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Coats' Disease in 14 Year Old Boy Treated with Cryotherapy and Avastin1751 views14 Year Old Boy with Coats Disease
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Red Free Hemangioma left eye1739 views
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Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child - Line Scan over Nerve Shows Retinal Edema1737 views14-year-old was with optic nerve swelling asymptomatic - picked up during routine eye exam. OD 20/20, OS 20/32
SD-OCT is used to differentiate optic disc edema from optic nerve head drusen (which are not yet calcified in children).
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coats disease; exudative retinitis; retinal telangiectasis; leber multiple miliary aneurysm disease1723 viewsclassic coats
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Acute Posterior Vitreous Detachment - Weiss Ring - Vogt Ring1721 views
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Acute Posterior Vitreous Detachment - Weiss Ring - Vogt Ring1695 views
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Plaquenil Toxicity - Bulls Eye Maculopathy1692 views70-year-old woman with systemic Lupus erythematosus and clotting problems. She was on the Plaquenil for about eight years and then off the Plaquenil for the last eight years because she developed macular toxicity. Although her vision was hazy, it was stable. Recent deceased vision left eye: OD 20/60, OS 20/100. IOP: OD 18, OS 19.
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Anterior Ischemic Optic Neuropathy - Non-Arteritic - AION1691 views72-year-old woman sudden vision loss in the right eye about four days ago. She also has noticed that things are dim out of that eye. She has no headaches. She does feel a little tired. She has no pain in her jaw when she chews and she has no fevers.
OD is 20/80, PH 20/25; OS is 20/25
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OU Stereo Pair Optic Disc Drusen1683 viewsText book example of OU optic discs with drusen in stereo.
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Retinoblastoma1682 views
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Background Diabetic Retinopathy1664 viewsPatient with diabetes for over 11-years comes in with blurred vision. Blood sugar control is very poor. VA 20/50- right eye, 20/25-left eye. Fundus exam shows hard exudates with Circinate Rings and edema. Micro-aneurysms and retinal hemorrhage are present in both eyes. Patient will come back for laser treatment.
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1663 views
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Macular Scar1650 viewsFundus photography with Auto Fluorescent shows macular scar centrally, right eye. VA is 20/200 in the right eye.
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Retinoschisis with Multiple Outer Layer Holes1649 viewsRetinoschisis with Multiple Outer Layer Holes
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Gonioscopy, Neovascularization in the Angle1648 viewsNeovascularization in the right eye, temporally. VA is 20/40, right eye with IOP at 25. Patient will proceed with Avastin injection to the right eye.
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Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child - Nerve Fiber Layer Scan shows swelling1647 views14-year-old was with optic nerve swelling asymptomatic - picked up during routine eye exam. OD 20/20, OS 20/32
SD-OCT is used to differentiate optic disc edema from optic nerve head drusen (which are not yet calcified in children).
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Normal Spectral Domain Optical Coherence Tomography (SD-OCT)1635 views48-year-old woman has had a problem with light and dark adaptations. She notices when she sees a point source of light like a cell phone in a dimly lit room and then she turns the cell phone off, that subsequently her vision is very dark until she goes back into a well lighted area. OD 20/20, OS 20/25.
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Corneal Foreign Body 1624 viewsPatient complains of foreign body sensation in the right eye. Slit lamp photos shows a piece of glass metal embedded into the inferior part of the cornea at 7-o'clock in the right eye. Foreign body was removed.
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Berlin's Edema - Post Bungee Cord Injury Right Eye1620 views20/50 vision - 2 days post-injury
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Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child - Line Scan over Nerve Shows Retinal Edema1616 views14-year-old was with optic nerve swelling asymptomatic - picked up during routine eye exam. OD 20/20, OS 20/32
SD-OCT is used to differentiate optic disc edema from optic nerve head drusen (which are not yet calcified in children).
