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Ozurdex Implant in AC1115 views79yr old male presents Blurry vision with slight discomfort x 1 week in OD . Pt is S/P Ozurdex Implant x 2mos which is now surfaced in the Anterior Chamber.
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Optic Nerve Drusen - Line Scan over Optic Nerve1113 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 Pucker1112 viewsPatient comes in for followup on macular pucker, right eye. VA is 20/50 in the right eye...Fundus photo shows prominent pucker centrally pulling temporally in the right eye.
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Phacoantigenic Reaction1111 viewsPicture shows a Left eye enucleation with H&E staining.
Anterior capsule of lens is broken with evidence of granulomatous inflammation.
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Ahmed Tube Placement1111 viewsPatient with severe glaucoma is seen post op for ahmed tube placement. VA is 20/70 and IOP is 8 in the left eye. Patient is stable.
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Retinocytoma - Retinoma - Regressed Retinoblastoma 43 year old male incidental finding 1110 views
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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions1110 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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Acute Central Serous Retinopathy - Classic Smokestack on Fluorescein Angiogram 1109 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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Gonioscopy, Pigment Dispersion Syndrome1106 viewsPatient comes in with elevated pressures. Goinoscopy shows heavy pigment dusted off the iris into the trabecular meshwork. Laser procedure was done to break up the pigment for more aqueous flow.
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Silicone Oil in Anterior Chamber and Band Keratopathy 8 Years Post Complex Retinal Detachment Repair1105 views81-year-old man had complex retinal detachment repairs in both eyes with silicone oil 8 years ago. The left eye has an oil fill. He had a retinotomy very near to the macula and he has had silicone oil in the eye for a few years. His eye is comfortable and the vision is stable. OD is 20/200, OS is light perception
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wyburn-mason syndrome fundus photos1105 views28 year old female, visual acuity 20/200
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Central Serous Retinopathy Acute - Fundus Autofluorescence1104 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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Silicone Oil in the Anterior Chamber1104 viewsPatient comes in for second opinion for retinal detachment in the left eye. VA is hand motion in the left eye. Poor view to look into the retina. Small silicone bubble at 12 o'clock superior in the anterior chamber. Surgery was not recommended due to the silicone oil in the left eye.
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Glaucoma (also Diabetes and Previous Retinal Detachment both Eyes)1103 views84-year-old man has had retinal detachment repairs in both eyes. He also has advanced optic atrophy. He also has had diabetes for thirty five years. OD 20/30, OS 20/40
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Acute Central Serous Retinopathy - Classic Smokestack on Fluorescein Angiogram 1103 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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Optic Nerve Head Drusen Nerve Fiber Layer Scan1102 views57-year-old woman has optic nerve drusen in both eyes.
VISUAL ACUITY: OU 20/20.
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Ectopia Lentis - Marfan's Syndrome - Intermittent Pupillary Block Glaucoma Right Eye1102 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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Diabetic Retinopathy with CME1101 viewsSecond opinion for diabetic retinopathy. VA is 20/30, right eye, 20/50, left eye. Patient has mild swelling in the macula of the right eye. No evidence of CME but does have a moderate cataract in the left eye.
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Infrared Image OD1099 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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Mild Proliferative Diabetic Retinopathy1099 viewsRight eye has NVE and left eye has NVD and NVE. VA 20/25 OU.
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CHRPE lesion in the left eye - Irregular pigmentation1098 views63 year old female with normal vision and CHRPE lesion in the right eye.
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 1098 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification1097 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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Progressive Outer Retinal Necrosis 77 Year Old Woman with CLL (Acute Retinal Necrosis) (PORN - ARN)1097 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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Gonioscopy- Pigmentary Glaucoma Suspect1097 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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Iris Nevus1097 viewsRoutine eye exam. Iris nevus located around 4-o'clock off the pupil.
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Central Areolar Choroidal Dystrophy1097 viewsVision loss from early 60's. This 78 year old woman has choroidal atrophy centrally.
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Plaquenil Toxicity - Bulls Eye Maculopathy1096 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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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1096 views
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Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE 1096 viewsVenous beading, vascular loops and NVE are visible on photos
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Multiple Evanescent White Dot Syndrome - Atypical Yellow Foveal Spot Right Eye1095 views12-year-old had decreased vision in the left eye from reported amblyopia since around the year 2000. His right eye was doing fine until two days ago, when he had sudden severe vision loss. He sees a blurred spot in the middle of the vision in the right eye wherever he looks.
