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Solar Retinopathy1438 viewsFoveal defect due to sun staring
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Optic Nerve Pit1437 viewsOptic Nerve Pit
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Gonioscopy; Scattered Peripheral Anterior Synechiae1434 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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Retinocytoma - Retinoma - Regressed Retinoblastoma 43 year old male incidental finding 1433 views
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wyburn-mason sydrome1433 views28 year old female, visual acuity OS 20/200
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Gonioscopy; Scattered Peripheral Anterior Synechiae1433 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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Pigmented Peripheral Retinal Degeneration1431 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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Cone-Rod Dystrophy 1429 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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Progressive Outer Retinal Necrosis 77 Year Old Woman with CLL (Acute Retinal Necrosis) (PORN - ARN)1428 views77-year-old woman with CLL who had shingles on the left side of her face about 6 weeks ago then she developed a dendrite in the cornea which was treating about four weeks ago. She noticed severe vision loss in the left eye just a few days ago and you saw retinitis and she comes in because of that. Vision OD is 20/25, OS is hand motion
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Twig Branch Retinal Vein Occlusion - Recurrent Macular Edema with extended interval Lucentis Therapy after first 6 monthly Injections1426 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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Retinal Coloboma1425 views14-year old male presents with decreased vision in the left eye. Dx with iris and retinal coloboma in the left eye. Patient VA was 20/20, right eye, 20/100 left eye with pinhole improvement 20\50. Patient was fitted for SCL in the left eye.
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Gonioscopy; Scattered Peripheral Anterior Synechiae1424 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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Chronic Retinal Detachment1422 views51 year old female, with a chronic retinal detachment. The patient has been stable since 1999.
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Choroidal Rupture and small Hemorrhage - Assault1418 views34 year old man. The patient reports he was assaulted by a couple of adolescents near downtown St. Petersburg about forty-eight hours ago. He reports the pain in the left eye has significantly improved, but his vision is a little fuzzy and he sees some floaters in the left eye. 20/125 OD, 20/20 OS. Pinhole improves in the right eye to 20/50. IOP: 15 OD, 13 OS.
SLIT LAMP EXAMINATION: Biomicroscopy reveals 3+ pupillary reaction OD, 2+ OS with no afferent pupillary defect. EXTENDED OPHTHALMOSCOPY: Extended funduscopy with Volk 90-diopter lens and fundus drawings of both eyes reveal a clear view with no posterior vitreous separation. C/D ratio is 0.2. There is no vitreous debris or hemorrhage. Large retinal vessels and macula are healthy. The retinal periphery, inspected with scleral depression for 360° shows no retinal tears, breaks, or detachments.
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Acute Central Serous Retinopathy - Classic Smokestack on Fluorescein Angiogram 1417 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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Diabetic Macular Edema Left Eye - Post Laser1414 views82-year-old woman diabetic for many years, last eye exam 5 years ago with gradual vision loss. OD 20/60, OS 20/70. IOP: OD 16, OS 17.
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Vogt–Koyanagi–Harada Syndrome OS1413 views43 yr old Italian Male with VKH in both eyes.
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Acute Central Serous Retinopathy - Classic Smokestack on Fluorescein Angiogram - OCT1412 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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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - SD-OCT 1411 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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Iris Neovascularization secondary to Central Retinal Artery Occlusion1410 views
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Best Disease Fundus Autofluorescence1409 views
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Unilateral Hemorrhagic Retinopathy1408 viewsA 53 yr-old male was referred for a Macular Aneurysm. The FA should no apparent Aneurysm, nor did it show any evident VO or Edema. The patient is in the Navy but hadn't gone on any deep sea dives or any air flights.
The cause of the hemorrhages is unknown, the following ARVO abstract from 2012 identifies similar cases found in females.
Clinical Features Of Unilateral Hemorrhagic Retinopathy: A New Retinal Entity?
Presentation Start/End Time: Wednesday, May 09, 2012, 1:45 PM - 3:30 PM
Session 466
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Cornea Ulcer/Abrasion1407 views
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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Ipsilateral Diffuse Choroidal Hemangioma1406 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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Anterior Ischemic Optic Neuropathy - Non-Arteritic - AION1406 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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Acute Central Serous Retinopathy - Classic Smokestack on Fluorescein Angiogram - Animated .GIF1406 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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Post- treatment1405 views
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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - SD-OCT 1404 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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Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child - Nerve Fiber Layer Scan shows swelling1404 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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Endophthalmitis with Hypopion1403 views
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Choroidal Melanoma with Retinal Detachment1403 views57 year old female who underwent proton beam therapy for Choroidal Melanoma. VA was 20/400 at post op visit.
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Bilateral Macular Star1402 viewsYoung female patient comes in with blurred vision in both eyes. VA is 20/40 in both eyes. Fundus photos show visible macular star centrally in both eyes. This is a result of Bilateral Neuroretinitis due to cat scratch.