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CHRPE - Gardner Syndrome - FAMILIAL COLORECTAL POLYPOSIS - 11 year old female1614 views11-year-old child with CHRPE OS has six undescended adult teeth and also she has had a cyst removed from her arm pit and she has three more in her arm pit and one on her face and she is seeing a dermatologist for that in the near future. The mother reports no health problems, however, the patient’s grandmother does have a history of intestinal polyps, as does the patient’s grandmother’s brothers son.
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Gonioscopy; Scattered Peripheral Anterior Synechiae1614 viewsPatient comes in for evaluation for glaucoma. Patient also has a history of Uveitis. Last flare up was back in 1990. Patient's VA was 20/30, Right eye and 20/40-1, Left eye. Slit Lamp Gonioscopy reveals iris bow with scattered PAS around the angles of the anterior chamber. You can also see pigmentation in the trabecular meshwork. Patient will follow up in 3-months.
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Retinitis Pigmentosa1607 viewsPatient comes in with cloudy vision. VA is 20/200 in both eyes. Patient has had retinal pigmentosa since 1986. Patient to consider cataract surgery to help her visual symptoms...
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Aplastic anemia1605 views29 y.o.m. with aplastic anemia OD VA 20/25.
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo1603 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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Normal Fundus Autofluorescence1601 views48-year-old woman has had a problem with light and dark adaptations. She notices when she sees a point source of light like a cell phone in a dimly lit room and then she turns the cell phone off, that subsequently her vision is very dark until she goes back into a well lighted area. OD 20/20, OS 20/25.
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Retinal Arterial Macroaneurysm - Recurrent Hemorrhage 6 months post laser1596 views6 months post laser: Her vision had improved, but then three weeks ago it worsened again. She is not on any blood thinners. She wasn’t doing any heavy lifting or straining.
VISUAL ACUITY: OD 3/200
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Proliferative Diabetic Retinopathy - Preretinal Hemorrhage1594 viewsPreretinal Hemorrhage secondary to Proliferative Diabetic Retinopathy (PDR)
James L. Perron, C.R.A.
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Optic Nerve Head Drusen B-Scan 1591 views57-year-old woman has optic nerve drusen in both eyes.
VISUAL ACUITY: OU 20/20.
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1590 viewsPHPV - right eye - optic nerve
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Amelanotic Choroidal Nevus 1589 views45-year-old man OD 20/20, OS 20/20. 5x5 mm flat, yellow choroidal lesion just inferonasal to the optic nerve, two disc-diameters from the nerve with scalloped edges. It looks like a confluent drusen, but it is not elevated.
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Diabetic Macular Edema and Hypertensive Retinopathy - Circinate Exudate (Ring Exudate) 1588 views55-year-old woman diabetic for fifteen years and high blood pressure, especially over the last few months. She has had problems with nosebleeds, headaches, and there has been some difficulty bringing her blood pressure down. She said now the blood pressure is under control but it was running 220/120 mmHg for some time. Her vision in the right eye has been poor for four weeks with a spot in the central vision and both eyes have been blurred.
VISUAL ACUITY: Vision OD is 20/160, OS is 20/60
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Optic Nerve Drusen - - Fundus Autofluorescence - FAF1588 views72-year-old woman has had optic nerve drusen for sometime and has visual field abnormalities. OD 20/32, OS 20/32.
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Macular Choroidal Nevus1586 views78-year-old woman has choroidal nevus in the macula of the left eye. You asked her to come in here for an evaluation and nevus was noted in the past about 7 years ago. She has not noticed any change in vision in that eye.
VISUAL ACUITY: OU 20/30.
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Fundus Autofluorescence os1586 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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Acute Cytomegalovirus Retinitis1586 views45 y/o male presents with newly diagnosed AIDS and retinal infiltrates.
