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Subfoveal CNVM wet AMD fellow eye604 viewsShe has noticed decreased vision in the left eye. It is hard to say for how long, maybe a few months. She had her last eye exam about a year ago. She thoughts perhaps it was cataracts, but you saw a problem with the macula and suggested she come here for evaluation.

VISUAL ACUITY: Vision OD is 20/25, OS is 2/200

Myopic Macular Degeneration - Staphyloma - Recent Vision Loss Right Eye - Possible CNVM604 views83-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

Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - OCT Map604 views70 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.

Wet AMD - Subfoveal CNVM - Excellent Response to Avastin603 views76-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.

Angioid Streaks New Vision Change in Good Right Eye Treated with Lucentis603 views53-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

Angioid Streaks - New Extrafoveal Choroidal Neovascular Membrane Right Eye603 views61-year-old woman twelve days ago, saw a spot to the right of her central vision. OD is 20/25, OS is 20/25
Treated with one year of avastin with good result and no vision loss.

Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 603 viewsSpectral Domain Optical Coherence Tomography

Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye603 views

Wet AMD - Subfoveal CNVM - Excellent Response to Avastin602 views76-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.

Basal Laminar (cuticular) Drusen both eyes 60 Year Old Woman602 views60-year-old woman with minimal vision loss. Vision OD is 20/30 OS 20/40

Hyperpigmentation of the Retinal Pigment Epithelium in Dry AMD602 views87-year-old woman has wet age-related macular degeneration in the left eye. Vision OD is 20/25, OS is 20/400

Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye602 views

OCT shows lamellar macular hole left eye602 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.

Presumed Ocular Histoplasmosis with new CNVM in right and better eye - VA 20/80 OD; 20/800 OS602 viewsFundus Autofluorescence shows scar as dark

Wet Age-related Macular Degeneration (AMD) Radiating Chorioretinal Folds from Contracting Macular Scar601 views93-year-old man has wet age-related macular degeneration in his left eye with a subfoveal pigment epithelial detachment.
Vision OS is 20/40. There are striking radiating chorioretinal folds emanating off of the scar, which suggests it is contracting.

Post-Retinal Detachment Repair Occult Subfoveal CNVM601 viewsThis 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

Presumed Ocular Histoplasmosis with new CNVM in right and better eye - VA 20/80 OD; 20/800 OS601 viewsPeripheral punched out small scars typical for OHS

Choriodal Neovascular Membrane - Subfoveal - Pseudo-Retinitis Pigmentosa - 50 years post Retinal Detachment Repair600 views86-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.

Myopic Degeneration - Inferior staphyloma with severe atrophy600 views76 year old with gradual vision loss. 20/32 OD; 20/40 OS

Myopic Choroidal Neovascular Membrane 54 year old woman 20/20598 views54-year-old woman has had problems in her vision in the right eye for about the last three months. Inferotemporally she sees a gray area, which is distorted. OD is 20/20, OS is 20/20

Disciform Macular Scar Both Eyes from Wet Macular Degeneration598 views86-year-old woman has disciform scars OD: 20/400; OS: 20/100

Angioid Streaks - New Extrafoveal Choroidal Neovascular Membrane Right Eye598 views61-year-old woman twelve days ago, saw a spot to the right of her central vision. OD is 20/25, OS is 20/25
Treated with one year of avastin with good result and no vision loss.

Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Fluorescein Angiogram Montage Right Eye598 views70 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.

Asymptomatic Juxtapapillary Choroidal Neovascular Membrane - Reticular Macular Disease (Wet AMD) 598 views

Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye598 views

Pigment Epithelial Detachment with Subretinal Fluid and Exudate 20/400 Vision597 views87-year-old woman has wet age-related macular degeneration in the left eye. She had treatment up north but there has been a gap in therapy and the vision in the left eye is poor. Vision OD is 20/25, OS is 20/400

Pattern Dystrophy - Adult Vitelliform Dystrophy - Macular Degeneration597 views 78 Year Old Woman with vision has diminished in the right eye over the past couple of years, but the diminishment has been slow.
20/60+1 OD, 20/25 OS

597 views

Wet AMD 62 year old male smoker 596 views62-year-old man has wet age-related macular degeneration in the right eye. He has been undergoing treatment with Lucentis for that. Then his left eye developed hazy vision a few weeks ago while he was overseas and now his vision is hazy in both eyes. OD 20/40, OS 20/30. FA shows a classic subfoveal choroidal neovascular membrane in the left eye, which is leaking and in the right eye, which is dry. He is going to stop smoking today. FU: VA 20/30 OU with 2 years of every 6 weeks bilateral avastin!

