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

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.

Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye533 views

Retinal Angiomatous Proliferation - Type III choroidal neovascular membrane533 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

Macular Hemorrahge and Probable CNVM Right eye for 2 weeks VA 20/400 - 20 Year old532 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

Idiopathic Polypoidal Choroidal Vasculopathy - False Color532 views

IPCV - idiopathic polypoidal choroidal vasculopathy - juxtapapillary CNVM with hemorrhage both eyes (also choroidal nevus right eye) - Subretinal hemorrhage both eyes532 views86 year old woman with shadow in vision OD and new hemmorhage OU.

Myopic CNVM - Wet - rx Avastin for 1 year531 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.

Small Retinal Pigment Epithelial Rip and Poor Vision (20/400)531 views80-year-old woman vision in the right eye has substantially declined.
OD: 20/400; OS: 20/50

Cartwheel CNVM - Classic - wet AMD - evidence of possible old CSR531 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

Confluent Soft Drusen with Subetinal Fluid - Right Eye531 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.

Small Retinal Pigment Epithelial Rip and Poor Vision (20/400)530 views80-year-old woman vision in the right eye has substantially declined.
OD: 20/400; OS: 20/50

Angioid Streaks - New Extrafoveal Choroidal Neovascular Membrane Right Eye530 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.

530 views

Adult Vitelliform Macular Dystrophy - Pattern Dystrophy530 views

Cuticular Drusen - 26 year old female - Glomerulonephritis530 viewsVA 20/25 OU. Images are over 4 years

529 views

Pseudoxanthoma Elasticum with CNV529 views

New wet AMD OS with subretinal hemorrhage and recent vision loss, Scar OD529 views

New Subfoveal Classic CNVM OS - Wet AMD - Macular Scar Congenital Toxoplasmosis Right Eye 528 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.

Cartwheel CNVM - Classic - wet AMD - evidence of possible old CSR - ICG is normal - shows nothing528 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

New Subfoveal Classic CNVM OS - Wet AMD - Macular Scar Congenital Toxoplasmosis Right Eye 527 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.

Asymptomatic Juxtapapillary Choroidal Neovascular Membrane - Reticular Macular Disease (Wet AMD) 527 views

Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 527 viewsIndocyanine Green Angiogram

Concentric Geographic Atrophy527 views76 year old man Gradual vision loss
20/32 OD; 20/40 OS
No medicines, Non-smoker
Working and Driving

Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman 526 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.

New Subfoveal Classic CNVM OS - Wet AMD - Macular Scar Congenital Toxoplasmosis Right Eye 525 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.

Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin - Fill ICG FA OD525 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.

IPCV - idiopathic polypoidal choroidal vasculopathy - juxtapapillary CNVM with hemorrhage both eyes (also choroidal nevus right eye) - Subretinal hemorrhage both eyes525 views86 year old woman with shadow in vision OD and new hemmorhage OU.

Cuticular Drusen - 26 year old female - Glomerulonephritis525 viewsVA 20/25 OU. Images are over 4 years

Angioid Streaks New Vision Change in Good Right Eye Treated with Lucentis524 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

Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin Early FA OD524 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.

Juxtapapillary CNVM - Hemorrhage524 views83 year old female VA 20/200 improved to 20/32 within 2 months with Lucentis

Adult Pseudovitelliform Macular Dystrophy524 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

Disciform Macular Scar Both Eyes from Wet Macular Degeneration523 views86-year-old woman has disciform scars OD: 20/400; OS: 20/100

Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left523 views

Concentric Geograophic Atrophy - Age-related Macular Degeneration - Charles Bonnet Syndrome - Bulls Eye523 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.

Hyperpigmentation of the Retinal Pigment Epithelium Right Eye (Treated wet AMD OS)523 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

Cuticular Drusen - 26 year old female - Glomerulonephritis523 viewsVA 20/25 OU. Images are over 4 years

Small Retinal Pigment Epithelial Rip and Poor Vision (20/400)522 views80-year-old woman vision in the right eye has substantially declined.
OD: 20/400; OS: 20/50

522 views

Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 522 viewsFluorescein Angiogram

Adult Vitelliform Macular Dystrophy - Pattern Dystrophy522 viewsSD OCT shows material to be subretinal not sub-RPE as you would see in typical AMD

Polypoidal Choroidal Vasculopathy - Right Eye522 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

Angioid Streaks - Pseudoxanthoma Elasticum - Supressed CNVM521 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

Presumed Ocular Histoplasmosis with new CNVM in right and better eye - VA 20/80 OD; 20/800 OS521 views

Macular Hemorrahge and Probable CNVM Right eye for 2 weeks VA 20/400 - 20 Year old520 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

Chorioretinal Scar with Radiating Chorioretinal Folds520 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.

Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman 520 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.

