Most viewed - Posterior Uveitis - Chorioretinitis
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Pigmented Paravenous Retinochoroidal Atrophy - Left Eye558 views70 year old woman lost vision OS 20 years ago.
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Multifocal Choroiditis and Subretinal Fibrosis with new Subretinal Neovascular Membrane558 views26 year old African American Girl Saw me at age 10 (16 years ago) with acute multifocal choroiditis and panuveitis which evolved into subretinal fibrosis. She was initially treated with 3 years of methotrexate. Vision ended up 20/20 in both eyes. Her eyes have been inactive since and she was lost to follow-up.
A week ago she noticed sudden decreased vision in the right eye. Within the past few weeks there are more floaters in the right eye.
VA OD: sc6’/200 PHNI
VA OS: sc20/16
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Syphillitic Optic Neuropathy and Maculopathy557 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
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Recurrent MEWDS Left Eye - Teenage Girl557 viewsPatient presented in 2014 (first images) 2 months following vision loss left eye. Vision went from 20/60 - 20/20. OCT showed outer retinal irregularities which normalized. Then 3 years later in 2017 she had full blown MEWDS. She presented acutely and all the images are typical. Both episodes where in the same time of year, about 3 months after her flu shot for sports.
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Sarcoidosis Multifocal Choroiditis557 views66 year old man with dense cataracts and recurrent uveitis. Images show multifocal choroidal granulomas from sarcoidosis more in the right eye than the left eye.
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy556 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU
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Unilateral Acute Idiopathic Maculopathy (UAIM)556 views41 year old with serous retinal detachment OS and sudden vision loss. He had a viral prodrome. Coxscackie IgG was high but no acute infection was documented. Vision improved in about 2 months without therapy. - Right eye has spot nasal to the optic nerve
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Recurrent MEWDS Left Eye - Teenage Girl556 viewsPatient presented in 2014 (first images) 2 months following vision loss left eye. Vision went from 20/60 - 20/20. OCT showed outer retinal irregularities which normalized. Then 3 years later in 2017 she had full blown MEWDS. She presented acutely and all the images are typical. Both episodes where in the same time of year, about 3 months after her flu shot for sports.
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Cytomeglovirus555 views25 year old male experiencing blurry vision OS for two days. Onset very rapid. VA 20/40 OS 20/30 OD. After HIV titer test, determined the pt. had HIV and Cytomeglovirus.
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Uveitis - Retinitis - Vasculitis - possibly Syphilitis555 viewsVisit 1: 12-06-12
74-year-old man 12-3-12 visit. 2 months ago noticed vision loss, first in the right eye than the left. He is getting tired easily. He can’t walk for a long distance. He has lost five pounds within the last month. He also had a severe itchy episode, but not quite a rash a few days ago, which went away after he took a shower. FTA-ABS is positive but a spinal tap, which was negative. OD 1/200, OS 20/63.
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis555 views
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis555 views2 weeks after starting treatment - lesion is involuting
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Unilateral Acute Idiopathic Maculopathy (UAIM)555 viewsCilioretinal artery fills early
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy555 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy555 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus
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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - 4 years after onset555 views4 years after presentation - vision 20/80 OD 20/16 OS and there is subretinal fibrosis
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Recurrent MEWDS Left Eye - Teenage Girl555 viewsPatient presented in 2014 (first images) 2 months following vision loss left eye. Vision went from 20/60 - 20/20. OCT showed outer retinal irregularities which normalized. Then 3 years later in 2017 she had full blown MEWDS. She presented acutely and all the images are typical. Both episodes where in the same time of year, about 3 months after her flu shot for sports.
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Multifocal Choroiditis Panuveitis with Subretinal Fibrosis Acute Phase555 views36 year old latin american female 3 weeks of vision loss and new headaches. MRI was normal. VA initially 20/32 OD; 20/20 OS Final vision was 20/63 OD; 20/20 OS
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Autoimmune Retinopathy555 views91 year old female with severe vision loss over the past 3 years. She has shimmery scotomas. The main findings are outer retinal atrophy evident on OCT and FAF. VA 20/80 OD and 20/125 OS
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Macular Star, Toxoplasmosis554 viewsYoung male with visual disturbance in the right eye. Fundus photo shows swelling around the optic nerve with macular star visible.
