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

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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 542 viewsFluorescein Angiogram
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Angioid Streaks - Peau D'Orange - Pseudoxanthoma Elasticum - Asymptomatic Extrafoveal Choroidal Neovascular Membrane541 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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Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye541 views
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Macular Scar Left Eye from Age-Related Macular Degeneration540 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.
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Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye540 views
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Retinal Angiomatous Proliferation - Type III choroidal neovascular membrane540 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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Outer Retinal Tubulation540 views78 year old man chronic wet AMD - 20/200
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Juxtapapillary CNVM and Serous Macular Detachment Wet AMD Rx Laser539 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.
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Angioid Streaks - New Extrafoveal Choroidal Neovascular Membrane Right Eye539 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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Confluent Soft Drusen with Subetinal Fluid - Right Eye539 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 Macular Degeneration Left Eye with Gutter (atypical) and Geographic Atrophy Right Eye538 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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538 views
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Angioid Streaks - Pseudoxanthoma Elasticum - Supressed CNVM538 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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Asymptomatic Juxtapapillary Choroidal Neovascular Membrane - Reticular Macular Disease (Wet AMD) 538 views
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Cuticular Drusen - 26 year old female - Glomerulonephritis538 viewsVA 20/25 OU. Images are over 4 years
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537 views
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Pseudoxanthoma Elasticum with CNV537 views
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Polypoidal Choroidal Vasculopathy with Pulsating ICG polyp left eye537 views
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IPCV - idiopathic polypoidal choroidal vasculopathy - juxtapapillary CNVM with hemorrhage both eyes (also choroidal nevus right eye) - Subretinal hemorrhage both eyes537 views86 year old woman with shadow in vision OD and new hemmorhage OU.FA shows juxtapapillary CNVM
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Juxtapapillary CNVM - Hemorrhage537 views83 year old female VA 20/200 improved to 20/32 within 2 months with Lucentis
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Small Retinal Pigment Epithelial Rip and Poor Vision (20/400)536 views80-year-old woman vision in the right eye has substantially declined.
OD: 20/400; OS: 20/50
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Angioid Streaks - New Extrafoveal Choroidal Neovascular Membrane Right Eye536 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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Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left536 views
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536 views
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Cartwheel CNVM - Classic - wet AMD - evidence of possible old CSR - ICG is normal - shows nothing536 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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Cuticular Drusen - 26 year old female - Glomerulonephritis536 viewsVA 20/25 OU. Images are over 4 years
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Concentric Geographic Atrophy536 views76 year old man Gradual vision loss
20/32 OD; 20/40 OS
No medicines, Non-smoker
Working and Driving
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New Subfoveal Classic CNVM OS - Wet AMD - Macular Scar Congenital Toxoplasmosis Right Eye 535 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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Angioid Streaks New Vision Change in Good Right Eye Treated with Lucentis534 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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Angioid Streaks - New Extrafoveal Choroidal Neovascular Membrane Right Eye534 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
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman 534 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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Cartwheel CNVM - Classic - wet AMD - evidence of possible old CSR534 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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Presumed Ocular Histoplasmosis with new CNVM in right and better eye - VA 20/80 OD; 20/800 OS534 views
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New wet AMD OS with subretinal hemorrhage and recent vision loss, Scar OD534 views
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Adult Vitelliform Macular Dystrophy - Pattern Dystrophy534 views
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Cuticular Drusen - 26 year old female - Glomerulonephritis534 viewsVA 20/25 OU. Images are over 4 years
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Small Retinal Pigment Epithelial Rip and Poor Vision (20/400)533 views80-year-old woman vision in the right eye has substantially declined.
OD: 20/400; OS: 20/50
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Myopic Macular Degeneration - Staphyloma - Recent Vision Loss Right Eye - Possible CNVM533 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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Asymptomatic Juxtapapillary Choroidal Neovascular Membrane - Reticular Macular Disease (Wet AMD) 533 views
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IPCV - idiopathic polypoidal choroidal vasculopathy - juxtapapillary CNVM with hemorrhage both eyes (also choroidal nevus right eye) - Subretinal hemorrhage both eyes533 views86 year old woman with shadow in vision OD and new hemmorhage OU. ICG shows no plaque
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Multifocal Pattern Dystrophy533 views51 year old with normal vision - images look a lot like fundus flavimaculatus
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New Subfoveal Classic CNVM OS - Wet AMD - Macular Scar Congenital Toxoplasmosis Right Eye 532 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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Hyperpigmentation of the Retinal Pigment Epithelium Right Eye (Treated wet AMD OS)532 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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Serous Macular Detachment Both Eyes - Wet AMD vs. CSR - 62 Year Old Man - Color Photo532 views
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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 532 viewsIndocyanine Green Angiogram
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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.
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Adult Vitelliform Macular Dystrophy - Pattern Dystrophy532 viewsSD OCT shows material to be subretinal not sub-RPE as you would see in typical AMD
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Adult Pseudovitelliform Macular Dystrophy532 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
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Angioid Streaks - Pseudoxanthoma Elasticum - Supressed CNVM531 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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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman 531 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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Pattern Dystrophy - Adult Vitelliform - Both Eyes531 views60-year-old woman noticing less distortion and less blind spots.
