Most viewed - Macular Diseases - Acquired
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Plaquenil Toxicity - Bull's Eye Maculopathy - 25 Years Therapy - Infra-red Image689 views73-year-old woman has been on Plaquenil for twenty five years. Plaquenil has now been stopped for 6 months. VA continues to decline as does visual function - 20/80 OD , 20/40 OS
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Outer Retinal Holes - Probably Solar Retinopathy (history is negative)689 views
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel 688 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Chronic Central Serous Retinopathy - Indocyanine Green Angiogram 688 views
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Juxtafoveal Retinal Telangiectasia (Telangiectasis) - MacTel - Striking Gray Ring in Macula - SDOCT687 views59-year-old woman decreasing vision in the right eye for a few years. She has had diabetes for five years. OD 20/100, Pinhole 20/40. OS 20/20
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Acute Central Serous Retinopathy - CSR - Steroid Induced (probably) - Good Vision - 6 months later - vision Better687 views42-year-old man has central serous retinopathy in the right eye with serous retinal detachment. 6 month follow-up Vision is better.
VISUAL ACUITY: OD 20/20.
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Chronic Pseudophakic Cystoid Macular Edema in a Patient with Diabetes686 views74-year-old woman has chronic cystoid macular edema in the left eye. She has had vision loss intermittently in that eye for 2 years, the right eye, unfortunately, lost vision from a central retinal vein occlusion in 6 years ago.
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 686 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
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Macular Hole - Traumatic - 11 year old boy (also retinal whitening Berlins Edema)686 views11-year-old boy with a history of blunt trauma to the left eye yesterday. He reports he lost vision immediately but it has gotten somewhat better. He reports he sees “red streamers†and he has very blurry visual acuity., 20/200 OS
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686 views
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Multifocal Bilateral Central Serous Retinopathy in African American Male686 views67 year old african american male with : Blurred Vision OD. Duration of Problem: 4-6 weeks. VA 20/32 OD 20/20 OS
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Group 2a Juxtafoveal Retinal Telangiectasis (type 2)685 views58-year-old man decreased vision right eye and not better since cataract surgery one year ago. OD 20/40, OS 20/40.
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Chronic Pseudophakic Cystoid Macular Edema in a Patient with Diabetes685 views74-year-old woman has chronic cystoid macular edema in the left eye. She has had vision loss intermittently in that eye for 2 years, the right eye, unfortunately, lost vision from a central retinal vein occlusion in 6 years ago.
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Acute Central Serous Chorioretinopathy with Symptoms in Hazy Vision Both Eyes685 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
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Acute Central Serous Retinopathy - CSR - Steroid Induced (probably) - Good Vision - ICG Fellow Eye684 views42-year-old man was seen in the office on October 5, 2011. He had noticed starting in August after a course of antibiotic and steroids, that he developed new spots in his vision in the right eye. He may have had an episode like this sometime in the past. He did take steroids a few years ago and his vision did change at that time, but then returned.
VISUAL ACUITY: OD 20/32, OS 20/32. The OCT scan of the right eye confirms subretinal fluid.
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Psuedomacular Hole - Epiretinal Membrane - Vision unchanged 20/40 for 6 months684 views
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Plaquenil Toxicity - Bulls Eye Maculopathy683 views70-year-old woman with systemic Lupus erythematosus and clotting problems. She was on the Plaquenil for about eight years and then off the Plaquenil for the last eight years because she developed macular toxicity. Although her vision was hazy, it was stable. Recent deceased vision left eye: OD 20/60, OS 20/100. IOP: OD 18, OS 19.
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Plaquenil Toxicity with New Symptomatic Scotoma Left Eye683 views64-year-old female decreased vision OS over the past 2 months. She describes a blurred central scotoma. She has rheumatoid arthritis and is on Plaquenil 200 mg BID for 15 years. She does have yearly visual field tests done with last visual field test performed 3 years ago which was within normal limits OD 20/40-2 OS 20/40-1
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Juxtafoveal Retinal Telangiectasia (Telangiectasis) - MacTel - Striking Gray Ring in Macula - SDOCT683 views59-year-old woman decreasing vision in the right eye for a few years. She has had diabetes for five years. OD 20/100, Pinhole 20/40. OS 20/20
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Chronic Central Serous Retinopathy - Fluorescein Angiogram683 views
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Acute Central Serous Retinopathy (Chorioretinopathy) Right Eye682 views45-year-old man decreased vision in the right eye starting about two days ago. VISUAL ACUITY: Vision OD is 20/60, OS is 20/20.