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Retinal Atrophy 1 year following Streptococcus sanguinis endophthalmitis - Vision 5/200554 views79 year old woman with sleep apnea who sleeps with CPAP machine
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Birdshot Chorioretinitis - Fresh Presentation554 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive
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Birdshot Chorioretinitis - Fresh Presentation554 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive
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Syphilitic Chorioretinitis554 viewsSevere outer retinal atrophy and RPE non-geographic atrophy from syphilis. Vision improved from 20/63 to 20/32 with therapy. Images look a lot like DUSN. Patient had several surgeries (vitrectomy for floaters, vitrectomy for macular pucker, Avastin injections and macular laser for edema) prior by other retina specialists prior to being correctly diagnosed and treated.
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Multifocal Choroiditis - Linear Scars - Schlaegel lines554 views66 year old woman with macular pucker right eye. Images show typical linear peripheral scars for MFC or POHS - this is unilateral.
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Pigmented Paravenous Retinochoroidal Atrophy - Left Eye554 views70 year old woman lost vision OS 20 years ago.
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Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive554 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16
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Multifocal Vitelliform Macular Dystrophy554 views58 year old female with mild vision loss - 20/20 OU - extensive testing has shown no cancer. Case of Karina Findlay, MD
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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - 4 years after onset553 views4 years after presentation - vision 20/80 OD 20/16 OS and there is subretinal fibrosis
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Multifocal Vitelliform Macular Dystrophy553 views58 year old female with mild vision loss - 20/20 OU - extensive testing has shown no cancer. Case of Karina Findlay, MD
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Syphillitic Optic Neuropathy and Maculopathy552 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
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Multifocal Choroiditis - Linear Scars - Schlaegel lines552 views66 year old woman with macular pucker right eye. Images show typical linear peripheral scars for MFC or POHS - this is unilateral.
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Birdshot Chorioretintis and PAMM552 viewsPatient presented with paracentral acute middle maculopathy as the presenting symptom of birdshot. This case was published. RETINAL CASES & BRIEF REPORTS 10:151–153, 2016.
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DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematode551 views
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis551 viewsAnterior Uveitis
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Recurrent MEWDS Left Eye - Teenage Girl551 viewsPatient presented in 2014 (first images) 2 months following vision loss left eye. Vision went from 20/60 - 20/20. OCT showed outer retinal irregularities which normalized. Then 3 years later in 2017 she had full blown MEWDS. She presented acutely and all the images are typical. Both episodes where in the same time of year, about 3 months after her flu shot for sports.
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Recurrent MEWDS Left Eye - Teenage Girl551 viewsPatient presented in 2014 (first images) 2 months following vision loss left eye. Vision went from 20/60 - 20/20. OCT showed outer retinal irregularities which normalized. Then 3 years later in 2017 she had full blown MEWDS. She presented acutely and all the images are typical. Both episodes where in the same time of year, about 3 months after her flu shot for sports.
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Toxoplasmosis - Recurrent - Moderate Vitritis551 views32 year old woman with 20/80 vision and moderately painful red eye in the left eye only. The left eye had some redness about 10 years ago. She is a native of Sierra Leone
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Multifocal Choroiditis Panuveitis - New Choroidal Neovascular Membrane Right Eye551 views74 year old female had vitrectomy elsewhere for possible ocular lymphoma - 5 years of shimmery vision changes then 3 weeks ago noticed vision loss right eye.
