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Most viewed - Macular Diseases - Acquired

460 views

Travatan Induced CME Left eye460 views63 year old woman 4 years post ECCE and 2 years post PPV for floaters. She developed CME in the left eye after 1 year of travatan. The travatan was stopped and the CME and serous retinal detachment resolved.

MacTel - Juxtafoveal Telangiectasis460 views56 year old man with a lot of difficulty adjusting to vision loss

Cystoid macular edema 4 months following cataract surgery with serous retinal detachment459 views68 year old with 2 months of vision loss OS 20/100. ECCE was 4 months ago.

Travatan Induced CME Left eye459 views63 year old woman 4 years post ECCE and 2 years post PPV for floaters. She developed CME in the left eye after 1 year of travatan. The travatan was stopped and the CME and serous retinal detachment resolved.

Multifocal Bilateral Central Serous Retinopathy in African American Male459 views67 year old african american male with : Blurred Vision OD. Duration of Problem: 4-6 weeks. VA 20/32 OD 20/20 OS

Central Serous Retinopathy - Subretinal Fibrin459 views66 year old female with 20 year history of single episode of CSR. Now with vision loss for a month but improving - VA 20/63 OD; 20/32 OS

Chronic CSR with mild vision loss - Macular Atrophy Right Eye459 views55 year old man has not been to an eye doctor in years. VA 20/40 OD and 20/25 OS. OCT shows outer retinal atrophy and choroidal thickening. FAF shows guttering. FA shows no active lesions. ICG shows patchy mild leakage visible at about 5 minutes.

Vitreomacular Traction -> Macular Hole -> Aborted Macular hole459 viewsProgression of VMT in both eyes over time

Plaquenil Toxicity - 4 years use459 views47 year old female She started plaquenil 4 years ago for lupus with cutaneous findings. She has never been on the plaquenil before. Her renal function is normal (her husband is an internist) and she is not on Tamoxifen. Stopped the medication about 2.5 weeks ago. She noticed vision when she started the depacote. She is also myopic. (-9.50)

Her dose was 6.3 mg/kg. She is 5'1" tall.
VA 20/25 OU

Cystoid Macular Edema and Macular Pucker459 viewshas been particular bad for 3 years. She has a macular pucker and severe CME.

VA 20/160 left eye

458 views

hydroxychloroquine (Plaquenil) Toxicity - Taiwanese 56 year old female (Asian)458 views56 year old female on 400 mg plaquenil for 22 years presents with vision loss. VA 20/50 both eyes. Plaquenil was stopped. The vision in the left eye continued to deteriorate to 3/200. 5'2" 127 lb (6.6 mg/kg body weight)

Vitreomacular Traction 1 month - 20/60 vision - Fellow Eye Normal - 80 Year Old Man 457 views80-year-old man has a macular pucker in the right eye with vitreomacular traction and vision loss for 1 month. His vision seems about stable to him. OD 20/60.
(these images are from initial presentation)

457 views

Cystoid Macular Edema 10 years after Cataract Surgery457 viewsNo overt uveitis but the patient had aching in the eyes and responded to topical anti-inflammatory drops with recurrence of the CME on discontinuation of topical therapy

Multifocal Bilateral Central Serous Retinopathy in African American Male457 views67 year old african american male with : Blurred Vision OD. Duration of Problem: 4-6 weeks. VA 20/32 OD 20/20 OS

Chronic CSC Both Eyes - Recent vision loss Right Eye Treated with PDT457 views50 year old man The right eye has had vision loss for a few weeks. He had previous episodes seen by me in 2012 OS and 2008 OD. This was 2018. VA OS has been poor for several years.
VA OD: Dcc20/100
VA OS: Dcc20/200-3
The patient had PDT to leaky area superotemporal to the fovea 1/2 dose and within 3 months was back up to 20/25. The last two OCT scans show fluid absorbing