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Plaquenil Toxicity both Eyes - Partial Bull's Eye - Discontinued 6 Years ago SD-OCT (Spectral domain optical coherence tomography)1586 views82-year-old woman was on Plaquenil from 1976 from 2005, 200 mg a day. It was discontinued because of abnormal visual fields 6 years ago. OD 20/32, OS 20/40
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)1579 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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360-Degree Scleral Buckle1579 viewsPatient comes in with double vision from recent retinal detachment surgery. Optos shows 360 degree scleral buckle with retina attached. No holes or breaks visible. Patient had fresnel prism added on to lens to correct the double vision.
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Normal Spectral Domain Optical Coherence Tomography (SD-OCT)1575 views48-year-old woman has had a problem with light and dark adaptations. She notices when she sees a point source of light like a cell phone in a dimly lit room and then she turns the cell phone off, that subsequently her vision is very dark until she goes back into a well lighted area. OD 20/20, OS 20/25.
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Gonioscopy- Pigmentary Glaucoma Suspect1575 viewsPatient with no family history of glaucoma, comes in with elevated IOP. During Gonioscopy exam. brown pigment overlying the trabecular meshwork. Also, trans-illumination defects on the iris.
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Pigmented Peripheral Retinal Degeneration1575 views42-year old male comes in for routine eye exam and to follow up on peripheral retinal degeneration in both eyes. VA is 20/20, right eye and 20/25, left eye. Patient is asymptomatic with no visual complaints.
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman - Macular Photo Right Eye1574 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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Toxoplasmosis Macular Scar (acquired not congenital) 31 Year Old Man- Recent Vision Change - Creeping Scar1572 views31-year-old man had an episode of toxoplasmosis in the left eye, where unfortunately it adversely affected his central vision that was back in 2004 (7 years ago)
He did notice recently a change in his visual function. He plays softball, he was getting hit by the ball and having trouble seeing and he said that is how he noticed the toxoplasmosis when it first occurred and he was concerned it might have recurred.
OD 20/16, OS 20/80.
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)1571 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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Anterior Ischemic Optic Neuropathy - Non-Arteritic - AION1571 views72-year-old woman sudden vision loss in the right eye about four days ago. She also has noticed that things are dim out of that eye. She has no headaches. She does feel a little tired. She has no pain in her jaw when she chews and she has no fevers.
OD is 20/80, PH 20/25; OS is 20/25
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Optic Nerve Head Drusen Right Eye1569 views57-year-old woman has optic nerve drusen in both eyes.
VISUAL ACUITY: OU 20/20.
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Diabetic Macular Edema and Hypertensive Retinopathy - Circinate Exudate (Ring Exudate) 1562 views55-year-old woman diabetic for fifteen years and high blood pressure, especially over the last few months. She has had problems with nosebleeds, headaches, and there has been some difficulty bringing her blood pressure down. She said now the blood pressure is under control but it was running 220/120 mmHg for some time. Her vision in the right eye has been poor for four weeks with a spot in the central vision and both eyes have been blurred.
VISUAL ACUITY: Vision OD is 20/160, OS is 20/60
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"Jelly Bumps" Soft Contact Lens1560 viewsYoung female patient comes in wearing overnight contact lenses. Complains of irritation in both eyes. Denies sleeping in SCL. Slit lamp exam shows little jelly bumps underneath the contact lens in both eyes. Was issued a new pair and lectured on handling them.
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Hyphema1560 viewsHyphema
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Normal Spectral Domain Optical Coherence Tomography (SD-OCT) - Prefoveal Vitreous Liquifaction1558 views48-year-old woman has had a problem with light and dark adaptations. She notices when she sees a point source of light like a cell phone in a dimly lit room and then she turns the cell phone off, that subsequently her vision is very dark until she goes back into a well lighted area. OD 20/20, OS 20/25.
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Gonioscopy; Scattered Peripheral Anterior Synechiae1558 viewsPatient comes in for evaluation for glaucoma. Patient also has a history of Uveitis. Last flare up was back in 1990. Patient's VA was 20/30, Right eye and 20/40-1, Left eye. Slit Lamp Gonioscopy reveals iris bow with scattered PAS around the angles of the anterior chamber. You can also see pigmentation in the trabecular meshwork. Patient will follow up in 3-months.
