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am meisten angesehen - Macular Degeneration - Age Related, Myopic, Choroidal Neovascular Membranes

Dry AMD - Confluent Drusen Sparing Center of Macula which has Atrophy514 x angesehen65 year old woman, VA 20/40 OD; 20/80 OS. The center of the macula has few or no drusen with predominantly non-geographic atrophy

Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye513 x angesehen84-year-old woman has polypoidal choroidal vasculopathy in both eyes with macular degeneration. She has macular scars in both eyes and she remains with remarkably good vision in the right eye despite the scarring.

VISUAL ACUITY: OD 20/30, OS 1/200

Avastin Rx OD

Asymptomatic Juxtapapillary Choroidal Neovascular Membrane - Reticular Macular Disease (Wet AMD) 513 x angesehen

Serous Macular Detachment Both Eyes - Wet AMD vs. CSR - 62 Year Old Man - Fluorescein angiogram513 x angesehen

Serous Macular Detachment Both Eyes - Wet AMD vs. CSR - 62 Year Old Man ICG513 x angesehen

Presumed Ocular Histoplasmosis with new CNVM in right and better eye - VA 20/80 OD; 20/800 OS513 x angesehenFluorescein Angiogram

Confluent Soft Drusen with Subetinal Fluid - Right Eye513 x angesehenAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.

Dry AMD - Confluent Drusen Sparing Center of Macula which has Atrophy513 x angesehen65 year old woman, VA 20/40 OD; 20/80 OS. The center of the macula has few or no drusen with predominantly non-geographic atrophy

Concentric Geographic Atrophy513 x angesehen76 year old man Gradual vision loss
20/32 OD; 20/40 OS
No medicines, Non-smoker
Working and Driving

New wet AMD OS with subretinal hemorrhage and recent vision loss, Scar OD512 x angesehen

Dry AMD - Confluent Drusen Sparing Center of Macula which has Atrophy512 x angesehen65 year old woman, VA 20/40 OD; 20/80 OS. The center of the macula has few or no drusen with predominantly non-geographic atrophy

Submacular Hemorrhage - wet AMD512 x angesehen84 year old man with 20/200 from submacular hemorrhage. Vision improved to 20/32 with only Avastin therapy (no surgical intervention). The initial FAF is interesting because parts of the blood hyper auto fluoresce.

Pattern Dystrophy - Adult Vitellifrom (Best)512 x angesehen71 year old female - lesions nasal to the fovea in both eyes. (20/40 OU)

Adult Pseudovitelliform Macular Dystrophy512 x angesehen89 year old female states dark smudge on ceiling during night time came and went. Decreased vision in the left eye
VA OD: Dcc20/32
VA OS: Dcc20/63

Angioid Streaks New Vision Change in Good Right Eye Treated with Lucentis511 x angesehen53-year-old man has angioid streaks. He has a macular scar in the left eye from choroidal neovasculari-zation that was treated with photodynamic laser 5-8 years ago. His vision in the right eye had been fine until about a week ago when he noticed temporally in the right eye an area that does not look normal and looks a little distorted.
VISUAL ACUITY: Vision OD is 20/30, OS is 20/400. Treatment was started within a month and patient responded well and is now 3 years out requiring every 3 month Lucentis

Wet Macular Degeneration with Juxtapapillary Neovascular Membrane and Choroidal Laser Treatment511 x angesehen87-year-old woman has wet age-related macular degeneration in the left eye with an extrafoveal choroidal neovascular membrane OD is 20/25, OS is 20/25

Asymptomatic Juxtapapillary Choroidal Neovascular Membrane - Reticular Macular Disease (Wet AMD) 511 x angesehen

Serous Macular Detachment Both Eyes - Wet AMD vs. CSR - 62 Year Old Man ICG511 x angesehen

Cartwheel CNVM - Classic - wet AMD - evidence of possible old CSR - ICG is normal - shows nothing511 x angesehen75 y.o Decreased Vision right eye for one year. VA OD: sc20/125+2 OS 20/25. Autofluorescence and SD OCT show evidence of old serous retinal detachment superior to the fovea suggesting a history of CSR. The macular lesion on FA shows a classic cartwheel appearance

Confluent Soft Drusen with Subetinal Fluid - Right Eye511 x angesehenAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.

