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Hyperpigmentation of the Retinal Pigment Epithelium in Dry AMD948 views87-year-old woman has wet age-related macular degeneration in the left eye. Vision OD is 20/25, OS is 20/400
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Juxtafoveal Telangiectasis - MacTel - Retinal Telangiectasis - Both Eyes - Crystals947 views61-year-old man has idiopathic juxtafoveal retinal telangiectasis type II in both eyes OD is 20/40, OS is 20/25
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)947 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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946 views
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Retinal Tear with Vitreous Hemorrhage before and after Laser Photocoagulation946 views61-year-old man has noticed increased floaters in the right eye for about the last week. Vision OD is 20/160 There is 3+ vitreous hemorrhage with a retinal tear, about 2-disc diameters posterior to the equator at 10:00 o’clock over a retinal vessel.
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Mild Clinically Significant Diabetic Macular Edema945 views58-year-old woman diabetic for 20 years who has diabetic macular edema in both eyes. She has had waxing and waning edema in the past and I thought it might improve on its own but it did not. She notices her vision is still a little hazy.
VISUAL ACUITY: Vision OD is 20/30, OS is 20/25.
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Twig Branch Retinal Vein Occlusion - Recurrent Macular Edema with extended interval Lucentis Therapy after first 6 monthly Injections945 views39-year-old man has a macular branch retinal vein occlusion with macular edema. He had an excellent response to Lucentis for his first 6 treatments. He was last here 6 weeks ago and his vision seems OK to him. OD 20/40.
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Acute Non-arteritic Anterior Ischemic Optic Neuropathy Right Eye - Previous NA-AION left eye 945 views69-year-old man previously lost vision in the left eye from nonarteritic anterior ischemic optic neuropathy in 2006. About a week ago and noticed blurred vision in the inferonasal part of the vision in the right eye.
VISUAL ACUITY: Vision OD is 20/16, OS is 20/40
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Retinal Arterial Macroaneurysm - Increased Swelling after Laser 944 views65-year-old woman was seen in the office on January 12, 2011. She has noticed decreased vision in the right eye for the last two or three weeks. She has had some discomfort in both eyes as well. She has a history of low blood pressure, but she does have high cholesterol.
VISUAL ACUITY: OD 20/60
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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Ipsilateral Diffuse Choroidal Hemangioma944 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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Flower Cataract944 viewsPatient with ahmed tube and flower cataract
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Choroidal Rupture and small Hemorrhage - Assault943 views34 year old man. The patient reports he was assaulted by a couple of adolescents near downtown St. Petersburg about forty-eight hours ago. He reports the pain in the left eye has significantly improved, but his vision is a little fuzzy and he sees some floaters in the left eye. 20/125 OD, 20/20 OS. Pinhole improves in the right eye to 20/50. IOP: 15 OD, 13 OS.
SLIT LAMP EXAMINATION: Biomicroscopy reveals 3+ pupillary reaction OD, 2+ OS with no afferent pupillary defect. EXTENDED OPHTHALMOSCOPY: Extended funduscopy with Volk 90-diopter lens and fundus drawings of both eyes reveal a clear view with no posterior vitreous separation. C/D ratio is 0.2. There is no vitreous debris or hemorrhage. Large retinal vessels and macula are healthy. The retinal periphery, inspected with scleral depression for 360° shows no retinal tears, breaks, or detachments.
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Atypical Neuroretinitis - ?Ischemic - ?Paraneoplastic - Optic Nerve Swelling and Foveal Edema and Exudate943 views74-year-old woman has stage 4 non-small cell lung carcinoma decreasing vision in the left eye for at least the last two weeks, VA 10/200. Trace APD OS. No pain
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Radioactive Plaque Placement for Choroidal Melanoma Plaque Sutured to Globe943 views
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Shotgun wound to face with Perforating Pellet - Final Vision 20/400 943 views18-year-old had a gunshot wound to the left eye. He had surgery on December 31st (1 week post injury) and February 4th and his vision has remarkably done well.
VISUAL ACUITY: Vision OS is 3/200.
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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fundus Autofluorescence943 views 25-year-old man with one and half weeks ago he woke up with night chills. Also around that time his joints started hurting him. He also has headaches, although the headache at this point is not severe. His vision has been changing for about the last week and a half. He sees some spots in his vision and they are blurred spots. They are not in the central vision.
