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Toxoplasmosis - Vitreoretinal Traction632 viewsA 28-year old male who noticed an upper partial visual loss to his right eye for about 2-weeks. Diagnosed with retinitis and was put on acyclovir. Patient received second opinion due to culture of aqueous humor which was then diagnosed as Toxoplasmosis. VA was 20/25 in the right eye. Pt has been followed after for the past 7-months.

Acute Zonal Occult Outer Retinopathy with Severe Peripheral Vision Loss Left Eye 631 views 58-year-old man developed a peripheral vision problem about 25 years ago. OD 20/30, OS 20/40.

West Nile Virus Multifocal Choroiditis and diabetic retinopathy631 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus

Multiple Evanescent White Dot Syndrome - Atypical Yellow Foveal Spot Right Eye630 views12-year-old had decreased vision in the left eye from reported amblyopia since around the year 2000. His right eye was doing fine until two days ago, when he had sudden severe vision loss. He sees a blurred spot in the middle of the vision in the right eye wherever he looks.
OD 20/60 with eccentric movement, OS 20/200. Pinhole 20/70. IOP: OD 14, OS 10.

629 views

Congenital Toxoplasmosis with non-macular Scars Both Eyes - Recent Reactivation (recurrence) Right Eye629 views34-year-old man has congenital toxoplasmosis with four week history of foggy vision and new floaters in the right eye. OD is 20/40, OS 20/30

Uveitis and Cystoid Macular Edema - Probably Sarcoidosis629 viewsVA 20/63 OD 20/50 OS - 3 months vision loss - second episode by history of uveitis

Unilateral Acute Idiopathic Maculopathy (UAIM)629 viewsVision has improved back to 20/20 without any therapy. 1 month following vision loss

AZOOR - unilateral pseudo-retinitis pigmentosa629 views74 year old woman with unilateral vision loss 40 years ago.

Serpiginous choroiditis628 viewsInactive scars in both eyes

Unilateral Acute Idiopathic Maculopathy (UAIM)628 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

Syphilitic Chorioretinitis628 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.

Multifocal Choroiditis - Linear Scars - Schlaegel lines628 views66 year old woman with macular pucker right eye. Images show typical linear peripheral scars for MFC or POHS - this is unilateral.

Acute Annular Outer Retinopathy VA loss 2 days Right Eye Only - 25 Year Old Woman627 viewsInitial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU.

Toxoplasmosis Macular Scar (acquired not congenital) 31 Year Old Man- Recent Vision Change - Creeping Scar627 views31-year-old man had an episode of toxoplasmosis in the left eye, where unfortunately it adversely affected his central vision that was back in 2004 (7 years ago)
He did notice recently a change in his visual function. He plays softball, he was getting hit by the ball and having trouble seeing and he said that is how he noticed the toxoplasmosis when it first occurred and he was concerned it might have recurred.
OD 20/16, OS 20/80.

Unilateral Acute Idiopathic Maculopathy (UAIM)626 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.

DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematode625 views

Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female625 views

Syphillitic Optic Neuropathy and Maculopathy625 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.

Autoimmune Retinopathy625 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

Birdshot Chorioretinitis - Retinal Vasculitis - HLA A29 Positive 624 views64-year-old woman three or four yearâ€™s fluctuations in her vision. She mostly notices them in bright light her vision glares out and she has difficulty seeing. PMHx: malaria in 1948 that was treated. She was told at one point she could possibly have had Familial Mediterranean fever.

She does intermittently get rashes around her arms. She has arthritis in her knees and ankles.
VISUAL ACUITY: OD 20/40, OS 20/50 - HLA - A29 Positive

Serpiginous choroiditis623 viewsInactive scars in both eyes

Syphillitic Optic Neuropathy and Maculopathy623 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.

Uveitis and Cystoid Macular Edema - Probably Sarcoidosis622 viewsVA 20/63 OD 20/50 OS - 3 months vision loss - second episode by history of uveitis

Sarcoidosis Multifocal Choroiditis622 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.

DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematode621 views

Toxoplasmosis - Recurrent - Moderate Vitritis621 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

Unilateral Acute Idiopathic Maculopathy (UAIM)620 views1 week later eye looks better (after initial scan) 41 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

Acute Posterior Multifocal Placoid Pigment Epitheliopathy - 4 years after onset620 views4 years after presentation - vision 20/80 OD 20/16 OS and there is subretinal fibrosis

Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement619 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

Multifocal Choroidits Vitiligo ( Voght- Kayanagi-Harada Syndrome )619 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.

Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis619 views

Acute Zonal Occult Outer Retinopathy with Severe Peripheral Vision Loss Left Eye 618 views 58-year-old man developed a peripheral vision problem about 25 years ago. OD 20/30, OS 20/40.

Retinal Atrophy 1 year following Streptococcus sanguinis endophthalmitis - Vision 5/200618 views79 year old woman with sleep apnea who sleeps with CPAP machine

Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis617 views

Toxocariasis - Stalk from optic nerve to peripheral scar617 views

Birdshot Chorioretinitis - Retinal Vasculitis - HLA A29 Positive 616 views64-year-old woman three or four yearâ€™s fluctuations in her vision. She mostly notices them in bright light her vision glares out and she has difficulty seeing. PMHx: malaria in 1948 that was treated. She was told at one point she could possibly have had Familial Mediterranean fever.

She does intermittently get rashes around her arms. She has arthritis in her knees and ankles.
VISUAL ACUITY: OD 20/40, OS 20/50 - HLA - A29 Positive

West Nile Virus Multifocal Choroiditis and diabetic retinopathy616 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus

Multifocal Choroiditis - Linear Scars - Schlaegel lines616 views66 year old woman with macular pucker right eye. Images show typical linear peripheral scars for MFC or POHS - this is unilateral.

DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematode614 views

Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Indocyanine Green Angiogram614 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.

Recurrent MEWDS Left Eye - Teenage Girl614 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.

Acute Posterior Multifocal Placoid Pigment Epitheliopathy - 4 years after onset612 views4 years after presentation - vision 20/80 OD 20/16 OS and there is subretinal fibrosis

Syphilitic Chorioretinitis612 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.

Autoimmune Retinopathy612 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

Acute Annular Outer Retinopathy for 3 Months - 25 YO Female Late ICG611 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 didnâ€™t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU

Choroidal Neovascular Membrane - Multifocal Scars - PIC vs MFC vs OHS 611 views

Unilateral Acute Idiopathic Maculopathy (UAIM)611 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

Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Fluorescein Angiogram610 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.

Cytomegalovirus Retinitis610 viewsPatient who is HIV Positive with Cytomegalovirus Retinitis. Patient was treated with Gangcyclovir Intra-Vitreal injection.

Syphilitic Chorioretinitis610 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.

Toxoplasmosis - Inner Retinal - Recurrent - Treated with Bactrim DS 609 views43-year-old man has macular toxoplasmosis. He has responded nicely to Bactrim OS: 20/60

Syphilitic Chorioretinitis609 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.

Recurrent MEWDS Left Eye - Teenage Girl609 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.

Multiple Evanescent White Dot Syndrome - Atypical Yellow Foveal Spot Right Eye608 views12-year-old had decreased vision in the left eye from reported amblyopia since around the year 2000. His right eye was doing fine until two days ago, when he had sudden severe vision loss. He sees a blurred spot in the middle of the vision in the right eye wherever he looks.
OD 20/60 with eccentric movement, OS 20/200. Pinhole 20/70. IOP: OD 14, OS 10.

Birdshot Chorioretinitis - Retinal Vasculitis - HLA A29 Positive 608 views64-year-old woman three or four yearâ€™s fluctuations in her vision. She mostly notices them in bright light her vision glares out and she has difficulty seeing. PMHx: malaria in 1948 that was treated. She was told at one point she could possibly have had Familial Mediterranean fever.

She does intermittently get rashes around her arms. She has arthritis in her knees and ankles.
VISUAL ACUITY: OD 20/40, OS 20/50 - HLA - A29 Positive

AMN 3 years later608 viewsShe still sees the blind spot one she looks for it.

Toxoplasmosis - Inner Retinal - Recurrent - Treated with Bactrim DS 607 views43-year-old man has macular toxoplasmosis. He has responded nicely to Bactrim OS: 20/60

Acute Annular Outer Retinopathy for 3 Months - 25 YO Female FA607 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 didnâ€™t have any fever. She has no focal neurological problems in her past history. VA 20/20 OU

Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis607 views

Uveitis and Cystoid Macular Edema - Probably Sarcoidosis607 viewsVA 20/63 OD 20/50 OS - 3 months vision loss - second episode by history of uveitis

Serpiginous choroiditis606 viewsInactive scars in both eyes

Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Indocyanine Green Angiogram606 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.