Dry AMD - Confluent Drusen Sparing Center of Macula which has Atrophy511 x angesehen65 year old woman, VA 20/40 OD; 20/80 OS. The center of the macula has few or no drusen with predominantly non-geographic atrophy

Post-Retinal Detachment Repair Occult Subfoveal CNVM510 x angesehenThis pleasant 56-year-old man has had a complex retinal detachment repair in the right eye. I most recently removed his silicone oil 3 months ago. His vision now is the best it has ever been.
VISUAL ACUITY: OD 4/200

Asymptomatic wet AMD - Subfoveal CNM both eyes510 x angesehen82 year old woman - 20/25 OU. Images show occult subfoveal CNVM both eyes best seen on late ICG. The left eye also has probable polypoidal choroidal vasculopathy. No treatment was recommended on the first visit - follow-up at 1 month.

Dry AMD - Confluent Drusen Sparing Center of Macula which has Atrophy510 x angesehen65 year old woman, VA 20/40 OD; 20/80 OS. The center of the macula has few or no drusen with predominantly non-geographic atrophy

Wet AMD - Subfoveal CNVM - Excellent Response to Avastin509 x angesehen76-year-old woman two to three months of vision loss OD

Vision started at 20/200 and with Avastin improved to 20/25. She has required monthly injections and as of October 2010 has been treated about 16 times. Her left eye remains good at 20/20.

The OCT from post-treatment as well as pretreatment images are in this album.

509 x angesehen

509 x angesehen87 year old male seen for neovascular macular degeneration. Patient had huge disciform scar and lipid.

Cuticular Drusen - 26 year old female - Glomerulonephritis509 x angesehenVA 20/25 OU. Images are over 4 years

Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intact508 x angesehen85-year-old woman has age-related macular degeneration in both eyes with geographic atrophy. She has noticed her vision getting slightly worse in the past 6 months. VISUAL ACUITY: OD 20/70, OS 20/400

Wet Macular Degeneration Left Eye with Gutter (atypical) and Geographic Atrophy Right Eye508 x angesehen80-year-old man has wet age-related macular degeneration in his left eye. He has an atypical angiogram and that there is a gutter under the choroidal neovascular membrane suggesting still leakage of subretinal fluid. OS 20/400.

Submacular Hemorrhage - wet AMD508 x angesehen84 year old man with 20/200 from submacular hemorrhage. Vision improved to 20/32 with only Avastin therapy (no surgical intervention). The initial FAF is interesting because parts of the blood hyper auto fluoresce.

Choriodal Neovascular Membrane - Subfoveal - Pseudo-Retinitis Pigmentosa - 50 years post Retinal Detachment Repair507 x angesehen86-year-old with a history of decreased vision in the right eye. The patient reports she has lost vision in the right eye over the past two months or so. She reports the vision was always compromised in that eye since retinal detachment surgery 50 years ago with a scleral buckler. Vision dropped from 20/50 to 20/200 right eye in 2 months.

Asymptomatic Juxtapapillary Choroidal Neovascular Membrane - Reticular Macular Disease (Wet AMD) 507 x angesehen

New wet AMD OS with subretinal hemorrhage and recent vision loss, Scar OD507 x angesehen

Severe Geographic Atrophy from Dry Age-Related Macular Degeneration507 x angesehen90 year old female with severe vision loss over the last few years.
VA 3/200 OD
1/200 OS

506 x angesehen

Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 506 x angesehenIndocyanine Green Angiogram

Asymptomatic wet AMD - Subfoveal CNM both eyes506 x angesehen82 year old woman - 20/25 OU. Images show occult subfoveal CNVM both eyes best seen on late ICG. The left eye also has probable polypoidal choroidal vasculopathy. No treatment was recommended on the first visit - follow-up at 1 month.

Submacular Hemorrhage - wet AMD506 x angesehen84 year old man with 20/200 from submacular hemorrhage. Vision improved to 20/32 with only Avastin therapy (no surgical intervention). The initial FAF is interesting because parts of the blood hyper auto fluoresce.

