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Last additions - 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.

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 Sturge-Weber with Choroidal Hemangioma Left Eye671 viewsVA 20/25 OU. Left eye treated for glaucoma with drops.Jan 29, 2018
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 Hemangioma OS with good vison - 01-29-18499 viewsImages 7 years following initial uploaded imagesJan 29, 2018
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 Hemangioma OS with good vison - 01-29-18459 viewsImages 7 years following initial uploaded imagesJan 29, 2018
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 Hemangioma OS with good vison - 01-29-18496 viewsImages 7 years following initial uploaded imagesJan 29, 2018
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 Hemangioma OS with good vison - 01-29-18539 viewsImages 7 years following initial uploaded imagesJan 29, 2018
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 Hemangioma OS with good vison - 01-29-18523 viewsImages 7 years following initial uploaded imagesJan 29, 2018
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 Hemangioma OS with good vison - 01-29-18507 viewsImages 7 years following initial uploaded imagesJan 29, 2018
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 Hemangioma OS with good vison - 01-29-18466 viewsImages 7 years following initial uploaded imagesJan 29, 2018
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 Hemangioma OS with good vison - 01-29-18533 viewsImages 7 years following initial uploaded imagesJan 29, 2018
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 Sturge Weber SD OCT EDI showing choroidal thickening642 viewsMay 16, 2016
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 Choroidal Hemangioma - Diffuse - Enhanced Depth Imaging Spectral Domain OCT Line Scan - Abnormal Eye861 viewsChoroidal Thickness is 697 Microns from Diffuse Choroidal HemangiomaFeb 12, 2014
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 Choroidal Hemangioma - Diffuse - Enhanced Depth Imaging Spectral Domain OCT Line Scan - Abnormal Eye626 viewsChoroidal Thickness is 697 Microns from Diffuse Choroidal HemangiomaFeb 12, 2014
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 Choroidal Hemangioma - Diffuse - Enhanced Depth Imaging Spectral Domain OCT Line Scan - Normal Eye753 viewsNormal Choroidal Thickness in Right EyeFeb 12, 2014
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 Choroidal Hemangioma - Diffuse - Enhanced Depth Imaging Spectral Domain OCT Line Scan - Normal Eye637 viewsNormal Choroidal Thickness in Right EyeFeb 12, 2014
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 Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangioma793 views61-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.
Jun 28, 2011
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 Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangioma884 views61-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.
Jun 28, 2011
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 Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangioma900 views61-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.
Jun 28, 2011
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 Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangioma796 views61-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.
Jun 28, 2011
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 Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangioma1433 views61-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.
Jun 28, 2011
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 Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangioma1202 views61-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.
Jun 28, 2011
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 Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangioma1920 views61-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.
Jun 28, 2011
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 Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangioma1141 views61-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.
Jun 28, 2011
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 Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangioma938 views61-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.
Jun 28, 2011
sturgeweber_riha01.png
 Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangioma913 views61-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.
Jun 28, 2011
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 Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Ipsilateral Diffuse Choroidal Hemangioma958 views61-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.
Jun 25, 2011
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 Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Ipsilateral Diffuse Choroidal Hemangioma1332 views61-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.
Jun 25, 2011
   
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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.