Most viewed - Central Retinal Artery Occlusion
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Central Retinal Artery Occlusion - 2 months old by history1733 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 Occlusion1703 views60 year old male with LP vision due to extensive blood flow loss.
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Retinal Artery Occlusion1631 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 history1544 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 edema1500 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 - Acute1171 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 Occlusion1140 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 edema1132 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 less than 24 hours - 69 year old man VA light perception1072 views
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Central Retinal Artery Occlusion1058 viewsCentral Retinal Artery Occlusion with cilio artery perfusion.
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - FA Very Slow Filling CRA1010 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 Occlusion991 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 Arterial Occlusion with Embolism Present981 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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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - Line scan good eye963 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 CRA932 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 Pucker900 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 - Acute892 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 less than 24 hours - 69 year old man VA light perception885 views
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - FA Very Slow Filling CRA882 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 Pucker875 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 CRA869 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 Atrophy838 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 - 2 months old by history835 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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823 views
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - FA Very Slow Filling CRA810 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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FA: CRAO803 viewsCRAO with cilio artery perfusion
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception800 views
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Embolic CRAO color799 views
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - FA Very Slow Filling CRA798 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-Perfusion779 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-Perfusion764 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-Perfusion759 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-Perfusion758 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 Atrophy752 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 - Acute752 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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743 views
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Central Retinal Artery Occlusion - MAP729 viewsProgression from acute to atrophy - decreasing retinal thickenss
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion707 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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699 views
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Montage of Hemi-Central Retinal Artery Occlusion688 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception673 views
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion672 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-Perfusion672 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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665 views60 year old male with LP vision due to extensive blood flow loss.
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute660 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-Perfusion658 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 perception656 views
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Montage of Hemi-Central Retinal Artery Occlusion643 views
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion635 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-Perfusion631 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 perception630 views
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion621 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-Perfusion619 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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614 views
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion608 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 perception590 views
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Embolic CRAO Early579 views
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Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spot573 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 perception572 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception567 views
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion560 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 Occlusion556 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 less than 24 hours - 69 year old man VA light perception548 views
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.548 views
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.548 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception547 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception545 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception541 views
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.537 views
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Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spot534 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 perception528 views
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Embolic CRAO Mid527 views
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion526 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 then Neovascular Glaucoma526 views81 year old male with sudden vision loss. 2 months later developed NVG
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception525 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception521 views
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Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spot521 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 4/200.518 views
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Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spot517 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 perception516 views
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515 views
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Central Retinal Artery Occlusion then Neovascular Glaucoma512 views81 year old male with sudden vision loss. 2 months later developed NVG
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception510 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception509 views
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Embolic CRAO B&W505 views
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Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spot505 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 4/200.502 views
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.501 views
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Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spot499 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 perception494 views
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Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spot493 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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Embolic CRAO Late488 views
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486 views
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.486 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception480 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception478 views
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Central Retinal Artery Occlusion then Neovascular Glaucoma476 views81 year old male with sudden vision loss. 2 months later developed NVG
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Acute Central Retinal Artery Occlusion473 views1 day of vision loss 79 year old man to HM. NVG developed 2 months later.
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471 views
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.470 views
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