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Choroidal Melanoma - Exudative Retinal Detachment 82 Year Old Man B Scan Ultrasound Longitudinal1151 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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Retinal Tear Before Laser1148 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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Choroidal Folds1148 viewsChoroidal Folds imaged during angiography and the corresponding OCT
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Nearly complete coloboma1148 viewsNearly complete coloboma from necropsy of infant born with multiple congenital anomalies, incompatable with life, including holorprosencephaly. Infant expired on 3rd post-partum day
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Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left1147 views
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Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left1146 views
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Central Serous Retinopathy Acute - Fluorescein Angiogram1144 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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Diabetic Retinopathy with CME1144 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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Plaquenil Toxicity - Bulls Eye Maculopathy1143 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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Retinocytoma - Retinoma - Regressed Retinoblastoma 43 year old male incidental finding 1142 views
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1142 views
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A case of Valsalva Retinopathy -11142 views
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Gonioscopy; Scattered Peripheral Anterior Synechiae1142 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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Macular Pucker1142 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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Glaucoma (also Diabetes and Previous Retinal Detachment both Eyes)1140 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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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo1140 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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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Infrared Image OD1140 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 Acute - Indocyanine Green Angiogram - Leakage Choriocapillaris 1140 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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Equatorial Drusen Fundus Photo Left Eye1139 views
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Gonioscopy- Pigmentary Glaucoma Suspect1138 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 Nevus1138 viewsRoutine eye exam. Iris nevus located around 4-o'clock off the pupil.
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Pigmented Peripheral Retinal Degeneration1136 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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Phacoantigenic Reaction1135 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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Conjunctival Melanoma1134 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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Epiretinal Membrane with Flecks of Hemorrhage1134 views
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Hemicentral Retinal Vein Occlusion Vision 20/60 1133 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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Central Areolar Choroidal Dystrophy1133 viewsVision loss from early 60's. This 78 year old woman has choroidal atrophy centrally.
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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions1132 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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Central Serous Retinopathy Acute - Fundus Autofluorescence1132 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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Ectopia Lentis - Marfan's Syndrome - Intermittent Pupillary Block Glaucoma Right Eye1130 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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Optic Nerve Drusen - Line Scan over Optic Nerve1129 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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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1129 views
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Multiple Evanescent White Dot Syndrome - Atypical Yellow Foveal Spot Right Eye1128 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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Prominent Posterior Hyaloid with Background Diabetic Retinopathy1128 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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Flower Cataract1128 viewsPatient with ahmed tube and flower cataract
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Mild Clinically Significant Diabetic Macular Edema1127 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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Chorodial Sclerosis1127 views74 year old female diagnosed with Chorodial Sclerosis OU and ARMD OU. Va 20/400 OD 2'200 OS
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Optic Nerve Head Drusen Nerve Fiber Layer Scan1126 views57-year-old woman has optic nerve drusen in both eyes.
VISUAL ACUITY: OU 20/20.
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Calcified Drusen - Dry Age-related Macular Degeneration - Geographic Atrophy1126 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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Accordioning Crystalline Lens with loss of Posterior Capsule1126 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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Mild Proliferative Diabetic Retinopathy1126 viewsRight eye has NVE and left eye has NVD and NVE. VA 20/25 OU.
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Vitreo-Traction due to Diabetic Retinopathy1124 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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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification1123 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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Giant Papillary Conjunctivitis, Left Upper Eyelid1123 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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Commotio Retinae - One Day following Basketball to Eye1122 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 Retinopathy Acute 1121 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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PDR with subhyloid hem1121 viewsPDR with subhyloid hem
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Hyperpigmentation of the Retinal Pigment Epithelium Right Eye (Treated wet AMD OS)1119 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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Silicone Oil in the Anterior Chamber1119 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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Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE 1118 viewsVenous beading, vascular loops and NVE are visible on photos
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CHRPE lesion in the left eye - Irregular pigmentation1117 views63 year old female with normal vision and CHRPE lesion in the right eye.
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Gonioscopy; Scattered Peripheral Anterior Synechiae1117 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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Fundus Albipunctatus1117 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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Macular Degeneration with Hemorrhage1116 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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Retinal Arterial Macroaneurysm - Normal Vision (2 Years before rupture)1115 views78-year-old woman has a retinal arterial macroaneurysm in the right eye. VA 20/25 (pre-rupture photos)
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Asymptomatic Retinal Detachment Confirmed with Optical Coherence Tomography (OCT)1115 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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Lattice Degeneration1114 viewsAprox 180 degree lattice degeneration in OD of a 17yr old girl.
