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Nonproliferative Diabetic Retinopathy8414 views65-year old female with diabetes. Has had cataract surgery in the left eye with VA 20/25. She has had laser in the past. Fundus examination shows microaneurysms with retinal hemorrahages and exudates in the left eye.
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Nonproliferative Diabetic Retinopathy7737 views65-year old female with diabetes. Has had cataract surgery in the left eye with VA 20/25. She has had laser in the past. Fundus examination shows microaneurysms with retinal hemorrahages and exudates in the left eye.
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Nonproliferative Diabetic Retinopathy6849 views65-year old female with diabetes. Has had cataract surgery in the left eye with VA 20/25. She has had laser in the past. Fundus examination shows microaneurysms with retinal hemorrahages and exudates in the left eye.
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Optic disc swelling6637 views56 year old woman
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Nonproliferative Diabetic Retinopathy5998 views65-year old female with diabetes. Has had cataract surgery in the left eye with VA 20/25. She has had laser in the past. Fundus examination shows microaneurysms with retinal hemorrahages and exudates in the left eye.
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Nonproliferative Diabetic Retinopathy5902 views65-year old female with diabetes. Has had cataract surgery in the left eye with VA 20/25. She has had laser in the past. Fundus examination shows microaneurysms with retinal hemorrahages and exudates in the left eye.
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Amelanotic - Light Colored CHRPE - Congenital Hypertrophy of the Pigment Epithelium5249 views56-year-old woman nov vision problems. OD is 20/20, OS is 20/16
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Purtscher's Retinopathy - Motor Vehicle Accident4966 viewsNerve Fiber Layer Inflammation and retinal hemorrhages due to severe trauma. Patient was a teenage boy that got into a car accident.
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Juvenile Onset Diabetic - Proliferative Diabetic retinopathy with NVE and NVD4807 viewsProliferative Diabetic Retinopathy with Neovascularization of the Disc and Neovascularization Elsewhere.
James L. Perron, C.R.A.
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Choroidal Nevus with Overlying Drusen4656 views48-year-old woman Vision OD is 20/16, OS is 20/20.
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Nonproliferative Diabetic Retinopathy4560 views65-year old female with diabetes. Has had cataract surgery in the left eye with VA 20/25. She has had laser in the past. Fundus examination shows microaneurysms with retinal hemorrahages and exudates in the left eye.
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PVD with Weiss Ring /Optic Nerve in Background4530 views
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago SD-OCT (Spectral domain optical coherence tomography)4353 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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Type 1 Retinal Arteriovenous Malformation4319 views42 year old female VA 20/32 OD, 20/20 OS MRI was negative.
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Wyburn Mason Syndrome4125 views28 year old female, visual acuity OS 20/200
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CHRPE - Gardner Syndrome - FAMILIAL COLORECTAL POLYPOSIS - 11 year old female4122 views11-year-old child with CHRPE OS has six undescended adult teeth and also she has had a cyst removed from her arm pit and she has three more in her arm pit and one on her face and she is seeing a dermatologist for that in the near future. The mother reports no health problems, however, the patient’s grandmother does have a history of intestinal polyps, as does the patient’s grandmother’s brothers son.
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Optic Nerve Tumor3922 views21 year old male: Presents with a history of Von Hippel-Lindau Syndrome, diagnosed in 2005 affecting his left Optic Nerve, Brain, Spine, Kidney and Pancreas. He has undergone Laser for Retinal Hemangioma measuring 2/3-4/5DD -vs_ 1/3DD when originally diagnosed. However his visual acuity remains good 20/25. Patient has also undergone Neurosurgery in 2005 and Spinal cord in 2006. Recent MRI of spinal cord hemangioma showed stable tumors.
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago SD-OCT (Spectral domain optical coherence tomography)3838 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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Sarcoidosis Multifocal Choroiditis3764 views66 year old man with dense cataracts and recurrent uveitis. Images show multifocal choroidal granulomas from sarcoidosis more in the right eye than the left eye.
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Occult Metallic Intraocular Foreign Body - WINNER JANUARY 2011 - BEST IMAGE3736 viewsFundus photograph of a 28 year old male who presented with intermittent, painless, blurred vision of his left eye secondary to an occult metallic intraocular foreign body with old vitreous hemorrhage. He later admitted to feeling a mild gritty sensation of his affected eye while working with a circular saw the previous year. He was then misdiagnosed as having a subconjunctival hemorrhage from the emergency physician. He later underwent successful pars plana vitrectomy and foreign body removal.