Myopic Traction Maculopathy - Vitreoretinal Traction - Possible Occult Neovascular Membrane596 views58-year-old woman was seen in the office on June 30, 2011. In 2002, her vision was 20/30. Subsequent to that she had her left eye made her distance eye, which was dominate. She had LASIK surgery on the right eye to make that her near eye and she was getting along well until about a year ago when she noticed substantial vision loss in the left eye only. VISUAL ACUITY: The near eye is 20/200, but she reads J2. OS 20/100- and J16.

Asymptomatic Juxtapapillary Choroidal Neovascular Membrane - Reticular Macular Disease (Wet AMD) 595 views

Idiopathic Polypoidal Choroidal Vasculopathy - Fluorescein Angiogram595 views

Wet AMD - Subfoveal CNVM - Excellent Response to Avastin594 views76-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.

Wet AMD - New Small Hemorrhage Both Eyes - Mature CNVM visible on Early Indocyanine Green Angiogram594 views

Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 594 viewsIndocyanine Green Angiogram

Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intact593 views85-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 Eye593 views80-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.

Serous Macular Detachment Both Eyes - Wet AMD vs. CSR - 62 Year Old Man - Color Photo593 views

Idiopathic Polypoidal Choroidal Vasculopathy - Fluorescein Angiogram593 views

Angioid Streaks - New Extrafoveal Choroidal Neovascular Membrane Right Eye592 views61-year-old woman twelve days ago, saw a spot to the right of her central vision. OD is 20/25, OS is 20/25
Treated with one year of avastin with good result and no vision loss.

Wet Macular Degeneration with Juxtapapillary Neovascular Membrane and Choroidal Laser Treatment592 views87-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

White spots are laser treatment (fresh)

Confluent Soft Drusen with Subetinal Fluid - Right Eye592 viewsAsymptomatic 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.

Adult Pseudovitelliform Macular Dystrophy592 views89 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

Wet AMD 62 year old male smoker 591 views62-year-old man has wet age-related macular degeneration in the right eye. He has been undergoing treatment with Lucentis for that. Then his left eye developed hazy vision a few weeks ago while he was overseas and now his vision is hazy in both eyes. OD 20/40, OS 20/30. FA shows a classic subfoveal choroidal neovascular membrane in the left eye, which is leaking and in the right eye, which is dry.
He is going to stop smoking today.

Wet Macular Degeneration with Juxtapapillary Neovascular Membrane and Choroidal Laser Treatment591 views87-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

Myopic Traction Maculopathy - Vitreoretinal Traction - Possible Occult Neovascular Membrane591 views58-year-old woman was seen in the office on June 30, 2011. In 2002, her vision was 20/30. Subsequent to that she had her left eye made her distance eye, which was dominate. She had LASIK surgery on the right eye to make that her near eye and she was getting along well until about a year ago when she noticed substantial vision loss in the left eye only. VISUAL ACUITY: The near eye is 20/200, but she reads J2. OS 20/100- and J16.

