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

Asymptomatic Juxtapapillary Choroidal Neovascular Membrane - Reticular Macular Disease (Wet AMD) 554 views

Presumed Ocular Histoplasmosis with new CNVM in right and better eye - VA 20/80 OD; 20/800 OS554 viewsFluorescein Angiogram

Disciform Macular Scar Both Eyes from Wet Macular Degeneration553 views86-year-old woman has disciform scars OD: 20/400; OS: 20/100

Angioid Streaks New Vision Change in Good Right Eye Treated with Lucentis553 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

Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intact553 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

New Subfoveal Classic CNVM OS - Wet AMD - Macular Scar Congenital Toxoplasmosis Right Eye 553 views77-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.

Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman 553 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.

Basal Laminar Drusen - Cuticular Drusen - 19 Year Old with Lupus Nephritis553 views19-year-old. She has a history of developing severe systemic lupus erythematosus in 2001. She was in renal failure and had biopsy proven Class 2 lupus nephritis. She is currently on Plaquenil 400 mg for six years, as well as Prednisolone orally, every other day. OD 20/20, OS 20/25.

Post-Retinal Detachment Repair Occult Subfoveal CNVM553 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

Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 553 viewsInfra-Red

Idiopathic Polypoidal Choroidal Vasculopathy - FAF553 views

Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye553 views

Confluent Soft Drusen with Subetinal Fluid - Right Eye553 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.

552 views

Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 552 viewsIndocyanine Green Angiogram

Multifocal Pattern Dystrophy552 views51 year old with normal vision - images look a lot like fundus flavimaculatus

Wet Macular Degeneration with Juxtapapillary Neovascular Membrane and Choroidal Laser Treatment551 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 Membrane551 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.

Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin Very Early ICG OD551 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.

Reticular Macular Disease (Dry Macular Degeneration) - Spectral Domain Optical Coherence Tomography Line Scan551 views85 year old woman with 20/25 vision OU and reticular macular disease

Asymptomatic wet AMD - Subfoveal CNM both eyes551 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.

Outer Retinal Tubulation551 views78 year old man chronic wet AMD - 20/200

Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intact550 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

Choriodal Neovascular Membrane - Subfoveal - Pseudo-Retinitis Pigmentosa - 50 years post Retinal Detachment Repair550 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.

Post-Retinal Detachment Repair Occult Subfoveal CNVM550 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

Asymptomatic Juxtapapillary Choroidal Neovascular Membrane - Reticular Macular Disease (Wet AMD) 550 views

Presumed Ocular Histoplasmosis with new CNVM in right and better eye - VA 20/80 OD; 20/800 OS550 views

Wet AMD - Subfoveal CNVM - Excellent Response to Avastin549 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.

Choriodal Neovascular Membrane - Subfoveal - Pseudo-Retinitis Pigmentosa - 50 years post Retinal Detachment Repair549 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.

549 views

Concentric Geograophic Atrophy - Age-related Macular Degeneration - Charles Bonnet Syndrome - Bulls Eye549 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.

Myopic Macular Degeneration - Staphyloma - Recent Vision Loss Right Eye - Possible CNVM549 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

Macular Scar Left Eye from Age-Related Macular Degeneration548 views81-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.

Concentric Geograophic Atrophy - Age-related Macular Degeneration - Charles Bonnet Syndrome - Bulls Eye548 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 - Pseudoxanthoma Elasticum - Supressed CNVM548 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

New Subfoveal Classic CNVM OS - Wet AMD - Macular Scar Congenital Toxoplasmosis Right Eye 548 views77-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.

Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 548 viewsIndocyanine Green Angiogram

Disciform Macular Scar Both Eyes from Wet Macular Degeneration547 views86-year-old woman has disciform scars OD: 20/400; OS: 20/100

Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intact547 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 with Juxtapapillary Neovascular Membrane and Choroidal Laser Treatment547 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

Asymptomatic Juxtapapillary Choroidal Neovascular Membrane - Reticular Macular Disease (Wet AMD) 547 views

Serous Macular Detachment Both Eyes - Wet AMD vs. CSR - 62 Year Old Man - Color Photo547 views

Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye547 views

Angioid Streaks - New Extrafoveal Choroidal Neovascular Membrane Right Eye546 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.

546 views

Geographic Atrophy 20/160 Vision546 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.

Myopic Traction Maculopathy - Vitreoretinal Traction - Possible Occult Neovascular Membrane546 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.

Chorioretinal Scar with Radiating Chorioretinal Folds546 views79-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.

Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin Infrared OD546 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.

Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 546 viewsFluorescein Angiogram

Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye546 views

Confluent Soft Drusen with Subetinal Fluid - Right Eye546 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 Macular Degeneration - Staphyloma - Recent Vision Loss Right Eye - Possible CNVM545 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

Asymptomatic Juxtapapillary Choroidal Neovascular Membrane - Reticular Macular Disease (Wet AMD) 545 views

Serous Macular Detachment Both Eyes - Wet AMD vs. CSR - 62 Year Old Man - Color Photo545 views

Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye545 views

Dry AMD - Confluent Drusen Sparing Center of Macula which has Atrophy545 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

Equatorial Drusen544 views76-year-old man with equatorial drusen

VISUAL ACUITY: Vision OD is 20/40, OS is 20/25.

Serous Macular Detachment Both Eyes - Wet AMD vs. CSR - 62 Year Old Man - FAF544 views

Presumed Ocular Histoplasmosis with new CNVM in right and better eye - VA 20/80 OD; 20/800 OS544 views

Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left543 views

Multifocal Pattern Dystrophy543 views51 year old with normal vision - images look a lot like fundus flavimaculatus

Myopic CNVM - Wet - rx Avastin for 1 year542 views55-year-old woman OD is 20/40, OS is 20/20. There is a hyperpigmented disc diameter choroidal neovascular membrane with fluid touching the fovea.

542 views

Hyperpigmentation of the Retinal Pigment Epithelium Right Eye (Treated wet AMD OS)542 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 wet AMD - Subfoveal CNM both eyes542 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.

Small Retinal Pigment Epithelial Rip and Poor Vision (20/400)541 views80-year-old woman vision in the right eye has substantially declined.
OD: 20/400; OS: 20/50

Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left541 views

Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye541 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

Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye541 views

Wet AMD OD and Lamellar Macular hole OS541 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.

Myopic Traction Maculopathy - Vitreoretinal Traction - Possible Occult Neovascular Membrane540 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.

CNV secondary to Angioid Streaks, PXE540 views

Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 540 viewsFundus AutofluorescenceFundus Autofluorescence

Small Retinal Pigment Epithelial Rip and Poor Vision (20/400)539 views80-year-old woman vision in the right eye has substantially declined.
OD: 20/400; OS: 20/5080-year-old woman vision in the right eye has substantially declined.
OD: 20/400; OS: 20/50

Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left539 views

Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin 15 Minute ICG OD539 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.

Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye539 views

Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 538 viewsFluorescein Angiogram

Presumed Ocular Histoplasmosis with new CNVM in right and better eye - VA 20/80 OD; 20/800 OS538 viewsFluorescein Angiogram

Confluent Soft Drusen with Subetinal Fluid - Right Eye538 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.

Juxtapapillary CNVM - Hemorrhage538 views83 year old female VA 20/200 improved to 20/32 within 2 months with Lucentis

Macular Degeneration - Choroidal Laser Left eye - New Subfoveal CNVM left eye - Did well with Avastin537 views69-year-old woman new vision loss right eye and old macular scar left eye. OD 20/40, OS 20/200

Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left537 views

Angioid Streaks - Peau D'Orange - Pseudoxanthoma Elasticum - Asymptomatic Extrafoveal Choroidal Neovascular Membrane537 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

Angioid Streaks and Macular Degeneration - CNVM OS - Band Keratopathy 537 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.

536 views

Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye536 views

Juxtapapillary CNVM and Serous Macular Detachment Wet AMD Rx Laser535 views85-year-old man OD is 20/25, OS is 20/100. IOP: OD 21, OS 22.

OS: Vertical C/D ratio is 0.1. There is a posterior vitreous separation. There is a hemorrhagic pigment epithelial detachment on the superior pole of the optic nerve, extending a disc-and-a-half diameter off the nerve, with adjacent exudates. There is a serous macular detachment involving the center of the fovea.

VA improved from 20/100 to 20/50 in four months from laser.

Macular Scar Left Eye from Age-Related Macular Degeneration535 views81-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.

Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left535 views

Asymptomatic Juxtapapillary Choroidal Neovascular Membrane - Reticular Macular Disease (Wet AMD) 535 views

Outer Retinal Tubulation535 views78 year old man chronic wet AMD - 20/200

Basal Laminar (cuticular) Drusen both eyes 60 Year Old Woman534 views60-year-old woman with minimal vision loss. Vision OD is 20/30 OS 20/40

Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin - Early ICG OS534 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.

Angioid Streaks - Peau D'Orange - Pseudoxanthoma Elasticum - Asymptomatic Extrafoveal Choroidal Neovascular Membrane534 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 Macular Degeneration Left Eye with Gutter (atypical) and Geographic Atrophy Right Eye533 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.

Myopic Traction Maculopathy - Vitreoretinal Traction - Possible Occult Neovascular Membrane533 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.

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