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph550 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU
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Choroidal Neovascular Membrane - Multifocal Scars - PIC vs MFC vs OHS 550 views
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Retinal Atrophy 1 year following Streptococcus sanguinis endophthalmitis - Vision 5/200550 views79 year old woman with sleep apnea who sleeps with CPAP machine
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Syphillitic Optic Neuropathy and Maculopathy550 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
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Birdshot Chorioretinitis - Fresh Presentation550 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive
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Birdshot Chorioretinitis - Fresh Presentation550 viewsUltawidefield ICG shows best the multifocal lesions. 61 year old woman with floaters for less than 6 months. HLA-A29 Positive
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Toxoplasmosis - Recurrent - Moderate Vitritis550 views32 year old woman with 20/80 vision and moderately painful red eye in the left eye only. The left eye had some redness about 10 years ago. She is a native of Sierra Leone
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Sarcoidosis Multifocal Choroiditis550 views66 year old man with dense cataracts and recurrent uveitis. Images show multifocal choroidal granulomas from sarcoidosis more in the right eye than the left eye.
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Multifocal Choroiditis Panuveitis with Subretinal Fibrosis Acute Phase550 views36 year old latin american female 3 weeks of vision loss and new headaches. MRI was normal. VA initially 20/32 OD; 20/20 OS Final vision was 20/63 OD; 20/20 OS
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Autoimmune Retinopathy550 views91 year old female with severe vision loss over the past 3 years. She has shimmery scotomas. The main findings are outer retinal atrophy evident on OCT and FAF. VA 20/80 OD and 20/125 OS
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Autoimmune Retinopathy550 views91 year old female with severe vision loss over the past 3 years. She has shimmery scotomas. The main findings are outer retinal atrophy evident on OCT and FAF. VA 20/80 OD and 20/125 OS
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Early ICT549 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU
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Retinal Atrophy 1 year following Streptococcus sanguinis endophthalmitis - Vision 5/200549 views79 year old woman with sleep apnea who sleeps with CPAP machine
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AZOOR - unilateral pseudo-retinitis pigmentosa549 views74 year old woman with unilateral vision loss 40 years ago.
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Autoimmune Retinopathy549 views91 year old female with severe vision loss over the past 3 years. She has shimmery scotomas. The main findings are outer retinal atrophy evident on OCT and FAF. VA 20/80 OD and 20/125 OS
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Multifocal Choroidits Vitiligo ( Voght- Kayanagi-Harada Syndrome )548 views36-year old patient with decreased vision in both eyes with fatigue for over a year. VA 20/25-OD, 20/60 -OS. Patient was treated with Avastin and oral prednisone.
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Vasculitis - Retinitis - Uveitis - Vision NLP right eye , 20/50 left eye548 views
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Recurrent MEWDS Left Eye - Teenage Girl548 viewsPatient presented in 2014 (first images) 2 months following vision loss left eye. Vision went from 20/60 - 20/20. OCT showed outer retinal irregularities which normalized. Then 3 years later in 2017 she had full blown MEWDS. She presented acutely and all the images are typical. Both episodes where in the same time of year, about 3 months after her flu shot for sports.
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Toxoplasmosis - Recurrent - Moderate Vitritis548 views32 year old woman with 20/80 vision and moderately painful red eye in the left eye only. The left eye had some redness about 10 years ago. She is a native of Sierra Leone
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DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematode547 views
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547 viewsPatient comes in with 6-month follow up for uveitis. VA is 20/20, both eyes. RPE peripheral scarring and punched out lesions visible. Stable. Pred Forte as needed for flare ups.
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Syphillitic Optic Neuropathy and Maculopathy547 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
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Syphillitic Optic Neuropathy and Maculopathy547 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
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Syphilitic Chorioretinitis547 viewsSevere outer retinal atrophy and RPE non-geographic atrophy from syphilis. Vision improved from 20/63 to 20/32 with therapy. Images look a lot like DUSN. Patient had several surgeries (vitrectomy for floaters, vitrectomy for macular pucker, Avastin injections and macular laser for edema) prior by other retina specialists prior to being correctly diagnosed and treated.
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Multifocal Choroiditis - Linear Scars - Schlaegel lines547 views66 year old woman with macular pucker right eye. Images show typical linear peripheral scars for MFC or POHS - this is unilateral.