VISUAL ACUITY: OD 20/32, OS 20/32
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Macular Hemorrhage942 viewsPatient comes in with central vision loss in the right eye. Fundus photography shows a macular hemorrhage in the central portion of the fovea. Cotton wool spots are present around the optic nerve and a little hemorrhage present inferiorily at 6-o'clock.
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Gyrate Atrophy - 15 year old male - 20/25 vision both eyes - Positive Family History941 views15 year old male was diagnosed with “retinitis pigmentosa†at age seven. The patient reports that his night vision is poor. He reports he does not notice a visual field change. He reports that his maternal grandfather has lost vision and a cousin has lost vision as well. He reports he has an uncle with some visual changes.
The most significantly affected relative is a 26-year-old legally blind cousin.
20/25+ OD, 20/25 OS.
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Ruptured Retinal Arterial Macroaneurysm - Submacular Hemorrhage - Vision 20/400 never recovered - Hypertension 205/94939 views
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Nanopthalmous (Microphthalmous) Chorioretinal Folds and Choroidal Thickening Both Eyes B-Scan Ultrasound939 views
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Optic Nerve (Disc) Drusen - Infrared Reflectance939 views34 Year Old woman no headaches normal vision
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Optic Nerve Tumor939 viewsYoung male patient with a tumor present on the optic nerve in the right eye. VA is hand motion in the right eye
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Nanopthalmous (Microphthalmous) Chorioretinal Folds and Choroidal Thickening Both Eyes B-Scan Ultrasound938 views
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Punctate Inner Choroidopathy - PIC and Choroidal Neovascular Membrane - Right Eye - ICG Angiogram938 views34-year-old woman with a change in vision in the right eye about eight days ago. Her vision was hazy and she saw waviness in the vision. She does have a history of aches and pains and she was diagnosed with Sjogren’s and 2 months ago she had some fevers and some sinus drainage and that went on for about two months. She is a moderate myope. OD 20/25, OS 20/20.
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female938 viewsSD OCT shows disruption of the outer retina nasal to the fovea
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Macular Scars - Laser (1980s) Ocular Histoplasmosis937 views70 year old man who had laser at Wills, Wilmer and the Mayo clinic before better therapies were available for ocular histoplasmosis related CNVM
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Low Tension Glaucoma936 views59-year-old woman has a history of glaucoma dating back to 1990. She had trabeculectomy in the left eye in 1998 and then persisted to lose vision despite normal intraocular pressures from low-tension glaucoma in the left eye. She is now on Cosopt and Travatan in both eyes.
Vision OD is 20/20, OS is 20/16. IOP: OD 9, OS 6.
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Diabetic Retinopathy - Non-Perfusion - Possible Central Retinal Vein Occlusion936 views68-year-old woman OD 20/70, OS 20/200 CYSTOID MACULAR EDEMA, POSSIBLE EITHER OCULAR ISCHEMIC SYNDROME IN THE RIGHT EYE OR OCCULT CENTRAL RETINAL VEIN OCCLUSION IN THE RIGHT EYE,S EVERE NON-PerfUSION WITH DIABETIC RETINOPATHY IN THE LEFT EYE.
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Non-Foveal Geographic Atrophy Both Eyes936 views81-year-old man has age-related macular degeneration in both eyes. Vision OD is 20/40, OS is 20/80.
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Outer Retinal Tubulation936 viewsPatient with a history of wet macular degeneration and glaucoma in both eyes. VA is 20/50, right eye, 20/80, left eye. Patient is treated with Eylea in both eyes. Enhanced Depth Imaging OCT reveals a small like form of a cyst which in fact isn't a cyst at all. This is called Outer Retinal Tubulation in which degenerating photo-receptors may become arranged in a circular or ovoid fashion. This is sometimes misdiagnosed as cystic changes in the retinal pigment epithelium or sub-retinal fluid.
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Retinal Coloboma936 viewsYoung 19-year old female with Charge Syndrome comes in for eye exam. VA is 20/400, right eye, 20/30, left eye. Fundus photography shows coloboma covering the macula and pushing the optic nerve in the right eye.
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female Old Scar OD935 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.
