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Nonproliferative Diabetic Retinopathy8136 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 Retinopathy7480 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 Retinopathy6601 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 Retinopathy5727 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 Retinopathy5551 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 Epithelium5020 views56-year-old woman nov vision problems. OD is 20/20, OS is 20/16
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Optic disc swelling4656 views56 year old woman
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Juvenile Onset Diabetic - Proliferative Diabetic retinopathy with NVE and NVD4466 viewsProliferative Diabetic Retinopathy with Neovascularization of the Disc and Neovascularization Elsewhere.
James L. Perron, C.R.A.
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Nonproliferative Diabetic Retinopathy4359 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 Background4348 views
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago SD-OCT (Spectral domain optical coherence tomography)4172 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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CHRPE - Gardner Syndrome - FAMILIAL COLORECTAL POLYPOSIS - 11 year old female4025 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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Type 1 Retinal Arteriovenous Malformation3687 views42 year old female VA 20/32 OD, 20/20 OS MRI was negative.
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Purtscher's Retinopathy - Motor Vehicle Accident3683 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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Wyburn Mason Syndrome3675 views28 year old female, visual acuity OS 20/200
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Optic Nerve Tumor3670 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)3592 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 Choroiditis3581 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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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago SD-OCT (Spectral domain optical coherence tomography)3496 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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Occult Metallic Intraocular Foreign Body - WINNER JANUARY 2011 - BEST IMAGE3453 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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Peripheral Bullous Retinoschisis Spectral Domain Optical Coherence Tomography (SD-OCT)3189 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 Hole3016 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 Woman2960 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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Non-Ischemic Central Retinal Vein Occlusion in Young Man (30 years) - Many Cotton Wool Spots2939 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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Macular fold after PPV for RD2817 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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Nonproliferative Diabetic Retinopathy2764 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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CAVERNOUS HEMONGIOMA2744 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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Combined hamartoma of the retina and RPE2722 views16 year old female, diagnosed with a combined hamartoma of the retina and the retinal pigment epithelium.
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago SD-OCT (Spectral domain optical coherence tomography)2716 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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Prominent Posterior Hyaloid with Background Diabetic Retinopathy2710 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 Epithelium2695 views56-year-old woman nov vision problems. OD is 20/20, OS is 20/16
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Acute Macula Neuroretinopathy2573 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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Anterior Ischemic Optic Neuropathy - Non-Arteritic - AION2563 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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Asymptomatic Hollenhorst Plaque - Cholesterol Embolis2560 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 Autofluorescence2545 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 vision2526 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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Horseshoe Retinal Tear with bridging blood vessel2504 views
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Corneal Abrasion with Foreign Body Present 2473 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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Retinal Vasculitis due to Lupus (color)2408 viewsSystemic Lupus Erythematosis - Vasculitis
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Prominent Posterior Hyaloid with Background Diabetic Retinopathy2401 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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Dilated Conjunctival Blood Vessels2365 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 Spots2343 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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Serous Choroidal Effusions2339 viewsSerous choroidal effusions following anterior segment surgery. Final visual outcome was 20/20.
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Corneal Abrasion with Foreign Body Present 2335 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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"Jelly Bumps" Soft Contact Lens2296 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 Autofluorescence2293 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 - AION2290 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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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)2286 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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Dilated Conjunctival Blood Vessels2285 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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Nonproliferative Diabetic Retinopathy2272 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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OD Albinism with foveal hypoplasia2202 views28 year old female latina with vision of 20/400
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Reticular Macular Disease - Reticular Pseudodrusen and Soft Macular Drusen - 57 Year Old Woman2172 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 od2155 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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Combined schisis-rhegmatogenous RD2145 viewsMultiple outer layer and inner layer holes
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Dilated Conjunctival Blood Vessels2139 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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CAVERNOUS HEMONGIOMA2119 views28 year old male. FA
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago SD-OCT (Spectral domain optical coherence tomography)2101 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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Astrocytic Hamartoma2087 viewsCalcified astrocytic hamartoma of the optic nerve
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Diabetic Macular Edema and Hypertensive Retinopathy - Circinate Exudate (Ring Exudate) 2086 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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Retinal Flap Tear - Horseshoe - Cystic Retinal Tuft on Flap2085 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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Large mac hole OCT2065 views76 yof with large mac hole
VA: CF at 3ft
chance of spontaneous closure low; surgery option available
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 2061 viewsElschnig Spots
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Uveitis - Iris Nodule - Koeppe Nodule2034 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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Peripheral Bullous Retinoschisis Fundus Photo (superotemporal)2034 views64-year-old man with peripheral retinal problem noted during comprehensive eye examination. OD 20/32, OS 20/25
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CHRPE - Gardner Syndrome - FAMILIAL COLORECTAL POLYPOSIS - 11 year old female2031 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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Myelinated Nerve Fiber Layer Right Eye (white area)2008 views62-year-old man myelinated nerve fiber layer in the right eye. OD 20/25, OS 20/30.
