in each eye1317 views
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HTN Retinopathy w/ cotton wool spots and hemorrhages1289 views23 year old african american male w/ visual acuity of 20/20
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 1266 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 1262 views
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Retinal Vasculitis due to Lupus (FA)1257 viewsSystemic Lupus Erythematosis - Vasculitis
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A case of Valsalva Retinopathy -11213 views
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1212 views6 week fu - CWS are Fading
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hypertension retinopathy w/ disc edema and CRVO1189 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 1186 views6 week fu - CWS are Fading
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1171 views
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Lupus Retinopathy1155 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 1089 views6 week fu - CWS are Fading
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Macular Hemorrhage1075 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 ago1062 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 Spots1056 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 Nephropathy1037 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 Male1033 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 200/951028 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 Retinopathy1022 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.1009 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 Retinopathy1006 viewsSmall central hemorrhage due to straining
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Diabetic Patient with Macular Edema and Blood Pressure 200/95982 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 ago975 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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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 971 views
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Proliferative Sickle Retinopathy - Hemoglobin SC969 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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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Fluorescein Angiogram960 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 Occlusion929 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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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Fundus Autofluorescence (FAF)925 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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Three years after Injury - Optic Atrophy - Vision is 1/200 in each eye912 views
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Purtscher's Retinopathy904 views19 year old female after pregnancy
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago900 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 Retinopathy900 views19 year old female after pregnancy
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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)900 viewsNerve Swelling is Less
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AIDS - HIV Retinopathy - Cotton Wool Spots897 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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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Fluorescein Angiogram892 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 891 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 890 views6 week fu - CWS are Fading
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 883 views6 week fu - CWS are Fading
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 860 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 860 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 ago860 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 Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy859 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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Proliferative Sickle Retinopathy - Hemoglobin SC858 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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A case of Valsalva Retinopathy -3858 views
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 853 viewsMacular Scan Shows Cotton Wool Spots and Nerve Swelling (on Left)
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Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion850 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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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy848 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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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 845 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 leukemia842 views73-year-old man with cotton wool spots diagnosed subsequently with with Chronic Lymphocytice Leukemia
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Retinal Arterial Atheromata833 views68-year-old woman with records going back 7 years, which clearly document retinal arterial plaques in both eyes.
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Cotton Wool Spots and New Diagnosis of Chronic Lymphocytic leukemia833 views73-year-old man with cotton wool spots diagnosed subsequently with with Chronic Lymphocytice Leukemia
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Serous Retinal Detachment - Hypertensive Retinopathy - 1 month later - less fluid (better blood pressure) - SD OCT833 views48 Year old woman resolving hypertensive serous retinal detachment.
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy 832 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 Occlusion831 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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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 828 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 early fa827 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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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy 821 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 820 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 Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male818 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 ago817 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 leukemia816 views73-year-old man with cotton wool spots diagnosed subsequently with with Chronic Lymphocytice Leukemia
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811 views
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago809 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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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 809 views6 week fu - CWS are Fading
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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy801 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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Anemic Retinopathy800 viewsMyelodysplasia - HgB 8 and very low platelet count
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 789 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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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy 788 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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Cotton Wool Spots and New Diagnosis of Chronic Lymphocytic leukemia788 views73-year-old man with cotton wool spots diagnosed subsequently with with Chronic Lymphocytice Leukemia
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Anemic Retinopathy786 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 Nephropathy785 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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Microaneursyms and Macular Edema Not Diabetic785 views85 year old man has been tested about 2-3 times and is always negative for diabetes
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Three years after Injury - Optic Atrophy - Vision is 1/200 in each eye781 views
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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy778 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 scan775 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 Retinopathy775 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 Atheromata771 views68-year-old woman with records going back 7 years, which clearly document retinal arterial plaques in both eyes.
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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Indocyanine Green Angiogram771 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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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 771 viewsNerve Swelling is less
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Serous Retinal Detachment - Hypertensive Retinopathy - 3 months later - Fluid has absorbed770 views48 Year old woman resolved hypertensive serous retinal detachment.
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago765 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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