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago SD-OCT (Spectral domain optical coherence tomography)3679 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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Peripheral Bullous Retinoschisis Spectral Domain Optical Coherence Tomography (SD-OCT)3308 views64-year-old man with peripheral retinal problem noted during comprehensive eye examination. OD 20/32, OS 20/25
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Proliferative Diabetic Retinopathy with Macular Hole3213 viewsPatitent with diabetes diagnosed 12 years ago and low visual acuity.
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Reticular Macular Disease - Reticular Pseudodrusen and Soft Macular Drusen - 57 Year Old Woman3129 views57-year-old woman was seen in the office on 2/22/2011. She has macular drusen in both eyes. I saw her back in 2006. Since then she does notice slight increased distortion. OD is 20/25, OS is 20/25
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Macular fold after PPV for RD3126 viewsA 53-year-old man with a macula-off RD underwent left eye pars plana vitrectomy with air-fluid exchange, laser retinopexy, and injection of 14% SF6 gas. There were 4 retinal breaks between 10 o’clock and 12 o’clock including one large tear. He was compliant with facedown positioning. On the 8th post-operative day, a retinal fold along the 4-10 o’clock meridian was seen coursing through his central macula. He underwent repeat PPV but multiple attempts to lift and flatten the retina were unsuccessful.
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Non-Ischemic Central Retinal Vein Occlusion in Young Man (30 years) - Many Cotton Wool Spots3086 views30-year-old man with a history of a central retinal vein occlusion for which he was first examined on 2 months ago and his vision then was 4/200. He responded nicely to two Avastin treatments. OD is 20/20, OS is 20/60
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CAVERNOUS HEMONGIOMA2991 views28 year old male w/ 20/200 vision at time of exam. Patient c/o poor vision since childhood. No significant medical history or family medical history. A problem was only noted when patient enlisted in the Army.
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Nonproliferative Diabetic Retinopathy2950 views65-year old female with diabetes. Has had cataract surgery in the left eye with VA 20/25. She has had laser in the past. Fundus examination shows microaneurysms with retinal hemorrahages and exudates in the left eye.
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Combined hamartoma of the retina and RPE2895 views16 year old female, diagnosed with a combined hamartoma of the retina and the retinal pigment epithelium.
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Prominent Posterior Hyaloid with Background Diabetic Retinopathy2885 viewsDiabetic patient comes in for follow up for her Background Diabetic Retinopathy and glaucoma. VA is 20/30. left eye. Fundus exam shows posterior Hyaloid with hemorrhage inferiorily.
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Amelanotic - Light Colored CHRPE - Congenital Hypertrophy of the Pigment Epithelium2862 views56-year-old woman nov vision problems. OD is 20/20, OS is 20/16
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago SD-OCT (Spectral domain optical coherence tomography)2860 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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Acute Macula Neuroretinopathy2843 views39yr old male: Presents with Inferior Temporal Scotoma in his left eye, x 10 days with no change in shape or size, Visual acuity 20/25.
Most common sysptoms are described as sudden onset of one or more paracentral scotomas. {with the tip pointing toward the Fovea} without any other visual symptoms. Currently no treatment recommended.
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Grouped pigmentation - Bear Tracks2828 views71 year old caucasian woman with incidental finding of extensive grouped RPE hypertrophy. Routine colonoscopy performed in the preceding year was normal.
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Asymptomatic Hollenhorst Plaque - Cholesterol Embolis2757 views71-year-old woman is not noticing any vision change. She does take pressure-lowering drops for glaucoma, both Timolol and Xalatan.
VISUAL ACUITY: Vision OD is 20/30, OS is 20/16
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago Fundus Autofluorescence2694 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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Anterior Ischemic Optic Neuropathy - Non-Arteritic - AION2691 views72-year-old woman sudden vision loss in the right eye about four days ago. She also has noticed that things are dim out of that eye. She has no headaches. She does feel a little tired. She has no pain in her jaw when she chews and she has no fevers.