Concentric Geographic Atrophy506 x angesehen76 year old man Gradual vision loss
20/32 OD; 20/40 OS
No medicines, Non-smoker
Working and Driving

Adult Vitelliform Macular Dystrophy - Pattern Dystrophy505 x angesehen

Cuticular Drusen - 26 year old female - Glomerulonephritis505 x angesehenVA 20/25 OU. Images are over 4 years

Confluent Soft Drusen with Subetinal Fluid - Right Eye505 x angesehenAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.

Asymptomatic wet AMD - Subfoveal CNM both eyes505 x angesehen82 year old woman - 20/25 OU. Images show occult subfoveal CNVM both eyes best seen on late ICG. The left eye also has probable polypoidal choroidal vasculopathy. No treatment was recommended on the first visit - follow-up at 1 month.

Submacular Hemorrhage - wet AMD505 x angesehen84 year old man with 20/200 from submacular hemorrhage. Vision improved to 20/32 with only Avastin therapy (no surgical intervention). The initial FAF is interesting because parts of the blood hyper auto fluoresce.

Pattern Dystrophy - Adult Vitellifrom (Best)505 x angesehen71 year old female - lesions nasal to the fovea in both eyes. (20/40 OU)

Wet AMD - Subfoveal CNVM - Excellent Response to Avastin504 x angesehen76-year-old woman two to three months of vision loss OD

Vision started at 20/200 and with Avastin improved to 20/25. She has required monthly injections and as of October 2010 has been treated about 16 times. Her left eye remains good at 20/20.

The OCT from post-treatment as well as pretreatment images are in this album.

New Subfoveal Classic CNVM OS - Wet AMD - Macular Scar Congenital Toxoplasmosis Right Eye 504 x angesehen77-year-old woman as had poor vision in the right eye since birth from congenital toxoplasmosis of her macula in the right eye. Two to three weeks ago when she noticed vision loss in the left eye. VISUAL ACUITY: OD 2/200, OS 20/200.

Wet AMD controlled with Avastin 20/60 Vision504 x angesehen79-year-old woman has wet age-related macular degeneration in both eyes. The left eye had intravitreal injections of Avastin starting in May of 2009. Her vision remains good in the left eye and poor in the right eye.

VISUAL ACUITY: OD 8/200, OS 20/60.

Angioid Streaks and Macular Degeneration - CNVM OS - Band Keratopathy 504 x angesehen79-year-old man has wet age-related macular degeneration in the left eye, for which he is having Lucentis treatment. OD 20/40, Pinhole 20/32. OS 20/160, Pinhole 20/50. He has band keratopathy sparing the visual axis in both eyes. ICG shows angioid streaks both eye.

Submacular Hemorrhage - wet AMD504 x angesehen84 year old man with 20/200 from submacular hemorrhage. Vision improved to 20/32 with only Avastin therapy (no surgical intervention). The initial FAF is interesting because parts of the blood hyper auto fluoresce.

Myopic Macular Degeneration - Staphyloma - Recent Vision Loss Right Eye - Possible CNVM503 x angesehen83-year-old woman is a high myope with myopic macular degeneration. She had a retinal detachment repair in the right eye in 1968. I saw her in June of 2003. She had posterior colobomas and areas of pigment epithelial atrophy. She has noticed over the last six weeks substantial declining vision in the right eye. Prior to that, the vision in the two eyes was about the same. She uses Xalatan in the left eye and Alphagan in both eyes.

VISUAL ACUITY: Vision OD is 20/160, OS is 20/40

503 x angesehen

OCT shows lamellar macular hole left eye503 x angesehenWet AMD in right and better eye failed extend to 2 months but was able to stop therapy once he started on systemic Avastin for cancer. The last image shows the macula dry 9 months without local therapy. The left eye has a lamellar macular hole.

Presumed Ocular Histoplasmosis with new CNVM in right and better eye - VA 20/80 OD; 20/800 OS503 x angesehenFluorescein Angiogram

Confluent Soft Drusen with Subetinal Fluid - Right Eye503 x angesehenAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.

