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Most viewed - Macular Degeneration - Age Related, Myopic, Choroidal Neovascular Membranes

Polypoidal Choroidal Vasculopathy Left Eye427 views74 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.

Choroidal Neovascular Membrane following Prior Central Serous Chorioretinopathy - OCT-A427 views67 year old female with CSR in the left eye first 20 years ago. She was managed with out therapy and has had a few episodes since. Now ther eis distortion in the left eye for a few days. She had a steroid shot in her shoulder 5 months ago.
VA 20/20 OD, 20/50 OS- ICG and OCT-A confirm CNVM in the left eye

Adult Vitelliform Macular Dystrophy - Pattern Dystrophy425 views

Wet AMD OD and Lamellar Macular hole OS424 viewsWet 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.

Dry AMD - Confluent Drusen Sparing Center of Macula which has Atrophy424 views65 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 AMD424 views84 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.

Polypoidal Choroidal Vasculopathy Left Eye424 views74 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.

Choroidal Neovascular Membrane following Prior Central Serous Chorioretinopathy - OCT-A424 views67 year old female with CSR in the left eye first 20 years ago. She was managed with out therapy and has had a few episodes since. Now ther eis distortion in the left eye for a few days. She had a steroid shot in her shoulder 5 months ago.
VA 20/20 OD, 20/50 OS- ICG and OCT-A confirm CNVM in the left eye

Non-exudative wet AMD right eye (treatment naive quiescent)423 views82 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.

Myopic CNVM in the left eye. New Classic subfoveal lesion423 views64 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

Large and Extensive Macular Drusen423 views64 year old female with 20/25 vision taking vitamins in for a checkup.

Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye422 views84-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

Wet AMD OD and Lamellar Macular hole OS422 viewsWet 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.

Submacular Hemorrhage - wet AMD422 views84 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.

Polypoidal Choroidal Vasculopathy Left Eye422 views74 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.

Outer Retinal Tubulation422 views78 year old man chronic wet AMD - 20/200

Concentric Geographic Atrophy - 76 year old man422 viewsGradual vision loss, worse at night. VA 20/40 OU.

Myopic CNVM in the left eye. New Classic subfoveal lesion422 views64 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

Wet AMD OD and Lamellar Macular hole OS421 viewsWet 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.

Juxtapapillary CNVM - Hemorrhage421 views83 year old female VA 20/200 improved to 20/32 within 2 months with Lucentis

Outer Retinal Tubulation421 views78 year old man chronic wet AMD - 20/200

Concentric Geographic Atrophy - 76 year old man421 viewsGradual vision loss, worse at night. VA 20/40 OU.

Large and Extensive Macular Drusen421 views64 year old female with 20/25 vision taking vitamins in for a checkup.

Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye420 views84-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

420 views75 year old male seen for ARMD. Pt developed massive hemorrhage with lipid and macular edema.

Polypoidal Choroidal Vasculopathy Left Eye420 views74 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.

Outer Retinal Tubulation420 views78 year old man chronic wet AMD - 20/200

Concentric Geographic Atrophy - 76 year old man420 viewsGradual vision loss, worse at night. VA 20/40 OU.

Myopic CNVM in the left eye. New Classic subfoveal lesion420 views64 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

Asymptomatic wet AMD - Subfoveal CNM both eyes419 views82 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.

Polypoidal Choroidal Vasculopathy Left Eye419 views74 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.

Outer Retinal Tubulation419 views78 year old man chronic wet AMD - 20/200

Polypoidal Choroidal Vasculopathy - Right Eye419 views83 year old female presented in June 2013 with vision loss for 3 months. She had 2 injections elsewhere with no improvement (avastin). The first images show a peripapillary CNVM with polyps. I treated her once with PDT and she stayed dry with good vision for 5 years (2019). VA on presentation 20/80 OD. Improved to 20/40

Choroidal Neovascular Membrane following Prior Central Serous Chorioretinopathy - OCT-A419 views67 year old female with CSR in the left eye first 20 years ago. She was managed with out therapy and has had a few episodes since. Now ther eis distortion in the left eye for a few days. She had a steroid shot in her shoulder 5 months ago.
VA 20/20 OD, 20/50 OS- ICG and OCT-A confirm CNVM in the left eye