Post-Retinal Detachment Repair Occult Subfoveal CNVM591 viewsThis 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

Presumed Ocular Histoplasmosis with new CNVM in right and better eye - VA 20/80 OD; 20/800 OS591 viewsFluorescein Angiogram

Angioid Streaks - Peau D'Orange - Pseudoxanthoma Elasticum - Asymptomatic Extrafoveal Choroidal Neovascular Membrane590 views60-year-old woman has pseudoxanthoma elasticum since 2008. Her sister has the same problem and lost vision in both eyes. She had a problem with blood vessel growth in the left eye for which she had injections of Avastin in August, September, and October of 2011 (5 months ago). Subsequent to that, the macula has been dry and you have just been watching her carefully. She is in Florida for a short time but will ultimately be spending nine months out of the year here. Both of her eyes have good vision at

Wet AMD 62 year old male smoker 589 views62-year-old man has wet age-related macular degeneration in the right eye. He has been undergoing treatment with Lucentis for that. Then his left eye developed hazy vision a few weeks ago while he was overseas and now his vision is hazy in both eyes. OD 20/40, OS 20/30. FA shows a classic subfoveal choroidal neovascular membrane in the left eye, which is leaking and in the right eye, which is dry. He is going to stop smoking today. FU: VA 20/30 OU with 2 years of every 6 weeks bilateral avastin!

Wet Macular Degeneration Left Eye with Gutter (atypical) and Geographic Atrophy Right Eye589 views80-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.

Macular Hemorrahge and Probable CNVM Right eye for 2 weeks VA 20/400 - 20 Year old589 views20-year-old man noticed vision loss in the right eye about two weeks ago and if anything it seems to be getting worse. He is a high myope. VISUAL ACUITY: OD 20/400

Concentric Geograophic Atrophy - Age-related Macular Degeneration - Charles Bonnet Syndrome - Bulls Eye589 views88-year-old woman has age-related with vision gradually declining over the last year. She sees spots in her vision, like red spots and dark spots and she even notices during the daytime, for example when she was looking at her minister, it looked like there were little flowering pots coming out of his head.

VISUAL ACUITY: OD 20/200, OS 20/400.

Angioid Streaks and Macular Degeneration - CNVM OS - Band Keratopathy 589 views79-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.

Serous Macular Detachment Both Eyes - Wet AMD vs. CSR - 62 Year Old Man - Color Photo589 views

Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 588 viewsFluorescein Angiogram

Macular Degeneration - Choroidal Laser Left eye - New Subfoveal CNVM left eye - Did well with Avastin587 views69-year-old woman new vision loss right eye and old macular scar left eye. OD 20/40, OS 20/200

Wet Macular Degeneration with Juxtapapillary Neovascular Membrane and Choroidal Laser Treatment587 views87-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

Angioid Streaks and Macular Degeneration - CNVM OS - Band Keratopathy 587 views79-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.

Asymptomatic Juxtapapillary Choroidal Neovascular Membrane - Reticular Macular Disease (Wet AMD) 587 views

Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 587 viewsFluorescein Angiogram

Idiopathic Polypoidal Choroidal Vasculopathy - FAF586 views

Disciform Macular Scar Both Eyes from Wet Macular Degeneration584 views86-year-old woman has disciform scars OD: 20/400; OS: 20/100

Drusen Maculopathy - Macular Degeneration (Dry) - 50 year old African-American Woman584 views50-year-old woman has drusen and maculopathy. VISUAL ACUITY: OD 20/30, OS 20/25.

Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye584 views

Presumed Ocular Histoplasmosis with new CNVM in right and better eye - VA 20/80 OD; 20/800 OS584 viewsFluorescein Angiogram

Angioid Streaks - New Extrafoveal Choroidal Neovascular Membrane Right Eye583 views61-year-old woman twelve days ago, saw a spot to the right of her central vision. OD is 20/25, OS is 20/25
Treated with one year of avastin with good result and no vision loss.

Myopic Macular Degeneration - Staphyloma - Recent Vision Loss Right Eye - Possible CNVM583 views83-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

Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 583 viewsFluorescein Angiogram

Wet Macular Degeneration with Juxtapapillary Neovascular Membrane and Choroidal Laser Treatment582 views87-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

Hyperpigmentation of Retinal Pigment Epithlium in Dry AMD (hyperplasia)582 views87-year-old woman has wet age-related macular degeneration in the left eye. She had treatment up north but there has been a gap in therapy and the vision in the left eye is poor. Vision OD is 20/25, OS is 20/400

Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin Early FA OD582 views66-year-old man with bilateral subfoveal fluid unresponsive to one year of monthly avastin therapy.
OD 20/160, Pinhole 20/80. OS 20/63, Pinhole 20/50. OCT scan shows subretinal fluid with normal choroidal thickness. Fluorescein angiogram shows cuticular/basal laminar drusen. ICG shows no foci of choriocapillaris leakage.

