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Paracentral acute middle maculopathy - isolated103 views83 year old man New spot in the vision yesterday left eye.
Medical Hx: Pure Hypercholesterolemia
Systemic Meds: Crestor.
VA OD: Dcc20/20
VA OS: Dcc20/20
IOP: TP: OD:19 OS:10

Achromatopsia103 views28 year old female Good vision since birth started wearing glasses at 2, denies trauma. She does have congenital nystagmus.

VA OD: Dcc20/200-2 PH20/200 NccJ7
VA OS: Dcc20/160 PHNI NccJ7
IOP: TP: OD:15 OS:12

Posterior Pigment Dispersion Syndrome103 views81 year old man with cataract surgery 30 years ago and normal vision who had bilateral vitrectomy for dense floaters and has pigment on his IOL surface and all over the retina (but not on the cornea) VA 20/25 OU

Retinal Arterial Macroaneurysm with pre-retinal hemorrhage103 views72 year old female who takes Xarelto had sudden vision loss while moving heavy furniture. VA was 20/200. The lesion has preretinal blood but later rebled with subretinal blood, was lasered and the final vision was not very good but the patient was lost to follow-up at 3 months

Central Retinal Vein Occlusion with cilioretinal artery occlusion103 views63 year old female who lost vision in the left eye 2 days ago. She was in the emergency room and had a lot of tests done which were all reportedly normal. The right eye is OK.
VA OD: Dcc20/25 NccJ2
VA OS: Dcc20/200-1 PHNI Ncc20/400-1
IOP: TP: OD:11 OS:12

103 views

Syphilitic Chorioretinitis103 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200

Myopic CNVM Left Eye103 views80 year old female. VA dropped to 20/125 but improved back up to 20/50 with Vabysmo

Prethreshold PDR right eye - mild NVD103 views

Macular fold - resolved with time103 views

Bietti's Crystalline Dystrophy - CYP4V2 homozygous102 views58-year-old-female (from Thailand)
Patient had evaluation for LASIK and there was concern that the BCVA was not normal.
PMHx Benign, Meds: none
VA 20/25 OU

Serpiginous choroiditis in the right eye102 views68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.

Paracentral acute middle maculopathy - isolated102 views83 year old man New spot in the vision yesterday left eye.
Medical Hx: Pure Hypercholesterolemia
Systemic Meds: Crestor.
VA OD: Dcc20/20
VA OS: Dcc20/20
IOP: TP: OD:19 OS:10

Achromatopsia102 views28 year old female Good vision since birth started wearing glasses at 2, denies trauma. She does have congenital nystagmus.

VA OD: Dcc20/200-2 PH20/200 NccJ7
VA OS: Dcc20/160 PHNI NccJ7
IOP: TP: OD:15 OS:12

Posterior Pigment Dispersion Syndrome102 views81 year old man with cataract surgery 30 years ago and normal vision who had bilateral vitrectomy for dense floaters and has pigment on his IOL surface and all over the retina (but not on the cornea) VA 20/25 OU

Retinal Arterial Macroaneurysm with pre-retinal hemorrhage102 views72 year old female who takes Xarelto had sudden vision loss while moving heavy furniture. VA was 20/200. The lesion has preretinal blood but later rebled with subretinal blood, was lasered and the final vision was not very good but the patient was lost to follow-up at 3 months

PEHCR - Peripheral Exudative Hemorrhagic Chorioretinopathy102 views

BRVO with good vision102 views87 year old man with good vision (diabetes without retinopathy). VA 20/25 OU. Vision never worsened from BRVO OS.

Macular Telangetasia MacTel - Nonproliferative102 views60 year old non-diabetic female with gradual vision loss for 20 years. VA 20/80 OD, 20/63 OS

Recurrent toxoplasmosis102 views63 year old female with history of floaters and vision loss in the left eye.

Pseudophakic CME chronic102 views74 year old man presented 14 weeks after cataract surgery with severe CME on topical therapy. Multiple attempts to taper drops failed. Also, the patient had a steroid responsive glaucoma. He ended up on BID PF, Ketorolac and Dorz/Timolol

Choroidal Metastatic Breast Cancer with Exudative Detachment102 views58 year old female presented with 20/200 vision. Had 10 sessions of radiation and tumor shrank. The exudative detachment took almost a year to resolve. The vision improved to 20/40.

Hydroxychloroquine Toxicity102 views60 year old female received 6.5 mg/kg Plaquenil for 15 years and developed toxicity. VA 20/40 OD, 20/20 OS

West Nile Virus Multifocal Choroiditis with later CNVM102 views77 year old female with vision loss in the left eye treated with Anti-VEGF

Serpiginous choroiditis in the right eye101 views68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.

Achromatopsia101 views28 year old female Good vision since birth started wearing glasses at 2, denies trauma. She does have congenital nystagmus.

