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Sturge-Weber Encephalotrigeminal Angiomatosis 61-year-old man was seen in the office on 7/2/2010. He has noticed new increased floaters in the right eye: first about three days ago he had some spots, then two days ago a lot of spots, and then just yesterday an explosion of floaters in the eye. You saw a hemorrhage in the eye and suggested he come here for an evaluation. He does have Sturge-Weber syndrome with a hemangioma on the left side of his face. VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19. SLIT LAMP EXAM: There is 2+ nuclear sclerosis in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.4. There is 2+ vitreous hemorrhage. There is a posterior vitreous separation. There is a retinal flap tear just anterior to the equator at 9:30. OS: Vertical C/D ratio is 0.4. There is a posterior vitreous separation. It looks to me like there is a reddish dust to the choroid just on the inferior third of the retina just below the macula and the optic nerve. IMPRESSION: 1. ACUTE POSTERIOR VITREOUS SEPARATION – RIGHT EYE 2. VITREOUS HEMORRHAGE – RIGHT EYE 3. RETINAL TEAR – RIGHT EYE 4. POSSIBLE CHOROIDAL HEMANGIOMA – LEFT EYE DISCUSSION: I explained to the patient that there is a vitreous separation in the right eye with vitreous hemorrhage and with a retinal tear. With the retinal tear untreated, there is about a 70-80% chance of having a retinal detachment. With treating, we can reduce the risk of retinal detachment from that tear down to 1%. I treated him with cryotherapy today. Because he has a vitreous hemorrhage, it is a little difficult to see and also because the defect is in the far periphery.
Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Ipsilateral Diffuse Choroidal Hemangiomavista 1298 veces61-year-old man with Sturge-Weber syndrome with a hemangioma on the left side of his face. VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19. (1 votos)	Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Ipsilateral Diffuse Choroidal Hemangiomavista 955 veces61-year-old man with Sturge-Weber syndrome with a hemangioma on the left side of his face. VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19. (0 votos)	Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangiomavista 889 veces61-year-old man with Sturge-Weber syndrome with a hemangioma on the left side of his face. VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19. (0 votos)	Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangiomavista 925 veces61-year-old man with Sturge-Weber syndrome with a hemangioma on the left side of his face. VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19. (0 votos)
Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangiomavista 1125 veces61-year-old man with Sturge-Weber syndrome with a hemangioma on the left side of his face. VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19. (0 votos)	Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangiomavista 1900 veces61-year-old man with Sturge-Weber syndrome with a hemangioma on the left side of his face. VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19. (0 votos)	Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangiomavista 1192 veces61-year-old man with Sturge-Weber syndrome with a hemangioma on the left side of his face. VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19. (0 votos)	Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangiomavista 1410 veces61-year-old man with Sturge-Weber syndrome with a hemangioma on the left side of his face. VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19. (1 votos)
Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangiomavista 785 veces61-year-old man with Sturge-Weber syndrome with a hemangioma on the left side of his face. VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19. (0 votos)	Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangiomavista 894 veces61-year-old man with Sturge-Weber syndrome with a hemangioma on the left side of his face. VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19. (0 votos)	Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangiomavista 873 veces61-year-old man with Sturge-Weber syndrome with a hemangioma on the left side of his face. VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19. (0 votos)	Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangiomavista 762 veces61-year-old man with Sturge-Weber syndrome with a hemangioma on the left side of his face. VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19. (0 votos)
Choroidal Hemangioma - Diffuse - Enhanced Depth Imaging Spectral Domain OCT Line Scan - Normal Eyevista 629 vecesNormal Choroidal Thickness in Right Eye (0 votos)	Choroidal Hemangioma - Diffuse - Enhanced Depth Imaging Spectral Domain OCT Line Scan - Normal Eyevista 740 vecesNormal Choroidal Thickness in Right Eye (0 votos)	Choroidal Hemangioma - Diffuse - Enhanced Depth Imaging Spectral Domain OCT Line Scan - Abnormal Eyevista 620 vecesChoroidal Thickness is 697 Microns from Diffuse Choroidal Hemangioma (0 votos)	Choroidal Hemangioma - Diffuse - Enhanced Depth Imaging Spectral Domain OCT Line Scan - Abnormal Eyevista 850 vecesChoroidal Thickness is 697 Microns from Diffuse Choroidal Hemangioma (0 votos)
Sturge Weber SD OCT EDI showing choroidal thickeningvista 635 veces (0 votos)	Hemangioma OS with good vison - 01-29-18vista 511 vecesImages 7 years following initial uploaded images (0 votos)	Hemangioma OS with good vison - 01-29-18vista 460 vecesImages 7 years following initial uploaded images (0 votos)	Hemangioma OS with good vison - 01-29-18vista 494 vecesImages 7 years following initial uploaded images (0 votos)
Hemangioma OS with good vison - 01-29-18vista 509 vecesImages 7 years following initial uploaded images (0 votos)	Hemangioma OS with good vison - 01-29-18vista 528 vecesImages 7 years following initial uploaded images (0 votos)	Hemangioma OS with good vison - 01-29-18vista 468 vecesImages 7 years following initial uploaded images (0 votos)	Hemangioma OS with good vison - 01-29-18vista 435 vecesImages 7 years following initial uploaded images (0 votos)
Hemangioma OS with good vison - 01-29-18vista 487 vecesImages 7 years following initial uploaded images (0 votos)	Sturge-Weber with Choroidal Hemangioma Left Eyevista 652 vecesVA 20/25 OU. Left eye treated for glaucoma with drops. (0 votos)
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61-year-old man was seen in the office on 7/2/2010. He has noticed new increased floaters in the right eye: first about three days ago he had some spots, then two days ago a lot of spots, and then just yesterday an explosion of floaters in the eye. You saw a hemorrhage in the eye and suggested he come here for an evaluation. He does have Sturge-Weber syndrome with a hemangioma on the left side of his face. VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19. SLIT LAMP EXAM: There is 2+ nuclear sclerosis in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.4. There is 2+ vitreous hemorrhage. There is a posterior vitreous separation. There is a retinal flap tear just anterior to the equator at 9:30. OS: Vertical C/D ratio is 0.4. There is a posterior vitreous separation. It looks to me like there is a reddish dust to the choroid just on the inferior third of the retina just below the macula and the optic nerve. IMPRESSION: 1. ACUTE POSTERIOR VITREOUS SEPARATION – RIGHT EYE 2. VITREOUS HEMORRHAGE – RIGHT EYE 3. RETINAL TEAR – RIGHT EYE 4. POSSIBLE CHOROIDAL HEMANGIOMA – LEFT EYE DISCUSSION: I explained to the patient that there is a vitreous separation in the right eye with vitreous hemorrhage and with a retinal tear. With the retinal tear untreated, there is about a 70-80% chance of having a retinal detachment. With treating, we can reduce the risk of retinal detachment from that tear down to 1%. I treated him with cryotherapy today. Because he has a vitreous hemorrhage, it is a little difficult to see and also because the defect is in the far periphery.