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Paclitaxel induced cystoid macular edema - reversed when chemo stopped35 views74 year old retired physician About 2-3 weeks ago there was gradual vision loss in the right eye. The patient was seen by an ophthalmologist who saw macular swelling and injected vabysmo. He has been on chemotherapy (Carbiplatin and Carboxytaxol for 2 cancers - advanced prostrate diagnosed 2019 - has had brain surgery AND squamous lung cancers treated with radiation)
Medical Hx: Prostate cancer (Onset: 2018). Pulmonary and bone cancer metastatic. Brain cancer metastasized from prostate cancer.
Surgical Hx: Right frontal & Frontoparietal Craniotomy (Onset: 2024). Appendectomy. Hemorrhoidectomy. Herniorrhaphy. Prostate. Systemic Meds: Chemotherapy. Radiation. Eligard Every 3 Months 22.5 MG per 0.375 ML Prefilled Syringe. MIRALAX prn. Tums Freshers 500 MG Chewable Tablet. Vitamin D. XGEVA.
VA OD: Dcc20/125+1
VA OS: Dcc20/125-2
TP: OD:12 OS:15

Severe NPDR with non-perfusion on FA35 views64 year old man with 20/32 vision in both eyes and mild blurring. FA shows non-perfusion but no proliferation

Perivascular Exudative Vascular Complex - Perifoveal Microaneurysm35 views59 year old man - asymptomatic - not diabetic

Bullous Retinoschisis - Asymptomatic35 views

NPDR and Severe macular ischemia sudden vision loss35 views60 year old female with sudden vision loss OD 1 week ago. VA 20/63, 20/200. OCT-A and FA shows severe macular ischemia OU

Ischemic Optic Neuropathy associated with GLP-1 Agonist34 views48 year old female woke up with blurry vision inferiorly in the right eye. the right optic nerve isnoted to be swollen. She does not have any pain with eye movements. The left eye is OK.
Medical History: Migraines
Surgical History: LASIK OU (2006)
Systemic Meds: Mounjaro (tirzepatide) injection qweekly since 8/2024, Prozac, Nexium, Sumatriptan.
VA OD: Dcc 20/20
VA OS: Dcc 20/16-1

Acute retinal necrosis34 views67 year old female Hazy vision in the right eye for 5 days.
Medical Hx: TYPE 2 DIAB.. Hypercholesterolemia.
Surgical Hx: COLECTOMY.
Systemic Meds: CRESTOR 10 MG QD. METFORMIN 500 MG QD. PROLIA Q 6 MOS. SULFA 800 MG/ TRIMETHOPRIM 160 MG TID. VALCYCLOVIR 1 GM TID. PROBIOTIC QD. CENTRUM 50+ QD. ALLERGY MED QD
VA 20/40, 20/20
IOP 19, 12
SLE: Trace AC cell OD and moderate vitreous cell OD

Small choroidal melanoma34 views28 year old man Serial images suggested that the lesion is growing
OD: sc20/16
OS: sc20/40+2
IOP: TP: OD:19 OS:16

Optic Neuritis sentinel event for MS (23 year old female)34 views23-year-old female contact lens wearer reports recurrent blurry vision with a central "blob" in the right eye, first occurring in December 2024 for two weeks, then briefly affecting the left eye, and now recurring in the right eye. Symptoms have been painless, with no eye movement discomfort or neurological changes.
Medical/Surgical Hx: Noncontributory
Meds: Lo Loestrin
VA: OD 20/40 PH 20/30; OS 20/25
IOP: OD 17, OS 18

Central Retinal Vein Occlusion - Non-Ischemic - Excellent Outcome34 views57 year old man The right eye has had vision loss for about 3 weeks. He woke up with vision loss.
Medical Hx: HIV . Diabetes Mellitus (since 2014). Thyroid Disease.
Systemic Meds: gemboya. Metformin Hydrochloride. trulicity. losartan. vesepa. Synthroid .
VA OD: sc20/160 OS: sc20/20
TP: OD:14 OS:14
Treated with Avastin
VA 6 weeks later 20/32 – dry one shot.
Missed follow-up after second treatment and came 5 months later with good vision and no macular edema