VA OD: Dcc20/200-2 PH20/200 NccJ7
VA OS: Dcc20/160 PHNI NccJ7
IOP: TP: OD:15 OS:12

Posterior Pigment Dispersion Syndrome101 views81 year old man with cataract surgery 30 years ago and normal vision who had bilateral vitrectomy for dense floaters and has pigment on his IOL surface and all over the retina (but not on the cornea) VA 20/25 OU

Retinal Arterial Macroaneurysm with pre-retinal hemorrhage101 views72 year old female who takes Xarelto had sudden vision loss while moving heavy furniture. VA was 20/200. The lesion has preretinal blood but later rebled with subretinal blood, was lasered and the final vision was not very good but the patient was lost to follow-up at 3 months

Choroidal Melanocystosis101 views65 year old female with normal vision.

Stargardt - Mother with Stargadts and father with RP101 viewsHer mom is genetically visually impaired with Stargardts. Her father has RP. The mother was genetically tested in Boston about 23 years ago. That was when the gene was first being isolated. (The mother has seven brothers and sisters and four have stargardts and they are legally blind. Also one cousin has it.)

VA OD: 20/160 OS: 20/160

She tested positive for ABCA4

Severe NPDR101 views53 year old man with blurred vision (needs glasses).
Diabetic for 10 years with poor control
VA 20/32 OU

Myopic CNVM Left Eye101 views80 year old female. VA dropped to 20/125 but improved back up to 20/50 with Vabysmo

Wet AMD - Occult CNVM and Geographic atrophy101 views77 year old female with mild vision loss - 20/32 - responded to Avastin

Ruptured Retinal Arterial Macroaneurysm - Submacular hemorrhage and BRAO101 views81 year old female with vision loss for a few days. Coumadin was high with INR at 3.1 VA 6/200

West Nile Virus Multifocal Choroiditis with later CNVM101 views77 year old female with vision loss in the left eye treated with Anti-VEGF

Birdshot Chorioretinitis - Chronic Untreated with Drusen Like Material in Macula101 views72 year old female with vision changes for years just now diagnosed with Birdshot.

Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)101 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/

CRVO with severe capillary non-perfusion100 views95 year old female 2-3 days of severe vision loss in the right eye.
The left eye lost vision to wet AMD after having a 8 month gap in therapy between 1/2020 (VA 20/50 OU) and 9/2020 (VA 20/25 OD, HM OS - COVID).
PMHx: DM (on no medications), Thyroid
Meds: Artificial tears
VA HM OU
IOP: 18,19
Anterior segment: no rubeosis, pseudophakic
images look like vision loss was more than a few days in the right eye.

Phototoxicity following cataract surgery100 views70 year old female with nasal spot in vision since cataract surgery 3 years ago. VA 20/20 OU.

Paracentral acute middle maculopathy - isolated100 views83 year old man New spot in the vision yesterday left eye.
Medical Hx: Pure Hypercholesterolemia
Systemic Meds: Crestor.
VA OD: Dcc20/20
VA OS: Dcc20/20
IOP: TP: OD:19 OS:10

Achromatopsia100 views28 year old female Good vision since birth started wearing glasses at 2, denies trauma. She does have congenital nystagmus.

VA OD: Dcc20/200-2 PH20/200 NccJ7
VA OS: Dcc20/160 PHNI NccJ7
IOP: TP: OD:15 OS:12

Macular edema from latanaprost100 views79 year old man with macula off RD repair 15 years ago and cataract surgery 14 years ago with new CME. Patient recently started on latanaprost VA 20/100 OD

Posterior Pigment Dispersion Syndrome100 views81 year old man with cataract surgery 30 years ago and normal vision who had bilateral vitrectomy for dense floaters and has pigment on his IOL surface and all over the retina (but not on the cornea) VA 20/25 OU

wet AMD with classic extrafoveal macular neovascularization in the good eye100 views89 year old man with longstanding vision loss in the left eye presented with one month of mild vision loss in the right eye. Vision was 20/32. This eye responded to vabysmo therapy.

Central Retinal Vein Occlusion with cilioretinal artery occlusion100 views63 year old female who lost vision in the left eye 2 days ago. She was in the emergency room and had a lot of tests done which were all reportedly normal. The right eye is OK.
VA OD: Dcc20/25 NccJ2
VA OS: Dcc20/200-1 PHNI Ncc20/400-1
IOP: TP: OD:11 OS:12

BRVO with good vision100 views87 year old man with good vision (diabetes without retinopathy). VA 20/25 OU. Vision never worsened from BRVO OS.

Normal RNFL scan100 views

Pseudophakic CME chronic100 views74 year old man presented 14 weeks after cataract surgery with severe CME on topical therapy. Multiple attempts to taper drops failed. Also, the patient had a steroid responsive glaucoma. He ended up on BID PF, Ketorolac and Dorz/Timolol

Choroidal Metastatic Breast Cancer with Exudative Detachment100 views58 year old female presented with 20/200 vision. Had 10 sessions of radiation and tumor shrank. The exudative detachment took almost a year to resolve. The vision improved to 20/40.

Prethreshold PDR right eye - mild NVD100 views

Birdshot Chorioretinitis - Chronic Untreated with Drusen Like Material in Macula100 views72 year old female with vision changes for years just now diagnosed with Birdshot.

