Most viewed - Central Retinal Artery Occlusion
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Central Retinal Artery Occlusion - 2 months old by history1593 views77-year-old man was doing fine. His left eye was a little worse than the right eye, and then in the 2 months ago he had sudden severe vision loss in the right eye. Vision OD is 3/200; OS is 20/60. IOP: OD 30, OS 15.
OD: Vertical C/D ratio is 0.4. The macula is white from ischemia. The arteries are narrow.
Photos confirm clinical findings.
OCT SCAN: OCT scan of the right eye shows retinal thickening, consistent with macular edema associated with a central retinal artery occlusion. The left eye has severe inferior retinal thinning, consistent with an old hemicentral retinal artery occlusion in the left eye. The fovea in the left eye is a little bit thin but not too bad.
IMPRESSION: 1. CENTRAL RETINAL ARTERY OCCLUSION RIGHT EYE
2 OLD HEMICENTRAL RETINAL ARTERY OCCLUSION LEFT EYE
3 DIABETES WITHOUT RETINOPATHY
4 ELEVATED INTRAOCULAR PRESSURE RIGHT EYE STATUS POST INJECTION RIGHT EYE A WEEK AGO
DISCUSSION: I explained to the patient that the right eye unfortunately has had a central retinal artery and unfortunately we do not have anything to treat that. His vision will probably improve some over time. He needs to be watched though. It is possible he is developing rubeotic glaucoma, although it is probable the intraocular pressure is high from the injection last week. I asked him to restart the Alphagan, to stop the other two drops, and to return here in three weeks to make sure his pressure is more acceptable.
At this point, having lost almost all the retinal circulation in the right eye and half of the retinal circulation in the left eye, he only has half a retina in the left eye he is working off of. I told him it is very important he keep seeing you and anything that can be done to keep his blood pressure low and his cholesterol reasonable would be helpful to what remains of his retinal circulation.
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Central Retinal Artery Occlusion1584 views60 year old male with LP vision due to extensive blood flow loss.
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Retinal Artery Occlusion1527 viewsPatient comes in for eval on artery occlusions in both eyes. VA is 20/400, right eye and NLP, left eye. Fundus photos show paniretinal scars in the right eye with arterial narrowing and the left eye has arterial narrowing as well.
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Central Retinal Artery Occlusion - 2 months old by history1465 views77-year-old man was doing fine. His left eye was a little worse than the right eye, and then in the 2 months ago he had sudden severe vision loss in the right eye. Vision OD is 3/200; OS is 20/60. IOP: OD 30, OS 15.
OD: Vertical C/D ratio is 0.4. The macula is white from ischemia. The arteries are narrow.
Photos confirm clinical findings.
OCT SCAN: OCT scan of the right eye shows retinal thickening, consistent with macular edema associated with a central retinal artery occlusion. The left eye has severe inferior retinal thinning, consistent with an old hemicentral retinal artery occlusion in the left eye. The fovea in the left eye is a little bit thin but not too bad.
IMPRESSION: 1. CENTRAL RETINAL ARTERY OCCLUSION RIGHT EYE
2 OLD HEMICENTRAL RETINAL ARTERY OCCLUSION LEFT EYE
3 DIABETES WITHOUT RETINOPATHY
4 ELEVATED INTRAOCULAR PRESSURE RIGHT EYE STATUS POST INJECTION RIGHT EYE A WEEK AGO
DISCUSSION: I explained to the patient that the right eye unfortunately has had a central retinal artery and unfortunately we do not have anything to treat that. His vision will probably improve some over time. He needs to be watched though. It is possible he is developing rubeotic glaucoma, although it is probable the intraocular pressure is high from the injection last week. I asked him to restart the Alphagan, to stop the other two drops, and to return here in three weeks to make sure his pressure is more acceptable.
At this point, having lost almost all the retinal circulation in the right eye and half of the retinal circulation in the left eye, he only has half a retina in the left eye he is working off of. I told him it is very important he keep seeing you and anything that can be done to keep his blood pressure low and his cholesterol reasonable would be helpful to what remains of his retinal circulation.