Hyperpigmentation of the Retinal Pigment Epithelium Right Eye (Treated wet AMD OS)582 views85-year-old man has wet age-related macular degeneration in the left eye treated for one year most recently one year ago. OD is 20/30, OS is 20/60

Asymptomatic Juxtapapillary Choroidal Neovascular Membrane - Reticular Macular Disease (Wet AMD) 582 views

Idiopathic Polypoidal Choroidal Vasculopathy - FAF582 views

OHS CNVM post treatment with Lucentis - VA now 20/25582 views

Wet AMD - New Small Hemorrhage Both Eyes - Mature CNVM visible on Early Indocyanine Green Angiogram581 views

Reticular Macular Disease (Dry Macular Degeneration) - Spectral Domain Optical Coherence Tomography Line Scan581 views85 year old woman with 20/25 vision OU and reticular macular disease

Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left580 views

Choriodal Neovascular Membrane - Subfoveal - Pseudo-Retinitis Pigmentosa - 50 years post Retinal Detachment Repair580 views86-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.

Basal Laminar (cuticular) Drusen both eyes 60 Year Old Woman580 views60-year-old woman with minimal vision loss. Vision OD is 20/30 OS 20/40

Myopic Traction Maculopathy - Vitreoretinal Traction - Possible Occult Neovascular Membrane580 views58-year-old woman was seen in the office on June 30, 2011. In 2002, her vision was 20/30. Subsequent to that she had her left eye made her distance eye, which was dominate. She had LASIK surgery on the right eye to make that her near eye and she was getting along well until about a year ago when she noticed substantial vision loss in the left eye only. VISUAL ACUITY: The near eye is 20/200, but she reads J2. OS 20/100- and J16.

Wet Age-related Macular Degeneration (AMD) Radiating Chorioretinal Folds from Contracting Macular Scar580 views93-year-old man has wet age-related macular degeneration in his left eye with a subfoveal pigment epithelial detachment.
Vision OS is 20/40. There are striking radiating chorioretinal folds emanating off of the scar, which suggests it is contracting.

Confluent Soft Drusen with Subetinal Fluid - Right Eye580 viewsAsymptomatic 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.

Myopic Choroidal Neovascular Membrane 54 year old woman 20/20579 views54-year-old woman has had problems in her vision in the right eye for about the last three months. Inferotemporally she sees a gray area, which is distorted. OD is 20/20, OS is 20/20

579 views

Asymptomatic Juxtapapillary Choroidal Neovascular Membrane - Reticular Macular Disease (Wet AMD) 579 views

Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 579 viewsFundus Autofluorescence

Hyperpigmentation of Retinal Pigment Epithlium in Dry AMD (hyperplasia)578 views87-year-old woman has wet age-related macular degeneration in the left eye. She had treatment up north but there has been a gap in therapy and the vision in the left eye is poor. Vision OD is 20/25, OS is 20/400

Myopic Macular Degeneration - Staphyloma - Recent Vision Loss Right Eye - Possible CNVM578 views83-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

Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Fundus Photo Left Eye578 views70 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 - Glomerulonephritis578 viewsVA 20/25 OU. Images are over 4 years

Drusen Maculopathy 85 year old Male577 views85-year-old man has age-related macular degeneration in both eyes with drusen maculopathy. OD is 20/40, OS is 20/400

Angioid Streaks - Pseudoxanthoma Elasticum - Supressed CNVM576 views54-year-old woman had angioid streaks and macular degeneration in both eyes. She has had intravitreal Avastin in the right eye about every three months and her vision in that eye is good.

VISUAL ACUITY: Vision OD is 20/30, OS is 2/200

Serous Macular Detachment Both Eyes - Wet AMD vs. CSR - 62 Year Old Man - FAF576 views

Asymptomatic wet AMD - Subfoveal CNM both eyes576 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.

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