Acute Bilateral Central Serous Chorioretinopathy - Female - Smokestack457 views39 year old female She had no prior epsisodes of vision loss and then a week ago she noticed decreased vision in the right eye. She has not had any health problems and she is not pregnant. Phendimetrazine started 3 months ago. She is not on steroids. VA OD: sc20/63-1 NscJ16 VA OS: sc20/125-1 Dcc20/80 NscJ16 IOP: TP: OD:14 OS:14 Time:11:23 AM

Macular Hole with Limited Retinal Detachment - 6 months post-op457 views87 year old female with decreased vision in the left eye for 2 months. VA 5/200. Initial three images are pre-op. Then there is 3 months 6 months and 9 months post-op scans. VA improved at 1 year to 20/50. Surgery was done with Brilliant Blue.

Acute Central Serous Chorioretinopathy with Symptoms in Hazy Vision Both Eyes456 views48-year-old man with hazy vision in the right eye for about three days. He has a little more of a headache than usual. He is under a fair amount of stress. He does not take any steroids that he knows of. He does use a nasal spray, which he is not sure if that is a steroid spray or not. He is going to call us with that medicine. I checked his blood pressure today is was 115/95.

VISUAL ACUITY: OD 20/15, OS 20/25

Juxtafoveal Telangiectasis - MacTel - Group 2a - Stage IV - Pigment Plaque 89 Year Old Man - Line Scan OD456 views89-year-old man has stage IV juxtafoveal retinal telangiectasis in both eyes with background diabetic retinopathy. His vision is stable since he was here last which is about 6 months ago. OD 20/50, OS 20/70.

Central Serous Retinopathy 25 year old professional baseball player - Atypical - Choroidal Hypo-perfusion?456 views

456 views

Macular Telangiectasis (MacTel)456 views

Multifocal Bilateral Central Serous Retinopathy in African American Male456 views67 year old african american male with : Blurred Vision OD. Duration of Problem: 4-6 weeks. VA 20/32 OD 20/20 OS

Macular Telangiectasis with Symptomatic Blind Spots456 views55 year old man with non-neovascular MacTel. VA 20/20 right eye 20/50 left eye. The color images show gray areas temporally. The FAF shows decreased macular pigment. The OCT shows outer retinal atrophy.

Normal Vision - Chronic Central Serous Chorioretinopathy456 views67 year old man - never had any symptoms - 20/16 vision in each eye. Lesions spare the fovea

Stage 4 Macular Hole456 views57 year old female with 20/160 vision and stage 4 macular hole

Stage 2-3 Macular Hole - Closed with Vitrectomy and ILM peel with Brilliant blue456 views68 year old female was 20/100 with macular hole - VA improved to 20/25 post-op. C3F8 was used

Macular Telangiectasis - Mild - Retinal Crystals456 views58 year old man with long term mild vision loss. Considering Cataract surgery. VA 20/50 OD and 20/63 OS - Moderate cataract are present

Plaquenil Toxicity - 4 years use456 views47 year old female She started plaquenil 4 years ago for lupus with cutaneous findings. She has never been on the plaquenil before. Her renal function is normal (her husband is an internist) and she is not on Tamoxifen. Stopped the medication about 2.5 weeks ago. She noticed vision when she started the depacote. She is also myopic. (-9.50)

Her dose was 6.3 mg/kg. She is 5'1" tall.
VA 20/25 OU

Macular Telangiectasia (MacTel) and Pattern Dystrophy456 views71 year old man with diabetes for 5 years and blurred vision in the left eye. VA 20/25 OD, 20/50 OS. OCT OS shows MacTel

455 views

Idiopathic Central Serous Retinopathy - Bilateral - Acute 455 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400

455 views

Central Serous Retinopathy - Subretinal Fibrin455 views66 year old female with 20 year history of single episode of CSR. Now with vision loss for a month but improving - VA 20/63 OD; 20/32 OS

Cystoid Macular Edema following Cataract surgery and vitrectomy for floaters455 views73 year old woman who had decreased vision 4 months following combined vitrectomy and cataract surgery. VA 20/63 improved in 1 month to 20/25 with ketorolac and prednisolone drops.