Myopic CNVM in the left eye. New Classic subfoveal lesion419 views64 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

New wet AMD OS with subretinal hemorrhage and recent vision loss, Scar OD418 views

Submacular Hemorrhage - wet AMD418 views84 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 - Foveal Atrophy418 views73 year old female with vision loss - looks like macular hole

Rapid macular atrophy with anti-VEGF therapy for myopic CNVM418 views64 year old female with 20/32 vision and distortion in the left and better eye. She was treated with monthly lucentis and her vision declined to 20/100. Medicine was stopped and she improved a little to 20/80.

Polypiodal Choroidal Vasculopathy - Temporal Macula - Left eye418 views82 year old man with asymptomatic PCV in the left eye. Vision 20/50 OD, 20/32 OS did well with Lucentis

Severe Geographic Atrophy from Dry Age-Related Macular Degeneration418 views90 year old female with severe vision loss over the last few years.
VA 3/200 OD
1/200 OS

Large and Extensive Macular Drusen418 views64 year old female with 20/25 vision taking vitamins in for a checkup.

Dry AMD - Confluent Drusen Sparing Center of Macula which has Atrophy417 views65 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 - Adult Vitellifrom (Best)417 views71 year old female - lesions nasal to the fovea in both eyes. (20/40 OU)

Angioid Streaks - CNVM OS with vision loss417 views48 year old soccer player. Prior trauma OS (with soccer ball). Vision loss for 3 weeks to 20/60 - with Lucentis vision improved to 20/30

Non-exudative wet AMD right eye (treatment naive quiescent)417 views82 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.

Polypoidal Choroidal Vasculopathy - Right Eye417 views83 year old female presented in June 2013 with vision loss for 3 months. She had 2 injections elsewhere with no improvement (avastin). The first images show a peripapillary CNVM with polyps. I treated her once with PDT and she stayed dry with good vision for 5 years (2019). VA on presentation 20/80 OD. Improved to 20/40

Rapid macular atrophy with anti-VEGF therapy for myopic CNVM417 views64 year old female with 20/32 vision and distortion in the left and better eye. She was treated with monthly lucentis and her vision declined to 20/100. Medicine was stopped and she improved a little to 20/80.

Punctate Inner Choroidopathy and Choroidal Neovascular Membrane417 views27 year old female with vision loss for 4 months. VA was 20/200. She had a CNVM which was extrafoveal with no subretinal fluid. Her vision improved over 6 months to 20/50 with Ranibizumab injections (she might have improved without treatment)

Choroidal Neovascular Membrane following Prior Central Serous Chorioretinopathy - OCT-A417 views67 year old female with CSR in the left eye first 20 years ago. She was managed with out therapy and has had a few episodes since. Now ther eis distortion in the left eye for a few days. She had a steroid shot in her shoulder 5 months ago.
VA 20/20 OD, 20/50 OS- ICG and OCT-A confirm CNVM in the left eye

Wet AMD OD and Lamellar Macular hole OS416 viewsWet 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.

Adult Vitelliform Macular Dystrophy - Pattern Dystrophy416 views

Dry AMD - Confluent Drusen Sparing Center of Macula which has Atrophy416 views65 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

Polypiodal Choroidal Vasculopathy - Temporal Macula - Left eye416 views82 year old man with asymptomatic PCV in the left eye. Vision 20/50 OD, 20/32 OS did well with Lucentis

Choroidal Neovascular Membrane following Prior Central Serous Chorioretinopathy - OCT-A416 views67 year old female with CSR in the left eye first 20 years ago. She was managed with out therapy and has had a few episodes since. Now ther eis distortion in the left eye for a few days. She had a steroid shot in her shoulder 5 months ago.
VA 20/20 OD, 20/50 OS- ICG and OCT-A confirm CNVM in the left eye

Macular Telangiectasi - Stage V - CNVM OU416 views60 year old female who has been treated with injections for 5 years starting in the left eye. She had no treatment 6 months prior to this visit and her vision has been getting worse. Her vision is 20/100 OD, 20/32 OS. Vision improved with intravitreal Avastin to 20/30 OU.