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Juxtafoveal Telangiectasis and Newly Decreasing Vision681 views70-year-old woman followed for 10 years with IJFT with newly decreasing vision OU OD: 20/160; OD: 20/80
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Plaquenil (Hydroxycholorquine) Toxicity - Bull's Eye Maculopathy - 73 year old womand 25 Years therapy - 64 inches tall - 110 lbs681 views73-year-old woman has been on Plaquenil for twenty five years. She noticed loss of paracentral vision a few months ago. VISUAL ACUITY: OD 20/70, OS 20/30. Her color vision was 0 out 10 correct in both eyes and she also missed the controls.
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Plaquenil Toxicity - Bulls Eye Maculopathy680 views70-year-old woman with systemic Lupus erythematosus and clotting problems. She was on the Plaquenil for about eight years and then off the Plaquenil for the last eight years because she developed macular toxicity. Although her vision was hazy, it was stable. Recent deceased vision left eye: OD 20/60, OS 20/100. IOP: OD 18, OS 19.
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Juxtafoveal Retinal Telangiectasia (Telangiectasis) - MacTel - Striking Gray Ring in Macula680 views59-year-old woman decreasing vision in the right eye for a few years. She has had diabetes for five years. OD 20/100, Pinhole 20/40. OS 20/20
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Macular Hole Left Eye - progression from VMT - Stage II macular hole - Spontaneously Closed Macular Hole680 viewsVision has improved to 20/40 and the hole is closed
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Juxtafoveal Telangiectasis - (MacTel) - Stage 4 both Eyes679 views57-year-old woman with a history of decreased vision. The patient reports that her vision has been gradually decreasing in the left more so than the right eye. 20/50 OD and 20/60
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Macular Pucker 20/40 vision and recent cataract surgery679 views 73-year-old man distortion and vision loss since ECCE 6 months ago OS. Patient taking anti-inflammatory drops. VISUAL ACUITY: OD 20/30, OS 20/40.
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Cystoid Macular Edema 10 years after Cataract Surgery679 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
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Plaquenil Toxicity with New Symptomatic Scotoma Left Eye678 views64-year-old female decreased vision OS over the past 2 months. She describes a blurred central scotoma. She has rheumatoid arthritis and is on Plaquenil 200 mg BID for 15 years. She does have yearly visual field tests done with last visual field test performed 3 years ago which was within normal limits OD 20/40-2 OS 20/40-1
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Central Serous Retinopathy 25 year old professional baseball player - Atypical - Choroidal Hypo-perfusion?678 views
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Central Serous Retinopathy - Acute677 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
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Chronic Central Serous Retinopathy - Gutter in Both Eyes - Treated with PDT - Visudyne675 views69-year-old man with blurred vision in the right eye for about three weeks. He had a similar episode about twenty years ago which lasted about six weeks. He is not taking any steroids. He takes Lupron injections for his prostate cancer every three months.
VISUAL ACUITY: Vision OD is 20/80
FU: Treated with PDT after 6 months of observation with success. Treatment was done to area between nerve and fovea at 1/2 fluence.
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Macular Hole - Asymptomatic - 20/400 Vision675 views75-year-old woman in a recent exam it was noticed her vision in the left eye had substantially declined. She is not clear as to when that exactly happened. She had not noticed a vision change in the left eye. VISUAL ACUITY: OD 20/30, OS 20/400.
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Lumigan (Bimatoprost) Cystoid Macular Edema - Eye Better 1 month after Stopping Lumigan675 viewsVision back to 20/20 1 month after stopping Lumigan
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Macular Edema and dry AMD - excellent example of why FA and ICG are necessary in management of wet AMD675 viewsThis 72 year old woman has an OCT that looks like wet AMD. Only her FA and ICG show that she has inflammatory macular edema. She had no clinical signs or symptoms of uveitis. Nevertheless, the macular edema responded to subtenon's kenalog.
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673 views
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Central Serous Retinopathy 41 year old woman with Vision Loss for One Year672 views41-year-old woman has chronic central serous retinopathy in the right eye with decreased vision in that eye for over a year. Her vision has been waxing and waning and recently is getting worse. Her vision in the left eye is fine.
