Les plus populaires - Central Retinal Artery Occlusion
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Central Retinal Artery Occlusion - 2 months old by historyvu 1839 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 1782 fois60 year old male with LP vision due to extensive blood flow loss.
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Retinal Artery Occlusionvu 1712 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 1610 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 1534 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 1220 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 1203 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 1185 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 1108 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 1107 fois
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - FA Very Slow Filling CRAvu 1052 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 1048 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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Retinal Artery Occlusionvu 1038 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 996 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 969 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 less than 24 hours - 69 year old man VA light perceptionvu 942 fois
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Pathology - Central Retinal Artery Occlusion - 6 weeks old - Inner Retinal Atrophy - Macular Puckervu 937 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 926 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 925 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 924 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 914 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 - 2 months old by historyvu 878 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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Pathology - Central Retinal Artery Occlusion - 6 weeks old - Inner Retinal Atrophyvu 875 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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Embolic CRAO colorvu 852 fois
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vu 849 fois
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perceptionvu 847 fois
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - FA Very Slow Filling CRAvu 842 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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FA: CRAOvu 841 foisCRAO with cilio artery perfusion
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - FA Very Slow Filling CRAvu 827 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 820 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 813 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 795 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 794 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 785 fois
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acutevu 784 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 Atrophyvu 782 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 - MAPvu 769 foisProgression from acute to atrophy - decreasing retinal thickenss
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vu 757 fois
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusionvu 737 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 737 fois
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Montage of Hemi-Central Retinal Artery Occlusionvu 737 fois
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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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Montage of Hemi-Central Retinal Artery Occlusionvu 706 fois
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusionvu 705 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 700 fois60 year old male with LP vision due to extensive blood flow loss.
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acutevu 699 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 less than 24 hours - 69 year old man VA light perceptionvu 697 fois
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusionvu 692 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 673 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 673 fois
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vu 661 fois
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusionvu 659 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 653 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 653 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 648 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 - Diabetic Retinopathy - NO cherry red spotvu 628 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 Earlyvu 622 fois
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perceptionvu 618 fois
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perceptionvu 618 fois
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perceptionvu 612 fois
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusionvu 599 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 599 fois
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Retinal Artery Occlusionvu 597 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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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.vu 595 fois
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.vu 593 fois
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perceptionvu 591 fois
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.vu 584 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 - Diabetic Retinopathy - NO cherry red spotvu 579 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 then Neovascular Glaucomavu 576 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 574 fois
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perceptionvu 573 fois
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Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spotvu 570 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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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.vu 564 fois
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Embolic CRAO Midvu 564 fois
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusionvu 563 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 561 fois
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perceptionvu 561 fois
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perceptionvu 560 fois
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perceptionvu 557 fois
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perceptionvu 557 fois
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Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spotvu 555 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 then Neovascular Glaucomavu 553 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 543 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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vu 542 fois
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perceptionvu 541 fois
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.vu 539 fois
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Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spotvu 534 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 - Diabetic Retinopathy - NO cherry red spotvu 534 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 B&Wvu 532 fois
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perceptionvu 526 fois
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.vu 526 fois
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vu 525 fois
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perceptionvu 517 fois
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Central Retinal Artery Occlusion then Neovascular Glaucomavu 516 fois81 year old male with sudden vision loss. 2 months later developed NVG
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Embolic CRAO Latevu 513 fois
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Acute Central Retinal Artery Occlusionvu 513 fois1 day of vision loss 79 year old man to HM. NVG developed 2 months later.
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perceptionvu 510 fois
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Central Retinal Artery Occlusion then Neovascular Glaucomavu 509 fois81 year old male with sudden vision loss. 2 months later developed NVG
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Acute Central Retinal Artery Occlusionvu 505 fois1 day of vision loss 79 year old man to HM. NVG developed 2 months later.
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