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Central Serous Retinopathy Acute - Fluorescein Angiogram935 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
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CHRPE lesion in the left eye - Irregular pigmentation934 views63 year old female with normal vision and CHRPE lesion in the right eye.
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Fungal Endophthalmitis934 views65-year-old woman had chronic endophthalmitis in the left eye 1 day post-op vitrectomy.
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Acute Non-arteritic Anterior Ischemic Optic Neuropathy Right Eye - Previous NA-AION left eye 934 views69-year-old man previously lost vision in the left eye from nonarteritic anterior ischemic optic neuropathy in 2006. About a week ago and noticed blurred vision in the inferonasal part of the vision in the right eye.
VISUAL ACUITY: Vision OD is 20/16, OS is 20/40
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Acute Non-arteritic Anterior Ischemic Optic Neuropathy Right Eye - Previous NA-AION left eye 934 views69-year-old man previously lost vision in the left eye from nonarteritic anterior ischemic optic neuropathy in 2006. About a week ago and noticed blurred vision in the inferonasal part of the vision in the right eye.
VISUAL ACUITY: Vision OD is 20/16, OS is 20/40
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Retinal Detachment and Macular Pucker 933 views76-year-old man has had a retinal detachment repair in the right eye. His vision was improving until just on the way over today and then his vision declined.
VISUAL ACUITY: OD 1/200
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Retinal Detachmet933 views
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Asymptomatic Retinal Detachment Confirmed with Optical Coherence Tomography (OCT)933 views24-year-old 20/20 vision in each eye. Patient referred for retinoschisis. OCT confirmed retinal detachment. Patient is very active and in military so the detachment was treated with laser demarcation.
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Wet AMD Fresh Submacular Hemorrhage - Displaced with Vitrectomy and Subretinal TPA932 views85-year-old woman has wet age-related macular degeneration in her better eye and she was reading with it until two days ago when she had sudden severe vision loss in the eye. Post-surgical displacment vision was 20/120.
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Acute Zonal Occult Outer Retinopathy932 views45-year-old man noticed a few years ago peripheral vision blurriness in the left eye and also some central vision loss. Previous to that, as far as he knows, the two eyes were okay.
VISUAL ACUITY: OD: 20/20; OS: 20/40.
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932 viewsPHPV - right eye. Peripheral extension
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Fresh Macular Fold following Macula On Superior Retinal Detachment Repair932 viewsMacular fold after pneumatic retinopexy for macula on superior retinal detachment. Visual acuity is 20/200
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Best Disease, Vitelliform Macular Dystrophy - 6 year old child931 viewsVISUAL ACUITY: Vision OD is 20/30, OS is 20/100.
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Radioactive Plaque Placement for Choroidal Melanoma Transillumination of Globe to Localize Melanoma 930 views
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Central Serous Retinopathy - Acute929 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman929 viewsInitial visit (June 11, 2011): 2 days of vision loss right eye. Wedge suddenly of VA loss OD, too dardkto see through. No flashes or floaters. VA 20/20 OU.
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Central Areolar Choroidal Dystrophy929 viewsVision loss from early 60's. This 78 year old woman has choroidal atrophy centrally.
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branch retinal vein occlusion - fundus photo928 views70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.
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Old BRAO twig with plaque928 views81-year-old woman Her left eye is amblyopic. Her right eye was doing fine until about last Sunday, which is five days ago. She had a change in vision where for five minutes she saw a shadow in her side vision out of the right eye. She describes it as being more up into the left. It lasted for just a brief time and then went away. She has had atrial fibrillation since January of 2008. She is on Coumadin for that. She is diabetic for eleven years. OD is 20/25, OS is 20/60. IOP: OD 15, OS 18.
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Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male928 views49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.
VISUAL ACUITY: OD 20/60, OS 20/25.
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo928 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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Calcified Drusen - Dry Age-related Macular Degeneration - Geographic Atrophy927 views87 Year old woman with dry age-related macular degeneration in both eyes.With both eyes open she is fine, but when she closes the left eye, things are wavier.
VISUAL ACUITY: Vision OD is 20/100, OS is 20/40.
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RD927 viewsRD
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Drusen Maculopathy - Confluent Subfoveal Soft Hydrophobic Drusen - Yellow Drusen in the Center of the Macula926 views73-year-old woman. She is diabetic for thirteen years. She is also on Coumadin for her heart disease.
