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Most viewed - Macular Diseases - Acquired

Macular Pucker 20/40 vision - minimal symptoms for 1 year Right eye641 viewsMulticolor

Travatan Induced CME Left eye - 1 month post stopping travatan CME is gone641 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.

Plaquenil Toxicity - Bulls Eye Maculopathy640 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.

Macular Edema and dry AMD - excellent example of why FA and ICG are necessary in management of wet AMD640 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.

Macular Hole - Traumatic - 11 year old boy (also retinal whitening Berlins Edema)639 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 â€œred streamersâ€ and he has very blurry visual acuity., 20/200 OS

Macular Hole Closed with Vitrectomy - Preop638 views

Macular Hole - Traumatic - 11 year old boy (also retinal whitening Berlins Edema)638 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 â€œred streamersâ€ and he has very blurry visual acuity., 20/200 OS

Macular Hole Left Eye - progression from VMT - Stage II macular hole - Spontaneously Closed Macular Hole638 views

Macular Pucker Pre-OP 20/200 637 views

Macular Pucker 20/40 Vision - Pigment Bottom of Photo from Old Retinal Detachment 637 views59-year-old woman blurry vision in the right eye for about the last one or two years. She had cataract surgery in 1981, a retinal detachment repair with scleral buckle in 1988 in the right eye, and then she had lens implants in both eyes, anterior chamber lenses, in 1994. She did start taking Latisse for eyelashes about a year and a half ago.

VISUAL ACUITY: Vision OD is 20/40, OS is 20/20
(4 months later with a short course of antiinflammatory drops and new glasses her vision improved to 20/25)

Psuedomacular Hole - Epiretinal Membrane - Vision unchanged 20/40 for 6 months637 views

Plaquenil (Hydroxycholorquine) Toxicity - Bull's Eye Maculopathy - 73 year old womand 25 Years therapy - 64 inches tall - 110 lbs636 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.

636 views

Chronic Central Serous Retinopathy - False Color636 views

Macular Pucker 20/40 vision - minimal symptoms for 1 year Right eye636 views SD OCT line Scan Fellow Eye 20/16

Chronic CSR with mild vision loss - Macular Atrophy Right Eye636 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.

Group 2a Juxtafoveal Retinal Telangiectasis (type 2)635 views58-year-old man decreased vision right eye and not better since cataract surgery one year ago. OD 20/40, OS 20/40.

Macular Pucker - 1 year after Vitrectomy - 20/25 Vision - Postoperative Images635 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

Plaquenil Toxicity - Bull's Eye Maculopathy - 25 Years Therapy OCT Posterior Pole MAP635 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

Juxtafoveal Telangiectasis (MacTel) and Asymptomatic Extrafoveal Juxtapapillary Choroidal Neovascular Membrane635 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.

Retinal fold following removal of severe macular pucker635 views75 year old man had macula on inferior retinal detachment repair. He then developed a 5/200 dense macular pucker. After the pucker was removed the vision returned to 20/40 but there was a persistent superior retinal fold that looks a little like a snake.

Macular Hole Closed with Vitrectomy - Preop634 views

Macular Pucker in eye following giant retinal tear RD repair post-op Fundus Photo633 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

Post Retinal Detachment Repair Macular Pucker - VA 20/400 Pre-op 20/25 Post-op633 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

Macular Pucker in eye following giant retinal tear RD repair photo of tear632 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

Cystoid Macular Edema - Xalatan - ECCE was done 20 years previously632 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

Juxtafoveal Telangiectasis - (MacTel) - Stage 4 both Eyes632 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

Acute Central Serous Chorioretinopathy with Symptoms in Hazy Vision Both Eyes632 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

Cystoid Macular Edema 10 years after Cataract Surgery632 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

Macular Pucker in eye following giant retinal tear RD repair post-op macular photo631 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

Macular Edema and dry AMD - excellent example of why FA and ICG are necessary in management of wet AMD631 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.

Idiopathic Central Serous Retinopathy - Bilateral - Acute 4 months later VA 20/40 OU630 viewsNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.

Macular Pucker in eye following giant retinal tear RD repair post-op OCT map629 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

Central Serous Retinopathy - Acute629 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

Juxtafoveal Telangiectasis - (MacTel) - Stage 4 both Eyes629 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

Chronic Pseudophakic Cystoid Macular Edema - Haptic Migrated into Anterior Chamber Through Peripheral Iridotomy629 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

Acute Central Serous Retinopathy - CSR - Steroid Induced (probably) - Good Vision - ICG Fellow Eye629 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.

