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BRAO and PAMM958 viewsLayers of retina are thickened showing ischemia to the middle retina (deep retinal capillary plexus)
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Radioactive Plaque Placement for Choroidal Melanoma Transillumination of Globe to Localize Melanoma Arrow Points to Tumor Shadow957 views
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Proliferative Diabetic Retinopathy with Tractional Retinal Detachment957 viewsProliferative Diabetic Retinopathy with Tractional Retinal Detachment
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Hyperpigmentation of the Retinal Pigment Epithelium in Dry AMD955 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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Asymptomatic Retinal Detachment Confirmed with Optical Coherence Tomography (OCT)955 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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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female955 viewsSD OCT shows disruption of the outer retina nasal to the fovea
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female Old Scar OD954 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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Acute Non-arteritic Anterior Ischemic Optic Neuropathy Right Eye - Previous NA-AION left eye 954 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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Superior Peripapillary Hemorrhage954 viewsPatient was seen for acute vision loss in the right eye. Patient has glaucoma. VA was 20/70 in the right eye. Had Vitrectomy back in May 2012 for ERM stripping. Also had Trabectome with cataract surgery back in December of 2012. Fundus photos presents a Superior Peripapillary Hemorrhage of the optic nerve. Patient will be followed up in one month.
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Mild Clinically Significant Diabetic Macular Edema953 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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Central Retinal Vein Occlusion - Severe Optic Nerve Edema953 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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Flower Cataract953 viewsPatient with ahmed tube and flower cataract
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Retinal Tear with Vitreous Hemorrhage before and after Laser Photocoagulation952 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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Retinal Arterial Macroaneurysm - Increased Swelling after Laser 952 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 Hemangioma952 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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Twig Branch Retinal Vein Occlusion - Recurrent Macular Edema with extended interval Lucentis Therapy after first 6 monthly Injections952 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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Optic Nerve Tumor952 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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Juxtafoveal Telangiectasis - MacTel - Retinal Telangiectasis - Both Eyes - Crystals951 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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951 views
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)951 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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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fundus Autofluorescence951 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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Acute Non-arteritic Anterior Ischemic Optic Neuropathy Right Eye - Previous NA-AION left eye 951 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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Ruptured Retinal Arterial Macroaneurysm - Submacular Hemorrhage - Vision 20/400 never recovered - Hypertension 205/94950 views
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Nanopthalmous (Microphthalmous) Chorioretinal Folds and Choroidal Thickening Both Eyes B-Scan Ultrasound950 views
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Macular Hemorrhage950 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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Atypical Neuroretinitis - ?Ischemic - ?Paraneoplastic - Optic Nerve Swelling and Foveal Edema and Exudate948 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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Nanopthalmous (Microphthalmous) Chorioretinal Folds and Choroidal Thickening Both Eyes B-Scan Ultrasound948 views
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Old BRAO twig with plaque947 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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Radioactive Plaque Placement for Choroidal Melanoma Plaque Sutured to Globe947 views
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - FA Very Slow Filling CRA947 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
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Gyrate Atrophy - 15 year old male - 20/25 vision both eyes - Positive Family History946 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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Non-Foveal Geographic Atrophy Both Eyes946 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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CHRPE lesion in the left eye - Irregular pigmentation945 views63 year old female with normal vision and CHRPE lesion in the right eye.
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Drusen Maculopathy - Confluent Subfoveal Soft Hydrophobic Drusen - Yellow Drusen in the Center of the Macula944 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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Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male944 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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Retinal Coloboma944 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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Diabetic Retinopathy - Non-Perfusion - Possible Central Retinal Vein Occlusion943 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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Macular Scars - Laser (1980s) Ocular Histoplasmosis943 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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Ocular Histoplasmosis both Eyes - Laser Right Eye Only 943 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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Fungal Endophthalmitis942 views65-year-old woman had chronic endophthalmitis in the left eye 1 day post-op vitrectomy.
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Outer Retinal Tubulation942 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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Optic Nerve (Disc) Drusen - Infrared Reflectance942 views34 Year Old woman no headaches normal vision
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Low Tension Glaucoma941 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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Wet AMD Fresh Submacular Hemorrhage - Displaced with Vitrectomy and Subretinal TPA941 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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Fresh Macular Fold following Macula On Superior Retinal Detachment Repair941 viewsMacular fold after pneumatic retinopexy for macula on superior retinal detachment. Visual acuity is 20/200
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Retinal Detachmet941 views
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Epiretinal Membrane940 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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939 viewsPHPV - right eye. Peripheral extension
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Best Disease, Vitelliform Macular Dystrophy - 6 year old child938 viewsVISUAL ACUITY: Vision OD is 20/30, OS is 20/100.