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Fundus Autofluorescence os1400 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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Central Serous Retinopathy - Acute1399 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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wyburn-mason syndrome fundus photos1397 views28 year old female, visual acuity 20/200
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Horseshoe Retinal Tear 1397 views
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Silicone Oil Bubbles in the Angle1397 viewsPatient is evaluated for glaucoma associated with ocular inflammation. VA is CF in the right eye and 20/50, left eye. Gonioscopy photos shows little silicone oil bubbles in the inferior angle of the right eye. Patient to consider removal of silicone oil.
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CHRPE lesion in the left eye - Irregular pigmentation1396 views63 year old female with normal vision and CHRPE lesion in the right eye.
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Low Tension Glaucoma1396 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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Retinitis Pigmentosa - Leber's Congenital Amaurosis - 7 Year Old Child -Fundus Photo Right Eye - Periphery1396 views7-year-old child who trips over things that the other children do not have trouble seeing. She is the only person in the family tree that the mother knows has any vision problems. Vision is 20/20 in each eye
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Central Serous Retinopathy Acute - Fundus Autofluorescence1396 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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Capillary Non-Perfusion - Severe Non-Proliferative (Background) Diabetic Retinopathy - Type I - 20 Year Old Man Diabetic 16 years1395 views20 year old diabetic with poor vision for the past three or four years. He has been diabetic for sixteen years and hemoglobin A1C of 10.0. 20/25 OD, 20/30 OS.
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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome1391 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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Displaced Scleral Buckle1391 viewsDisplaced Scleral Buckle in OD of a 75 yr old male
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Acute Central Serous Retinopathy - Classic Smokestack on Fluorescein Angiogram 1390 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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1389 views
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Asteroid Hyalosis Before Vitrectomy1388 views80 year old woman with decreased vision and blurring in the left eye for the past year. She reports that she has blurring that comes and goes and floaters that bother her when she reads.
The patient reports that the floaters that bother her have been occurring on a daily basis lately. She reports that she is having a “hard time readingâ€.
Visual acuity with correction 20/30-3 OD and 20/30-2
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Chorodial Melanoma1388 views80 year old male came in for retinal evaluation and presented with a melanoma.
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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Wet AMD OS - Dry AMD OD SD-OCT1387 views84-year-old woman has wet age-related macular degeneration in the left eye and dry macular degeneration in the right eye. She takes the eye vitamins and her vision is stable since she was treated three months ago with Avastin. OD 20/50, OS 20/32
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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification1386 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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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions1386 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 Hollenhorst Plaque - Cholesterol Embolis1386 views71-year-old woman is not noticing any vision change. She does take pressure-lowering drops for glaucoma, both Timolol and Xalatan.
VISUAL ACUITY: Vision OD is 20/30, OS is 20/16
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Gonioscopy- Pigmentary Glaucoma Suspect1384 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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"Jelly Bumps" Soft Contact Lens1384 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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Coats' Disease1383 views11 year old male seen for trauma to OS from a volleyball. After examination, it was determined the pt had Coat's Disease. VA 20/20 OD 20/60 OS. FA confirmed the diagnosis.
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Acute Central Serous Retinopathy - Classic Smokestack on Fluorescein Angiogram 1383 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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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Occult CNVM and Macular Edema Right Eye 1383 viewsSpectral Domain Optical Coherence Tomography
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Pigmented Peripheral Retinal Degeneration1382 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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Retinal Tear Before Laser1381 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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Thick Choroid Probably from Hypotony1380 viewsPatient comes in with blurred vision in the right eye. VA is CF. with pinhole at 20/400. Fundus photography shows moderate thickening of the choroid. IOP was 5 in the right eye.
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OCT Image of Tractional Maculopathy1379 views
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80 year old woman with Reticular Drusen (pseudodrusen) 20/30 Vision1377 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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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)1377 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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Foreign Body "Rust Ring" 1377 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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Basal Laminar Drusen - Cuticular Drusen - 19 Year Old with Lupus Nephritis1376 views19-year-old. She has a history of developing severe systemic lupus erythematosus in 2001. She was in renal failure and had biopsy proven Class 2 lupus nephritis. She is currently on Plaquenil 400 mg for six years, as well as Prednisolone orally, every other day. OD 20/20, OS 20/25.
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"Jelly Bumps" Soft Contact Lens1376 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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Post- treatment1375 views
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Sickle Cell1374 views
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360-Degree's Pseudoexfoliation1374 viewsFollow-up on glaucoma. Patient has sever pseudoexfoliation in the right eye. VA is 20/25 with IOP at 27. Patient will return in 6-months for re-evaluation.
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Central Areolar Choroidal Dystrophy1374 viewsPatient wanted second opinion for atrophic macular degeneration. VA is 20/400, right eye and 20/100. left eye. Patient has very poor vision and also hearing impaired. Fundiscopic exam reveals very atrophy in the macula. FAF shows a central hole to the choroid with no neovascularization present.