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CHRPE - Gardner Syndrome - FAMILIAL COLORECTAL POLYPOSIS - 11 year old female1557 views11-year-old child with CHRPE OS has six undescended adult teeth and also she has had a cyst removed from her arm pit and she has three more in her arm pit and one on her face and she is seeing a dermatologist for that in the near future. The mother reports no health problems, however, the patient’s grandmother does have a history of intestinal polyps, as does the patient’s grandmother’s brothers son.
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Central Retinal Artery Occlusion - 2 months old by history1552 views77-year-old man was doing fine. His left eye was a little worse than the right eye, and then in the 2 months ago he had sudden severe vision loss in the right eye. Vision OD is 3/200; OS is 20/60. IOP: OD 30, OS 15.
OD: Vertical C/D ratio is 0.4. The macula is white from ischemia. The arteries are narrow.
Photos confirm clinical findings.
OCT SCAN: OCT scan of the right eye shows retinal thickening, consistent with macular edema associated with a central retinal artery occlusion. The left eye has severe inferior retinal thinning, consistent with an old hemicentral retinal artery occlusion in the left eye. The fovea in the left eye is a little bit thin but not too bad.
IMPRESSION: 1. CENTRAL RETINAL ARTERY OCCLUSION RIGHT EYE
2 OLD HEMICENTRAL RETINAL ARTERY OCCLUSION LEFT EYE
3 DIABETES WITHOUT RETINOPATHY
4 ELEVATED INTRAOCULAR PRESSURE RIGHT EYE STATUS POST INJECTION RIGHT EYE A WEEK AGO
DISCUSSION: I explained to the patient that the right eye unfortunately has had a central retinal artery and unfortunately we do not have anything to treat that. His vision will probably improve some over time. He needs to be watched though. It is possible he is developing rubeotic glaucoma, although it is probable the intraocular pressure is high from the injection last week. I asked him to restart the Alphagan, to stop the other two drops, and to return here in three weeks to make sure his pressure is more acceptable.
At this point, having lost almost all the retinal circulation in the right eye and half of the retinal circulation in the left eye, he only has half a retina in the left eye he is working off of. I told him it is very important he keep seeing you and anything that can be done to keep his blood pressure low and his cholesterol reasonable would be helpful to what remains of his retinal circulation.
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Reticular Macular Disease - Reticular Pseudodrusen and Soft Macular Drusen - 57 Year Old Woman1552 views57-year-old woman was seen in the office on 2/22/2011. She has macular drusen in both eyes. I saw her back in 2006. Since then she does notice slight increased distortion. OD is 20/25, OS is 20/25
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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fundus Photo - Color1550 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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Peripheral Bullous Retinoschisis Fundus Photo (superotemporal)1549 views64-year-old man with peripheral retinal problem noted during comprehensive eye examination. OD 20/32, OS 20/25
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1546 views
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Chorioretinal Scar1543 views21 year old male with a chorioretinal scar OD
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Retinal Tear Before Laser1542 views65-year-old woman new onset floaters for 1 week. She initially saw flashing lights and then the flashing lights subsided and then she had the floaters VISUAL ACUITY: OD 20/25, OS 20/50
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1542 viewsAdult male with trauma to the right eye and orbital floor fracture. Hemorrhage with Choroidal Rupture.
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Reticular peripheral pigment degeneration1542 views
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Weiss Ring -Vogt Ring - Posterior Vitreous Detachment1537 viewsChronic Floater - 10 years
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Acute Central Serous Retinopathy - Classic Smokestack on Fluorescein Angiogram 1534 views34-year-old man noticed about five days ago decreased vision in the right eye. He was having difficulty playing video games and seeing with that eye. He thought maybe his refractive error was shifting.
