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Most viewed - Macular Diseases - Acquired

Vitrectomy with membrane peel565 viewsIntraoperative images showing the peeling of an epiretinal membrane - macular pucker - with a 25 gauge forcepts.

Macular Telangiectasia and dry AMD - Simulating wet AMD565 viewsThis patient was told different things by different retina specialists. Her case is complex because she has OCT findings of Macular Telangiectasis and dry AMD. This makes it look like she has wet AMD. Her vision is stable.

Macular Pucker Post-op 20/30 Vision564 viewsVa 20/30 after surgery

Acute Central Serous Retinopathy - CSR - Steroid Induced (probably) - Good Vision 564 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.

Vitreomacular traction - 20/40 vision and symptomatic with metamorphopsia564 views

Cystoid Macular Edema following Cataract surgery and vitrectomy for floaters564 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.

Macular Pucker 20/40 vision and recent cataract surgery563 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.

Group 2a Juxtafoveal Telangiectasis - MacTel - Stage 5 left eye - Macular Hole Right eye563 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.

Central Serous Retinopathy 25 year old professional baseball player - Atypical - Choroidal Hypo-perfusion?563 views

Chronic Central Serous Retinopathy - False Color563 views

Choroidal Effusions and Serous retinal detachment with Systemic Testosterone and Cialis in 75 year old Man563 viewsFluorescein angiogram shows some staining of the disk

Cystoid Macular Edema following Cataract surgery and vitrectomy for floaters563 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.

Juxtafoveal Telangiectasis - After Hemorrhage Absorbed Right Eye with Avastin Injections562 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 Telangiectasia - Stage 3 right eye 20/40 vision562 viewsSpectral Domain OCT Line Scan

Outer Retinal Holes - Probably Solar Retinopathy (history is negative)562 views

Central Serous Retinopathy - Subretinal Fibrin562 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 floaters562 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.

Acute Central Serous Chorioretinopathy with Symptoms in Hazy Vision Both Eyes561 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

Macular Pucker 20/40 Vision - Pigment Bottom of Photo from Old Retinal Detachment 561 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)

Group 2a Juxtafoveal Telangiectasis - MacTel - Stage 5 left eye - Macular Hole Right eye561 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.

Acute Central Serous Retinopathy - CSR - Steroid Induced (probably) - Good Vision - FA Affected Eye561 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.

Juxtafoveal Telangiectasis - (MacTel) - Stage 4 both Eyes560 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 Eyes560 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

Asymptomatic 20/200 Macular Pucker 79 year old man - Left Eye560 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 1 month - 20/60 vision - Fellow Eye Normal - 80 Year Old Man 560 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)

Chronic Pseudophakic Cystoid Macular Edema - Haptic Migrated into Anterior Chamber Through Peripheral Iridotomy560 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

Central Serous Retinopathy 25 year old professional baseball player - Atypical - Choroidal Hypo-perfusion?560 views

Cystoid Macular Edema 10 years after Cataract Surgery560 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

Chronic CSR with mild vision loss - Macular Atrophy Right Eye560 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.

Idiopathic Central Serous Retinopathy - Bilateral - Acute 559 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

Macular Pucker 20/40 vision and recent cataract surgery559 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.

Cystoid Macular Edema - Xalatan - ECCE was done 20 years previously - 1 year later 20/40 Vision559 viewsXalatan stopped and a brief course of topical anti-inflammatory drops was prescribed. One year later vision is back to normal

Acute Central Serous Retinopathy (Chorioretinopathy) Right Eye559 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.

Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel 559 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM

Outer Retinal Holes - Probably Solar Retinopathy (history is negative)559 views

Cystoid Macular Edema 10 years after Cataract Surgery559 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

Hydroxychloroquine retinopathy - Plaquenil - Moderate559 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

558 views

Lumigan (Bimatoprost) Cystoid Macular Edema - Eye Better 1 month after Stopping Lumigan558 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 Pucker 20/40 vision - minimal symptoms for 1 year Right eye558 viewsFA shows leakage from traction from pucker in the right eye - cystoid macular edema

Vitreomacular traction - recent vision loss Right Eye 558 views

Macular Hole Left Eye - progression from VMT - Stage II macular hole - Spontaneously Closed Macular Hole558 views

Vitrectomy with membrane peel558 viewsIntraoperative images showing the peeling of an epiretinal membrane - macular pucker - with a 25 gauge forcepts.

Macular Hole - Asymptomatic558 views71 year old female did not notice 20/200 macular hole. Post surgery vision improved to 20/30

Acute Central Serous Chorioretinopathy with Symptoms in Hazy Vision Both Eyes557 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

557 views

Vitreomacular traction - one month post-Vitrectomy left eye - vision is back to normal - SD OCT Line Scan557 views

Macular Telangiectasis (MacTel)557 viewsFAF shows decrease macular pigment

Multifocal Bilateral Central Serous Retinopathy in African American Male557 views67 year old african american male with : Blurred Vision OD. Duration of Problem: 4-6 weeks. VA 20/32 OD 20/20 OS

556 views

Acute Central Serous Retinopathy (Chorioretinopathy) Right Eye556 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.

