Most viewed - Macular Degeneration - Age Related, Myopic, Choroidal Neovascular Membranes
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Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin Very Early ICG OD526 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.
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Serous Macular Detachment Both Eyes - Wet AMD vs. CSR - 62 Year Old Man - FAF526 views
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Wet AMD 62 year old male smoker 525 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.
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Wet AMD OD and Lamellar Macular hole OS525 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.
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Geographic Atrophy and Age-Related Macular Degeneration - Choriocapillaris is Largely Still Intact524 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
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Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye524 views
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Myopic Macular Degeneration - Staphyloma - Recent Vision Loss Right Eye - Possible CNVM523 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
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New Subfoveal Classic CNVM OS - Wet AMD - Macular Scar Congenital Toxoplasmosis Right Eye 523 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.
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Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin Infrared OD523 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.
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Asymptomatic Juxtapapillary Choroidal Neovascular Membrane - Reticular Macular Disease (Wet AMD) 523 views
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Idiopathic Polypoidal Choroidal Vasculopathy - FAF523 views
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Angioid Streaks New Vision Change in Good Right Eye Treated with Lucentis522 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
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Drusen Maculopathy - Macular Degeneration (Dry) - 50 year old African-American Woman522 views50-year-old woman has drusen and maculopathy. VISUAL ACUITY: OD 20/30, OS 20/25.
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Pseudoxanthoma Elasticum with CNV522 views
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Confluent Soft Drusen with Subetinal Fluid - Right Eye522 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.
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman 521 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.
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Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin 15 Minute ICG OD521 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.
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Basal Laminar (cuticular) Drusen both eyes 60 Year Old Woman520 views60-year-old woman with minimal vision loss. Vision OD is 20/30 OS 20/40
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Cartwheel CNVM - Classic - wet AMD - evidence of possible old CSR520 views75 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
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Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye520 views
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Post-Retinal Detachment Repair Occult Subfoveal CNVM519 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
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Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye519 views
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Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye519 views
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Cuticular Drusen - 26 year old female - Glomerulonephritis519 viewsVA 20/25 OU. Images are over 4 years
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Confluent Soft Drusen with Subetinal Fluid - Right Eye519 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.
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Juxtapapillary CNVM - Hemorrhage519 views83 year old female VA 20/200 improved to 20/32 within 2 months with Lucentis
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Angioid Streaks - New Extrafoveal Choroidal Neovascular Membrane Right Eye518 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.
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Equatorial Drusen518 views76-year-old man with equatorial drusen
VISUAL ACUITY: Vision OD is 20/40, OS is 20/25.
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Asymptomatic Juxtapapillary Choroidal Neovascular Membrane - Reticular Macular Disease (Wet AMD) 518 views
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Confluent Soft Drusen with Subetinal Fluid - Right Eye518 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.
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Myopic Choroidal Neovascular Membrane 54 year old woman 20/20517 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
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Wet Macular Degeneration with Juxtapapillary Neovascular Membrane and Choroidal Laser Treatment517 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
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Angioid Streaks - Peau D'Orange - Pseudoxanthoma Elasticum - Asymptomatic Extrafoveal Choroidal Neovascular Membrane517 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
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Presumed Ocular Histoplasmosis with new CNVM in right and better eye - VA 20/80 OD; 20/800 OS517 viewsFluorescein Angiogram
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Wet AMD - Subfoveal CNVM - Excellent Response to Avastin516 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.
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Geographic Atrophy 20/160 Vision516 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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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 516 viewsIndocyanine Green Angiogram
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Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye516 views
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Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye516 views
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Presumed Ocular Histoplasmosis with new CNVM in right and better eye - VA 20/80 OD; 20/800 OS516 views
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IPCV - idiopathic polypoidal choroidal vasculopathy - juxtapapillary CNVM with hemorrhage both eyes (also choroidal nevus right eye) - Subretinal hemorrhage both eyes516 views86 year old woman with shadow in vision OD and new hemmorhage OU.
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Myopic CNVM - Wet - rx Avastin for 1 year515 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.
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Small Retinal Pigment Epithelial Rip and Poor Vision (20/400)515 views80-year-old woman vision in the right eye has substantially declined.