OD 20/60 with eccentric movement, OS 20/200. Pinhole 20/70. IOP: OD 14, OS 10.
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Calcified Drusen - Dry Age-related Macular Degeneration - Geographic Atrophy1094 views87 Year old woman with dry age-related macular degeneration in both eyes.With both eyes open she is fine, but when she closes the left eye, things are wavier.
VISUAL ACUITY: Vision OD is 20/100, OS is 20/40.
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Central Serous Retinopathy Acute 1094 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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Retinal Arterial Macroaneurysm - Normal Vision (2 Years before rupture)1093 views78-year-old woman has a retinal arterial macroaneurysm in the right eye. VA 20/25 (pre-rupture photos)
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Vitreo-Traction due to Diabetic Retinopathy1093 viewsPatient comes in for follow up on her diabetes. VA is 20/30 in the right eye. Fundus photos shows thick traction nasally to the optic nerve forming a ring around the macula. Will follow up in 6-months.
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Gonioscopy; Scattered Peripheral Anterior Synechiae1092 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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Epiretinal Membrane with Flecks of Hemorrhage1090 views
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Mild Clinically Significant Diabetic Macular Edema1088 views58-year-old woman diabetic for 20 years who has diabetic macular edema in both eyes. She has had waxing and waning edema in the past and I thought it might improve on its own but it did not. She notices her vision is still a little hazy.
VISUAL ACUITY: Vision OD is 20/30, OS is 20/25.
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Hemicentral Retinal Vein Occlusion Vision 20/60 1088 views84-year-old man has a hemicentral retinal vein occlusion in the right eye. His vision has declined since then.
VISUAL ACUITY: Vision OD is 20/60.
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Commotio Retinae - One Day following Basketball to Eye1088 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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Central Serous Choroidopathy with Smoke Stack and Mushroom Cloud - Fluorescein Angiogram1088 views
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo1087 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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Chorodial Sclerosis1087 views74 year old female diagnosed with Chorodial Sclerosis OU and ARMD OU. Va 20/400 OD 2'200 OS
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Giant Papillary Conjunctivitis, Left Upper Eyelid1087 viewsContact lens wearer, comes in for exam. Has rough feeling underneath both eyelids. Patient thought it was through SCL wear. Patient VA was 20/20. right eye, 20/30, left eye. Underneath the left upper eyelid, you can see papillary inflammation and redness.
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Radioactive Plaque Placement for Choroidal Melanoma Eye is Anesthetized Prior to Surgery1086 views
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Pigmented Peripheral Retinal Degeneration1086 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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Conjunctival Melanoma1085 viewsRight conjunctival melanoma extending into anterior orbit, right eye. Temporally and nasally with pigmented masses/nodules. VA was 20/30 without correction in the right eye. Follow up to proceed with proton beam therapy.
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Three years after Injury - Optic Atrophy - Vision is 1/200 in each eye1083 views
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Accordioning Crystalline Lens with loss of Posterior Capsule1082 views71-year old male complains of blurred vision in the left eye. VA 20/40, right eye and 20/400, left eye without correction. Slit lamp exam shows Crystalline lens, both eyes. Right eye IOL is aligned and centered. Left eye shows an accordion of the crystalline lens. Retro Illumination shows the IOL bent inward in the left eye. There was a 6-diopter difference of astigmatism between the right and left eye. Patient will have surgery to correct the issue.
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Flower Cataract1082 viewsPatient with ahmed tube and flower cataract
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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangioma1081 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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Hyperpigmentation of the Retinal Pigment Epithelium Right Eye (Treated wet AMD OS)1081 views85-year-old man has wet age-related macular degeneration in the left eye treated for one year most recently one year ago. OD is 20/30, OS is 20/60
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Dislocated Intraocular Lens1081 viewsDislocated Intraocular Lens
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Macular Degeneration with Hemorrhage1081 viewsPatient comes in for follow up exam for wet AMD. Fundus photography reveals retinal hemorrhage temporally to the macula. Patient was not treated. Wait to see if the blood will absorb on its own.