Vitreomacular Traction - Spontaneous Aborted - Both Eyes - 4 months455 views

MacTel - Juxtafoveal Telangiectasis455 views56 year old man with a lot of difficulty adjusting to vision loss

Stage 2-3 Macular Hole - Closed with Vitrectomy and ILM peel with Brilliant blue455 views68 year old female was 20/100 with macular hole - VA improved to 20/25 post-op. C3F8 was used

Acute Bilateral Central Serous Chorioretinopathy - Female - Smokestack455 views39 year old female She had no prior epsisodes of vision loss and then a week ago she noticed decreased vision in the right eye. She has not had any health problems and she is not pregnant. Phendimetrazine started 3 months ago. She is not on steroids. VA OD: sc20/63-1 NscJ16 VA OS: sc20/125-1 Dcc20/80 NscJ16 IOP: TP: OD:14 OS:14 Time:11:23 AM

Hydroxychloroquine retinopathy - Plaquenil - Moderate455 views51 year old female on with trouble driving at night for a year. No eye examination for several years. 2009 (11 years ago) Plaquenil 300 then up to 400 a few years ago now down to 300 - 5'2" 135 lbs

VA 20/20 OD, 20/25 OS

Central Serous Retinopathy454 viewsPatient comes in with blurred vision. Patient also had a lung transplant. VA was 20/150 with pinhole correction to 20/60 in the right eye. Fundus exam in the right eye shows a great amount of sub retinal fluid over the macula. Will monitor to see if it goes away on its own, if not then will consider laser treatment.

454 views

Choroidal Effusions and Serous retinal detachment with Systemic Testosterone and Cialis in 75 year old Man454 viewsFluorescein angiogram shows some staining of the disk - confocal system renders peripheral effusions black

Chronic CSR with mild vision loss - Macular Atrophy Right Eye454 views55 year old man has not been to an eye doctor in years. VA 20/40 OD and 20/25 OS. OCT shows outer retinal atrophy and choroidal thickening. FAF shows guttering. FA shows no active lesions. ICG shows patchy mild leakage visible at about 5 minutes.

Chronic Central Serous Chorioretinopathy454 views77 year old man was seen at uveitis clinic and tested positive to Anti-retinal antibody against 35 kDa and anti-optic nerve antibody. He did not have EDI OCT, FAF, or ICG. All testing was consistent with Chronic CSR. His immunosuppresives were stopped and he did fine for 3 years.

Vitreomacular Traction -> Macular Hole -> Aborted Macular hole454 viewsProgression of VMT in both eyes over time

Vitreomacular traction OU - Aborted in 3 months - Right eye initial visit454 views62 year old female with blurred vision in both eyes for 2 months intermittently. She was referred for macular edema.
A 20/32 OD, 20/25 OS
OCT showed VMT in one eye and edema in the other
3 months later in the last 2 OCT scans
VA 20/20 OD, 20/16 OS and VMT had released.

Vitreomacular traction with traction over retinal vessels in non-diabetic - Fluorescein leakage in areas of traction - Progressing vision loss left eye453 views80-year-old woman had vitrectomy surgery done in the right eye in 2007. Vision has been poor since despite a good anatomical result. Recently her vision in the left eye has been declining. The vision has declined in the left eye. Vision OD is 20/160, OS is 20/80

453 views

Central Serous Retinopathy 25 year old professional baseball player - Atypical - Choroidal Hypo-perfusion?453 views

453 views

Choroidal Effusions and Serous retinal detachment with Systemic Testosterone and Cialis in 75 year old Man453 viewsSD OCT shows choroidal thickening and subretinal fluid

Central Serous Retinopathy - Subretinal Fibrin453 views66 year old female with 20 year history of single episode of CSR. Now with vision loss for a month but improving - VA 20/63 OD; 20/32 OS

Normal Vision - Chronic Central Serous Chorioretinopathy453 views67 year old man - never had any symptoms - 20/16 vision in each eye. Lesions spare the fovea