Paclitaxel induced cystoid macular edema - reversed when chemo stopped34 views74 year old retired physician About 2-3 weeks ago there was gradual vision loss in the right eye. The patient was seen by an ophthalmologist who saw macular swelling and injected vabysmo. He has been on chemotherapy (Carbiplatin and Carboxytaxol for 2 cancers - advanced prostrate diagnosed 2019 - has had brain surgery AND squamous lung cancers treated with radiation)
Medical Hx: Prostate cancer (Onset: 2018). Pulmonary and bone cancer metastatic. Brain cancer metastasized from prostate cancer.
Surgical Hx: Right frontal & Frontoparietal Craniotomy (Onset: 2024). Appendectomy. Hemorrhoidectomy. Herniorrhaphy. Prostate. Systemic Meds: Chemotherapy. Radiation. Eligard Every 3 Months 22.5 MG per 0.375 ML Prefilled Syringe. MIRALAX prn. Tums Freshers 500 MG Chewable Tablet. Vitamin D. XGEVA.
VA OD: Dcc20/125+1
VA OS: Dcc20/125-2
TP: OD:12 OS:15

BRAO - plaques in vessels - GIF video of FA34 views78 year old female with vision loss for 1 week and old macular scar. Images show BRAO with plaques and FA shows occlusion.

Severe NPDR with non-perfusion on FA34 views64 year old man with 20/32 vision in both eyes and mild blurring. FA shows non-perfusion but no proliferation

Ischemic Optic Neuropathy associated with GLP-1 Agonist33 views48 year old female woke up with blurry vision inferiorly in the right eye. the right optic nerve isnoted to be swollen. She does not have any pain with eye movements. The left eye is OK.
Medical History: Migraines
Surgical History: LASIK OU (2006)
Systemic Meds: Mounjaro (tirzepatide) injection qweekly since 8/2024, Prozac, Nexium, Sumatriptan.
VA OD: Dcc 20/20
VA OS: Dcc 20/16-1

Small choroidal melanoma33 views28 year old man Serial images suggested that the lesion is growing
OD: sc20/16
OS: sc20/40+2
IOP: TP: OD:19 OS:16

Bear tracks (and diabetic retinopathy)33 views48 year old female with bear tracks in her retina and NPDR.

Optic Neuritis sentinel event for MS (23 year old female)33 views23-year-old female contact lens wearer reports recurrent blurry vision with a central "blob" in the right eye, first occurring in December 2024 for two weeks, then briefly affecting the left eye, and now recurring in the right eye. Symptoms have been painless, with no eye movement discomfort or neurological changes.
Medical/Surgical Hx: Noncontributory
Meds: Lo Loestrin
VA: OD 20/40 PH 20/30; OS 20/25
IOP: OD 17, OS 18

Choroidal hemangioma 10 year old black male33 views10 year old black child The patient has been wearing glasses which for 3 years and the left eye has had a changing prescription.
3/13/23: OD: +1.00; OS: +5.50
7/18/24: OD: +1.00; OS: +8.00 -1.25 x 015
2/3/25: (Cycloplegic): OD: +2.00; OS: 11.50+1.50 x 120
She had an MRI scan was not diagnostic.

VA OD:20/16
OS: 20/30-2
B-scan 5.1 mm H x 12.3 mm A x 15.0 mm T highly reflective mass centered just temporal to the macula involving the entire macula).
Seen at Wills and observation was decided because of no macular fluid

Central Retinal Vein Occlusion - Non-Ischemic - Excellent Outcome33 views57 year old man The right eye has had vision loss for about 3 weeks. He woke up with vision loss.
Medical Hx: HIV . Diabetes Mellitus (since 2014). Thyroid Disease.
Systemic Meds: gemboya. Metformin Hydrochloride. trulicity. losartan. vesepa. Synthroid .
VA OD: sc20/160 OS: sc20/20
TP: OD:14 OS:14
Treated with Avastin
VA 6 weeks later 20/32 – dry one shot.
Missed follow-up after second treatment and came 5 months later with good vision and no macular edema

Paclitaxel induced cystoid macular edema - reversed when chemo stopped33 views74 year old retired physician About 2-3 weeks ago there was gradual vision loss in the right eye. The patient was seen by an ophthalmologist who saw macular swelling and injected vabysmo. He has been on chemotherapy (Carbiplatin and Carboxytaxol for 2 cancers - advanced prostrate diagnosed 2019 - has had brain surgery AND squamous lung cancers treated with radiation)
Medical Hx: Prostate cancer (Onset: 2018). Pulmonary and bone cancer metastatic. Brain cancer metastasized from prostate cancer.
Surgical Hx: Right frontal & Frontoparietal Craniotomy (Onset: 2024). Appendectomy. Hemorrhoidectomy. Herniorrhaphy. Prostate. Systemic Meds: Chemotherapy. Radiation. Eligard Every 3 Months 22.5 MG per 0.375 ML Prefilled Syringe. MIRALAX prn. Tums Freshers 500 MG Chewable Tablet. Vitamin D. XGEVA.
VA OD: Dcc20/125+1
VA OS: Dcc20/125-2
TP: OD:12 OS:15

BRAO - plaques in vessels - GIF video of FA33 views78 year old female with vision loss for 1 week and old macular scar. Images show BRAO with plaques and FA shows occlusion.