OD is 20/80, PH 20/25; OS is 20/25
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Horseshoe Retinal Tear with bridging blood vessel2680 views
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Correctopia - post laser iridoplasty - 20/20 vision2647 views1 month after the iridoplasty, her vision was 20/20. She began to improve on the drive home from the treatment. The laser setting were : green argon 500 microns, 500 mw, 500 msec.
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Corneal Abrasion with Foreign Body Present 2635 viewsER patient comes in with corneal abrasion in the left eye which was getting worst. VA 20/25. Slit lamp exam showed corneal abrasion superiorly at 2-o'clock. Flipped eyelid and foreign body appeared on the upper tarsal plate. Foreign body was removed.
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Dilated Conjunctival Blood Vessels2592 viewsPatient comes in for routine eye exam. VA 20/20 in both eyes. Fundus exam was normal. Dilated blood vessels are shown temporal inferiorly in the left eye.
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Retinal Vasculitis due to Lupus (color)2557 viewsSystemic Lupus Erythematosis - Vasculitis
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Prominent Posterior Hyaloid with Background Diabetic Retinopathy2553 viewsDiabetic patient comes in for follow up for her Background Diabetic Retinopathy and glaucoma. VA is 20/30. left eye. Fundus exam shows posterior Hyaloid with hemorrhage inferiorily.
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Corneal Foreign Body 2548 viewsPatient complains of foreign body sensation in the right eye. Slit lamp photos shows a piece of glass metal embedded into the inferior part of the cornea at 7-o'clock in the right eye. Foreign body was removed.
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Serous Choroidal Effusions2532 viewsSerous choroidal effusions following anterior segment surgery. Final visual outcome was 20/20.
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"Jelly Bumps" Soft Contact Lens2493 viewsYoung female patient comes in wearing overnight contact lenses. Complains of irritation in both eyes. Denies sleeping in SCL. Slit lamp exam shows little jelly bumps underneath the contact lens in both eyes. Was issued a new pair and lectured on handling them.
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago Fundus Autofluorescence2483 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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OD Albinism with foveal hypoplasia2475 views28 year old female latina with vision of 20/400
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Dilated Conjunctival Blood Vessels2453 viewsPatient comes in for routine eye exam. VA 20/20 in both eyes. Fundus exam was normal. Dilated blood vessels are shown temporal inferiorly in the left eye.
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Dilated Conjunctival Blood Vessels2448 viewsPatient comes in for routine eye exam. VA 20/20 in both eyes. Fundus exam was normal. Dilated blood vessels are shown temporal inferiorly in the left eye.
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Non-Ischemic Central Retinal Vein Occlusion in Young Man (30 years) - Many Cotton Wool Spots2442 views30-year-old man with a history of a central retinal vein occlusion for which he was first examined on 2 months ago and his vision then was 4/200. He responded nicely to two Avastin treatments. OD is 20/20, OS is 20/60
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Corneal Abrasion with Foreign Body Present 2441 viewsER patient comes in with corneal abrasion in the left eye which was getting worst. VA 20/25. Slit lamp exam showed corneal abrasion superiorly at 2-o'clock. Flipped eyelid and foreign body appeared on the upper tarsal plate. Foreign body was removed.
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Nonproliferative Diabetic Retinopathy2434 views65-year old female with diabetes. Has had cataract surgery in the left eye with VA 20/25. She has had laser in the past. Fundus examination shows microaneurysms with retinal hemorrahages and exudates in the left eye.
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)2430 views65-year-old woman has pseudoretinitis pigmentosa in the right eye only, most likely from acute zonal occult outer retinopathy. OD 20/25, OS 20/25
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Anterior Ischemic Optic Neuropathy - Non-Arteritic - AION2398 views72-year-old woman sudden vision loss in the right eye about four days ago. She also has noticed that things are dim out of that eye. She has no headaches. She does feel a little tired. She has no pain in her jaw when she chews and she has no fevers.
OD is 20/80, PH 20/25; OS is 20/25
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CAVERNOUS HEMONGIOMA2332 views28 year old male. FA
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Combined schisis-rhegmatogenous RD2318 viewsMultiple outer layer and inner layer holes
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Reticular Macular Disease - Reticular Pseudodrusen and Soft Macular Drusen - 57 Year Old Woman2299 views57-year-old woman was seen in the office on 2/22/2011. She has macular drusen in both eyes. I saw her back in 2006. Since then she does notice slight increased distortion. OD is 20/25, OS is 20/25
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Fundus Autofluorescence od2284 views61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.