OD: 20/400; OS: 20/50
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515 views
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Basal Laminar (cuticular) Drusen both eyes 60 Year Old Woman515 views60-year-old woman with minimal vision loss. Vision OD is 20/30 OS 20/40
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Polypoidal Choroidal Vasculopathy Right Eye - Disciform Scar Left Eye513 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
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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 513 viewsInfra-Red
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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 513 viewsFluorescein Angiogram
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Asymptomatic wet AMD - Subfoveal CNM both eyes513 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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CNV secondary to Angioid Streaks, PXE512 views
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Asymptomatic Juxtapapillary Choroidal Neovascular Membrane - Reticular Macular Disease (Wet AMD) 512 views
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Asymptomatic Juxtapapillary Choroidal Neovascular Membrane - Reticular Macular Disease (Wet AMD) 512 views
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Asymptomatic Juxtapapillary Choroidal Neovascular Membrane - Reticular Macular Disease (Wet AMD) 512 views
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Disciform Macular Scar Both Eyes from Wet Macular Degeneration511 views86-year-old woman has disciform scars OD: 20/400; OS: 20/100
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Myopic Macular Degeneration - Staphyloma - Recent Vision Loss Right Eye - Possible CNVM511 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
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Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye511 views
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Wet Macular Degeneration with Juxtapapillary Neovascular Membrane and Choroidal Laser Treatment510 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
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Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left510 views
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Retinal Angiomatous Proliferation - Type III choroidal neovascular membrane510 views83 year old female with wet AMD - 20/160 VA- Vision improved to 20/40 with 3 injections of anti-VEGF drugs. OCT shows break in RPE and FA and ICG show PED with hot spot on ICG
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Disciform Macular Scar Both Eyes from Wet Macular Degeneration509 views86-year-old woman has disciform scars OD: 20/400; OS: 20/100
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509 views
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IPCV - idiopathic polypoidal choroidal vasculopathy - juxtapapillary CNVM with hemorrhage both eyes (also choroidal nevus right eye) - Subretinal hemorrhage both eyes509 views86 year old woman with shadow in vision OD and new hemmorhage OU.FA shows juxtapapillary CNVM
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Small Retinal Pigment Epithelial Rip and Poor Vision (20/400)508 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
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Macular Hemorrahge and Probable CNVM Right eye for 2 weeks VA 20/400 - 20 Year old508 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
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Concentric Geograophic Atrophy - Age-related Macular Degeneration - Charles Bonnet Syndrome - Bulls Eye508 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.
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Myopic Traction Maculopathy - Vitreoretinal Traction - Possible Occult Neovascular Membrane508 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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Post-Retinal Detachment Repair Occult Subfoveal CNVM508 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
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Concentric Geographic Atrophy508 views76 year old man Gradual vision loss
20/32 OD; 20/40 OS
No medicines, Non-smoker
Working and Driving
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Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left507 views
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New Subfoveal Classic CNVM OS - Wet AMD - Macular Scar Congenital Toxoplasmosis Right Eye 507 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.
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Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin - Fill ICG FA OD507 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.
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Asymptomatic wet AMD - Subfoveal CNM both eyes507 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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Macular Hemorrahge and Probable CNVM Right eye for 2 weeks VA 20/400 - 20 Year old506 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
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Cartwheel CNVM - Classic - wet AMD - evidence of possible old CSR506 views75 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
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IPCV - idiopathic polypoidal choroidal vasculopathy - juxtapapillary CNVM with hemorrhage both eyes (also choroidal nevus right eye) - Subretinal hemorrhage both eyes506 views86 year old woman with shadow in vision OD and new hemmorhage OU.
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Angioid Streaks - New Extrafoveal Choroidal Neovascular Membrane Right Eye505 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.
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Wet Macular Degeneration Left Eye with Gutter (atypical) and Geographic Atrophy Right Eye505 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.
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Myopic Traction Maculopathy - Vitreoretinal Traction - Possible Occult Neovascular Membrane505 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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Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye505 views
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Multifocal Pattern Dystrophy505 views51 year old with normal vision - images look a lot like fundus flavimaculatus
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Dry AMD - Confluent Drusen Sparing Center of Macula which has Atrophy505 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
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Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left504 views
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Chorioretinal Scar with Radiating Chorioretinal Folds504 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.
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Serous Macular Detachment Both Eyes - Wet AMD vs. CSR - 62 Year Old Man - Color Photo504 views
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New wet AMD OS with subretinal hemorrhage and recent vision loss, Scar OD504 views
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Confluent Soft Drusen with Subetinal Fluid - Right Eye504 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.
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Wet AMD - Subfoveal CNVM - Excellent Response to Avastin503 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.
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503 views
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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 503 viewsIndocyanine Green Angiogram
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Cuticular Drusen - 26 year old female - Glomerulonephritis503 viewsVA 20/25 OU. Images are over 4 years
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502 views
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New Subfoveal Classic CNVM OS - Wet AMD - Macular Scar Congenital Toxoplasmosis Right Eye 502 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.
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Fundus Photo Left Eye502 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.
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Hyperpigmentation of the Retinal Pigment Epithelium Right Eye (Treated wet AMD OS)502 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
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Idiopathic Polypoidal Choroidal Vasculopathy - FAF502 views
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Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left501 views
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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 501 viewsFluorescein Angiogram
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500 views
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Angioid Streaks - Pseudoxanthoma Elasticum - Supressed CNVM500 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
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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 500 viewsFundus AutofluorescenceFundus Autofluorescence
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