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Acute Zonal Occult Outer Retinopathy1080 views45-year-old man noticed a few years ago peripheral vision blurriness in the left eye and also some central vision loss. Previous to that, as far as he knows, the two eyes were okay.
VISUAL ACUITY: OD: 20/20; OS: 20/40.
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Cilia and Cement Intraocular Foreign Body1079 viewsConstruction worker jack-hammering 3 months prior to pictures. Asymptomatic. 20/20 OU. Corneal wound seen superiorly (not in pictures)
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Fundus Albipunctatus1078 views12 year old female with normal vision. She has 4 siblings all of whom have either white spots or spots on IR. Genetic testing by parents was deferred.
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Lattice Degeneration1076 viewsAprox 180 degree lattice degeneration in OD of a 17yr old girl.
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Equatorial Drusen Fundus Photo Left Eye1074 views
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Hyperpigmentation of Retinal Pigment Epithlium in Dry AMD (hyperplasia)1073 views87-year-old woman has wet age-related macular degeneration in the left eye. She had treatment up north but there has been a gap in therapy and the vision in the left eye is poor. Vision OD is 20/25, OS is 20/400
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Optic Pit OCT1070 viewsOCT Scan of an Optic Pit in OS of a 40 yr old male
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Ruptured Retinal Arterial Macroaneurysm - Submacular Hemorrhage - Vision 20/400 never recovered - Hypertension 205/941069 views
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Central Areolar Choroidal Sclerosis1069 viewsElderly man with poor central vision starting in his 50's
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Epiretinal Membrane with Pseudohole1069 views
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)1068 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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Posterior Staphyloma and Geographic Atrophy Myopic Degeneration1067 views54-year-old man . He is a high myope. He has posterior staphylomas. He has had gradually changing vision for the last month or two. OD is 20/40, OS is 20/50.
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Central Serous Retinopathy Acute - Indocyanine Green Angiogram - Leakage Choriocapillaris 1067 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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Calcified Drusen - Dry Age-related Macular Degeneration - Geographic Atrophy1066 views87 Year old woman with dry age-related macular degeneration in both eyes.With both eyes open she is fine, but when she closes the left eye, things are wavier.
VISUAL ACUITY: Vision OD is 20/100, OS is 20/40.
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Optic Nerve Drusen - - Nerve Fiber Layer Scan1066 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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PDR with heavy PRP laser and worsening macular edema 1065 views51-year-old woman has had extensive laser in both eyes done years ago elsewhere. Her left eye has gradually been declining with macular edema.
VISUAL ACUITY: OD 20/40, OS 20/40
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Retinocytoma - Retinoma - Regressed Retinoblastoma 43 year old male incidental finding 1065 views
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Myelinated Nerve Fiber Layer1065 views69-year-old woman OD is 20/30, OS is 20/40.
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Asymptomatic Retinal Detachment Confirmed with Optical Coherence Tomography (OCT)1064 views24-year-old 20/20 vision in each eye. Patient referred for retinoschisis. OCT confirmed retinal detachment. Patient is very active and in military so the detachment was treated with laser demarcation.
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Calcified Drusen - Dry Age-related Macular Degeneration - Geographic Atrophy1063 views87 Year old woman with dry age-related macular degeneration in both eyes.With both eyes open she is fine, but when she closes the left eye, things are wavier.
VISUAL ACUITY: Vision OD is 20/100, OS is 20/40.
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PDR with subhyloid hem1063 viewsPDR with subhyloid hem
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Occult Maculopathy - Thin Fovea on OCT and Normal Color VA, Photos, FA VA 20/80 OU1060 views45-year-old man his mother and his maternal grandmother each had vision loss at a relatively young age. Retina OD
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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome1060 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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Optic Nerve Hypoplasia1059 views28-year-old man with diabetes and anomalous vessels near nerve. OD is 20/25, OS is 20/20. IOP: OD 20, OS 22.
OD: Vertical C/D ratio is 0.0. The nerve is tilted and small and there is an anomalous branching pattern of the major retinal vessels. There is a tuft of irregular telangiectatic vessels on the nasal edge of the optic nerve. There is also a buried optic nerve druse at the optic margin at 5:00 o’clock. There are rare retinal hemorrhages in the macula.
OS: Vertical C/D ratio is 0.0. Again, the nerve looks small. There is an anomalous branching pattern of the retinal vessels and rare retinal hemorrhages.