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Acute Zonal Occult Outer Retinopathy938 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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Central Serous Retinopathy Acute - Fluorescein Angiogram938 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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50 Year Old woman with Congenital Retinal Vascular Tortuosity - Normal Vision938 views
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Retinal Detachment and Macular Pucker 937 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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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo937 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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Retinal Artery Occlusion937 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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Calcified Drusen - Dry Age-related Macular Degeneration - Geographic Atrophy936 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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Punctate Inner Choroidopathy - PIC and Choroidal Neovascular Membrane - Right Eye - SD OCT936 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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Primary Ocular Lymphoma - 020513 - SD OCT - SD OCT936 views
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Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE 936 viewsVenous beading, vascular loops and NVE are visible on photos
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Central Areolar Choroidal Dystrophy936 viewsVision loss from early 60's. This 78 year old woman has choroidal atrophy centrally.
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Albinism and Foveal Hypoplasia935 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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Radioactive Plaque Placement for Choroidal Melanoma Transillumination of Globe to Localize Melanoma 935 views
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Proliferative Diabetic Retinopathy - Vitreous Hemorrhage and Tractional Retinal Detachment Left Eye935 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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branch retinal vein occlusion - fundus photo934 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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Hemi Central Retinal Vein Occlusion 35 year old non-compliant man934 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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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman934 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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Asymptomatic Retinal Detachment Confirmed with Optical Coherence Tomography (OCT)934 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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Band Keratopathy/Neurotrophic Ulcer933 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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Central Serous Retinopathy - Acute932 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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Old Retinal Detachment Repair with Silicone Oil932 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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RD930 viewsRD
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Occult Maculopathy - Thin Fovea on OCT and Normal Color VA, Photos, FA VA 20/80 OU929 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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80 year old woman with Reticular Drusen (pseudodrusen) 20/30 Vision - Before Vitrectomy929 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 eyes928 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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Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes928 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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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)928 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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Peripheral Iridotomy928 viewsSlit lamp photo of peripheral iridotomy for narrow angles. A hole was place at 10-o'clock superior temporally.
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Congenital Achromatopsia 927 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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Acute Zonal Occult Outer Retinopathy926 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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DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematode926 views
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Hyperpigmentation of the Retinal Pigment Epithelium in Dry AMD926 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 Syndrome925 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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Hyperpigmentation of the Retinal Pigment Epithelium in Dry AMD924 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 - Stage 5 Left Eye - New Blood and Neovascularization MacTel 924 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Nonprolific Diabetic Retinopathy with Circinate Ring924 viewsNonprolific Diabetic Retinopathy with Circinate Ring
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Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE 924 viewsVenous beading, vascular loops and NVE are visible on photos
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Acute Zonal Occult Outer Retinopathy923 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 Quarter923 views
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Equatorial Drusen Right Eye923 views
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Angioid Streaks - Pseudoxanthoma Elasticum - Supressed CNVM923 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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Macular Telangiectasis (Group 2a Juxtafoveal Telangiectasis) Decreased Fundus Autofluorescence923 views63-year-old woman has juxtafoveal retinal telangiectasis in both eyes. She notices her vision a little worse with more distortion and change over the last six months.
VISUAL ACUITY: OD 20/40, OS 20/40.
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Hemangioma923 viewsFP Composite of Hemangioma in OD
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Photo Equator922 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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Central Serous Retinopathy Acute - Indocyanine Green Angiogram - Leakage Choriocapillaris 922 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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Choroidal Metastases - Both Eyes - Exudative Retinal Detachment922 views58-year-old man smoke a pack of cigarettes a day. He has had some ribcage pain for about the last two weeks. He also had a sinus infection for about two weeks, and he has also had hazy vision on the superior visual field in the left eye for about the last two weeks. vision is 20/25 in both eyes
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Molteno Drainage Tube922 views
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Foreign Body "Rust Ring" 922 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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CHRPE lesion in the left eye - Irregular pigmentation921 views63 year old female with normal vision and CHRPE lesion in the right eye.
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Idiopathic Cystoid Macular Edema - CME - Pre Treatment Optical Coherence Tomography Map Showing Thickened Right Macula921 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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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangioma921 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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