Most viewed - Retina Vascular Occlusions
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Pathology - Central Retinal Artery Occlusion - 6 weeks old - Inner Retinal Atrophy603 viewspatient died about 6 to 8 weeks after the artery occlusion, and he had no history of glaucoma. The inner retina atrophy, which looks very similar to that caused by COAG, is due to recent infarct.
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Twig Branch Retinal Vein Occlusion - Recurrent Macular Edema with extended interval Lucentis Therapy after first 6 monthly Injections601 views39-year-old man has a macular branch retinal vein occlusion with macular edema. He had an excellent response to Lucentis for his first 6 treatments. He was last here 6 weeks ago and his vision seems OK to him. OD 20/40.
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BRAO and PAMM601 views
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New BRVO Left Eye Old BRVO Right Eye - Right Eye Showing Bulls Eye Atrophy from Chronic CME and Non-Perfusion Infero-temporally600 views90-year-old man decreased vision maybe one year since cataract surgery he is no longer able to read. OD 20/200, OS 20/200
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Central Retinal Vein Occlusion and Laser Induced Chorioretinal Anastomosis599 views84-year-old woman has age-related macular degeneration in both eyes with foveal atrophy. She also has a central retinal vein occlusion
in the left eye for which she had intravitreal Kenalog and finally chorioretinal anastomosis laser a year
ago. VISUAL ACUITY: Vision OD is 20/160, OS is 7/200
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Sectoral Optic Atrophy from an old Branch Retinal Artery Occlusion 599 views74-year-old woman had cataract surgery 3 months ago. Her vision in the right eye has been abnormal since. She notices a shadow in the inferior vision in the right eye. OD is 20/60, OS is 20/50
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day596 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion595 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day591 views
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Twig Branch Retinal Vein Occlusion - Recurrent Macular Edema with extended interval Lucentis Therapy after first 6 monthly Injections588 views39-year-old man has a macular branch retinal vein occlusion with macular edema. He had an excellent response to Lucentis for his first 6 treatments. He was last here 6 weeks ago and his vision seems OK to him. OD 20/40.
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Non-Ischemic Central Retinal Vein Occlusion in Young Man (30 years) - Many Cotton Wool Spots583 views30-year-old man with a history of a central retinal vein occlusion for which he was first examined on 2 months ago and his vision then was 4/200. He responded nicely to two Avastin treatments. OD is 20/20, OS is 20/60
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New BRVO Left Eye Old BRVO Right Eye - Right Eye Showing Bulls Eye Atrophy from Chronic CME and Non-Perfusion Infero-temporally582 views90-year-old man decreased vision maybe one year since cataract surgery he is no longer able to read. OD 20/200, OS 20/200
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion581 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion581 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
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Twig Branch Retinal Vein Occlusion - Recurrent Macular Edema with extended interval Lucentis Therapy after first 6 monthly Injections579 views39-year-old man has a macular branch retinal vein occlusion with macular edema. He had an excellent response to Lucentis for his first 6 treatments. He was last here 6 weeks ago and his vision seems OK to him. OD 20/40.
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Branch Retinal Vein Occlusion with NVE (Neovascularization Elsewhere)579 viewsLate Leakage on FA - NV is adjacent to non-perfusion
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FA: CRAO578 viewsCRAO with cilio artery perfusion
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Cilioretinal artery occlusion and Ophthalmic Artery Occlusion with Relative Sparing of the Central Retinal Artery577 views80-year-old woman who says she was looking in the mirror, covered her right eye and noticed she could not see well out of the left eye. That just happened yesterday. Her last eye check was a few years ago. She also had a carotid endarterectomy on the right side in 2006 shortly after coronary bypass surgery. OD is 20/40, OS is 20/200.
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Old Branch Retinal Vein Occlusion- Severe CME - Pucker - Diabetic Map OCT576 views61-year old man has diabetic retinopathy in the right eye. He also had a macular pucker and macular edema. I did a vitrectomy on September 5th. His vision was initially improving. His vision in the right eye seems to be a little more foggy.