Latanoprost induced CME33 views89 year old man with CME from latanoprost that cleared within one month of stopping the medication

NPDR and Severe macular ischemia sudden vision loss33 views60 year old female with sudden vision loss OD 1 week ago. VA 20/63, 20/200. OCT-A and FA shows severe macular ischemia OU

Small choroidal melanoma32 views28 year old man Serial images suggested that the lesion is growing
OD: sc20/16
OS: sc20/40+2
IOP: TP: OD:19 OS:16

Bear tracks (and diabetic retinopathy)32 views48 year old female with bear tracks in her retina and NPDR.

Choroidal hemangioma 10 year old black male32 views10 year old black child The patient has been wearing glasses which for 3 years and the left eye has had a changing prescription.
3/13/23: OD: +1.00; OS: +5.50
7/18/24: OD: +1.00; OS: +8.00 -1.25 x 015
2/3/25: (Cycloplegic): OD: +2.00; OS: 11.50+1.50 x 120
She had an MRI scan was not diagnostic.

VA OD:20/16
OS: 20/30-2
B-scan 5.1 mm H x 12.3 mm A x 15.0 mm T highly reflective mass centered just temporal to the macula involving the entire macula).
Seen at Wills and observation was decided because of no macular fluid

Central Retinal Vein Occlusion - Non-Ischemic - Excellent Outcome32 views57 year old man The right eye has had vision loss for about 3 weeks. He woke up with vision loss.
Medical Hx: HIV . Diabetes Mellitus (since 2014). Thyroid Disease.
Systemic Meds: gemboya. Metformin Hydrochloride. trulicity. losartan. vesepa. Synthroid .
VA OD: sc20/160 OS: sc20/20
TP: OD:14 OS:14
Treated with Avastin
VA 6 weeks later 20/32 – dry one shot.
Missed follow-up after second treatment and came 5 months later with good vision and no macular edema

Serous Macular Detachment from Small Choroidal Melanoma32 views72 year old female misdiagnosed as CSR who had small choroidal melanoms.

Stable Myopic Tractional Maculopathy32 views73 year old female with mild vision loss from table myopic tractional maculopathy in the left eye

NPDR and Severe macular ischemia sudden vision loss32 views60 year old female with sudden vision loss OD 1 week ago. VA 20/63, 20/200. OCT-A and FA shows severe macular ischemia OU

Ischemic Optic Neuropathy associated with GLP-1 Agonist31 views48 year old female woke up with blurry vision inferiorly in the right eye. the right optic nerve isnoted to be swollen. She does not have any pain with eye movements. The left eye is OK.
Medical History: Migraines
Surgical History: LASIK OU (2006)
Systemic Meds: Mounjaro (tirzepatide) injection qweekly since 8/2024, Prozac, Nexium, Sumatriptan.
VA OD: Dcc 20/20
VA OS: Dcc 20/16-1

Small choroidal melanoma31 views28 year old man Serial images suggested that the lesion is growing
OD: sc20/16
OS: sc20/40+2
IOP: TP: OD:19 OS:16

Optic Neuritis sentinel event for MS (23 year old female)31 views23-year-old female contact lens wearer reports recurrent blurry vision with a central "blob" in the right eye, first occurring in December 2024 for two weeks, then briefly affecting the left eye, and now recurring in the right eye. Symptoms have been painless, with no eye movement discomfort or neurological changes.
Medical/Surgical Hx: Noncontributory
Meds: Lo Loestrin
VA: OD 20/40 PH 20/30; OS 20/25
IOP: OD 17, OS 18

BRAO - plaques in vessels - GIF video of FA31 views78 year old female with vision loss for 1 week and old macular scar. Images show BRAO with plaques and FA shows occlusion.