Pattern Dystrophy - Foveal Atrophy415 views73 year old female with vision loss - looks like macular hole

Macular Scars - Laser (1980s) Ocular Histoplasmosis415 views70 year old man who had laser at Wills, Wilmer and the Mayo clinic before better therapies were available for ocular histoplasmosis related CNVM

Polypiodal Choroidal Vasculopathy - Temporal Macula - Left eye415 views82 year old man with asymptomatic PCV in the left eye. Vision 20/50 OD, 20/32 OS did well with Lucentis

Myopic CNVM in the left eye. New Classic subfoveal lesion415 views64 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

Wet AMD OD and Lamellar Macular hole OS414 viewsWet 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.

Angioid Streaks - CNVM OS with vision loss414 views48 year old soccer player. Prior trauma OS (with soccer ball). Vision loss for 3 weeks to 20/60 - with Lucentis vision improved to 20/30

Non-exudative wet AMD right eye (treatment naive quiescent)414 views82 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.

Polypoidal Choroidal Vasculopathy - Right Eye414 views83 year old female presented in June 2013 with vision loss for 3 months. She had 2 injections elsewhere with no improvement (avastin). The first images show a peripapillary CNVM with polyps. I treated her once with PDT and she stayed dry with good vision for 5 years (2019). VA on presentation 20/80 OD. Improved to 20/40

Rapid macular atrophy with anti-VEGF therapy for myopic CNVM414 views64 year old female with 20/32 vision and distortion in the left and better eye. She was treated with monthly lucentis and her vision declined to 20/100. Medicine was stopped and she improved a little to 20/80.

Punctate Inner Choroidopathy and Choroidal Neovascular Membrane414 views27 year old female with vision loss for 4 months. VA was 20/200. She had a CNVM which was extrafoveal with no subretinal fluid. Her vision improved over 6 months to 20/50 with Ranibizumab injections (she might have improved without treatment)

Polypiodal Choroidal Vasculopathy - Temporal Macula - Left eye414 views82 year old man with asymptomatic PCV in the left eye. Vision 20/50 OD, 20/32 OS did well with Lucentis

Choroidal Neovascular Membrane following Prior Central Serous Chorioretinopathy - OCT-A414 views67 year old female with CSR in the left eye first 20 years ago. She was managed with out therapy and has had a few episodes since. Now ther eis distortion in the left eye for a few days. She had a steroid shot in her shoulder 5 months ago.
VA 20/20 OD, 20/50 OS- ICG and OCT-A confirm CNVM in the left eye

Polypoidal Choroidal Vasculopathy Left Eye413 views74 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.

Rapid macular atrophy with anti-VEGF therapy for myopic CNVM413 views64 year old female with 20/32 vision and distortion in the left and better eye. She was treated with monthly lucentis and her vision declined to 20/100. Medicine was stopped and she improved a little to 20/80.

Choroidal Neovascular Membrane following Prior Central Serous Chorioretinopathy - OCT-A413 views67 year old female with CSR in the left eye first 20 years ago. She was managed with out therapy and has had a few episodes since. Now ther eis distortion in the left eye for a few days. She had a steroid shot in her shoulder 5 months ago.
VA 20/20 OD, 20/50 OS- ICG and OCT-A confirm CNVM in the left eye

Intermediate Dry Age-Related Macular Degeneration - Soft Drusen413 views70-year-old Left eye worse than the right. Both eyes see distortion in the amsler grid for a few months
HTN, High Lipids, Osteoporosis
Meds: Lutein once daily, Calcium, Fish oil, Red Yeast Rice, CoQ10, Magnesium, MVI, Xanax
VA 20/16 OU
2+NS cataract

Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye412 views84-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

Outer Retinal Tubulation412 views78 year old man chronic wet AMD - 20/200

Polypoidal Choroidal Vasculopathy - Right Eye412 views83 year old female presented in June 2013 with vision loss for 3 months. She had 2 injections elsewhere with no improvement (avastin). The first images show a peripapillary CNVM with polyps. I treated her once with PDT and she stayed dry with good vision for 5 years (2019). VA on presentation 20/80 OD. Improved to 20/40

Macular Scars - Laser (1980s) Ocular Histoplasmosis412 views70 year old man who had laser at Wills, Wilmer and the Mayo clinic before better therapies were available for ocular histoplasmosis related CNVM

Concentric Geographic Atrophy - 76 year old man412 viewsGradual vision loss, worse at night. VA 20/40 OU.