Pisciform Lesions and Macular Atrophy
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Astrocytic Hamartoma2280 viewsCalcified astrocytic hamartoma of the optic nerve
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Large mac hole OCT2272 views76 yof with large mac hole
VA: CF at 3ft
chance of spontaneous closure low; surgery option available
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago SD-OCT (Spectral domain optical coherence tomography)2264 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 2235 viewsElschnig Spots
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Retinal Flap Tear - Horseshoe - Cystic Retinal Tuft on Flap2230 views73-year-old woman who noticed two days ago she was bending over and had a sudden “ribbon†in her
vision which looked to her like blood. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20.
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Diabetic Macular Edema and Hypertensive Retinopathy - Circinate Exudate (Ring Exudate) 2193 views55-year-old woman diabetic for fifteen years and high blood pressure, especially over the last few months. She has had problems with nosebleeds, headaches, and there has been some difficulty bringing her blood pressure down. She said now the blood pressure is under control but it was running 220/120 mmHg for some time. Her vision in the right eye has been poor for four weeks with a spot in the central vision and both eyes have been blurred.
VISUAL ACUITY: Vision OD is 20/160, OS is 20/60
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80 year old woman with Reticular Drusen (pseudodrusen) 20/30 Vision2190 views80 year old woman with asteroid hyalosis and macular degeneration.
OPHTHALMIC EXAMINATION: Visual acuity with correction 20/30-3 OD and 20/30-2
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Uveitis - Iris Nodule - Koeppe Nodule2163 views29-year-old woman has had problems with uveitis in the right eye for about the last two years. Her symptoms are usually floaters. Occasionally the eye gets red, it has not been very uncomfortable, and it has always been in the right eye. Has had Iris Nodule like one in photo in left eye and Right eye. They clear with or without steroids after about a month.
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Conjunctival Cyst2159 viewsPatient comes in with mechanical irritation in the right eye. No foreign body was found. Slit lamp photo shows conjunctival cyst was found temporal in the right eye. Patient will proceed with steroid/antibiotic drops and will stay out of contact lenses.
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CHRPE - Gardner Syndrome - FAMILIAL COLORECTAL POLYPOSIS - 11 year old female2154 views11-year-old child with CHRPE OS has six undescended adult teeth and also she has had a cyst removed from her arm pit and she has three more in her arm pit and one on her face and she is seeing a dermatologist for that in the near future. The mother reports no health problems, however, the patient’s grandmother does have a history of intestinal polyps, as does the patient’s grandmother’s brothers son.
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Wyburn-Mason Syndrome 2151 views28 year old female, diagnosed with Wyburn-Mason Syndrome at age 7. At time of exam, vision in the left eye was 4/200.
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old - SD - OCT OS2143 views61-year-old decreasing vision for about the last five years. OD 20/50, OS 20/200.
Pisciform Lesions and Macular Atrophy
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Myelinated Nerve Fiber Layer Right Eye (white area)2140 views62-year-old man myelinated nerve fiber layer in the right eye. OD 20/25, OS 20/30.
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ANGIOID STREAKS2123 viewsA 29 year old woman was referred to the ophthalmologist for an eye exam since the dermatologist had noted “chicken-skin†papules in the neck skin. PAD showed for pseudoxathoma elasticum typical pathology. The eye exam disclosed angioid streaks, asymptomatic so far.
Magnus Gjötterberg MD
International membrer 1440
S:t Erik Eye Hospital
SE-11282
Stockholm
Sweden
magnusgjotterberg@hem.utfors.se
magnus.gjotterberg@sankterik.se.
Photographer/technician
Malin Langhals
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Amelanotic Choroidal Nevus 2122 views45-year-old man OD 20/20, OS 20/20. 5x5 mm flat, yellow choroidal lesion just inferonasal to the optic nerve, two disc-diameters from the nerve with scalloped edges. It looks like a confluent drusen, but it is not elevated.
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Peripheral Bullous Retinoschisis Fundus Photo (superotemporal)2122 views64-year-old man with peripheral retinal problem noted during comprehensive eye examination. OD 20/32, OS 20/25
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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome2099 views80-year-old man vision loss for one year. He died about one year after these photos from Metastatic Poorly Differentiated Large Cell Carcinoma of unknown primary. He was a smoker.