VISUAL ACUITY: OD 20/40
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 670 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
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Macular Hole - Traumatic - 11 year old boy (also retinal whitening Berlins Edema)670 views11-year-old boy with a history of blunt trauma to the left eye yesterday. He reports he lost vision immediately but it has gotten somewhat better. He reports he sees “red streamers†and he has very blurry visual acuity., 20/200 OS
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Outer Retinal Holes - Probably Solar Retinopathy (history is negative)670 views
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Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachment668 views38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.
VISUAL ACUITY: OD 20/100, OS 20/50.
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Plaquenil Toxicity with New Symptomatic Scotoma Left Eye666 views64-year-old female decreased vision OS over the past 2 months. She describes a blurred central scotoma. She has rheumatoid arthritis and is on Plaquenil 200 mg BID for 15 years. She does have yearly visual field tests done with last visual field test performed 3 years ago which was within normal limits OD 20/40-2 OS 20/40-1
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 4 months later VA 20/40 OU666 viewsNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.
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Central Serous Retinopathy 41 year old woman with Vision Loss for One Year666 views41-year-old woman has chronic central serous retinopathy in the right eye with decreased vision in that eye for over a year. Her vision has been waxing and waning and recently is getting worse. Her vision in the left eye is fine.
VISUAL ACUITY: OD 20/40
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Outer Retinal Holes - Probably Solar Retinopathy (history is negative)666 views
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Chronic Pseudophakic Cystoid Macular Edema - Haptic Migrated into Anterior Chamber Through Peripheral Iridotomy664 views57-year-old man with congenital nystagmus. He had cataract surgery done 30 years ago and has decreased vision left eye for 6 months. OD is 20/50, OS is 20/100
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Chronic Central Serous Retinopathy - Gutter in Both Eyes - Treated with PDT - Visudyne663 views69-year-old man with blurred vision in the right eye for about three weeks. He had a similar episode about twenty years ago which lasted about six weeks. He is not taking any steroids. He takes Lupron injections for his prostate cancer every three months.
VISUAL ACUITY: Vision OD is 20/80
FU: Treated with PDT after 6 months of observation with success. Treatment was done to area between nerve and fovea at 1/2 fluence.
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel SDOCT662 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Macular Pucker in eye following giant retinal tear RD repair pre-op OCT661 viewsnow that the bubble is gone, but he is starting to notice distortion of central vision. He had a giant retinal tear retinal detachment repair emergently done on November 8, 2007, and subsequent laser on November 15th.
VISUAL ACUITY: Vision OD 20/400.
6 weeks post-op VA 20/40
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Macular Pucker - Diabetic - Severe non-foveal Edema OS661 views74-year-old man has a macular pucker in the left eye and diabetic retinopathy.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/40.
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Outer Retinal Holes - Probably Solar Retinopathy (history is negative)661 views
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Macular Pucker660 viewsThis pleasant 59-year-old man was seen in the office on 7/9/2010. He had new onset floaters about a year ago. Subsequent to that his vision was not quite right in the right eye and then he noticed, starting about three weeks ago, substantial change in the vision. In the morning he sees what he calls a small gray circle with a ring of fire around it and then subsequent to that the vision becomes more normal but not quite right. His vision in the left eye is fine. Vision OD is 20/50, OS is 20/16.
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel 660 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Acute Central Serous Retinopathy - CSR - Steroid Induced (probably) - Good Vision - 6 months later - vision Better - OCT Extended Depth Imaging - Choroidal Congestion660 views42-year-old man has central serous retinopathy in the right eye with serous retinal detachment. 6 month follow-up Vision is better.
VISUAL ACUITY: OD 20/20.
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660 views
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Juxtafoveal Telangiectasis - After Hemorrhage Absorbed Right Eye with Avastin Injections659 views73-year-old woman has juxtafoveal retinal telangiectasis in both eyes. The right eye has stage 5 disease. Her last Avastin treatment in the right eye was in 6 months ago. The right eye has been the worst of her two eyes for years.
VISUAL ACUITY: Vision OD is 20/200, OS is 20/50.
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Lumigan (Bimatoprost) Cystoid Macular Edema - Eye Better 1 month after Stopping Lumigan658 views
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Plaquenil Toxicity with New Symptomatic Scotoma Left Eye657 views64-year-old female decreased vision OS over the past 2 months. She describes a blurred central scotoma. She has rheumatoid arthritis and is on Plaquenil 200 mg BID for 15 years. She does have yearly visual field tests done with last visual field test performed 3 years ago which was within normal limits OD 20/40-2 OS 20/40-1
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Central Serous Retinopathy 25 year old professional baseball player - Atypical - Choroidal Hypo-perfusion?657 views
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Cystoid macular edema 4 months following cataract surgery with serous retinal detachment657 views68 year old with 2 months of vision loss OS 20/100. ECCE was 4 months ago.