VISUAL ACUITY: OD: 20/200
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Central Retinal Vein Occlusion and Laser Induced Chorioretinal Anastomosis575 views84-year-old woman has age-related macular degeneration in both eyes with foveal atrophy. She also has a central retinal vein occlusion
in the left eye for which she had intravitreal Kenalog and finally chorioretinal anastomosis laser a year
ago. VISUAL ACUITY: Vision OD is 20/160, OS is 7/200
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute572 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
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Montage of Hemi-Central Retinal Artery Occlusion570 views
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Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 569 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
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Cilioretinal artery occlusion and Ophthalmic Artery Occlusion with Relative Sparing of the Central Retinal Artery568 views80-year-old woman who says she was looking in the mirror, covered her right eye and noticed she could not see well out of the left eye. That just happened yesterday. Her last eye check was a few years ago. She also had a carotid endarterectomy on the right side in 2006 shortly after coronary bypass surgery. OD is 20/40, OS is 20/200.
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Cilioretinal artery occlusion and Ophthalmic Artery Occlusion with Relative Sparing of the Central Retinal Artery568 views80-year-old woman who says she was looking in the mirror, covered her right eye and noticed she could not see well out of the left eye. That just happened yesterday. Her last eye check was a few years ago. She also had a carotid endarterectomy on the right side in 2006 shortly after coronary bypass surgery. OD is 20/40, OS is 20/200.
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New BRVO Left Eye Old BRVO Right Eye - Left Eye Shows Twig Superior Vein Occlusion with Edema567 views90-year-old man decreased vision maybe one year since cataract surgery he is no longer able to read. OD 20/200, OS 20/200
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New BRVO Left Eye Old BRVO Right Eye - Left Eye Shows Twig Superior Vein Occlusion with Edema564 views90-year-old man decreased vision maybe one year since cataract surgery he is no longer able to read. OD 20/200, OS 20/200
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Non-Ischemic Central Retinal Vein Occlusion in Young Man (30 years) - Many Cotton Wool Spots564 views30-year-old man with a history of a central retinal vein occlusion for which he was first examined on 2 months ago and his vision then was 4/200. He responded nicely to two Avastin treatments. OD is 20/20, OS is 20/60
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Old BRAO twig with plaque563 views81-year-old woman Her left eye is amblyopic. Her right eye was doing fine until about last Sunday, which is five days ago. She had a change in vision where for five minutes she saw a shadow in her side vision out of the right eye. She describes it as being more up into the left. It lasted for just a brief time and then went away. She has had atrial fibrillation since January of 2008. She is on Coumadin for that. She is diabetic for eleven years. OD is 20/25, OS is 20/60. IOP: OD 15, OS 18.
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Non-Ischemic Central Retinal Vein Occlusion in Young Man (30 years) - Many Cotton Wool Spots563 views30-year-old man with a history of a central retinal vein occlusion for which he was first examined on 2 months ago and his vision then was 4/200. He responded nicely to two Avastin treatments. OD is 20/20, OS is 20/60
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BRVO with collaterals and cystoid macular edema562 views66 Year Old Man with has had a branch retinal vein occlusion in the right eye with vision loss for the last few months. OD is 20/40, OS is 20/20. IOP: OD 18, OS 19. There is a superotemporal macular branch retinal vein occlusion with edema, hemorrhage, and exudate.
OCT SCAN: The right eye shows edema with a central foveal thickness of 354 microns FA: shows remodeling of the superotemporal vasculature. There are already venous-venous collaterals, suggesting the vein occlusion may be a little more than a few months old. There are multiple microaneurysms superotemporal to the fovea, and there is leakage in the late frames involving the fovea.
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BRVO with collaterals and cystoid macular edema562 views66 Year Old Man with has had a branch retinal vein occlusion in the right eye with vision loss for the last few months. OD is 20/40, OS is 20/20. IOP: OD 18, OS 19. There is a superotemporal macular branch retinal vein occlusion with edema, hemorrhage, and exudate.
OCT SCAN: The right eye shows edema with a central foveal thickness of 354 microns FA: shows remodeling of the superotemporal vasculature. There are already venous-venous collaterals, suggesting the vein occlusion may be a little more than a few months old. There are multiple microaneurysms superotemporal to the fovea, and there is leakage in the late frames involving the fovea.
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Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporally562 views66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining.
VISUAL ACUITY: OD 20/70, OS 20/30.