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Optic Nerve (Disc) Drusen - Fundus Autofluorescence1374 views34 Year Old woman no headaches normal vision
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1371 viewsElschnig Spots are pigment spots in periphery
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Choroidal Melanoma - Exudative Retinal Detachment 82 Year Old Man B Scan - Transverse1370 views82-year-old man who had 3 falls 2 weeks ago. After the falls he started checking his vision and noticed there was a veil over the left eye, which he had seen for about two weeks in the superior visual field. OD 20/25, OS 20/40
(patient was medically never well enough for brachytherapy and died 6 months later from heart disease)
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Peripheral Bullous Retinoschisis Spectral Domain Optical Coherence Tomography (SD-OCT)1369 views64-year-old man with peripheral retinal problem noted during comprehensive eye examination. OD 20/32, OS 20/25
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Macular Telangiectasis (Group 2a Juxtafoveal Telangiectasis) Decreased Fundus Autofluorescence1368 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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CHRPE - Congenital Hypertrophy of the Pigment Epithelium - Peripheral1367 views55-year-old woman OD 20/30, OS 20/25
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Endophthalmitis with Hypopion1365 views
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Non-Kissing Choroidals 1365 viewsFluid and blood underneath the choroid nasally and temporally after cataract surgery in the left eye
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Best Disease - Left Eye Treated Previously, Elsewhere, with PDT and Avastin1364 views11-year-old has Best’s disease that runs in his family on his mothers side. At another retina specialists office, he had photodynamic laser in April of 2009 and Avastin subsequently in June of 2009. Unfortunately with that his vision is substantially declining. OD 20/30, OS 20/100
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Progressive Outer Retinal Necrosis 77 Year Old Woman with CLL (Acute Retinal Necrosis) (PORN - ARN)1364 views77-year-old woman with CLL who had shingles on the left side of her face about 6 weeks ago then she developed a dendrite in the cornea which was treating about four weeks ago. She noticed severe vision loss in the left eye just a few days ago and you saw retinitis and she comes in because of that. Vision OD is 20/25, OS is hand motion
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Central Retinal Vein Occlusion1364 viewsPatient comes in with mild blurred vision in the right eye. Fundus exam shows CRVO with scattered retinal hemorrhages in the right eye.
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Hyperpigmentation of the Retinal Pigment Epithelium in Dry AMD1363 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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Probable Measles Retinopathy1362 views52-year old female wanted second opinion on retinal eval. Patient had PK and PDT in the left eye. VA was 20/30, right eye was count fingers. Pinhole was NI, both eyes. Patient's mother had measles. Notice pigment changes in both the color and FAF photo.
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Plaquenil Toxicity - Bulls Eye Maculopathy1361 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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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago1360 views66-year-old woman lost vision in the left eye from a central retinal artery occlusion 1 year ago. Vision OD is fine. OD 20/25, OS 20/50
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Best Disease - Left Eye Treated Previously, Elsewhere, with PDT and Avastin1359 views11-year-old has Best’s disease that runs in his family on his mothers side. At another retina specialists office, he had photodynamic laser in April of 2009 and Avastin subsequently in June of 2009. Unfortunately with that his vision is substantially declining. OD 20/30, OS 20/100
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Coats' Disease with Cryotherapy 1359 viewsYoung male with Coat's Disease with Cryotherapy in the right eye. VA was 20/20, right eye. Left eye was completely normal. Patient will be followed up in 3-months.
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Focal Laser for diabetic macular edema1358 views66 year old female with diabetes for 45 years. VA 20/20 OU. Extrafoveal edema in the left eye treated with light focal laser.
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Gonioscopy- Pigmentary Glaucoma Suspect1358 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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Proliferative Diabetic Retinopathy1358 viewsFundus photography shows severe fibrosis and arterial narrowing. Peripheral laser scars in both eyes. VA is 20/40, right eye and 20/50, left eye.
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Non-Ischemic Central Retinal Vein Occlusion in Young Man (30 years) - Many Cotton Wool Spots1357 views30-year-old man with a history of a central retinal vein occlusion for which he was first examined on 2 months ago and his vision then was 4/200. He responded nicely to two Avastin treatments. OD is 20/20, OS is 20/60
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old - SD OCT OD1356 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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Cytomeglovirus1356 views25 year old male experiencing blurry vision OS for two days. Onset very rapid. VA 20/40 OS 20/30 OD. After HIV titer test, determined the pt. had HIV and Cytomeglovirus.
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Epiretinal Membrane1355 viewsEpiretinal Membrane
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Acute Central Serous Retinopathy - Classic Smokestack on Fluorescein Angiogram 1355 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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Dusted Pigment, Iris Nevus1355 views
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Optic Nerve Head Drusen Left Eye1353 views57-year-old woman has optic nerve drusen in both eyes.
VISUAL ACUITY: OU 20/20.
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Large Retinal Detachment with PVR1353 viewsPatient with poor vision in the left eye. Fundus photography shows rhegamatogenous retinal detachment with proliferative vitreoretinopathy in the left eye. Silicone oil is also present in the left eye.
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Myopic - Tilted - Optic Nerves with Torsion1351 views 82-year-old man He had an injury when he was a child. The right eye unfortunately has had poor vision since he is so nearsighted, even without a lens, he sees some out of the right eye. Vision OD is 20/100, OS is 20/20.
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Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child - FAF1351 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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