VISUAL ACUITY: Vision OD is 20/40, OS is 20/16
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Angle Closure/ UBM & Gonioscopy1533 viewsPatient comes in a day after dilation with severe headache and nausea. Patient's IOP was 64 in the right eye. Patient ended up having angle closure attack. Promoted severe nausea and eye pain. Peripheral Iridotomy was performed and IOP dropped slowly. Patient was followed up the next morning and will be seen 2-days after that.
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Grouped pigmentation - Bear Tracks1532 views71 year old caucasian woman with incidental finding of extensive grouped RPE hypertrophy. Routine colonoscopy performed in the preceding year was normal.
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Choroidal Nevus with Overlying Drusen1531 views48-year-old woman Vision OD is 20/16, OS is 20/20.
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Ectopia Lentis - Marfan's Syndrome - Intermittent Pupillary Block Glaucoma Right Eye1529 views41-year-old woman decreased vision right eye and intermittent pupillary block glaucoma for 6 months from a dislocated natural lens in the eye, probably associated with Marfan syndrome.Vision OD is 20/160, PH 20/40; OS is 20/30, PH 20/25
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Central Retinal Artery Occlusion1529 views60 year old male with LP vision due to extensive blood flow loss.
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Giant Retinal Tear1515 views
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Normal Fellow Eye (Berlin's Edema)1513 views
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Asteroid Hyalosis - Benign Calcified Deposits in the Vitreous1506 views75 year old woman with 20/30 vision and dense asteroid haylosis
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Fuchs Heterochromic Iridocyclitis - Left eye has inflammation1506 viewsThe right eye is darker than the left eye which has chronic iritis
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1505 views
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Punctate Inner Choroidopathy - PIC and Choroidal Neovascular Membrane - Right Eye - Color Fundus Photograph1500 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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Choroidal Hemorrhage1499 viewsHemorrhagic Choroidal Effusion
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Optic Nerve (Disc) Drusen - Fundus Autofluorescence1495 views34 Year Old woman no headaches normal vision
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1493 viewsElschnig Spots are pigment spots in periphery
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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification1474 views7-year-old child difficulty seeing the blackboard in school. She was checked for glasses and it was noted at that time that she had unusual looking optic nerves. Vision OU is 20/50.
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Myelinated Nerve Fiber Layer Right Eye (white area)1473 views62-year-old man myelinated nerve fiber layer in the right eye. OD 20/25, OS 20/30.
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Coloboma of the optic Nerve1467 viewsColoboma
James L. Perron
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Ozurdex Implant in AC1466 views79 yr old male presents with Blurry vison with slight discomfort x 1 in OD. Pt is S/P Ozurdex Implant x 2 mos which has now surfaced in the Anterior Chamber.
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Macular Demarcation line and Symptomatic Distortion 3 years following Asymptomatic Retinal Detachment Repair1460 views 41-year-old man had an asymptomatic retinal detachment repair in the left eye on New Years Eve in December of 2007 in Wake Forest, North Carolina (3 years ago). Since then he has had problems with distortion and pinching. When he looks at long words, the very center letters are abnormal.
OD is 20/20, OS is 20/80
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Inferotemporal and Inferonasal BRAO1460 viewsBranch Retinal Artery Occlusions - Multiple
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Cilio-Retinal Artery Occlusion with "Box Carring" and Cherry Red Spot1460 viewsCilioretinal Artery Occlusion with Cherry Red Spot
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Floating Vitreous Cyst1458 viewsFloating Vitreous Cyst
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Gonioscopy; Scattered Peripheral Anterior Synechiae1458 viewsPatient comes in for evaluation for glaucoma. Patient also has a history of Uveitis. Last flare up was back in 1990. Patient's VA was 20/30, Right eye and 20/40-1, Left eye. Slit Lamp Gonioscopy reveals iris bow with scattered PAS around the angles of the anterior chamber. You can also see pigmentation in the trabecular meshwork. Patient will follow up in 3-months.