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Multifocal Choroiditis Panuveitis with Subretinal Fibrosis Acute Phase547 views36 year old latin american female 3 weeks of vision loss and new headaches. MRI was normal. VA initially 20/32 OD; 20/20 OS Final vision was 20/63 OD; 20/20 OS
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AZOOR - unilateral pseudo-retinitis pigmentosa547 views74 year old woman with unilateral vision loss 40 years ago.
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Cat Scratch - Neuroretinitis OD AND retinitis OS - Bartonella henselae positive547 views27 year old female with exposure to cats and prior fever. Reports with recent vision loss right eye. She was treated with doxycycline and within 2 weeks the right eye looks better. Then she skipped all follow-up visits. The right eye presented 20/200 and the left 20/16
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Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement546 views33-year-old woman one week ago she awoke and saw a red spots flashing out of her right eye. She notices them to the right side, which is the temporal visual field out of the right eye, then they changed to bursts of white lights without colors and then she notices straight ahead a couple spots. She has headaches in the back of her head. OD 20/20, OS 20/20
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Uveitis - Retinitis - Vasculitis - possibly Syphilitis546 viewsVisit 1: 12-06-12
74-year-old man 12-3-12 visit. 2 months ago noticed vision loss, first in the right eye than the left. He is getting tired easily. He can’t walk for a long distance. He has lost five pounds within the last month. He also had a severe itchy episode, but not quite a rash a few days ago, which went away after he took a shower. FTA-ABS is positive but a spinal tap, which was negative. OD 1/200, OS 20/63.
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Recurrent MEWDS Left Eye - Teenage Girl546 viewsPatient presented in 2014 (first images) 2 months following vision loss left eye. Vision went from 20/60 - 20/20. OCT showed outer retinal irregularities which normalized. Then 3 years later in 2017 she had full blown MEWDS. She presented acutely and all the images are typical. Both episodes where in the same time of year, about 3 months after her flu shot for sports.
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Recurrent MEWDS Left Eye - Teenage Girl546 viewsPatient presented in 2014 (first images) 2 months following vision loss left eye. Vision went from 20/60 - 20/20. OCT showed outer retinal irregularities which normalized. Then 3 years later in 2017 she had full blown MEWDS. She presented acutely and all the images are typical. Both episodes where in the same time of year, about 3 months after her flu shot for sports.
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Birdshot Chorioretintis and PAMM546 viewsPatient presented with paracentral acute middle maculopathy as the presenting symptom of birdshot. This case was published. RETINAL CASES & BRIEF REPORTS 10:151–153, 2016.
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Autoimmune Retinopathy546 views91 year old female with severe vision loss over the past 3 years. She has shimmery scotomas. The main findings are outer retinal atrophy evident on OCT and FAF. VA 20/80 OD and 20/125 OS
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Uveitis - Retinitis - Vasculitis - possibly Syphilitis545 viewsVisit 1: 12-06-12
74-year-old man 12-3-12 visit. 2 months ago noticed vision loss, first in the right eye than the left. He is getting tired easily. He can’t walk for a long distance. He has lost five pounds within the last month. He also had a severe itchy episode, but not quite a rash a few days ago, which went away after he took a shower. FTA-ABS is positive but a spinal tap, which was negative. OD 1/200, OS 20/63.
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis545 views
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Syphillitic Optic Neuropathy and Maculopathy545 views46 year old woman with 2 weeks of vision loss OD. VA 20/200 OD; 20/20 OS. there are posterior vitreous cells on OCT in both eyes. ICG, FAF, and FA show an abnormal macula OD. VA improved to 20/30 within a month with treatment with PCN.
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Recurrent MEWDS Left Eye - Teenage Girl545 viewsPatient presented in 2014 (first images) 2 months following vision loss left eye. Vision went from 20/60 - 20/20. OCT showed outer retinal irregularities which normalized. Then 3 years later in 2017 she had full blown MEWDS. She presented acutely and all the images are typical. Both episodes where in the same time of year, about 3 months after her flu shot for sports.