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Retinal Pigment Epithelial Dysgenesis2091 views
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 2091 viewsElschnig Spots
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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Wet AMD OS - Dry AMD OD SD-OCT2090 views84-year-old woman has wet age-related macular degeneration in the left eye and dry macular degeneration in the right eye. She takes the eye vitamins and her vision is stable since she was treated three months ago with Avastin. OD 20/50, OS 20/32
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Malattia leventinese2082 viewsBasal laminar drusen in a perifoveal radial distribution are noted in this rare condition. Inheritance is AD with variable expressivity but full penetrance.
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Reticular Macular Disease - Reticular Pseudodrusen and Soft Macular Drusen - 57 Year Old Woman2079 views57-year-old woman was seen in the office on 2/22/2011. She has macular drusen in both eyes. I saw her back in 2006. Since then she does notice slight increased distortion. OD is 20/25, OS is 20/25
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Red Free Hemangioma left eye2075 views
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coats disease; exudative retinitis; retinal telangiectasis; leber multiple miliary aneurysm disease2064 viewsclassic coats
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CHRPE lesion in the left eye - Irregular pigmentation2060 views63 year old female with normal vision and CHRPE lesion in the right eye.
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Retinoblastoma2056 viewsYoung male who has a retinal tumor inferior with a calcium core in the left eye. This is a regressed retinoblastoma.
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Coloboma of the optic Nerve2053 viewsColoboma
James L. Perron
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Anterior Ischemic Optic Neuropathy - Non-Arteritic - AION2047 views72-year-old woman sudden vision loss in the right eye about four days ago. She also has noticed that things are dim out of that eye. She has no headaches. She does feel a little tired. She has no pain in her jaw when she chews and she has no fevers.
OD is 20/80, PH 20/25; OS is 20/25
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago SD-OCT (Spectral domain optical coherence tomography)2042 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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Correctopia - post laser iridoplasty - 20/20 vision2039 views1 month after the iridoplasty, her vision was 20/20. She began to improve on the drive home from the treatment. The laser setting were : green argon 500 microns, 500 mw, 500 msec.
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago Fundus Autofluorescence2037 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangioma2024 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.
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Conjunctival Cyst2019 viewsPatient comes in with mechanical irritation in the right eye. No foreign body was found. Slit lamp photo shows conjunctival cyst was found temporal in the right eye. Patient will proceed with steroid/antibiotic drops and will stay out of contact lenses.
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Recurrent Macula Off Retinal Detachment - Corrugated Shallow Appearance2018 views62-year-old man shadow a week ago.
VISUAL ACUITY: Vision OS is 20/60. RECURRENT RETINAL DETACHMENT
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Weiss Ring -Vogt Ring - Posterior Vitreous Detachment2018 viewsChronic Floater - 10 years
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Pigment migration in dry age-related macular degeneration2017 views80 year old female. Dry AMD with GA in the left eye and pigment migration visible on OCT scan.
VA 20/40 OD, 20/160 OS
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Peripheral reticular pigment degeneration - pavingstone degeneration - age-related macular degeneration2011 views60 year old healthy man with intermediate AMD and peripheral pigment degeneration and pavinstone degeneration. Vision is 20/20 OU and the patient is asymptomatic. No significant history of AMD and he is a non-smoker.
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Ectopia Lentis - Marfan's Syndrome - Intermittent Pupillary Block Glaucoma Right Eye2010 views41-year-old woman decreased vision right eye and intermittent pupillary block glaucoma for 6 months from a dislocated natural lens in the eye, probably associated with Marfan syndrome.Vision OD is 20/160, PH 20/40; OS is 20/30, PH 20/25
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Progressive Outer Retinal Necrosis 77 Year Old Woman with CLL (Acute Retinal Necrosis) (PORN - ARN)2006 views77-year-old woman with CLL who had shingles on the left side of her face about 6 weeks ago then she developed a dendrite in the cornea which was treating about four weeks ago. She noticed severe vision loss in the left eye just a few days ago and you saw retinitis and she comes in because of that. Vision OD is 20/25, OS is hand motion
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Retinal Tear After Laser1998 views65-year-old woman new onset floaters for 1 week. She initially saw flashing lights and then the flashing lights subsided and then she had the floaters VISUAL ACUITY: OD 20/25, OS 20/50
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago Fundus Autofluorescence1982 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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