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Melanoma1456 views40 Year old male
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Commotio Retinae - One Day following Basketball to Eye1455 views43-year-old man was playing basketball last night. He was hit straight in the left eye with the ball. Initially he had darkness in his inferior vision and now he has darkness inferonasally in the left eye.
Vision OD is 20/16, vision OS is 20/32
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Small vessel vasculitis causing cystoid macular edema - right eye - late frame fluorescein angiography 1453 views36 year old female with no significant past medical history noted painless, progressive loss of vision over one month. BCVA was 20/100 in her right eye. Dilated fundus exam, OCT and FA identified small vessel vasculitis associated with cystoid macular edema. Left eye was also involved with less marked findings.
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Retinal Artery Occlusion1449 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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Choroidal Nevus with Overlying Drusen1448 views48-year-old woman Vision OD is 20/16, OS is 20/20.
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Giant Cell Arteritis - 85 year old woman sudden vision loss left eye - AION - Pale Swollen Optic Nerve1445 views 85-year-old woman has felt sick and weak for about the last two months. She is having headaches, jaw claudication, and her eyes ache. Then, three days ago she had sudden vision loss in the left eye. You saw her with optic nerve swelling and suggested she come in here for evaluation. She had coronary bypass surgery in 2004.
VISUAL ACUITY: Vision OD is 20/80, OS is light perception
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Normal Spectral Domain Optical Coherence Tomography (SD-OCT)1445 views48-year-old woman has had a problem with light and dark adaptations. She notices when she sees a point source of light like a cell phone in a dimly lit room and then she turns the cell phone off, that subsequently her vision is very dark until she goes back into a well lighted area. OD 20/20, OS 20/25.
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Swollen Nerve with Hemorraghe1442 views
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Emulsified silicone oil in anterior chamger1439 views
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Cone-Rod Dystrophy 1435 views34-year-old woman who is having some difficulty seeing at night, especially navigating through dark movie theaters and dark restaurants. OD is 20/30, OS is 20/30
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Central Serous Retinopathy Acute - Indocyanine Green Angiogram - Leakage Choriocapillaris 1434 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 pigmentation1430 views63 year old female with normal vision and CHRPE lesion in the right eye.
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Central Retinal Artery Occlusion - 2 months old by history1429 views77-year-old man was doing fine. His left eye was a little worse than the right eye, and then in the 2 months ago he had sudden severe vision loss in the right eye. Vision OD is 3/200; OS is 20/60. IOP: OD 30, OS 15.
OD: Vertical C/D ratio is 0.4. The macula is white from ischemia. The arteries are narrow.
Photos confirm clinical findings.
OCT SCAN: OCT scan of the right eye shows retinal thickening, consistent with macular edema associated with a central retinal artery occlusion. The left eye has severe inferior retinal thinning, consistent with an old hemicentral retinal artery occlusion in the left eye. The fovea in the left eye is a little bit thin but not too bad.
IMPRESSION: 1. CENTRAL RETINAL ARTERY OCCLUSION RIGHT EYE
2 OLD HEMICENTRAL RETINAL ARTERY OCCLUSION LEFT EYE
3 DIABETES WITHOUT RETINOPATHY
4 ELEVATED INTRAOCULAR PRESSURE RIGHT EYE STATUS POST INJECTION RIGHT EYE A WEEK AGO
DISCUSSION: I explained to the patient that the right eye unfortunately has had a central retinal artery and unfortunately we do not have anything to treat that. His vision will probably improve some over time. He needs to be watched though. It is possible he is developing rubeotic glaucoma, although it is probable the intraocular pressure is high from the injection last week. I asked him to restart the Alphagan, to stop the other two drops, and to return here in three weeks to make sure his pressure is more acceptable.
At this point, having lost almost all the retinal circulation in the right eye and half of the retinal circulation in the left eye, he only has half a retina in the left eye he is working off of. I told him it is very important he keep seeing you and anything that can be done to keep his blood pressure low and his cholesterol reasonable would be helpful to what remains of his retinal circulation.
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