Dry AMD - Confluent Drusen Sparing Center of Macula which has Atrophy503 x angesehen65 year old woman, VA 20/40 OD; 20/80 OS. The center of the macula has few or no drusen with predominantly non-geographic atrophy

Polypoidal Choroidal Vasculopathy Left Eye503 x angesehen74 year old man with vision loss to 20/100 over a few months. He improved to 20/20 with Lucentis. The color and ICG show the polyps.

Wet Macular Degeneration Left Eye with Gutter (atypical) and Geographic Atrophy Right Eye502 x angesehen80-year-old man has wet age-related macular degeneration in his left eye. He has an atypical angiogram and that there is a gutter under the choroidal neovascular membrane suggesting still leakage of subretinal fluid. OS 20/400.

Choriodal Neovascular Membrane - Subfoveal - Pseudo-Retinitis Pigmentosa - 50 years post Retinal Detachment Repair502 x angesehen86-year-old with a history of decreased vision in the right eye. The patient reports she has lost vision in the right eye over the past two months or so. She reports the vision was always compromised in that eye since retinal detachment surgery 50 years ago with a scleral buckler. Vision dropped from 20/50 to 20/200 right eye in 2 months.

502 x angesehen

Pattern Dystrophy - Adult Vitellifrom (Best)502 x angesehen71 year old female - lesions nasal to the fovea in both eyes. (20/40 OU)

Pattern Dystrophy - Foveal Atrophy502 x angesehen73 year old female with vision loss - looks like macular hole

Myopic CNVM in the left eye. New Classic subfoveal lesion502 x angesehen64 year old female. She had retinal detachment repair in the right eye in 1996 (25 years ago). The left eye has new distortion for a week or two.
VA 20/40 OU.
Left eye has a very small subfoveal CNVM

Macular Scar Left Eye from Age-Related Macular Degeneration501 x angesehen81-year-old woman has a macular scar in the left eye and then unfortunately developed a central retinal artery occlusion in the right eye OD 20/100, OS 6/200.

Post-Retinal Detachment Repair Occult Subfoveal CNVM501 x angesehenThis pleasant 56-year-old man has had a complex retinal detachment repair in the right eye. I most recently removed his silicone oil 3 months ago. His vision now is the best it has ever been.
VISUAL ACUITY: OD 4/200

Wet AMD 1 month after Eylea - macula is dry and vision is better501 x angesehen

Pattern Dystrophy - Adult Vitellifrom (Best)501 x angesehen71 year old female - lesions nasal to the fovea in both eyes. (20/40 OU)

Polypoidal Choroidal Vasculopathy Left Eye501 x angesehen74 year old man with vision loss to 20/100 over a few months. He improved to 20/20 with Lucentis. The color and ICG show the polyps.

OCT shows lamellar macular hole right eye - macula is DRY after 9 months without local treatment - VA 20/40500 x angesehenWet AMD in right and better eye failed extend to 2 months but was able to stop therapy once he started on systemic Avastin for cancer. The last image shows the macula dry 9 months without local therapy. The left eye has a lamellar macular hole.

New wet AMD OS with subretinal hemorrhage and recent vision loss, Scar OD500 x angesehen

Wet AMD 1 month after Eylea - macula is dry and vision is better500 x angesehen

Confluent Soft Drusen with Subetinal Fluid - Right Eye500 x angesehenAsymptomatic 85 year old man. OCT shows pocket of subfoveal fluid in the center of the macula. This could be mechanical from the drusen preventing the retina from settling down. Testing did not reveal a CNVM and subsequent OCT 6 weeks later showed no change in structure.

Dry AMD - Confluent Drusen Sparing Center of Macula which has Atrophy500 x angesehen65 year old woman, VA 20/40 OD; 20/80 OS. The center of the macula has few or no drusen with predominantly non-geographic atrophy

Pattern Dystrophy - Foveal Atrophy500 x angesehen73 year old female with vision loss - looks like macular hole

Concentric Geographic Atrophy500 x angesehen76 year old man Gradual vision loss
20/32 OD; 20/40 OS
No medicines, Non-smoker
Working and Driving