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HTN Retinopathy w/ cotton wool spots and hemorrhages1113 views23 year old african american male w/ visual acuity of 20/20
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Radioactive Plaque Placement for Choroidal Melanoma Eye is Anesthetized Prior to Surgery1112 views
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Propionibacterium acnes endophthalmitis with capsular plaque and uveitis1112 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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Preretinal Fibrosis - Tractional Retinal Detachment - Proliferative Diabetic Retinopathy 1112 views33-year-old woman has proliferative diabetic retinopathy in the left eye with fibrosis and tractional retinal detachment. Her vision is hazy in that eye. VISUAL ACUITY: Vision OD is 20/30, OS 20/120
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PXE with Angioid Streaks1112 viewsPXE with angioid streaks OS (12/09/2011)
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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangioma1110 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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Juxtafoveal Telangiectasis - MacTel - Retinal Telangiectasis - Both Eyes - Crystals1109 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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Central Areolar Choroidal Sclerosis1109 viewsElderly man with poor central vision starting in his 50's
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Ghost Cell Glaucoma1109 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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Ruptured Retinal Arterial Macroaneurysm - Submacular Hemorrhage - Vision 20/400 never recovered - Hypertension 205/941108 views
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Dislocated Intraocular Lens1108 viewsDislocated Intraocular Lens
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Epiretinal Membrane with Pseudohole1106 views
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Optic Pit OCT1105 viewsOCT Scan of an Optic Pit in OS of a 40 yr old male
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Acute Zonal Occult Outer Retinopathy1102 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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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)1102 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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Macular Telangiectasis (Group 2a Juxtafoveal Telangiectasis) Decreased Fundus Autofluorescence1102 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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Hyperpigmentation of Retinal Pigment Epithlium in Dry AMD (hyperplasia)1100 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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Regressed Proliferative Diabetic Retinopathy with Recurrent Vitreous Hemorrhage from Vitreoretinal Traction over a Major Retinal Vessel (Vein)1100 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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Cilia and Cement Intraocular Foreign Body1100 viewsConstruction worker jack-hammering 3 months prior to pictures. Asymptomatic. 20/20 OU. Corneal wound seen superiorly (not in pictures)
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Pigmented Peripheral Retinal Degeneration1100 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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PDR with heavy PRP laser and worsening macular edema 1098 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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Calcified Drusen - Dry Age-related Macular Degeneration - Geographic Atrophy1098 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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Stasis Retinopathy, Central Retinal Vein Occlusion1098 viewsYoung male who complains of decreased vision in the left eye. VA is 20/20 in the left eye. Fundus photo shows mild central retinal vein occlusion in the left eye.
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Juxtafoveal Retinal Telangiectasia (Telangiectasis) - MacTel - Striking Gray Ring in Macula1097 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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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute1097 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
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Myopic Macular Degeneration - Dry 1096 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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Optic Nerve Hypoplasia1095 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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Calcified Drusen - Dry Age-related Macular Degeneration - Geographic Atrophy1092 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 - Indocyanine Green Angiogram - Leakage Choriocapillaris 1092 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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Disorganized Retinal Inner Layers (DRIL)1092 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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Choroidal Nevus with Drusen1092 viewsLow risk choroidal nevus with many overlying drusen
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Myelinated Nerve Fiber Layer1091 views69-year-old woman OD is 20/30, OS is 20/40.
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Alphamethlyacyl COA Racemase Deficiency1090 views
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CHOROIDAL Melanoma1090 views
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Retinocytoma - Retinoma - Regressed Retinoblastoma 43 year old male incidental finding 1089 views
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Ghost Cell Glaucoma1089 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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Prominent Corneal Nerves1087 viewsSlit lamp exam shows prominent corneal nerves present at 8-10-o'clock and 4-6-o'clock. Baseline work to rule out Fuch's dystrophy and recurrent corneal erosion.
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Posterior Staphyloma and Geographic Atrophy Myopic Degeneration1085 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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Plaquenil Toxicity - Bulls Eye Maculopathy1085 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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Stargardt's Juvenille Macular Dystrophy - Fundus Flavimaculatus - Famlial1085 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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Occult Maculopathy - Thin Fovea on OCT and Normal Color VA, Photos, FA VA 20/80 OU1084 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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New Subfoveal Classic CNVM OS - Wet AMD - Macular Scar Congenital Toxoplasmosis Right Eye 1084 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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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1084 views6 week fu - CWS are Fading
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