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Macular Branch Retinal Vein Occlusions (2) Left Eye - No Macular Edema (yet) 562 views77-year-old woman with two macular branch retinal vein occlusions in the left eye OD 20/25
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Twig Branch Retinal Vein Occlusion - Recurrent Macular Edema with extended interval Lucentis Therapy after first 6 monthly Injections561 views39-year-old man has a macular branch retinal vein occlusion with macular edema. He had an excellent response to Lucentis for his first 6 treatments. He was last here 6 weeks ago and his vision seems OK to him. OD 20/40.
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Acute Branch Retinal Artery Occlusion Left Eye561 viewsThis 84 year old woman had an old BRVO in the right eye and saw a shadow for 2 days in the left eye. She has a superotemporal BRAO. The photos show retinal whitening, the OCT shows inner retinal edema and the FA shows poor circulation.
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branch retinal vein occlusion - fluorescein angiogram560 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.
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560 views60 year old male with LP vision due to extensive blood flow loss.
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Branch Retinal Vein Occlusion with NVE (Neovascularization Elsewhere)560 viewsPre and post laser therapy - NV has partially regressed
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Hemi Central Retinal Vein Occlusion 35 year old non-compliant man558 views35-year-old man hazy vision in his left eye for about the last three days. OD 20/20, OS 20/30
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Cilioretinal artery occlusion and Ophthalmic Artery Occlusion with Relative Sparing of the Central Retinal Artery558 views80-year-old woman who says she was looking in the mirror, covered her right eye and noticed she could not see well out of the left eye. That just happened yesterday. Her last eye check was a few years ago. She also had a carotid endarterectomy on the right side in 2006 shortly after coronary bypass surgery. OD is 20/40, OS is 20/200.
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558 views
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Branch Retinal Vein Occlusion (BRVO) no macular edema - cotton wool spot557 views85 year old man with asymptomatic BRVO - his vision stayed great without needing any treatment.
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Non-Ischemic Central Retinal Vein Occlusion in Young Man (30 years) - Many Cotton Wool Spots554 views30-year-old man with a history of a central retinal vein occlusion for which he was first examined on 2 months ago and his vision then was 4/200. He responded nicely to two Avastin treatments. OD is 20/20, OS is 20/60
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Central Retinal Artery Occlusion - MAP554 viewsProgression from acute to atrophy - decreasing retinal thickenss
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Cilioretinal artery occlusion and Ophthalmic Artery Occlusion with Relative Sparing of the Central Retinal Artery553 views80-year-old woman who says she was looking in the mirror, covered her right eye and noticed she could not see well out of the left eye. That just happened yesterday. Her last eye check was a few years ago. She also had a carotid endarterectomy on the right side in 2006 shortly after coronary bypass surgery. OD is 20/40, OS is 20/200.
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DRIL - Disorganization Retinal Inner Layers553 viewsFollowing treatment for BRVO vision stayed at 3/200 despite resolution of edema
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Sectoral Optic Atrophy from an old Branch Retinal Artery Occlusion 551 views74-year-old woman had cataract surgery 3 months ago. Her vision in the right eye has been abnormal since. She notices a shadow in the inferior vision in the right eye. OD is 20/60, OS is 20/50
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Central Retinal Vein Occlusion and Tractional Retinal Detachment for 3 Years (Patient is Diabetic)551 views67-year-old woman has severe vision loss in the left eye for 3 years OD 20/32, OS 3/200
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Central Retinal Vein Occlusion and Laser Induced Chorioretinal Anastomosis550 views84-year-old woman has age-related macular degeneration in both eyes with foveal atrophy. She also has a central retinal vein occlusion
in the left eye for which she had intravitreal Kenalog and finally chorioretinal anastomosis laser a year
ago. VISUAL ACUITY: Vision OD is 20/160, OS is 7/200
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Twig Branch Retinal Vein Occlusion - Recurrent Macular Edema with extended interval Lucentis Therapy after first 6 monthly Injections550 views39-year-old man has a macular branch retinal vein occlusion with macular edema. He had an excellent response to Lucentis for his first 6 treatments. He was last here 6 weeks ago and his vision seems OK to him. OD 20/40.
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Branch Retinal Vein Occlusion with NVE (Neovascularization Elsewhere)549 views
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Branch Retinal Vein Occlusion with NVE (Neovascularization Elsewhere)548 views
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Pattern Dystrophy - Adult Vitelliform Macular Degeneration547 views72-year-old woman 2 months post ECCE with poor vision since surgery especially left eye.