Choroidal Effusions and Serous retinal detachment with Systemic Testosterone and Cialis in 75 year old Man629 viewsIR of good eye looks normal

Chronic Pseudophakic Cystoid Macular Edema - Haptic Migrated into Anterior Chamber Through Peripheral Iridotomy628 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

Juxtafoveal Retinal Telangiectasia (Telangiectasis) - MacTel - Striking Gray Ring in Macula - VIDEO TAKES A LONG TIME TO LOAD628 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

Travatan Induced CME Left eye628 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.

Asymptomatic 20/200 Macular Pucker 79 year old man - Left Eye627 views79-year-old man who had not noticed a change in vision, but was diagnosed with a macular pucker in the left eye. Even now he doesnâ€™t notice much difference between the eyes, although he doesnâ€™t usually compare them. He has a prescription for new glasses.

VISUAL ACUITY: OD 20/80, Pinhole 20/50. OS 20/200.

Vitreomacular traction with traction over retinal vessels in non-diabetic - Fluorescein leakage in areas of traction - Progressing vision loss left eye627 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

Juxtafoveal Retinal Telangiectasia (Telangiectasis) - MacTel - Striking Gray Ring in Macula - SDOCT627 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

Outer Retinal Holes - Probably Solar Retinopathy (history is negative)627 views

Lumigan (Bimatoprost) Cystoid Macular Edema - Eye Better 1 month after Stopping Lumigan626 views 82-year-old man had cataract surgery in 1993. He has had glaucoma for seven or eight years for a long time. He is taking Lumigan only in the left eye. About a year ago he started in the right eye and then starting just about a few months ago he has noticed intermittent blurring in the vision in the right eye. Vision 20/25 OD, 20/20 OS

Macular Telangiectasia - Stage 3 right eye 20/40 vision626 viewsSpectral Domain OCT Line Scan

Macular Hole Left Eye - progression from VMT - Stage II macular hole - Spontaneously Closed Macular Hole626 viewsVision has dropped to 20/50 and there is a full thickness macular hole

Plaquenil Toxicity - Bulls Eye Maculopathy625 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.

Acute Central Serous Retinopathy (Chorioretinopathy) Right Eye625 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.

Chronic Central Serous Retinopathy - False Color625 views

Chronic Central Serous Retinopathy - SD-OCT624 views

Macular Hole Left Eye - progression from VMT - Stage II macular hole - Spontaneously Closed Macular Hole624 views

Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel 623 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM

Macular Hole Closed - Nerve Fiber Layer Defects Visible after Internal Limiting Membrane Peel - Vision 20/60623 views53-year-old woman had vitrectomy for a stage IV macular hole in the left eye on June 1st. Her vision has improved some but still has a bump in it.

VISUAL ACUITY: Vision OS is 20/80, PH is 20/60

Chronic Central Serous Retinopathy - Indocyanine Green Angiogram 623 viewsGood Eye

Macular Telangiectasis (MacTel)623 viewsFalse color

Cystoid Macular Edema - Xalatan - ECCE was done 20 years previously622 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

Group 2a Juxtafoveal Retinal Telangiectasis (type 2)622 views58-year-old man decreased vision right eye and not better since cataract surgery one year ago. OD 20/40, OS 20/40.

Chronic Central Serous Retinopathy - SD-OCT622 views

Central Serous Retinopathy 25 year old professional baseball player - Atypical - Choroidal Hypo-perfusion?621 views

Macular Pucker 20/40 vision - minimal symptoms for 1 year Right eye621 viewsSD OCT line Scan Affected Eye

Macular Hole620 views

Macular Hole Left Eye - progression from VMT - Stage II macular hole - Spontaneously Closed Macular Hole620 views

Juxtafoveal Telangiectasis Asymptomatic New Hemorrhage619 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.

Acute Central Serous Chorioretinopathy with Symptoms in Hazy Vision Both Eyes619 views

Plaquenil (Hydroxycholorquine) Toxicity - Bull's Eye Maculopathy - 73 year old womand 25 Years therapy - 64 inches tall - 110 lbs619 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.

Macular Edema and dry AMD - excellent example of why FA and ICG are necessary in management of wet AMD619 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.

