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Les plus populaires - Central Retinal Artery Occlusion

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Central Retinal Artery Occlusion - 2 months old by historyvu 1613 fois77-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 Occlusionvu 1594 fois60 year old male with LP vision due to extensive blood flow loss.
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Retinal Artery Occlusionvu 1534 foisPatient 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 historyvu 1474 fois77-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 edemavu 1415 fois 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 - Acutevu 1121 fois 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 Occlusionvu 1094 foisPatient 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 edemavu 1078 fois 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 Occlusionvu 1030 foisCentral 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 perceptionvu 1001 fois
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - FA Very Slow Filling CRAvu 951 fois 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 Occlusionvu 941 foisPatient 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 eyevu 907 fois 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 CRAvu 885 fois 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 Presentvu 867 foisPatient 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 Puckervu 857 foispatient 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 - Acutevu 840 fois 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 CRAvu 837 fois 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 CRAvu 831 fois 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 Puckervu 828 foispatient 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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Pathology - Central Retinal Artery Occlusion - 6 weeks old - Inner Retinal Atrophyvu 802 foispatient 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 perceptionvu 791 fois
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Central Retinal Artery Occlusion - 2 months old by historyvu 788 fois77-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.
crao_craspare_hehu08.png
Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - FA Very Slow Filling CRAvu 770 fois 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 CRAvu 765 fois 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-Perfusionvu 759 fois85-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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vu 755 fois
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Embolic CRAO colorvu 752 fois
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FA: CRAOvu 747 foisCRAO with cilio artery perfusion
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusionvu 723 fois85-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 Atrophyvu 722 foispatient 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-Perfusionvu 715 fois85-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-Perfusionvu 707 fois85-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 - MAPvu 694 foisProgression from acute to atrophy - decreasing retinal thickenss
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acutevu 693 fois 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-Perfusionvu 691 fois85-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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vu 678 fois
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perceptionvu 671 fois
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Montage of Hemi-Central Retinal Artery Occlusionvu 651 fois
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vu 638 fois60 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-Perfusionvu 633 fois85-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 - Acutevu 629 fois 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-Perfusionvu 623 fois85-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 perceptionvu 621 fois
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vu 609 fois
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusionvu 605 fois85-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-Perfusionvu 595 fois85-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 Occlusionvu 594 fois
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perceptionvu 580 fois
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perceptionvu 575 fois
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusionvu 574 fois85-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-Perfusionvu 571 fois85-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-Perfusionvu 558 fois85-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-Perfusionvu 555 fois85-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 perceptionvu 539 fois
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vu 535 fois
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Embolic CRAO Earlyvu 532 fois
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perceptionvu 525 fois
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Retinal Artery Occlusionvu 521 foisPatient 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 perceptionvu 520 fois
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusionvu 519 fois85-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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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.vu 510 fois
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Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spotvu 499 fois58 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 perceptionvu 498 fois
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusionvu 495 fois85-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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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.vu 492 fois
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perceptionvu 489 fois
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perceptionvu 486 fois
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perceptionvu 485 fois
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perceptionvu 484 fois
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Embolic CRAO Midvu 484 fois
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perceptionvu 481 fois
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Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spotvu 479 fois58 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 Latevu 471 fois
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perceptionvu 469 fois
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vu 469 fois
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perceptionvu 469 fois
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.vu 469 fois
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perceptionvu 467 fois
crao3dayold_waan07.jpg
80 Year old man with 3 day history of vision loss right eye. Vision 4/200.vu 467 fois
Embolic_CRAO_B_W.jpg
Embolic CRAO B&Wvu 467 fois
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Central Retinal Artery Occlusion then Neovascular Glaucomavu 466 fois81 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 spotvu 466 fois58 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.
cao_phwa09.png
Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perceptionvu 465 fois
crao3dayold_waan02.jpg
80 Year old man with 3 day history of vision loss right eye. Vision 4/200.vu 464 fois
CRAO_jida_082218_09.jpg
Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spotvu 461 fois58 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.
CRAO_jida_082218_02.JPG
Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spotvu 460 fois58 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.
CRAO_jida_082218_07.jpg
Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spotvu 454 fois58 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 perceptionvu 450 fois
crao_jace_112217_01.png
Central Retinal Artery Occlusion then Neovascular Glaucomavu 449 fois81 year old male with sudden vision loss. 2 months later developed NVG
CRAO_jida_082218_06.jpg
Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spotvu 447 fois58 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.
crao3dayold_waan10.jpg
80 Year old man with 3 day history of vision loss right eye. Vision 4/200.vu 446 fois
crao3dayold_waan06.jpg
80 Year old man with 3 day history of vision loss right eye. Vision 4/200.vu 445 fois
crao_jace_112217_08.jpg
Central Retinal Artery Occlusion then Neovascular Glaucomavu 444 fois81 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 perceptionvu 440 fois
cao_phwa10.png
vu 436 fois
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.vu 435 fois
crao3dayold_waan08.jpg
80 Year old man with 3 day history of vision loss right eye. Vision 4/200.vu 430 fois
crao3dayold_waan04.jpg
80 Year old man with 3 day history of vision loss right eye. Vision 4/200.vu 428 fois
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perceptionvu 424 fois
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