Polypiodal Choroidal Vasculopathy - Temporal Macula - Left eye412 views82 year old man with asymptomatic PCV in the left eye. Vision 20/50 OD, 20/32 OS did well with Lucentis

Macular Telangiectasi - Stage V - CNVM OU412 views60 year old female who has been treated with injections for 5 years starting in the left eye. She had no treatment 6 months prior to this visit and her vision has been getting worse. Her vision is 20/100 OD, 20/32 OS. Vision improved with intravitreal Avastin to 20/30 OU.

Polypoidal Choroidal Vasculopathy Left Eye411 views74 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.

Outer Retinal Tubulation411 views78 year old man chronic wet AMD - 20/200

Angioid Streaks - CNVM OS with vision loss411 views48 year old soccer player. Prior trauma OS (with soccer ball). Vision loss for 3 weeks to 20/60 - with Lucentis vision improved to 20/30

Punctate Inner Choroidopathy and Choroidal Neovascular Membrane411 views27 year old female with vision loss for 4 months. VA was 20/200. She had a CNVM which was extrafoveal with no subretinal fluid. Her vision improved over 6 months to 20/50 with Ranibizumab injections (she might have improved without treatment)

Concentric Geographic Atrophy - 76 year old man411 viewsGradual vision loss, worse at night. VA 20/40 OU.

Polypiodal Choroidal Vasculopathy - Temporal Macula - Left eye411 views82 year old man with asymptomatic PCV in the left eye. Vision 20/50 OD, 20/32 OS did well with Lucentis

Choroidal Neovascular Membrane following Prior Central Serous Chorioretinopathy - OCT-A411 views67 year old female with CSR in the left eye first 20 years ago. She was managed with out therapy and has had a few episodes since. Now ther eis distortion in the left eye for a few days. She had a steroid shot in her shoulder 5 months ago.
VA 20/20 OD, 20/50 OS- ICG and OCT-A confirm CNVM in the left eye

Myopic CNVM in the left eye. New Classic subfoveal lesion411 views64 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

Age-related macular degeneration - Geographic Atrophy - Intermittent CME left eye from CRVO, Anemia, Diabetes411 views79 year old female - 3 years post CRVO in the left eye (20/32 VA) with intermittent CME. Left eye is the better eye. Vision is stable since 2 years ago
PMHx: Type II DM x 20 years, Chronic Anemia, Hyperlipidemia
VA 20/200 OD, 20/50 OS (usually 20/40)

Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye410 views84-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

Wet AMD OD and Lamellar Macular hole OS410 viewsWet 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.

Polypoidal Choroidal Vasculopathy - Right Eye410 views83 year old female presented in June 2013 with vision loss for 3 months. She had 2 injections elsewhere with no improvement (avastin). The first images show a peripapillary CNVM with polyps. I treated her once with PDT and she stayed dry with good vision for 5 years (2019). VA on presentation 20/80 OD. Improved to 20/40

Macular Scars - Laser (1980s) Ocular Histoplasmosis410 views70 year old man who had laser at Wills, Wilmer and the Mayo clinic before better therapies were available for ocular histoplasmosis related CNVM

Choroidal Neovascular Membrane following Prior Central Serous Chorioretinopathy - OCT-A410 views67 year old female with CSR in the left eye first 20 years ago. She was managed with out therapy and has had a few episodes since. Now ther eis distortion in the left eye for a few days. She had a steroid shot in her shoulder 5 months ago.
VA 20/20 OD, 20/50 OS- ICG and OCT-A confirm CNVM in the left eye

Myopic CNVM in the left eye. New Classic subfoveal lesion410 views64 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

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