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Chronic Central Serous Retinopathy treated with Photodynamic Laser and Visudyne656 views48-year-old man has had waxing and waning vision in the left eye for the last year from central serous retinopathy. OD is 20/16, OS is 20/30.
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Symptomatic Vitreomacular Traction656 viewsPatient comes in with loss of light reflection to the left eye. HD-OCT shows Symptomatic Vitreomacular Traction to the left eye. Patient was injected with Jetrea and will be seen back in 2-weeks for follow-up.
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Chronic Central Serous Retinopathy treated with Photodynamic Laser and Visudyne655 views48-year-old man has had waxing and waning vision in the left eye for the last year from central serous retinopathy. OD is 20/16, OS is 20/30.
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Macular Hole - Traumatic - 11 year old boy (also retinal whitening Berlins Edema)655 views11-year-old boy with a history of blunt trauma to the left eye yesterday. He reports he lost vision immediately but it has gotten somewhat better. He reports he sees “red streamers†and he has very blurry visual acuity., 20/200 OS
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Macular Telangiectasis (MacTel)655 views
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 653 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
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Outer Retinal Holes - Probably Solar Retinopathy (history is negative)653 views
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Group 2a Juxtafoveal Telangiectasis - MacTel - Idiopathic Juxtafoveal Macular Telangiectasia - Macular Hole652 views80-year-old man has juxtafoveal retinal telangiectasis in both eyes. He also has a true full-thickness macular hole in the left eye. The vision OD is 20/40, OS is 20/160
Group 2a Juxtafoveal Retinal Telangiectasis (telangiectasia), MacTel
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Juxtafoveal Telangiectasis (MacTel) and Asymptomatic Extrafoveal Juxtapapillary Choroidal Neovascular Membrane Fundus Autofluorescence652 views84-year-old woman has juxtafoveal retinal telangiectasis in both eyes. The right eye has an asymptomatic extra foveal juxtapapillary choroidal neovascular membrane. OD 20/400, OS 20/63.
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Acute Central Serous Retinopathy - CSR - Steroid Induced (probably) - Good Vision - 6 months later - vision Better651 views42-year-old man has central serous retinopathy in the right eye with serous retinal detachment. 6 month follow-up Vision is better.OD 20/20. The patient looked at this infra-red image and said "That's exactly what I see!"
VISUAL ACUITY: OD 20/20.
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Chronic Central Serous Retinopathy treated with Photodynamic Laser and Visudyne650 views48-year-old man has had waxing and waning vision in the left eye for the last year from central serous retinopathy. OD is 20/16, OS is 20/30.
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Acute Central Serous Retinopathy - CSR - Steroid Induced (probably) - Good Vision - Fundus Autofluorescence650 views42-year-old man was seen in the office on October 5, 2011. He had noticed starting in August after a course of antibiotic and steroids, that he developed new spots in his vision in the right eye. He may have had an episode like this sometime in the past. He did take steroids a few years ago and his vision did change at that time, but then returned.
VISUAL ACUITY: OD 20/32, OS 20/32. The OCT scan of the right eye confirms subretinal fluid.
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Chronic Central Serous Retinopathy - Indocyanine Green Angiogram 650 viewsGood Eye
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Acute Central Serous Chorioretinopathy with Symptoms in Hazy Vision Both Eyes649 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
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Plaquenil (Hydroxycholorquine) Toxicity - Bull's Eye Maculopathy - 73 year old womand 25 Years therapy - 64 inches tall - 110 lbs649 views73-year-old woman has been on Plaquenil for twenty five years. She noticed loss of paracentral vision a few months ago. VISUAL ACUITY: OD 20/70, OS 20/30. Her color vision was 0 out 10 correct in both eyes and she also missed the controls.
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Macular Hole Left Eye - progression from VMT - Stage II macular hole - Spontaneously Closed Macular Hole649 viewsVision has improved to 20/40 and the hole is closed
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Plaquenil Toxicity - Bulls Eye Maculopathy648 views70-year-old woman with systemic Lupus erythematosus and clotting problems. She was on the Plaquenil for about eight years and then off the Plaquenil for the last eight years because she developed macular toxicity. Although her vision was hazy, it was stable. Recent deceased vision left eye: OD 20/60, OS 20/100. IOP: OD 18, OS 19.