Acute Central Serous Retinopathy - CSR - Steroid Induced (probably) - Good Vision - ICG Fellow Eye618 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.

Macular Hole Closed with Vitrectomy - Post-op 20/60 Vision617 views

Macular Pucker Pre-op 20/200 vision (history of retinal tears)617 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

Chronic Central Serous Chorioretinopathy Both Eyes617 views60 year old man with 20 year history of chronic CSR. He has had laser and PDT in the past. The left eye has been 20/100 for decades. The right eye is now declining. Was 20/32 and is down to 20/50. There is chronic low grade subretinal fluid away from the center in the right eye. (focal laser in the right eye in 2005, left eye 2001 at BPEI). Refampin tried in 2012, Aldactone in 2013. PDT in 204 and 2017 Images are from 2017

Chronic Central Serous Retinopathy - Gutter in Both Eyes - Treated with PDT - Visudyne616 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.

Juxtafoveal Retinal Telangiectasia (Telangiectasis) - MacTel - Striking Gray Ring in Macula - VIDEO TAKES A LONG TIME TO LOAD616 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

Group 2a Juxtafoveal Telangiectasis - MacTel - Stage 5 left eye - Macular Hole Right eye616 views76-year-old woman has juxtafoveal retinal telangiectasis. She had Stage five neovascularization in the left eye I treated with injections between September of 2007 and October of 2008 with Avastin (3 years ago). OCT scan today shows macular hole right eye. VISUAL ACUITY: OD 20/400, OS 20/40.

Macular Pucker in eye following giant retinal tear RD repair pre-op OCT Map615 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

Juxtafoveal Telangiectasis and Newly Decreasing Vision615 views70-year-old woman followed for 10 years with IJFT with newly decreasing vision OU OD: 20/160; OD: 20/80

Juxtafoveal Telangiectasis - (MacTel) - Stage 4 both Eyes615 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

3-D OCT of Macular Hole with Operculum615 views

Outer Retinal Holes - Probably Solar Retinopathy (history is negative)615 views

Acute Central Serous Chorioretinopathy with Symptoms in Hazy Vision Both Eyes614 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

Vitreomacular Traction -> Macular Hole -> Aborted Macular hole614 viewsProgression of VMT in both eyes over time

Macular Pucker - Diabetic - Severe non-foveal Edema OS613 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.

Juxtafoveal Retinal Telangiectasia (Telangiectasis) - MacTel - Striking Gray Ring in Macula - SDOCT613 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

Chronic Central Serous Retinopathy - Indocyanine Green Angiogram 613 views

Outer Retinal Holes - Probably Solar Retinopathy (history is negative)613 views

Chronic Central Serous Chorioretinopathy Both Eyes613 views60 year old man with 20 year history of chronic CSR. He has had laser and PDT in the past. The left eye has been 20/100 for decades. The right eye is now declining. Was 20/32 and is down to 20/50. There is chronic low grade subretinal fluid away from the center in the right eye. (focal laser in the right eye in 2005, left eye 2001 at BPEI). Refampin tried in 2012, Aldactone in 2013. PDT in 204 and 2017 Images are from 2017

Chronic Pseudophakic Cystoid Macular Edema in a Patient with Diabetes612 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.

Acute Central Serous Chorioretinopathy with Symptoms in Hazy Vision Both Eyes612 views

Juxtafoveal Telangiectasis - After Hemorrhage Absorbed Right Eye with Avastin Injections612 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.

Macular Hole Closed with Vitrectomy - Preop611 views

Cystoid Macular Edema - Xalatan - ECCE was done 20 years previously611 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

Central Serous Retinopathy 25 year old professional baseball player - Atypical - Choroidal Hypo-perfusion?611 views

Macular Pucker in eye following giant retinal tear RD repair post-op OCT610 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

Plaquenil (Hydroxycholorquine) Toxicity - Bull's Eye Maculopathy - 73 year old womand 25 Years therapy - 64 inches tall - 110 lbs610 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.

Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel SDOCT610 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM

Retinal Pigment Epithelial Detachment with no Sub-Retinal Fluid...610 viewsA 38-year old male who comes in with blurred vision in the left eye. VA is 20/30. Notices a defect inferior of his central vision. Did an Fluorescence Angiogram to determine an RPE with no sub retinal fluid. Also OCT confirms. Patient was injected with Avastin.

Stage 4 Macular Hole610 views57 year old female with 20/160 vision and stage 4 macular hole

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