Unilateral Acute Idiopathic Maculopathy (UAIM)606 views

West Nile Virus Multifocal Choroiditis and diabetic retinopathy606 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus

Toxoplasmosis - Inner Retinal - Recurrent - Treated with Bactrim DS 605 views43-year-old man has macular toxoplasmosis. He has responded nicely to Bactrim OS: 20/60

Normal Fellow Eye605 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25

Syphilitic Chorioretinitis605 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.

Recurrent MEWDS Left Eye - Teenage Girl605 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.

Serpiginous choroiditis604 viewsInactive scars in both eyes

Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Fluorescein Angiogram604 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.

Syphillitic Optic Neuropathy and Maculopathy604 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.

Syphilitic Chorioretinitis604 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.

DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematode603 views

Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye 603 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.

Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Indocyanine Green Angiogram603 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.

Acute Posterior Multifocal Placoid Pigment Epitheliopathy - 4 years after onset603 views4 years after presentation - vision 20/80 OD 20/16 OS and there is subretinal fibrosis

Bilateral Macular Star601 viewsYoung female patient comes in with blurred vision in both eyes. VA is 20/40 in both eyes. Fundus photos show visible macular star centrally in both eyes. This is a result of Bilateral Neuroretinitis due to cat scratch.

Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female601 viewsFluorescein Angiogram is normal

Multifocal Vitelliform Macular Dystrophy601 views58 year old female with mild vision loss - 20/20 OU - extensive testing has shown no cancer. Case of Karina Findlay, MD

Cytomegalovirus Retinitis - Partially Treated and AIDS retinopathy600 views44-year-old man a month agoe was diagnosed with HIV and he had pneumonia. He has had blurred vision for about a month, more in the left eye than the right eye. He has not yet seen anyone to start anti-AIDS therapy. He was given a medical doctor's name for a follow-up visit. He thinks his CD4 count is somewhere in the low 100s. Vision OU is 20/30

Birdshot Chorioretinitis - Retinal Vasculitis - HLA A29 Positive 600 views64-year-old woman three or four yearâ€™s fluctuations in her vision. She mostly notices them in bright light her vision glares out and she has difficulty seeing. PMHx: malaria in 1948 that was treated. She was told at one point she could possibly have had Familial Mediterranean fever.

She does intermittently get rashes around her arms. She has arthritis in her knees and ankles.
VISUAL ACUITY: OD 20/40, OS 20/50 - HLA - A29 Positive

Retinal Atrophy 1 year following Streptococcus sanguinis endophthalmitis - Vision 5/200600 views79 year old woman with sleep apnea who sleeps with CPAP machine

West Nile Virus Multifocal Choroiditis and diabetic retinopathy600 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus

Acute Posterior Multifocal Placoid Pigment Epitheliopathy - 4 years after onset600 views4 years after presentation - vision 20/80 OD 20/16 OS and there is subretinal fibrosis

Syphilitic Chorioretinitis600 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.

Exogenous Fungal Endophthalmitis600 views69 year old female with endophthalmitis 2 months after ECCE. Treated with vitrectomy and 3 injections of amphotericin B. Vision improved from 5/200 - 20/50

Serpiginous choroiditis599 viewsInactive scars in both eyes

Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Fluorescein Angiogram599 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.

Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female599 viewsFluorescein Angiogram is normal

Uveitis - Retinitis - Vasculitis - possibly Syphilitis598 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 canâ€™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.

Vasculitis - Retinitis - Uveitis - Vision NLP right eye , 20/50 left eye598 views

Cytomegalovirus Retinitis - Partially Treated and AIDS retinopathy597 views44-year-old man a month agoe was diagnosed with HIV and he had pneumonia. He has had blurred vision for about a month, more in the left eye than the right eye. He has not yet seen anyone to start anti-AIDS therapy. He was given a medical doctor's name for a follow-up visit. He thinks his CD4 count is somewhere in the low 100s. Vision OU is 20/30

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