Normal right eye - 4 years later gets CRAO453 views

Stage II Macular Hole - PPV without ILM peel453 views77 year old man with 20/40 VA on presentation. Macular hole did not abort and vision dropped to 20/63. Post PPV vision was 20/25 within 6 months

Macular Telangiectasis - Very Mild453 views52 year old female with normal vision and suspicious OCT referred. Multimodal imaging shows very mild mactel (loss of macular pigment, ring on multicolor image and very mild OCT findings)

Chronic CSC Both Eyes - Recent vision loss Right Eye Treated with PDT453 views50 year old man The right eye has had vision loss for a few weeks. He had previous episodes seen by me in 2012 OS and 2008 OD. This was 2018. VA OS has been poor for several years.
VA OD: Dcc20/100
VA OS: Dcc20/200-3
The patient had PDT to leaky area superotemporal to the fovea 1/2 dose and within 3 months was back up to 20/25. The last two OCT scans show fluid absorbing

Hydroxychloroquine Toxicity - Mild453 views71 year old female with 200 mg BID plaquenil for 25 years. Recent visual field showed abnomality. FAF shows hyper FAF temporally and OCT shows mild outer retinal atrophy

Acute Bilateral Central Serous Chorioretinopathy - Female - Smokestack453 views39 year old female She had no prior epsisodes of vision loss and then a week ago she noticed decreased vision in the right eye. She has not had any health problems and she is not pregnant. Phendimetrazine started 3 months ago. She is not on steroids. VA OD: sc20/63-1 NscJ16 VA OS: sc20/125-1 Dcc20/80 NscJ16 IOP: TP: OD:14 OS:14 Time:11:23 AM

452 views

Macular Telangiectasis with Symptomatic Blind Spots452 views55 year old man with non-neovascular MacTel. VA 20/20 right eye 20/50 left eye. The color images show gray areas temporally. The FAF shows decreased macular pigment. The OCT shows outer retinal atrophy.

Chronic Central Serous Chorioretinopathy452 views77 year old man was seen at uveitis clinic and tested positive to Anti-retinal antibody against 35 kDa and anti-optic nerve antibody. He did not have EDI OCT, FAF, or ICG. All testing was consistent with Chronic CSR. His immunosuppresives were stopped and he did fine for 3 years.

Vitreomacular Traction -> Macular Hole -> Aborted Macular hole452 viewsProgression of VMT in both eyes over time

Chronic CSC Both Eyes - Recent vision loss Right Eye Treated with PDT452 views50 year old man The right eye has had vision loss for a few weeks. He had previous episodes seen by me in 2012 OS and 2008 OD. This was 2018. VA OS has been poor for several years.
VA OD: Dcc20/100
VA OS: Dcc20/200-3
The patient had PDT to leaky area superotemporal to the fovea 1/2 dose and within 3 months was back up to 20/25. The last two OCT scans show fluid absorbing

Macular Pucker - Spontaneously Partial Peel after 20 Years - OCT Video - Takes Time to Load451 views83-year-old woman decreased vision in the right eye for about a month. 20 years ago she was diagnosed with a macular pucker OD 20/50, OS 20/20.

Vitreomacular traction with traction over retinal vessels in non-diabetic - Fluorescein leakage in areas of traction - Progressing vision loss left eye451 views80-year-old woman had vitrectomy surgery done in the right eye in 2007. Vision has been poor since despite a good anatomical result. Recently her vision in the left eye has been declining. The vision has declined in the left eye. Vision OD is 20/160, OS is 20/80

451 views

Chronic CSR with mild vision loss - Macular Atrophy Right Eye451 views55 year old man has not been to an eye doctor in years. VA 20/40 OD and 20/25 OS. OCT shows outer retinal atrophy and choroidal thickening. FAF shows guttering. FA shows no active lesions. ICG shows patchy mild leakage visible at about 5 minutes.