VISUAL ACUITY: OD 20/25, OS 20/50.
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Albinism and Foveal Hypoplasia926 views65-year-old man was told about twenty years ago by a retina specialist that he spent so much time in the sun that he burned out his maculae. He does have two brothers who have dark brown hair and he has always had white hair. He had eye exercises when he was eight or nine because of a lazy eye and his brothers, when he was little, used to call him an albino. He has been diagnosed by dermatologists as having possible albinism but he has been told by other people his skin is just fair.
VA 20/70 OU
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Central Retinal Vein Occlusion - Severe Optic Nerve Edema926 views15 yr old male presents with sudden onset of painless decreased vision in right eye x 6 days gradually worsening. No history of Trauma OD 20/30 OS 20/25, Diagnosis CRVO with ? Papillophlebitis.
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Band Keratopathy/Neurotrophic Ulcer926 viewsPatient comes in with blind painful left eye. Slit lamp photos shows corneal diffuse scarring, descemets folds, corneal striae, band keratopathy, left eye. Proceed with Jupiter contact lens fitting on the left eye.
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Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE 926 viewsVenous beading, vascular loops and NVE are visible on photos
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Retinal Artery Occlusion926 viewsPatient comes in for eval on artery occlusions in both eyes. VA is 20/400, right eye and NLP, left eye. Fundus photos show paniretinal scars in the right eye with arterial narrowing and the left eye has arterial narrowing as well.
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Occult Maculopathy - Thin Fovea on OCT and Normal Color VA, Photos, FA VA 20/80 OU925 viewsOCT Scan Right Eye shows foveal thinning. OD is 20/80, PH 20/70; OS is 20/80, PH 20/70. His color vision is normal with 13 out of 14 correct in each eye. There is no afferent pupillary defect.
FLUORESCEIN ANGIOGRAPHY: The FA is entirely normal.
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Hemi Central Retinal Vein Occlusion 35 year old non-compliant man925 views35-year-old man hazy vision in his left eye for about the last three days. OD 20/20, OS 20/30
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80 year old woman with Reticular Drusen (pseudodrusen) 20/30 Vision - Before Vitrectomy925 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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Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes925 views69-year-old man has had vision loss in both eyes starting 20 years ago. He was diagnosed at one point with Stargardt’s macular dystrophy. When I saw him, he had retinal atrophy in each eye.
Vision is 20/200 in each eye
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50 Year Old woman with Congenital Retinal Vascular Tortuosity - Normal Vision924 views
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Proliferative Diabetic Retinopathy - Vitreous Hemorrhage and Tractional Retinal Detachment Left Eye922 views52-year-old man has been diabetic for nineteen years developed substantial vision loss over the last month or two. OD 20/70, OS 20/200.
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Hyperpigmentation of the Retinal Pigment Epithelium in Dry AMD922 views87-year-old woman has wet age-related macular degeneration in the left eye. Vision OD is 20/25, OS is 20/400
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Punctate Inner Choroidopathy - PIC and Choroidal Neovascular Membrane - Right Eye - SD OCT922 views34-year-old woman with a change in vision in the right eye about eight days ago. Her vision was hazy and she saw waviness in the vision. She does have a history of aches and pains and she was diagnosed with Sjogren’s and 2 months ago she had some fevers and some sinus drainage and that went on for about two months. She is a moderate myope. OD 20/25, OS 20/20.
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Epiretinal Membrane922 viewsPatient with a history of pars planitis comes in with decreased vision in the left eye. VA is 20/30 in the left eye. Fundus photos show a rather large epiretinal membrane covering the optic nerve in the left eye.
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Old Retinal Detachment Repair with Silicone Oil921 viewsPatient comes in for eval on glaucoma. Patients VA in the right eye was CF in the right eye and 20/50. left eye. Fundus photography shows old retinal detachment with scattered laser scars in the periphery. Silicone oil visible in the macula as well.
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Acute Zonal Occult Outer Retinopathy920 views45-year-old man noticed a few years ago peripheral vision blurriness in the left eye and also some central vision loss. Previous to that, as far as he knows, the two eyes were okay.
VISUAL ACUITY: OD: 20/20; OS: 20/40.