VISUAL ACUITY: OD 20/50, OS 20/200
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Branch Retinal Vein Occlusion with NVE (Neovascularization Elsewhere)547 viewsLate Leakage on FA - NV is adjacent to non-perfusion
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Non-Ischemic Central Retinal Vein Occlusion in Young Man (30 years) - Many Cotton Wool Spots546 views30-year-old man with a history of a central retinal vein occlusion for which he was first examined on 2 months ago and his vision then was 4/200. He responded nicely to two Avastin treatments. OD is 20/20, OS is 20/60
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BRVO546 views42 year old female VA 20/25
Branch Retinal Vein Occlusion - Hot Spot on Vein at Occlusion Site
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Hemicentral Retinal Vein Occlusion Vision 20/60 544 views84-year-old man has a hemicentral retinal vein occlusion in the right eye. His vision has declined since then.
VISUAL ACUITY: Vision OD is 20/60.
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Branch Retinal Vein Occlusion with Macular Edema543 viewsCentral foveal thickness came to normal after laser and intravitreal Kenalog
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Sectoral Optic Atrophy from an old Branch Retinal Artery Occlusion 543 views74-year-old woman had cataract surgery 3 months ago. Her vision in the right eye has been abnormal since. She notices a shadow in the inferior vision in the right eye. OD is 20/60, OS is 20/50
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BRVO with collaterals and cystoid macular edema542 views66 Year Old Man with has had a branch retinal vein occlusion in the right eye with vision loss for the last few months. OD is 20/40, OS is 20/20. IOP: OD 18, OS 19. There is a superotemporal macular branch retinal vein occlusion with edema, hemorrhage, and exudate.
OCT SCAN: The right eye shows edema with a central foveal thickness of 354 microns FA: shows remodeling of the superotemporal vasculature. There are already venous-venous collaterals, suggesting the vein occlusion may be a little more than a few months old. There are multiple microaneurysms superotemporal to the fovea, and there is leakage in the late frames involving the fovea.
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Old BRAO twig with plaque539 views81-year-old woman Her left eye is amblyopic. Her right eye was doing fine until about last Sunday, which is five days ago. She had a change in vision where for five minutes she saw a shadow in her side vision out of the right eye. She describes it as being more up into the left. It lasted for just a brief time and then went away. She has had atrial fibrillation since January of 2008. She is on Coumadin for that. She is diabetic for eleven years. OD is 20/25, OS is 20/60. IOP: OD 15, OS 18.
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Central Retinal Vein Occlusion and Tractional Retinal Detachment for 3 Years (Patient is Diabetic)538 views67-year-old woman has severe vision loss in the left eye for 3 years OD 20/32, OS 3/200
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Hemi Central Retinal Vein Occlusion 35 year old non-compliant man537 views35-year-old man hazy vision in his left eye for about the last three days. OD 20/20, OS 20/30
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Central Retinal Vein Occlusion and Laser Induced Chorioretinal Anastomosis537 views84-year-old woman has age-related macular degeneration in both eyes with foveal atrophy. She also has a central retinal vein occlusion
in the left eye for which she had intravitreal Kenalog and finally chorioretinal anastomosis laser a year
ago. VISUAL ACUITY: Vision OD is 20/160, OS is 7/200
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CRVO with Paracentral Acute Middle Maculopath - PAMM536 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day534 views
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Macular Branch Retinal Vein Occlusions (2) Left Eye - No Macular Edema (yet) 532 views77-year-old woman with two macular branch retinal vein occlusions in the left eye OD 20/25
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Hemi Central Retinal Vein Occlusion 35 year old non-compliant man530 views35-year-old man hazy vision in his left eye for about the last three days. OD 20/20, OS 20/30
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception529 views
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Macular Branch Retinal Vein Occlusions (2) Left Eye - No Macular Edema (yet) 528 views77-year-old woman with two macular branch retinal vein occlusions in the left eye OD 20/25
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Branch Retinal Vein Occlusion with NVE (Neovascularization Elsewhere)528 viewsLate Leakage on FA - NV is adjacent to non-perfusion
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day525 views
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Hemicentral Retinal Vein Occlusion Vision 20/60 525 views84-year-old man has a hemicentral retinal vein occlusion in the right eye. His vision has declined since then.
VISUAL ACUITY: Vision OD is 20/60.