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Multifocal Choroiditis and Subretinal Fibrosis with new Subretinal Neovascular Membrane545 views26 year old African American Girl Saw me at age 10 (16 years ago) with acute multifocal choroiditis and panuveitis which evolved into subretinal fibrosis. She was initially treated with 3 years of methotrexate. Vision ended up 20/20 in both eyes. Her eyes have been inactive since and she was lost to follow-up.
A week ago she noticed sudden decreased vision in the right eye. Within the past few weeks there are more floaters in the right eye.
VA OD: sc6’/200 PHNI
VA OS: sc20/16
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph544 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy544 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU
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Choroidal Neovascular Membrane - Multifocal Scars - PIC vs MFC vs OHS 544 views
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Unilateral Acute Idiopathic Maculopathy (UAIM)544 views41 year old with serous retinal detachment OS and sudden vision loss. He had a viral prodrome. Coxscackie IgG was high but no acute infection was documented. Vision improved in about 2 months without therapy. - Right eye has spot nasal to the optic nerve
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Unilateral Acute Idiopathic Maculopathy (UAIM)544 views41 year old with serous retinal detachment OS and sudden vision loss. He had a viral prodrome. Coxscackie IgG was high but no acute infection was documented. Vision improved in about 2 months without therapy. - Right eye has spot nasal to the optic nerve
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Retinal Atrophy 1 year following Streptococcus sanguinis endophthalmitis - Vision 5/200544 views79 year old woman with sleep apnea who sleeps with CPAP machine
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy544 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus
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Multifocal Choroiditis Panuveitis with Subretinal Fibrosis Acute Phase544 views36 year old latin american female 3 weeks of vision loss and new headaches. MRI was normal. VA initially 20/32 OD; 20/20 OS Final vision was 20/63 OD; 20/20 OS
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Punctate Inner Choroidopathy - New CNVM right eye544 views42 year old female with recent vision loss in the right eye - Right eye is 20/80 - Vision improved to 20/16 with Ranabizumab injections over 3 months
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Neuroretinitis - Negative cat scratch serology twice - Possible Behcets543 views65 year old man with no direct cat exposure and vision loss from neuroretinitis. His work up was positive for HLA B51. He had negative cat scratch titers twice. Vision dropped from 20/60 - 20/200 and then improved to 20/40 over 2 months
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female InfraRed Image542 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Spectral Domain Optical Coherence Tomgraphy542 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU
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Vasculitis - Retinitis - Uveitis - Vision NLP right eye , 20/50 left eye542 views
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Vasculitis - Retinitis - Uveitis - Vision NLP right eye , 20/50 left eye542 views
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Choroidal Neovascular Membrane - Multifocal Scars - PIC vs MFC vs OHS 542 views
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Choroidal Neovascular Membrane - Multifocal Scars - PIC vs MFC vs OHS 542 views
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Unilateral Acute Idiopathic Maculopathy (UAIM) - VIDEO TAKES TIME TO LOAD - raster oct scan542 views41 year old with serous retinal detachment OS and sudden vision loss. He had a viral prodrome. Coxscackie IgG was high but no acute infection was documented. Vision improved in about 2 months without therapy.
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Retinal Atrophy 1 year following Streptococcus sanguinis endophthalmitis - Vision 5/200542 views79 year old woman with sleep apnea who sleeps with CPAP machine
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Toxoplasmosis - Recurrent - Moderate Vitritis542 views32 year old woman with 20/80 vision and moderately painful red eye in the left eye only. The left eye had some redness about 10 years ago. She is a native of Sierra Leone
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Multifocal Vitelliform Macular Dystrophy542 views58 year old female with mild vision loss - 20/20 OU - extensive testing has shown no cancer. Case of Karina Findlay, MD
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Fundus Photograph541 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU
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Acute Annular Outer Retinopathy for 3 Months - 25 YO Female InfraRed Image541 views25-year-old female who, about three months ago, put on her sunglasses and noticed a smudge in the vision and at that point she noticed the right eye was hazy. She had a cold a week or two before the vision loss, but she didn’t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU
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