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New Subfoveal Classic CNVM OS - Wet AMD - Macular Scar Congenital Toxoplasmosis Right Eye 1058 views77-year-old woman as had poor vision in the right eye since birth from congenital toxoplasmosis of her macula in the right eye. Two to three weeks ago when she noticed vision loss in the left eye. VISUAL ACUITY: OD 2/200, OS 20/200.
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Regressed Proliferative Diabetic Retinopathy with Recurrent Vitreous Hemorrhage from Vitreoretinal Traction over a Major Retinal Vessel (Vein)1058 views56-year-old woman has had recurrent vitreous hemorrhage in the left eye from vitreoretinal traction. Diabetes Mellitus for 20 years and excellent response to vitrectomy in the right eye about 1 year ago for recurrent vitreous hemorrhage from traction over a major retinal vessel.
VISUAL ACUITY: Vision OS is 20/200
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Plaquenil Toxicity - Bulls Eye Maculopathy1057 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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Propionibacterium acnes endophthalmitis with capsular plaque and uveitis1057 views61 year old man with inflammation after cataract surgery who ultimately needed removal of intraocular lens and capsule to quiet eye.
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Juxtafoveal Telangiectasis - MacTel - Retinal Telangiectasis - Both Eyes - Crystals1056 views61-year-old man has idiopathic juxtafoveal retinal telangiectasis type II in both eyes OD is 20/40, OS is 20/25
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HTN Retinopathy w/ cotton wool spots and hemorrhages1056 views23 year old african american male w/ visual acuity of 20/20
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PXE with Angioid Streaks1056 viewsPXE with angioid streaks OS (12/09/2011)
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Macular Telangiectasis (Group 2a Juxtafoveal Telangiectasis) Decreased Fundus Autofluorescence1055 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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CHOROIDAL Melanoma1055 views
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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman 1054 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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Ghost Cell Glaucoma1054 viewsPost cataract surgery, patient presents with ghost cell in the anterior chamber after hemorrhage cleared. A small hyphema still is visible in the anterior chamber with a whitish ball appearance.
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Myopic Macular Degeneration - Dry 1053 views55-year-old woman has myopic macular degeneration in both eyes with vision and an Amsler grid change starting a few days ago in the left eye.
VISUAL ACUITY: OD: 20/60. PH: 20/25. OS: 20/200. PH: 20/30.
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Alphamethlyacyl COA Racemase Deficiency1053 views
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Juxtafoveal Retinal Telangiectasia (Telangiectasis) - MacTel - Striking Gray Ring in Macula1052 views59-year-old woman decreasing vision in the right eye for a few years. She has had diabetes for five years. OD 20/100, Pinhole 20/40. OS 20/20
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1052 views6 week fu - CWS are Fading
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Prominent Posterior Hyaloid with Background Diabetic Retinopathy1052 viewsPatient comes in for follow up on her Diabetic Retinopathy and glaucoma. Patient's VA was 20/30 in the left eye. Fundus exam presents a Posterior Hyaloid with hemorrhage inferiorily. Patient will be seen again in 6-months for follow up.
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Gonioscopy of Blood in the Angle1052 viewsYoung female who has a history of uveitis, glaucoma and juvenile rheumatoid arthritis. VA is hand motion in the left eye. Pigment changes with some blood in the anterior chamber seen here on Gonioscopy.
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Pseudophakic Macula-Off Retinal Detachment with Larger Retinal Tear1051 views68-year-old woman with veil over her vision just the last few days. She had cataract surgery a year ago. OD 20/200 -- One year later vision 20/30!
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Stargardt's Juvenille Macular Dystrophy - Fundus Flavimaculatus - Famlial1051 views55-year-old woman was seen in the office on 11/18/08. She has a half sister with Stargardt’s disease and seven other siblings who are fine. 20/120 OD, 20/160 OS.
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Ghost Cell Glaucoma1051 viewsPost cataract surgery, patient presents with ghost cell in the anterior chamber after hemorrhage cleared. A small hyphema still is visible in the anterior chamber with a whitish ball appearance.
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1050 views
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Disorganized Retinal Inner Layers (DRIL)1050 views72 year old man treated with Avastin for CRVO VA is still 20/200 with absent macular edema (Only 1 month post rx)
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