Angioid Streaks New Vision Change in Good Right Eye Treated with Lucentis499 x angesehen53-year-old man has angioid streaks. He has a macular scar in the left eye from choroidal neovasculari-zation that was treated with photodynamic laser 5-8 years ago. His vision in the right eye had been fine until about a week ago when he noticed temporally in the right eye an area that does not look normal and looks a little distorted.
VISUAL ACUITY: Vision OD is 20/30, OS is 20/400. Treatment was started within a month and patient responded well and is now 3 years out requiring every 3 month Lucentis

Myopic Macular Degeneration - Staphyloma - Recent Vision Loss Right Eye - Possible CNVM499 x angesehen83-year-old woman is a high myope with myopic macular degeneration. She had a retinal detachment repair in the right eye in 1968. I saw her in June of 2003. She had posterior colobomas and areas of pigment epithelial atrophy. She has noticed over the last six weeks substantial declining vision in the right eye. Prior to that, the vision in the two eyes was about the same. She uses Xalatan in the left eye and Alphagan in both eyes.

VISUAL ACUITY: Vision OD is 20/160, OS is 20/40

OHS CNVM post treatment with Lucentis - VA now 20/25499 x angesehen

Myopic Degeneration - Inferior staphyloma with severe atrophy499 x angesehen76 year old with gradual vision loss. 20/32 OD; 20/40 OS

Macular Scar Left Eye from Age-Related Macular Degeneration498 x angesehen81-year-old woman has a macular scar in the left eye and then unfortunately developed a central retinal artery occlusion in the right eye OD 20/100, OS 6/200.

Serous Macular Detachment Both Eyes - Wet AMD vs. CSR - 62 Year Old Man ICG 498 x angesehen

Pattern Dystrophy - Foveal Atrophy498 x angesehen73 year old female with vision loss - looks like macular hole

Concentric Geographic Atrophy498 x angesehen76 year old man Gradual vision loss
20/32 OD; 20/40 OS
No medicines, Non-smoker
Working and Driving

Angioid Streaks New Vision Change in Good Right Eye Treated with Lucentis497 x angesehen53-year-old man has angioid streaks. He has a macular scar in the left eye from choroidal neovasculari-zation that was treated with photodynamic laser 5-8 years ago. His vision in the right eye had been fine until about a week ago when he noticed temporally in the right eye an area that does not look normal and looks a little distorted.
VISUAL ACUITY: Vision OD is 20/30, OS is 20/400. Treatment was started within a month and patient responded well and is now 3 years out requiring every 3 month Lucentis

Macular Degeneration - Choroidal Laser Left eye - New Subfoveal CNVM left eye - Did well with Avastin497 x angesehen69-year-old woman new vision loss right eye and old macular scar left eye. OD 20/40, OS 20/200

Wet Macular Degeneration Left Eye with Gutter (atypical) and Geographic Atrophy Right Eye497 x angesehen80-year-old man has wet age-related macular degeneration in his left eye. He has an atypical angiogram and that there is a gutter under the choroidal neovascular membrane suggesting still leakage of subretinal fluid. OS 20/400.

Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman 497 x angesehen70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.

Cuticular Drusen - 26 year old female - Glomerulonephritis497 x angesehenVA 20/25 OU. Images are over 4 years

Non-exudative wet AMD right eye (treatment naive quiescent)497 x angesehen82 year old man. ICG shows CNVM in the right eye. This stayed quiet for 3 years and then started leaking and responded well to Avastin.

496 x angesehen

Cuticular Drusen - 26 year old female - Glomerulonephritis496 x angesehenVA 20/25 OU. Images are over 4 years

Pattern Dystrophy - Adult Vitellifrom (Best)496 x angesehen71 year old female - lesions nasal to the fovea in both eyes. (20/40 OU)

Macular Scar Left Eye from Age-Related Macular Degeneration495 x angesehen81-year-old woman has a macular scar in the left eye and then unfortunately developed a central retinal artery occlusion in the right eye OD 20/100, OS 6/200.

Adult Vitelliform Macular Dystrophy - Pattern Dystrophy495 x angesehenBright subfoveal FAF from lipofuscin

Dry AMD - Confluent Drusen Sparing Center of Macula which has Atrophy495 x angesehen65 year old woman, VA 20/40 OD; 20/80 OS. The center of the macula has few or no drusen with predominantly non-geographic atrophy

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