Non-Foveal Geographic Atrophy Both Eyes520 views81-year-old man has age-related macular degeneration in both eyes. Vision OD is 20/40, OS is 20/80.

Serous Macular Detachment Both Eyes - Wet AMD vs. CSR - 62 Year Old Man - Color Photo520 views

Serous Macular Detachment Both Eyes - Wet AMD vs. CSR - 62 Year Old Man - IR520 views

Idiopathic Polypoidal Choroidal Vasculopathy - IR520 views

Cartwheel CNVM - Classic - wet AMD - evidence of possible old CSR - ICG is normal - shows nothing520 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

Wet AMD OD and Lamellar Macular hole OS520 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 Macular Degeneration - Staphyloma - Recent Vision Loss Right Eye - Possible CNVM519 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

Pattern Dystrophy - Adult Vitelliform - Both Eyes519 views60-year-old woman noticing less distortion and less blind spots.
OD is 20/20, OS is 20/40

Outer Retinal Tubulation519 views78 year old man chronic wet AMD - 20/200

Angioid Streaks New Vision Change in Good Right Eye Treated with Lucentis518 views553-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

Basal Laminar (cuticular) Drusen both eyes 60 Year Old Woman518 views60-year-old woman with minimal vision loss. Vision OD is 20/30 OS 20/40

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.

Asymptomatic wet AMD - Subfoveal CNM both eyes517 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.

Pigment Epithelial Detachment with Subretinal Fluid and Exudate 20/400 Vision516 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 - Fill ICG FA OD516 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.

Macular Degeneration with Hemorrhage516 viewsPatient comes in with active leaking of AMD in the left eye. VA is 20/40 in the left eye. Patient was treated with Eylea and will return in 1-month for follow up.

Asymptomatic wet AMD - Subfoveal CNM both eyes516 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.

Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin FA OS515 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 and Macular Degeneration - CNVM OS - Band Keratopathy 515 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 - IR515 views

Adult Vitelliform Macular Dystrophy - Pattern Dystrophy515 views

Multifocal Pattern Dystrophy515 views51 year old with normal vision - images look a lot like fundus flavimaculatus

Confluent Soft Drusen with Subetinal Fluid - Right Eye515 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.

Small Retinal Pigment Epithelial Rip and Poor Vision (20/400)514 views80-year-old woman vision in the right eye has substantially declined.
OD: 20/400; OS: 20/50

514 views

IPCV - idiopathic polypoidal choroidal vasculopathy - juxtapapillary CNVM with hemorrhage both eyes (also choroidal nevus right eye) - Subretinal hemorrhage both eyes514 views86 year old woman with shadow in vision OD and new hemmorhage OU. ICG shows no plaque

Macular Degeneration - Choroidal Laser Left eye - New Subfoveal CNVM left eye - Did well with Avastin513 views69-year-old woman new vision loss right eye and old macular scar left eye. OD 20/40, OS 20/200

513 views

Asymptomatic wet AMD - Subfoveal CNM both eyes512 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.

511 views

New Subfoveal Classic CNVM OS - Wet AMD - Macular Scar Congenital Toxoplasmosis Right Eye 511 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 511 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.

Presumed Ocular Histoplasmosis with new CNVM in right and better eye - VA 20/80 OD; 20/800 OS511 viewsFluorescein Angiogram

IPCV - idiopathic polypoidal choroidal vasculopathy - juxtapapillary CNVM with hemorrhage both eyes (also choroidal nevus right eye) - Subretinal hemorrhage both eyes511 views86 year old woman with shadow in vision OD and new hemmorhage OU.FA shows juxtapapillary CNVM

Cuticular Drusen - 26 year old female - Glomerulonephritis511 viewsVA 20/25 OU. Images are over 4 years

Multifocal Pattern Dystrophy511 views51 year old with normal vision - images look a lot like fundus flavimaculatus

Confluent Soft Drusen with Subetinal Fluid - Right Eye511 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.

Concentric Geographic Atrophy511 views76 year old man Gradual vision loss
20/32 OD; 20/40 OS
No medicines, Non-smoker
Working and Driving

Small Retinal Pigment Epithelial Rip and Poor Vision (20/400)510 views80-year-old woman vision in the right eye has substantially declined.
OD: 20/400; OS: 20/50

Angioid Streaks - New Extrafoveal Choroidal Neovascular Membrane Right Eye510 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.

Concentric Geograophic Atrophy - Age-related Macular Degeneration - Charles Bonnet Syndrome - Bulls Eye510 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 CNVM510 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

Pattern Dystrophy - Adult Vitelliform - Both Eyes510 views60-year-old woman noticing less distortion and less blind spots.
OD is 20/20, OS is 20/40

OCT shows lamellar macular hole left eye510 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 Atrophy510 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

Wet Macular Degeneration Left Eye with Gutter (atypical) and Geographic Atrophy Right Eye509 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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