Macular Hole - Asymptomatic451 views71 year old female did not notice 20/200 macular hole. Post surgery vision improved to 20/30

Central Serous Retinopathy - Subretinal Fibrin450 views66 year old female with 20 year history of single episode of CSR. Now with vision loss for a month but improving - VA 20/63 OD; 20/32 OS

Macular Telangiectasis and Vision loss following vitrectomy with membrane peel450 views76 year old man with MacTel who had membrane peel in the right eye 10 years ago with permanent vision loss.
VA OD: sc20/200-4 and VA OS: sc20/25-1

Plaquenil Toxicity - 4 years use450 views47 year old female She started plaquenil 4 years ago for lupus with cutaneous findings. She has never been on the plaquenil before. Her renal function is normal (her husband is an internist) and she is not on Tamoxifen. Stopped the medication about 2.5 weeks ago. She noticed vision when she started the depacote. She is also myopic. (-9.50)

Her dose was 6.3 mg/kg. She is 5'1" tall.
VA 20/25 OU

Cystoid Macular Edema and Macular Pucker450 viewshas been particular bad for 3 years. She has a macular pucker and severe CME.

VA 20/160 left eye

hydroxychloroquine (Plaquenil) Toxicity - Taiwanese 56 year old female (Asian)450 views56 year old female on 400 mg plaquenil for 22 years presents with vision loss. VA 20/50 both eyes. Plaquenil was stopped. The vision in the left eye continued to deteriorate to 3/200. 5'2" 127 lb (6.6 mg/kg body weight)

449 views

Macular Hole with Peripheral Laser Scars449 viewsDiabetic patient comes in with flashes and floaters in both eyes. Patient's VA is 20/400, right eye and 20/25, left eye. Fundus exam presents with large macular hole with diabetic changes in the retina. Laser scars in the peripheral.

Central Serous Retinopathy - Subretinal Fibrin449 views66 year old female with 20 year history of single episode of CSR. Now with vision loss for a month but improving - VA 20/63 OD; 20/32 OS

Chronic CSR with mild vision loss - Macular Atrophy Right Eye449 views55 year old man has not been to an eye doctor in years. VA 20/40 OD and 20/25 OS. OCT shows outer retinal atrophy and choroidal thickening. FAF shows guttering. FA shows no active lesions. ICG shows patchy mild leakage visible at about 5 minutes.

MacTel - Juxtafoveal Telangiectasis449 views56 year old man with a lot of difficulty adjusting to vision loss

Small vessel vasculitis causing cystoid macular edema - right eye - early frame fluorescein angiography 448 views36 year old female with no significant past medical history noted painless, progressive loss of vision over one month. BCVA was 20/100 in her right eye. Dilated fundus exam, OCT and FA identified small vessel vasculitis associated with cystoid macular edema. Left eye was also involved with less marked findings.

Multifocal Bilateral Central Serous Retinopathy in African American Male448 views67 year old african american male with : Blurred Vision OD. Duration of Problem: 4-6 weeks. VA 20/32 OD 20/20 OS

Central Serous Retinopathy - Subretinal Fibrin448 views66 year old female with 20 year history of single episode of CSR. Now with vision loss for a month but improving - VA 20/63 OD; 20/32 OS

Macular Hole - Asymptomatic448 views71 year old female did not notice 20/200 macular hole. Post surgery vision improved to 20/30

pucker-prepeel-MC448 views

Vitreomacular Traction -> Macular Hole -> Aborted Macular hole448 viewsProgression of VMT in both eyes over time

Chronic CSC Both Eyes - Recent vision loss Right Eye Treated with PDT448 views50 year old man The right eye has had vision loss for a few weeks. He had previous episodes seen by me in 2012 OS and 2008 OD. This was 2018. VA OS has been poor for several years.
VA OD: Dcc20/100
VA OS: Dcc20/200-3
The patient had PDT to leaky area superotemporal to the fovea 1/2 dose and within 3 months was back up to 20/25. The last two OCT scans show fluid absorbing

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