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Ischemic Optic Neuropathy associated with GLP-1 Agonist51 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

Central Retinal Vein Occlusion - Non-Ischemic - Excellent Outcome51 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 stopped51 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

Serous Macular Detachment from Small Choroidal Melanoma51 views72 year old female misdiagnosed as CSR who had small choroidal melanoms.

Severe NPDR with non-perfusion on FA51 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 Microaneurysm51 views59 year old man - asymptomatic - not diabetic

Hemi-CRVO - dual trunk vein51 views81 year old female mild vision loss - Anatomy shows dual trunk vein with one blocked. About 20 percent of people have this anatomy

Pattern Dystrophy with Collapsed Vitelliform51 views74 year old female with vision loss in eye with collapsed vitelliform lesion.

Ischemic Optic Neuropathy associated with GLP-1 Agonist50 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 melanoma50 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)50 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 Outcome50 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 stopped50 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

Serous Macular Detachment from Small Choroidal Melanoma50 views72 year old female misdiagnosed as CSR who had small choroidal melanoms.

Latanoprost induced CME50 views89 year old man with CME from latanoprost that cleared within one month of stopping the medication

Perivascular Exudative Vascular Complex - Perifoveal Microaneurysm50 views59 year old man - asymptomatic - not diabetic

Hemi-CRVO - dual trunk vein50 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)50 views87 year old female with vision loss OS (20/125) given 1/4 dose vabysmo and developed RPE tear VA dropped to 20/400

Peripapillary CNVM No Treatment50 views85 year old with peripapillary CNVM watched for many years.

Pattern Dystrophy with Collapsed Vitelliform50 views74 year old female with vision loss in eye with collapsed vitelliform lesion.

Optic Neuritis sentinel event for MS (23 year old female)49 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

Stable Myopic Tractional Maculopathy49 views73 year old female with mild vision loss from table myopic tractional maculopathy in the left eye

Severe NPDR with non-perfusion on FA49 views64 year old man with 20/32 vision in both eyes and mild blurring. FA shows non-perfusion but no proliferation

CRB1 Dystrophy - Inherited Retinal Disease - 14 year old male49 viewsVision loss for 4 years OD 20/63, OS 20/160

Bear tracks (and diabetic retinopathy)48 views48 year old female with bear tracks in her retina and NPDR.

Central Retinal Vein Occlusion - Non-Ischemic - Excellent Outcome48 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 FA48 views78 year old female with vision loss for 1 week and old macular scar. Images show BRAO with plaques and FA shows occlusion.

Serous Macular Detachment from Small Choroidal Melanoma48 views72 year old female misdiagnosed as CSR who had small choroidal melanoms.

Severe NPDR with non-perfusion on FA48 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 vein48 views81 year old female mild vision loss - Anatomy shows dual trunk vein with one blocked. About 20 percent of people have this anatomy

CRB1 Dystrophy - Inherited Retinal Disease - 14 year old male48 viewsVision loss for 4 years OD 20/63, OS 20/160

Post Anti-VEGF RPE Tear (Vabysmo)48 views87 year old female with vision loss OS (20/125) given 1/4 dose vabysmo and developed RPE tear VA dropped to 20/400

Pattern Dystrophy with Collapsed Vitelliform48 views74 year old female with vision loss in eye with collapsed vitelliform lesion.

Ischemic Optic Neuropathy associated with GLP-1 Agonist47 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 melanoma47 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)47 views48 year old female with bear tracks in her retina and NPDR.

BRAO - plaques in vessels - GIF video of FA47 views78 year old female with vision loss for 1 week and old macular scar. Images show BRAO with plaques and FA shows occlusion.

Serous Macular Detachment from Small Choroidal Melanoma47 views72 year old female misdiagnosed as CSR who had small choroidal melanoms.