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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome2003 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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ANGIOID STREAKS1987 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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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old - SD - OCT OS1983 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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Amelanotic Choroidal Nevus 1980 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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Reticular Macular Disease - Reticular Pseudodrusen and Soft Macular Drusen - 57 Year Old Woman1977 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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Wyburn-Mason Syndrome 1963 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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Conjunctival Cyst1949 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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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1947 viewsElschnig Spots
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Malattia leventinese1941 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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Pigment migration in dry age-related macular degeneration1919 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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Retinoblastoma1916 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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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago SD-OCT (Spectral domain optical coherence tomography)1910 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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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Wet AMD OS - Dry AMD OD SD-OCT1908 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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Multiple - Congenital Hypertrophy of the Pigment Epithelium - CHRPE - Gardner Syndrome1903 views63 Year Old woman with a history of colon cancer at age 32. She has also had thyroid cancer. Two of her 6 siblings died of cancer, one of sarcoma and one of lung cancer. Vision 20/30, 20/25. Fundus shows CHRPE in both eyes.
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Weiss Ring -Vogt Ring - Posterior Vitreous Detachment1900 viewsChronic Floater - 10 years
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Retinal Pigment Epithelial Dysgenesis1895 views
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CHRPE lesion in the left eye - Irregular pigmentation1894 views63 year old female with normal vision and CHRPE lesion in the right eye.
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago Fundus Autofluorescence1893 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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Recurrent Macula Off Retinal Detachment - Corrugated Shallow Appearance1891 views62-year-old man shadow a week ago.
VISUAL ACUITY: Vision OS is 20/60. RECURRENT RETINAL DETACHMENT
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Correctopia - post laser iridoplasty - 20/20 vision1885 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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Ectopia Lentis - Marfan's Syndrome - Intermittent Pupillary Block Glaucoma Right Eye1883 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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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangioma1879 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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Anterior Ischemic Optic Neuropathy - Non-Arteritic - AION1878 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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Retinal Tear After Laser1873 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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Conjunctival Cyst1868 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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Red Free Hemangioma left eye1853 views
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Retinal Tear After Laser1851 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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Peripheral reticular pigment degeneration - pavingstone degeneration - age-related macular degeneration1843 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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Progressive Outer Retinal Necrosis 77 Year Old Woman with CLL (Acute Retinal Necrosis) (PORN - ARN)1836 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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Stargardt's Juvenille Macular Dystrophy - Fundus Flavimaculatus - Famlial1831 views55-year-old woman was seen in the office on 11/18/08. She has a half sister with Stargardt’s disease and seven other siblings who are fine. 20/120 OD, 20/160 OS.
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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Wet AMD OS - Dry AMD OD SD-OCT1819 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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Myelinated Nerve Fiber Layer Right Eye (white area)1817 views62-year-old man myelinated nerve fiber layer in the right eye. OD 20/25, OS 20/30.
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago Fundus Autofluorescence1812 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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TRD w/ fibrovascular proliferation and sub retinal PVR OD1807 views41 year old african american female with tractional retinal detachment, fibrovascular proliferation, old vitreous hemorrhage, disc neovascularization, and proliferative vitreoretinopathy. Pt has a vision of 20/200
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