Most viewed - Central Retinal Artery Occlusion
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Central Retinal Artery Occlusion - 2 months old by history1839 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 Occlusion1782 views60 year old male with LP vision due to extensive blood flow loss.
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Retinal Artery Occlusion1713 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 history1610 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 edema1536 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 - Acute1220 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 Occlusion1204 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 edema1185 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 Occlusion1108 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 perception1107 views
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - FA Very Slow Filling CRA1052 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 Present1048 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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Retinal Artery Occlusion1040 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 eye996 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 CRA969 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 perception942 views
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Pathology - Central Retinal Artery Occlusion - 6 weeks old - Inner Retinal Atrophy - Macular Pucker937 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 - Acute926 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 CRA925 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 CRA924 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 Pucker914 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 history878 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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Pathology - Central Retinal Artery Occlusion - 6 weeks old - Inner Retinal Atrophy875 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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Embolic CRAO color852 views
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849 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception847 views
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - FA Very Slow Filling CRA842 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: CRAO841 viewsCRAO with cilio artery perfusion
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - FA Very Slow Filling CRA827 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-Perfusion820 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-Perfusion814 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-Perfusion795 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-Perfusion794 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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785 views
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute784 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 Atrophy782 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 - MAP769 viewsProgression from acute to atrophy - decreasing retinal thickenss
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757 views
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion737 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 perception737 views
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Montage of Hemi-Central Retinal Artery Occlusion737 views
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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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Montage of Hemi-Central Retinal Artery Occlusion706 views
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion705 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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700 views60 year old male with LP vision due to extensive blood flow loss.
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute699 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 perception697 views
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion692 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 perception674 views
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion673 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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661 views
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion659 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-Perfusion654 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-Perfusion653 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-Perfusion648 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 - Diabetic Retinopathy - NO cherry red spot628 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 Early622 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception618 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception618 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception612 views
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion599 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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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.599 views
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Retinal Artery Occlusion598 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 4/200.595 views
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.594 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception591 views
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.585 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception580 views
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Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spot580 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 then Neovascular Glaucoma576 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 perception574 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception573 views
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Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spot570 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-Perfusion564 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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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.564 views
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Embolic CRAO Mid564 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception561 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception561 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception560 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception557 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception557 views
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Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spot555 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 then Neovascular Glaucoma553 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 spot543 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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542 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 4/200.539 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 - 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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Embolic CRAO B&W532 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception526 views
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80 Year old man with 3 day history of vision loss right eye. Vision 4/200.526 views
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525 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception517 views
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Central Retinal Artery Occlusion then Neovascular Glaucoma516 views81 year old male with sudden vision loss. 2 months later developed NVG
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Embolic CRAO Late513 views
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Acute Central Retinal Artery Occlusion513 views1 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 perception510 views
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Central Retinal Artery Occlusion then Neovascular Glaucoma509 views81 year old male with sudden vision loss. 2 months later developed NVG
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Acute Central Retinal Artery Occlusion505 views1 day of vision loss 79 year old man to HM. NVG developed 2 months later.
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