Latanoprost induced CME47 views89 year old man with CME from latanoprost that cleared within one month of stopping the medication

Hemi-CRVO - dual trunk vein47 views81 year old female mild vision loss - Anatomy shows dual trunk vein with one blocked. About 20 percent of people have this anatomy

CRB1 Dystrophy - Inherited Retinal Disease - 14 year old male47 viewsVision loss for 4 years OD 20/63, OS 20/160

Post Anti-VEGF RPE Tear (Vabysmo)47 views87 year old female with vision loss OS (20/125) given 1/4 dose vabysmo and developed RPE tear VA dropped to 20/400

Pattern Dystrophy with Collapsed Vitelliform47 views74 year old female with vision loss in eye with collapsed vitelliform lesion.

Elmiron (pentasosan polysulfate) Macular Toxicity47 views77 year old female who had been on Elmiron for 20 years and stopped it 2 years ago

Bear tracks (and diabetic retinopathy)46 views48 year old female with bear tracks in her retina and NPDR.

Central Retinal Vein Occlusion - Non-Ischemic - Excellent Outcome46 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 FA46 views78 year old female with vision loss for 1 week and old macular scar. Images show BRAO with plaques and FA shows occlusion.

Serous Macular Detachment from Small Choroidal Melanoma46 views72 year old female misdiagnosed as CSR who had small choroidal melanoms.

Latanoprost induced CME46 views89 year old man with CME from latanoprost that cleared within one month of stopping the medication

Hemi-CRVO - dual trunk vein46 views81 year old female mild vision loss - Anatomy shows dual trunk vein with one blocked. About 20 percent of people have this anatomy

Elmiron (pentasosan polysulfate) Macular Toxicity46 views77 year old female who had been on Elmiron for 20 years and stopped it 2 years ago

Bear tracks (and diabetic retinopathy)45 views48 year old female with bear tracks in her retina and NPDR.

Roth Spot and Endocarditis45 views70 year old female - flu like symptoms with roth spot who was diagnosed by echo with endocarditis

Central Retinal Vein Occlusion - Non-Ischemic - Excellent Outcome45 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 stopped45 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

Serous Macular Detachment from Small Choroidal Melanoma45 views72 year old female misdiagnosed as CSR who had small choroidal melanoms.

Stable Myopic Tractional Maculopathy45 views73 year old female with mild vision loss from table myopic tractional maculopathy in the left eye

Severe NPDR with non-perfusion on FA45 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 Microaneurysm45 views59 year old man - asymptomatic - not diabetic

Hemi-CRVO - dual trunk vein45 views81 year old female mild vision loss - Anatomy shows dual trunk vein with one blocked. About 20 percent of people have this anatomy

CRB1 Dystrophy - Inherited Retinal Disease - 14 year old male45 viewsVision loss for 4 years OD 20/63, OS 20/160

Post Anti-VEGF RPE Tear (Vabysmo)45 views87 year old female with vision loss OS (20/125) given 1/4 dose vabysmo and developed RPE tear VA dropped to 20/400

Pattern Dystrophy with Collapsed Vitelliform45 views74 year old female with vision loss in eye with collapsed vitelliform lesion.

Elmiron (pentasosan polysulfate) Macular Toxicity45 views77 year old female who had been on Elmiron for 20 years and stopped it 2 years ago

Stable Myopic Tractional Maculopathy44 views73 year old female with mild vision loss from table myopic tractional maculopathy in the left eye

Latanoprost induced CME44 views89 year old man with CME from latanoprost that cleared within one month of stopping the medication

Bear tracks (and diabetic retinopathy)43 views48 year old female with bear tracks in her retina and NPDR.

Choroidal hemangioma 10 year old black male43 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 Outcome43 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 Melanoma43 views72 year old female misdiagnosed as CSR who had small choroidal melanoms.

Stable Myopic Tractional Maculopathy43 views73 year old female with mild vision loss from table myopic tractional maculopathy in the left eye

Hemi-CRVO - dual trunk vein43 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)43 views87 year old female with vision loss OS (20/125) given 1/4 dose vabysmo and developed RPE tear VA dropped to 20/400

MacTel with foveal atrophy in both eyes43 views62 year old female with 20/50 OD, 20/40 OS.

Ischemic Optic Neuropathy associated with GLP-1 Agonist42 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

Serous Macular Detachment from Small Choroidal Melanoma42 views72 year old female misdiagnosed as CSR who had small choroidal melanoms.

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