Coats Plus Syndrome - Cerebroretinal microangiopathy with calcifications and cysts (CRMCC)100 views38 year old female CTC1 positive with Coats Plus Syndrome. This case was published https://pmc.ncbi.nlm.nih.gov/articles/PMC10649444/

CRVO with severe capillary non-perfusion99 views95 year old female 2-3 days of severe vision loss in the right eye.
The left eye lost vision to wet AMD after having a 8 month gap in therapy between 1/2020 (VA 20/50 OU) and 9/2020 (VA 20/25 OD, HM OS - COVID).
PMHx: DM (on no medications), Thyroid
Meds: Artificial tears
VA HM OU
IOP: 18,19
Anterior segment: no rubeosis, pseudophakic
images look like vision loss was more than a few days in the right eye.

Macular schisis with no leakage on FA - Presumed Nerve pit maculopathy99 views73-year old female. Had treatment trial with Eylea with no benefit (4 months). Vision is 20/32 in left eye and has remained there (with a dense cataract).

Laser pointer maculopathy99 views11 year old male When school started the patient noticed that he was having trouble reading and seeing out of both eyes. There are no retinal diseases in the family.
VA OD: sc20/25
VA OS: sc20/40
TP: OD:19 OS:18

The FOBSERD ZK-9318 laser pointer is a long range green beam high power flashlight. It has an average power of 60-90 mw.
You can buy the ZK-9318 laser pointer on Amazon

I also found this:
The FOBSERD ZK-9318 laser pointer is a class III laser with a 532nm wavelength and can be seen up to 1 mile away. It has a maximum power output of 5mW and creates a low-power visible laser beam.

One review on amazon says this:
Powerful
By Savvy Logic in the United States on March 17, 2023
I measured the wattage at about 150 MW on an optical Power Meter

Retinal Angioma99 views46 year old female - Her original reason for an eye examination was that she had been in a car accident. Then she saw that the vision was blurry in just the left eye. Prior to that she had no known vision changes. Since the accident she notices that her vision is better and her headaches are getting less bothersome.
PMhx benign, Meds: none
VA OD: Dcc20/20
VA OS: Dcc20/25

Posterior Pigment Dispersion Syndrome99 views81 year old man with cataract surgery 30 years ago and normal vision who had bilateral vitrectomy for dense floaters and has pigment on his IOL surface and all over the retina (but not on the cornea) VA 20/25 OU

Retinal Arterial Macroaneurysm with pre-retinal hemorrhage99 views72 year old female who takes Xarelto had sudden vision loss while moving heavy furniture. VA was 20/200. The lesion has preretinal blood but later rebled with subretinal blood, was lasered and the final vision was not very good but the patient was lost to follow-up at 3 months

PEHCR - Peripheral Exudative Hemorrhagic Chorioretinopathy99 views

Central Retinal Vein Occlusion with cilioretinal artery occlusion99 views63 year old female who lost vision in the left eye 2 days ago. She was in the emergency room and had a lot of tests done which were all reportedly normal. The right eye is OK.
VA OD: Dcc20/25 NccJ2
VA OS: Dcc20/200-1 PHNI Ncc20/400-1
IOP: TP: OD:11 OS:12

BRVO with good vision99 views87 year old man with good vision (diabetes without retinopathy). VA 20/25 OU. Vision never worsened from BRVO OS.

Severe NPDR99 views53 year old man with blurred vision (needs glasses).
Diabetic for 10 years with poor control
VA 20/32 OU

Pseudophakic CME chronic99 views74 year old man presented 14 weeks after cataract surgery with severe CME on topical therapy. Multiple attempts to taper drops failed. Also, the patient had a steroid responsive glaucoma. He ended up on BID PF, Ketorolac and Dorz/Timolol

Myopic CNVM Left Eye99 views80 year old female. VA dropped to 20/125 but improved back up to 20/50 with Vabysmo

West Nile Virus Multifocal Choroiditis with later CNVM99 views77 year old female with vision loss in the left eye treated with Anti-VEGF

Bietti's Crystalline Dystrophy - CYP4V2 homozygous98 views58-year-old-female (from Thailand)
Patient had evaluation for LASIK and there was concern that the BCVA was not normal.
PMHx Benign, Meds: none
VA 20/25 OU

Serpiginous choroiditis in the right eye98 views68 year old female with spots in vision in the right eye for 2 months. She has a history of MS. The vision is 20/32 in both eyes. She was treated with high dose steroids and transitioned to methotrexate and the right eye quieted down.

Laser pointer maculopathy98 views11 year old male When school started the patient noticed that he was having trouble reading and seeing out of both eyes. There are no retinal diseases in the family.
VA OD: sc20/25
VA OS: sc20/40
TP: OD:19 OS:18

The FOBSERD ZK-9318 laser pointer is a long range green beam high power flashlight. It has an average power of 60-90 mw.
You can buy the ZK-9318 laser pointer on Amazon

I also found this:
The FOBSERD ZK-9318 laser pointer is a class III laser with a 532nm wavelength and can be seen up to 1 mile away. It has a maximum power output of 5mW and creates a low-power visible laser beam.

One review on amazon says this:
Powerful
By Savvy Logic in the United States on March 17, 2023
I measured the wattage at about 150 MW on an optical Power Meter

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