Travatan Induced CME Left eye556 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.

Chronic Central Serous Chorioretinopathy Both Eyes556 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

Stage II macular hole - PPV without ILM peel556 views78 year old female who had vitreomacular traction that progressed to stage II macular hole for about 3 months. PPV was done without ILM peel. Inner retina is smooth

Plaquenil (Hydroxycholorquine) Toxicity - Bull's Eye Maculopathy - 73 year old womand 25 Years therapy - 64 inches tall - 110 lbs555 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.

Acute Central Serous Retinopathy (Chorioretinopathy) Right Eye555 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.

Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachment555 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.

Chronic Central Serous Retinopathy - IR555 views

Macular Telangiectasis - Very Mild555 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)

Macular Pucker 20/40 Vision - Pigment Bottom of Photo from Old Retinal Detachment 554 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)

Lumigan (Bimatoprost) Cystoid Macular Edema - Eye Better 1 month after Stopping Lumigan554 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 Hole Left Eye - progression from VMT - Stage II macular hole - Spontaneously Closed Macular Hole554 viewsVision better left eye VMT has released the fovea (was 20/25)

Macular Hole Left Eye - progression from VMT - Stage II macular hole - Spontaneously Closed Macular Hole554 viewsMacular hole is closing and vision has improved to 20/40

hydroxychloroquine (Plaquenil) Toxicity - Taiwanese 56 year old female (Asian)554 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)

Macular Hole - Asymptomatic554 views71 year old female did not notice 20/200 macular hole. Post surgery vision improved to 20/30

Macular Pucker 20/40 vision and recent cataract surgery553 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.

Vitreomacular traction with traction over retinal vessels in non-diabetic - Fluorescein leakage in areas of traction - Progressing vision loss left eye553 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

Acute Central Serous Retinopathy - CSR - Steroid Induced (probably) - Good Vision - ICG Affected Eye - Choroidal Leakage553 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.

Chronic Central Serous Retinopathy - Indocyanine Green Angiogram 553 viewsGood Eye

Macular Telangiectasia - Stage 3 right eye 20/40 vision - Bulls Eye Blue Reflectance553 viewsConfocal Blue Reflectance

Cystoid macular edema 4 months following cataract surgery with serous retinal detachment553 views68 year old with 2 months of vision loss OS 20/100. ECCE was 4 months ago.

Multifocal Bilateral Central Serous Retinopathy in African American Male553 views67 year old african american male with : Blurred Vision OD. Duration of Problem: 4-6 weeks. VA 20/32 OD 20/20 OS

Macular Pucker in eye following giant retinal tear RD repair post-op OCT552 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

552 views

Chronic Central Serous Retinopathy treated with Photodynamic Laser and Visudyne552 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.

Macular Pucker Post-OP 20/30552 views

552 views

Chronic Pseudophakic Cystoid Macular Edema - Haptic Migrated into Anterior Chamber Through Peripheral Iridotomy552 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

Central Serous Retinopathy 25 year old professional baseball player - Atypical - Choroidal Hypo-perfusion?552 views

Macular Edema and dry AMD - excellent example of why FA and ICG are necessary in management of wet AMD552 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.

hydroxychloroquine (Plaquenil) Toxicity - Taiwanese 56 year old female (Asian)552 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)

Acute Central Serous Chorioretinopathy with Symptoms in Hazy Vision Both Eyes551 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

551 views

Idiopathic Central Serous Retinopathy - Bilateral - Acute 551 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

Juxtafoveal Telangiectasis - After Hemorrhage Absorbed Right Eye with Avastin Injections551 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 Left Eye - progression from VMT - Stage II macular hole - Spontaneously Closed Macular Hole551 viewsPucker False Color

Macular Telangiectasis (MacTel)551 viewsFAF shows decrease macular pigment

Myopic Traction Maculopathy - Long Term Follow-up551 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.

Macular Pucker Pre-op 20/200 vision (history of retinal tears)550 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

550 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 Hole Left Eye - progression from VMT - Stage II macular hole - Spontaneously Closed Macular Hole550 views

Choroidal Effusions and Serous retinal detachment with Systemic Testosterone and Cialis in 75 year old Man550 viewsPhotos (poor quality)

Myopic Traction Maculopathy - Long Term Follow-up550 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.

Macular Telangiectasia and dry AMD - Simulating wet AMD550 viewsThis patient was told different things by different retina specialists. Her case is complex because she has OCT findings of Macular Telangiectasis and dry AMD. This makes it look like she has wet AMD. Her vision is stable.

Chronic CSR with mild vision loss - Macular Atrophy Right Eye550 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.

Acute Central Serous Chorioretinopathy with Symptoms in Hazy Vision Both Eyes549 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

Plaquenil (Hydroxycholorquine) Toxicity - Bull's Eye Maculopathy - 73 year old womand 25 Years therapy - 64 inches tall - 110 lbs549 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 Telangiectasis - visible telangiectasia on color photos549 viewsMulticolor photos too show pathology. This patient had 20/50 vision with pinhole to 20/25

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