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Radioactive Plaque Placement for Choroidal Melanoma Gold Plaque about the size of a Quarter920 views
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DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematode920 views
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Congenital Achromatopsia 920 views26-year-old man was diagnosed with congenital achromatopsia by ERG as a child. He has family members who also have this disorder. OD 20/200, OS 20/200.
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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome919 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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Acute Zonal Occult Outer Retinopathy919 views45-year-old man noticed a few years ago peripheral vision blurriness in the left eye and also some central vision loss. Previous to that, as far as he knows, the two eyes were okay.
VISUAL ACUITY: OD: 20/20; OS: 20/40.
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)919 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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Angioid Streaks - Pseudoxanthoma Elasticum - Supressed CNVM919 views54-year-old woman had angioid streaks and macular degeneration in both eyes. She has had intravitreal Avastin in the right eye about every three months and her vision in that eye is good.
VISUAL ACUITY: Vision OD is 20/30, OS is 2/200
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Hemangioma919 viewsFP Composite of Hemangioma in OD
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Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes918 views69-year-old man has had vision loss in both eyes starting 20 years ago. He was diagnosed at one point with Stargardt’s macular dystrophy. When I saw him, he had retinal atrophy in each eye.
Vision is 20/200 in each eye
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Photo Equator918 views70 year old woman has had macular drusen since her thirties and she said her sister has a similar problem. Recently the vision in the left eye has substantially declined. OD 20/16, OS 10/200.
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Hyperpigmentation of the Retinal Pigment Epithelium in Dry AMD917 views87-year-old woman has wet age-related macular degeneration in the left eye. Vision OD is 20/25, OS is 20/400
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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome916 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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Giant Retinal Diaylsis Retinal Detachment - Previous Inflammatory Retinitis - Small Inferior Retinal Holes916 views25-year-old man vision loss for three days. He had a previous episode in this eye in 3 years ago with a strange sort of inflammatory lesion. He had laser in that eye and a pneumatic retinopexy at the time for a retinal detachment. That same area has a giant dialysis retinal detachment. OD 20/400, OS is 20/20
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Nonprolific Diabetic Retinopathy with Circinate Ring916 viewsNonprolific Diabetic Retinopathy with Circinate Ring
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Foreign Body "Rust Ring" 916 viewsPatient complained of redness and tearing with white discharge. Patient was working with a grinding wheel on a vehicle. Slit lamp exam shows a rust ring barley off center. FBS was removed with Algiers Brush.
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Peripheral Iridotomy916 viewsSlit lamp photo of peripheral iridotomy for narrow angles. A hole was place at 10-o'clock superior temporally.
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Ocular Histoplasmosis both Eyes - Laser Right Eye Only 915 views58-year-old woman who lost vision as a child in the left eye from ocular histoplasmosis. She used to play in her attic and she was told by her pulmonary doctor that is probably where she picked it up. She had laser in the right eye for a leaky lesion back in 1990. OD 20/25, OS 20/200.
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Primary Ocular Lymphoma - 020513 - SD OCT - SD OCT915 views
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Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE 915 viewsVenous beading, vascular loops and NVE are visible on photos
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Retinitis Pigmentosa Sine Pigmento 915 views
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Radioactive Plaque Placement for Choroidal Melanoma Transillumination of Globe to Localize Melanoma 914 views
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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangioma914 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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Molteno Drainage Tube914 views
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Equatorial Drusen Right Eye913 views
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Multiple Evanescent White Dot Syndrome - Acute Idiopathic Blind Spot Enlargement913 views33-year-old woman one week ago she awoke and saw a red spots flashing out of her right eye. She notices them to the right side, which is the temporal visual field out of the right eye, then they changed to bursts of white lights without colors and then she notices straight ahead a couple spots. She has headaches in the back of her head. OD 20/20, OS 20/20
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Multifocal Pattern Dystrophy913 views51 year old with normal vision - images look a lot like fundus flavimaculatus
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Idiopathic Cystoid Macular Edema - CME - Pre Treatment Optical Coherence Tomography Map Showing Thickened Right Macula912 views49-year-old man had a flu two weeks ago the right eye has been throbbing and his vision in the right eye has been foggy. OD 20/80, OS 20/40. IOP: 14 OU.
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Optic Nerve (Disc) Drusen - Spectral Domain Optical Coherence Tomography Line Scan912 views34 Year Old woman no headaches normal vision
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