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648 views
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OCT of Macular Hole with Operculum648 viewsOCT of macular hole in 3-D with Tractional maculopathy. Operculum is present
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Macular Pucker - Diabetic - Severe non-foveal Edema OS647 views74-year-old man has a macular pucker in the left eye and diabetic retinopathy.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/40.
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Macular Pucker - 1 year after Vitrectomy - 20/25 Vision - Postoperative Images647 views60-year-old man had vitrectomy for a macular pucker in the right eye a year ago. His vision is good.
VISUAL ACUITY: Vision OD is 20/25 Eye is now pseudophakic
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Chronic Central Serous Retinopathy 1 month after Photodynamic Therapy (Visudyne)646 viewsSerous Retinal Detachment is Gone (Absorbed)
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Myopic Traction Maculopathy - Long Term Follow-up646 views88-92 year old woman with about 20/40 vision and myopic tractional maculopathy. Her vision fluctuates a little. The serial OCT's show no progression.
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Chronic Central Serous Retinopathy - Gutter in Both Eyes - Treated with PDT - Visudyne645 views69-year-old man with blurred vision in the right eye for about three weeks. He had a similar episode about twenty years ago which lasted about six weeks. He is not taking any steroids. He takes Lupron injections for his prostate cancer every three months.
VISUAL ACUITY: Vision OD is 20/80
FU: Treated with PDT after 6 months of observation with success. Treatment was done to area between nerve and fovea at 1/2 fluence.
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Acute Central Serous Chorioretinopathy with Symptoms in Hazy Vision Both Eyes645 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
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Symptomatic Vitreomacular Traction 645 viewsPatient comes in with loss of light reflection to the left eye. HD-OCT shows Symptomatic Vitreomacular Traction to the left eye. Patient was injected with Jetrea and will be seen back in 2-weeks for follow-up.
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Cystoid Macular Edema - Xalatan - ECCE was done 20 years previously644 views71 Year old woman who noticed about a month ago the central vision in the right eye fogged up. OD 20/200 POSSIBLE XALATAN INDUCED CYSTOID MACULAR EDEMA,
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Macular Pucker Pre-op 20/200 vision (history of retinal tears)644 views66-year-old man has had laser to retinal tears in both eyes in 1999 and in 2001. His right eye has had rapidly declining vision over the last month. VISUAL ACUITY: OD: 20/200
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Vitreomacular Traction 3 months - 20/60 vision - Fellow Eye Normal - 80 Year Old Man - SD - OCT644 views80-year-old man has a macular pucker in the right eye with vitreomacular traction and vision loss for 3 months. His vision seems about stable to him. OD 20/60.
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Outer Retinal Holes - Probably Solar Retinopathy (history is negative)644 views
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Plaquenil Toxicity with New Symptomatic Scotoma Left Eye643 views64-year-old female decreased vision OS over the past 2 months. She describes a blurred central scotoma. She has rheumatoid arthritis and is on Plaquenil 200 mg BID for 15 years. She does have yearly visual field tests done with last visual field test performed 3 years ago which was within normal limits OD 20/40-2 OS 20/40-1
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 643 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
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Post Retinal Detachment Repair Macular Pucker - VA 20/400 Pre-op 20/25 Post-op643 views72 year old woman who is 6 months post macula-on retinal detachment repair developed a 20/400 macular pucker. 8 months after surgery vision had improved to 20/25
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Macular Pucker 20/40 vision - minimal symptoms for 1 year Right eye643 viewsMulticolor
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643 views
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Outer Retinal Holes - Probably Solar Retinopathy (history is negative)643 views
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Macular Hole Closed with Vitrectomy - Preop642 views
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Vitreomacular traction with traction over retinal vessels in non-diabetic - Fluorescein leakage in areas of traction - Progressing vision loss left eye642 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
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Macular Pucker in eye following giant retinal tear RD repair pre-op pucker photo641 viewsnow that the bubble is gone, but he is starting to notice distortion of central vision. He had a giant retinal tear retinal detachment repair emergently done on November 8, 2007, and subsequent laser on November 15th.
VISUAL ACUITY: Vision OD 20/400.
6 weeks post-op VA 20/40
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