Perivascular Exudative Vascular Complex - Perifoveal Microaneurysm31 views59 year old man - asymptomatic - not diabetic

Bullous Retinoschisis - Asymptomatic31 views

CRB1 Dystrophy - Inherited Retinal Disease - 14 year old male31 viewsVision loss for 4 years OD 20/63, OS 20/160

Optic Neuritis sentinel event for MS (23 year old female)30 views23-year-old female contact lens wearer reports recurrent blurry vision with a central "blob" in the right eye, first occurring in December 2024 for two weeks, then briefly affecting the left eye, and now recurring in the right eye. Symptoms have been painless, with no eye movement discomfort or neurological changes.
Medical/Surgical Hx: Noncontributory
Meds: Lo Loestrin
VA: OD 20/40 PH 20/30; OS 20/25
IOP: OD 17, OS 18

Choroidal Nevus with Halo30 views

Central Retinal Vein Occlusion - Non-Ischemic - Excellent Outcome30 views57 year old man The right eye has had vision loss for about 3 weeks. He woke up with vision loss.
Medical Hx: HIV . Diabetes Mellitus (since 2014). Thyroid Disease.
Systemic Meds: gemboya. Metformin Hydrochloride. trulicity. losartan. vesepa. Synthroid .
VA OD: sc20/160 OS: sc20/20
TP: OD:14 OS:14
Treated with Avastin
VA 6 weeks later 20/32 – dry one shot.
Missed follow-up after second treatment and came 5 months later with good vision and no macular edema

BRAO - plaques in vessels - GIF video of FA30 views78 year old female with vision loss for 1 week and old macular scar. Images show BRAO with plaques and FA shows occlusion.

Stable Myopic Tractional Maculopathy30 views73 year old female with mild vision loss from table myopic tractional maculopathy in the left eye

Latanoprost induced CME30 views89 year old man with CME from latanoprost that cleared within one month of stopping the medication

Severe NPDR with non-perfusion on FA30 views64 year old man with 20/32 vision in both eyes and mild blurring. FA shows non-perfusion but no proliferation

Hemi-CRVO - dual trunk vein30 views81 year old female mild vision loss - Anatomy shows dual trunk vein with one blocked. About 20 percent of people have this anatomy

NPDR and Severe macular ischemia sudden vision loss30 views60 year old female with sudden vision loss OD 1 week ago. VA 20/63, 20/200. OCT-A and FA shows severe macular ischemia OU

Acute retinal necrosis29 views67 year old female Hazy vision in the right eye for 5 days.
Medical Hx: TYPE 2 DIAB.. Hypercholesterolemia.
Surgical Hx: COLECTOMY.
Systemic Meds: CRESTOR 10 MG QD. METFORMIN 500 MG QD. PROLIA Q 6 MOS. SULFA 800 MG/ TRIMETHOPRIM 160 MG TID. VALCYCLOVIR 1 GM TID. PROBIOTIC QD. CENTRUM 50+ QD. ALLERGY MED QD
VA 20/40, 20/20
IOP 19, 12
SLE: Trace AC cell OD and moderate vitreous cell OD

Small choroidal melanoma29 views28 year old man Serial images suggested that the lesion is growing
OD: sc20/16
OS: sc20/40+2
IOP: TP: OD:19 OS:16

Bear tracks (and diabetic retinopathy)29 views48 year old female with bear tracks in her retina and NPDR.

Severe NPDR with non-perfusion on FA29 views64 year old man with 20/32 vision in both eyes and mild blurring. FA shows non-perfusion but no proliferation

Perivascular Exudative Vascular Complex - Perifoveal Microaneurysm29 views59 year old man - asymptomatic - not diabetic

Hemi-CRVO - dual trunk vein29 views81 year old female mild vision loss - Anatomy shows dual trunk vein with one blocked. About 20 percent of people have this anatomy

NPDR and Severe macular ischemia sudden vision loss29 views60 year old female with sudden vision loss OD 1 week ago. VA 20/63, 20/200. OCT-A and FA shows severe macular ischemia OU

Small choroidal melanoma28 views28 year old man Serial images suggested that the lesion is growing
OD: sc20/16
OS: sc20/40+2
IOP: TP: OD:19 OS:16

Central Retinal Vein Occlusion - Non-Ischemic - Excellent Outcome28 views57 year old man The right eye has had vision loss for about 3 weeks. He woke up with vision loss.
Medical Hx: HIV . Diabetes Mellitus (since 2014). Thyroid Disease.
Systemic Meds: gemboya. Metformin Hydrochloride. trulicity. losartan. vesepa. Synthroid .
VA OD: sc20/160 OS: sc20/20
TP: OD:14 OS:14
Treated with Avastin
VA 6 weeks later 20/32 – dry one shot.
Missed follow-up after second treatment and came 5 months later with good vision and no macular edema