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - SD-OCT Line Scan Inner retinal edema1402 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute1109 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
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Retinal Artery Occlusion1087 viewsPatient comes in for eval on artery occlusions in both eyes. VA is 20/400, right eye and NLP, left eye. Fundus photos show paniretinal scars in the right eye with arterial narrowing and the left eye has arterial narrowing as well.
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - SD-OCT Line Scan Inner retinal edema1068 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
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Central Retinal Artery Occlusion1024 viewsCentral Retinal Artery Occlusion with cilio artery perfusion.
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception995 views
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - FA Very Slow Filling CRA933 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
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Retinal Artery Occlusion933 viewsPatient comes in for eval on artery occlusions in both eyes. VA is 20/400, right eye and NLP, left eye. Fundus photos show paniretinal scars in the right eye with arterial narrowing and the left eye has arterial narrowing as well.
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - Line scan good eye898 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - FA Very Slow Filling CRA867 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
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Central Arterial Occlusion with Embolism Present861 viewsPatient comes in with CRAO in the right eye. VA was hand motion. Fundus photo shows white veil over the retina with 2-emboli in a branch artery temporal in the right eye. She will be evaluated for emboli and followed up in a month
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Pathology - Central Retinal Artery Occlusion - 6 weeks old - Inner Retinal Atrophy - Macular Pucker852 viewspatient died about 6 to 8 weeks after the artery occlusion, and he had no history of glaucoma. The inner retina atrophy, which looks very similar to that caused by COAG, is due to recent infarct.
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute830 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - FA Very Slow Filling CRA823 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
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Pathology - Central Retinal Artery Occlusion - 6 weeks old - Inner Retinal Atrophy - Macular Pucker821 viewspatient died about 6 to 8 weeks after the artery occlusion, and he had no history of glaucoma. The inner retina atrophy, which looks very similar to that caused by COAG, is due to recent infarct.
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - FA Very Slow Filling CRA814 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
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Pathology - Central Retinal Artery Occlusion - 6 weeks old - Inner Retinal Atrophy796 viewspatient died about 6 to 8 weeks after the artery occlusion, and he had no history of glaucoma. The inner retina atrophy, which looks very similar to that caused by COAG, is due to recent infarct.
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception785 views
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Central Retinal Artery Occlusion - 2 months old by history779 views77-year-old man was doing fine. His left eye was a little worse than the right eye, and then in the 2 months ago he had sudden severe vision loss in the right eye. Vision OD is 3/200; OS is 20/60. IOP: OD 30, OS 15.
OD: Vertical C/D ratio is 0.4. The macula is white from ischemia. The arteries are narrow.
Photos confirm clinical findings.
OCT SCAN: OCT scan of the right eye shows retinal thickening, consistent with macular edema associated with a central retinal artery occlusion. The left eye has severe inferior retinal thinning, consistent with an old hemicentral retinal artery occlusion in the left eye. The fovea in the left eye is a little bit thin but not too bad.
IMPRESSION: 1. CENTRAL RETINAL ARTERY OCCLUSION RIGHT EYE
2 OLD HEMICENTRAL RETINAL ARTERY OCCLUSION LEFT EYE
3 DIABETES WITHOUT RETINOPATHY
4 ELEVATED INTRAOCULAR PRESSURE RIGHT EYE STATUS POST INJECTION RIGHT EYE A WEEK AGO
DISCUSSION: I explained to the patient that the right eye unfortunately has had a central retinal artery and unfortunately we do not have anything to treat that. His vision will probably improve some over time. He needs to be watched though. It is possible he is developing rubeotic glaucoma, although it is probable the intraocular pressure is high from the injection last week. I asked him to restart the Alphagan, to stop the other two drops, and to return here in three weeks to make sure his pressure is more acceptable.
At this point, having lost almost all the retinal circulation in the right eye and half of the retinal circulation in the left eye, he only has half a retina in the left eye he is working off of. I told him it is very important he keep seeing you and anything that can be done to keep his blood pressure low and his cholesterol reasonable would be helpful to what remains of his retinal circulation.