OD is 20/20, OS is 20/40
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Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin - Fill ICG FA OD531 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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Idiopathic Polypoidal Choroidal Vasculopathy - IR531 views
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Non-Foveal Geographic Atrophy Both Eyes530 views81-year-old man has age-related macular degeneration in both eyes. Vision OD is 20/40, OS is 20/80.
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Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin Early FA OD530 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 - IR530 views
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Disciform Macular Scar Both Eyes from Wet Macular Degeneration529 views86-year-old woman has disciform scars OD: 20/400; OS: 20/100
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529 views
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Basal Laminar (cuticular) Drusen both eyes 60 Year Old Woman529 views60-year-old woman with minimal vision loss. Vision OD is 20/30 OS 20/40
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New Subfoveal Classic CNVM OS - Wet AMD - Macular Scar Congenital Toxoplasmosis Right Eye 529 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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Macular Degeneration with Hemorrhage529 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.
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Concentric Geograophic Atrophy - Age-related Macular Degeneration - Charles Bonnet Syndrome - Bulls Eye528 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 Membrane528 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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Angioid Streaks New Vision Change in Good Right Eye Treated with Lucentis527 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
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Macular Degeneration - Choroidal Laser Left eye - New Subfoveal CNVM left eye - Did well with Avastin527 views69-year-old woman new vision loss right eye and old macular scar left eye. OD 20/40, OS 20/200
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Macular Hemorrahge and Probable CNVM Right eye for 2 weeks VA 20/400 - 20 Year old527 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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Confluent Soft Drusen with Subetinal Fluid - Right Eye527 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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Outer Retinal Tubulation527 views78 year old man chronic wet AMD - 20/200
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Serous Macular Detachment Both Eyes - Wet AMD vs. CSR - 62 Year Old Man - IR526 views
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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 526 viewsFluorescein Angiogram
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Cartwheel CNVM - Classic - wet AMD - evidence of possible old CSR - ICG is normal - shows nothing526 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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Confluent Soft Drusen with Subetinal Fluid - Right Eye526 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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Polypoidal Choroidal Vasculopathy - Right Eye526 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
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Small Retinal Pigment Epithelial Rip and Poor Vision (20/400)525 views80-year-old woman vision in the right eye has substantially declined.
OD: 20/400; OS: 20/50
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Chorioretinal Scar with Radiating Chorioretinal Folds525 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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Confluent Soft Drusen with Subetinal Fluid - Right Eye525 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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Pigment Epithelial Detachment with Subretinal Fluid and Exudate 20/400 Vision524 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
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Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin - Fill ICG 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.
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IPCV - idiopathic polypoidal choroidal vasculopathy - juxtapapillary CNVM with hemorrhage both eyes (also choroidal nevus right eye) - Subretinal hemorrhage both eyes524 views86 year old woman with shadow in vision OD and new hemmorhage OU. OCT map shows progression of jpcnvm
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523 views
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Angioid Streaks - Pseudoxanthoma Elasticum - Supressed CNVM523 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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Wet AMD OD and Lamellar Macular hole OS523 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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Confluent Soft Drusen with Subetinal Fluid - Right Eye523 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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Asymptomatic wet AMD - Subfoveal CNM both eyes523 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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Pattern Dystrophy - Adult Vitellifrom (Best)523 views71 year old female - lesions nasal to the fovea in both eyes. (20/40 OU)
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Concentric Geograophic Atrophy - Age-related Macular Degeneration - Charles Bonnet Syndrome - Bulls Eye522 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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Pattern Dystrophy - Adult Vitelliform - Both Eyes522 views60-year-old woman noticing less distortion and less blind spots.
OD is 20/20, OS is 20/40
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Multifocal Pattern Dystrophy522 views51 year old with normal vision - images look a lot like fundus flavimaculatus
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Asymptomatic wet AMD - Subfoveal CNM both eyes522 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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Asymptomatic wet AMD - Subfoveal CNM both eyes522 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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Dry AMD - Confluent Drusen Sparing Center of Macula which has Atrophy522 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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Concentric Geographic Atrophy522 views76 year old man Gradual vision loss
20/32 OD; 20/40 OS
No medicines, Non-smoker
Working and Driving
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521 views
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Angioid Streaks and Macular Degeneration - CNVM OS - Band Keratopathy 521 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.
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Pattern Dystrophy - Adult Vitellifrom (Best)521 views71 year old female - lesions nasal to the fovea in both eyes. (20/40 OU)
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Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin FA OS520 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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Presumed Ocular Histoplasmosis with new CNVM in right and better eye - VA 20/80 OD; 20/800 OS520 viewsFluorescein Angiogram
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IPCV - idiopathic polypoidal choroidal vasculopathy - juxtapapillary CNVM with hemorrhage both eyes (also choroidal nevus right eye) - Subretinal hemorrhage both eyes520 views86 year old woman with shadow in vision OD and new hemmorhage OU.FA shows juxtapapillary CNVM
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman 519 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.
ipcv_doke_090315_29.jpg
IPCV - idiopathic polypoidal choroidal vasculopathy - juxtapapillary CNVM with hemorrhage both eyes (also choroidal nevus right eye) - Subretinal hemorrhage both eyes519 views86 year old woman with shadow in vision OD and new hemmorhage OU. ICG angiogram
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