Paclitaxel induced cystoid macular edema - reversed when chemo stopped28 views74 year old retired physician About 2-3 weeks ago there was gradual vision loss in the right eye. The patient was seen by an ophthalmologist who saw macular swelling and injected vabysmo. He has been on chemotherapy (Carbiplatin and Carboxytaxol for 2 cancers - advanced prostrate diagnosed 2019 - has had brain surgery AND squamous lung cancers treated with radiation)
Medical Hx: Prostate cancer (Onset: 2018). Pulmonary and bone cancer metastatic. Brain cancer metastasized from prostate cancer.
Surgical Hx: Right frontal & Frontoparietal Craniotomy (Onset: 2024). Appendectomy. Hemorrhoidectomy. Herniorrhaphy. Prostate. Systemic Meds: Chemotherapy. Radiation. Eligard Every 3 Months 22.5 MG per 0.375 ML Prefilled Syringe. MIRALAX prn. Tums Freshers 500 MG Chewable Tablet. Vitamin D. XGEVA.
VA OD: Dcc20/125+1
VA OS: Dcc20/125-2
TP: OD:12 OS:15

Hemi-CRVO - dual trunk vein28 views81 year old female mild vision loss - Anatomy shows dual trunk vein with one blocked. About 20 percent of people have this anatomy

Post Anti-VEGF RPE Tear (Vabysmo)28 views87 year old female with vision loss OS (20/125) given 1/4 dose vabysmo and developed RPE tear VA dropped to 20/400

NPDR and Severe macular ischemia sudden vision loss28 views60 year old female with sudden vision loss OD 1 week ago. VA 20/63, 20/200. OCT-A and FA shows severe macular ischemia OU

Small choroidal melanoma27 views28 year old man Serial images suggested that the lesion is growing
OD: sc20/16
OS: sc20/40+2
IOP: TP: OD:19 OS:16

Bear tracks (and diabetic retinopathy)27 views48 year old female with bear tracks in her retina and NPDR.

Optic Neuritis sentinel event for MS (23 year old female)27 views23-year-old female contact lens wearer reports recurrent blurry vision with a central "blob" in the right eye, first occurring in December 2024 for two weeks, then briefly affecting the left eye, and now recurring in the right eye. Symptoms have been painless, with no eye movement discomfort or neurological changes.
Medical/Surgical Hx: Noncontributory
Meds: Lo Loestrin
VA: OD 20/40 PH 20/30; OS 20/25
IOP: OD 17, OS 18

CRAO and NVI (rubeosis)27 views

Choroidal hemangioma 10 year old black male27 views10 year old black child The patient has been wearing glasses which for 3 years and the left eye has had a changing prescription.
3/13/23: OD: +1.00; OS: +5.50
7/18/24: OD: +1.00; OS: +8.00 -1.25 x 015
2/3/25: (Cycloplegic): OD: +2.00; OS: 11.50+1.50 x 120
She had an MRI scan was not diagnostic.

VA OD:20/16
OS: 20/30-2
B-scan 5.1 mm H x 12.3 mm A x 15.0 mm T highly reflective mass centered just temporal to the macula involving the entire macula).
Seen at Wills and observation was decided because of no macular fluid

Paclitaxel induced cystoid macular edema - reversed when chemo stopped27 views74 year old retired physician About 2-3 weeks ago there was gradual vision loss in the right eye. The patient was seen by an ophthalmologist who saw macular swelling and injected vabysmo. He has been on chemotherapy (Carbiplatin and Carboxytaxol for 2 cancers - advanced prostrate diagnosed 2019 - has had brain surgery AND squamous lung cancers treated with radiation)
Medical Hx: Prostate cancer (Onset: 2018). Pulmonary and bone cancer metastatic. Brain cancer metastasized from prostate cancer.
Surgical Hx: Right frontal & Frontoparietal Craniotomy (Onset: 2024). Appendectomy. Hemorrhoidectomy. Herniorrhaphy. Prostate. Systemic Meds: Chemotherapy. Radiation. Eligard Every 3 Months 22.5 MG per 0.375 ML Prefilled Syringe. MIRALAX prn. Tums Freshers 500 MG Chewable Tablet. Vitamin D. XGEVA.
VA OD: Dcc20/125+1
VA OS: Dcc20/125-2
TP: OD:12 OS:15

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Retina Gallery ~ Full Sized Retina Images

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