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Central Retinal Vein Occlusion and Laser Induced Chorioretinal Anastomosis524 views84-year-old woman has age-related macular degeneration in both eyes with foveal atrophy. She also has a central retinal vein occlusion
in the left eye for which she had intravitreal Kenalog and finally chorioretinal anastomosis laser a year
ago. VISUAL ACUITY: Vision OD is 20/160, OS is 7/200
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BRAO and PAMM523 viewsGray paracentral lesion from BRAO is a PAMM lesion
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Branch Retinal Vein Occlusion with NVE (Neovascularization Elsewhere)522 views
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Twig Old Macular Branch Retinal Vein Occlusion - Venous Venous Collaterals522 views88 year old man with 20/25 vision in his left and only eye. There is vascular remodeling consistent with an old twig BRVO.
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Cilioretinal artery occlusion521 viewsCilioretinal artery occlusion with early venous stasis retinopathy
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Branch Retinal Vein Occlusion with worse macular edema from hypertension - SD-OCT shows Edema Right Eye520 views
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branch retinal vein occlusion - fluorescein angiogram518 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.
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Central Retinal Vein Occlusion and Laser Induced Chorioretinal Anastomosis518 views84-year-old woman has age-related macular degeneration in both eyes with foveal atrophy. She also has a central retinal vein occlusion
in the left eye for which she had intravitreal Kenalog and finally chorioretinal anastomosis laser a year
ago. VISUAL ACUITY: Vision OD is 20/160, OS is 7/200
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Pattern Dystrophy - Adult Vitelliform Macular Degeneration518 views72-year-old woman 2 months post ECCE with poor vision since surgery especially left eye.
VISUAL ACUITY: OD 20/50, OS 20/200
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Twig Branch Retinal Vein Occlusion - Recurrent Macular Edema with extended interval Lucentis Therapy after first 6 monthly Injections518 views39-year-old man has a macular branch retinal vein occlusion with macular edema. He had an excellent response to Lucentis for his first 6 treatments. He was last here 6 weeks ago and his vision seems OK to him. OD 20/40.
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute518 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
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branch retinal vein occlusion - fluorescein angiogram517 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.
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Macular Branch Retinal Vein Occlusions (2) Left Eye - No Macular Edema (yet) 516 views77-year-old woman with two macular branch retinal vein occlusions in the left eye OD 20/25
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Montage of Hemi-Central Retinal Artery Occlusion515 views
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Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 514 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion514 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
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BRAO and PAMM513 views
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Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporally512 views66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining.
VISUAL ACUITY: OD 20/70, OS 20/30.
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Cilioretinal artery occlusion and Ophthalmic Artery Occlusion with Relative Sparing of the Central Retinal Artery511 views80-year-old woman who says she was looking in the mirror, covered her right eye and noticed she could not see well out of the left eye. That just happened yesterday. Her last eye check was a few years ago. She also had a carotid endarterectomy on the right side in 2006 shortly after coronary bypass surgery. OD is 20/40, OS is 20/200.
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion510 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
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Stasis Retinopathy, Central Retinal Vein Occlusion510 viewsYoung male who complains of decreased vision in the left eye. VA is 20/20 in the left eye. Fundus photo shows mild central retinal vein occlusion in the left eye.
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Hemi Central Retinal Vein Occlusion 35 year old non-compliant man509 views35-year-old man hazy vision in his left eye for about the last three days. OD 20/20, OS 20/30
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Central Retinal Vein Occlusion and Laser Induced Chorioretinal Anastomosis509 views84-year-old woman has age-related macular degeneration in both eyes with foveal atrophy. She also has a central retinal vein occlusion
in the left eye for which she had intravitreal Kenalog and finally chorioretinal anastomosis laser a year
ago. VISUAL ACUITY: Vision OD is 20/160, OS is 7/200
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New BRVO Left Eye Old BRVO Right Eye - Right Eye Showing Bulls Eye Atrophy from Chronic CME and Non-Perfusion Infero-temporally508 views90-year-old man decreased vision maybe one year since cataract surgery he is no longer able to read. OD 20/200, OS 20/200
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day508 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes
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Sectoral Optic Atrophy from an old Branch Retinal Artery Occlusion 508 views74-year-old woman had cataract surgery 3 months ago. Her vision in the right eye has been abnormal since. She notices a shadow in the inferior vision in the right eye. OD is 20/60, OS is 20/50
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