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - FA Very Slow Filling CRA759 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion753 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
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752 views
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - FA Very Slow Filling CRA751 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
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Embolic CRAO color747 views
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FA: CRAO741 viewsCRAO with cilio artery perfusion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion719 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
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Pathology - Central Retinal Artery Occlusion - 6 weeks old - Inner Retinal Atrophy718 viewspatient died about 6 to 8 weeks after the artery occlusion, and he had no history of glaucoma. The inner retina atrophy, which looks very similar to that caused by COAG, is due to recent infarct.
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion712 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion704 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion689 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion - MAP689 viewsProgression from acute to atrophy - decreasing retinal thickenss
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute680 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
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674 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception666 views
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Montage of Hemi-Central Retinal Artery Occlusion644 views
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634 views60 year old male with LP vision due to extensive blood flow loss.
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion626 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute618 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion617 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception616 views
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605 views
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion603 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
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Montage of Hemi-Central Retinal Artery Occlusion593 views
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion588 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception578 views
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion570 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion567 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception562 views
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion553 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion550 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception536 views
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532 views
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Embolic CRAO Early529 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception523 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception518 views
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion515 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
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Retinal Artery Occlusion515 viewsPatient comes in for eval on artery occlusions in both eyes. VA is 20/400, right eye and NLP, left eye. Fundus photos show paniretinal scars in the right eye with arterial narrowing and the left eye has arterial narrowing as well.
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.507 views
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Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spot497 views58 year old man with sudden vision loss in the right eye. The vision had been 20/40 and dropped to 20/200 the day prior to presentation.
VA 20/200 OD, 20/20 OS
FA shows CRAO. No cherry red spot.
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion493 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception490 views
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.490 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception484 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception481 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception481 views
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Embolic CRAO Mid481 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception476 views
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Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spot476 views58 year old man with sudden vision loss in the right eye. The vision had been 20/40 and dropped to 20/200 the day prior to presentation.
VA 20/200 OD, 20/20 OS
FA shows CRAO. No cherry red spot.
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception471 views
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Embolic CRAO Late469 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception466 views
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Embolic CRAO B&W466 views
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.464 views
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463 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception463 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception462 views
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.462 views
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Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spot462 views58 year old man with sudden vision loss in the right eye. The vision had been 20/40 and dropped to 20/200 the day prior to presentation.
VA 20/200 OD, 20/20 OS
FA shows CRAO. No cherry red spot.
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception461 views
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.461 views
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Central Retinal Artery Occlusion then Neovascular Glaucoma461 views81 year old male with sudden vision loss. 2 months later developed NVG
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Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spot458 views58 year old man with sudden vision loss in the right eye. The vision had been 20/40 and dropped to 20/200 the day prior to presentation.
VA 20/200 OD, 20/20 OS
FA shows CRAO. No cherry red spot.
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Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spot457 views58 year old man with sudden vision loss in the right eye. The vision had been 20/40 and dropped to 20/200 the day prior to presentation.
VA 20/200 OD, 20/20 OS
FA shows CRAO. No cherry red spot.
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Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spot452 views58 year old man with sudden vision loss in the right eye. The vision had been 20/40 and dropped to 20/200 the day prior to presentation.
VA 20/200 OD, 20/20 OS
FA shows CRAO. No cherry red spot.
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception445 views
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Central Retinal Artery Occlusion then Neovascular Glaucoma445 views81 year old male with sudden vision loss. 2 months later developed NVG
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Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spot444 views58 year old man with sudden vision loss in the right eye. The vision had been 20/40 and dropped to 20/200 the day prior to presentation.
VA 20/200 OD, 20/20 OS
FA shows CRAO. No cherry red spot.
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.442 views
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Central Retinal Artery Occlusion then Neovascular Glaucoma440 views81 year old male with sudden vision loss. 2 months later developed NVG
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.439 views
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433 views
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.433 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception426 views
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.426 views
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.425 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception421 views
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