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Corneal Foreign Body vu 1084 foisPatient 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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Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child - FAFvu 1080 fois14-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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Phacoantigenic Reactionvu 1079 foisPicture shows a Left eye enucleation with H&E staining.
Anterior capsule of lens is broken with evidence of granulomatous inflammation.
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Macular Puckervu 1079 foisPatient 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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Mild Proliferative Diabetic Retinopathyvu 1079 foisRight eye has NVE and left eye has NVD and NVE. VA 20/25 OU.
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Acute Central Serous Retinopathy - Classic Smokestack on Fluorescein Angiogram vu 1078 fois34-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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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions vu 1077 fois50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Ectopia Lentis - Marfan's Syndrome - Intermittent Pupillary Block Glaucoma Right Eyevu 1077 fois41-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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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Infrared Image ODvu 1077 fois61-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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Silicone Oil in Anterior Chamber and Band Keratopathy 8 Years Post Complex Retinal Detachment Repairvu 1076 fois81-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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Acute Multifocal Placoid Pigment Epitheliopathy (AMPPE) related scarringvu 1075 fois
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Acute Central Serous Retinopathy - Classic Smokestack on Fluorescein Angiogram vu 1074 fois34-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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Central Retinal Vein Occlusionvu 1074 foisPatient 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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Plaquenil Toxicity - Bulls Eye Maculopathyvu 1073 fois70-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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Patterned Pigment Dystrophy of the Fovea 2 year later VA still goodvu 1073 fois
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Optic Nerve Head Drusen Nerve Fiber Layer Scanvu 1072 fois57-year-old woman has optic nerve drusen in both eyes.
VISUAL ACUITY: OU 20/20.
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Central Serous Retinopathy Acute - Fundus Autofluorescencevu 1072 fois42-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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Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Leftvu 1071 fois
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Multiple Evanescent White Dot Syndrome - Atypical Yellow Foveal Spot Right Eyevu 1070 fois12-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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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcificationvu 1070 fois7-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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Proliferative Diabetic Retinopathy - Moderate - mild NVD with NVE vu 1070 foisVenous beading, vascular loops and NVE are visible on photos
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Central Serous Retinopathy Acute vu 1069 fois42-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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Dislocated Intraocular Lensvu 1068 foisDislocated Intraocular Lens
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Commotio Retinae - One Day following Basketball to Eyevu 1067 fois43-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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Radioactive Plaque Placement for Choroidal Melanoma Eye is Anesthetized Prior to Surgeryvu 1066 fois
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Gonioscopy- Pigmentary Glaucoma Suspectvu 1066 foisPatient 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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CHRPE lesion in the left eye - Irregular pigmentationvu 1065 fois63 year old female with normal vision and CHRPE lesion in the right eye.
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Calcified Drusen - Dry Age-related Macular Degeneration - Geographic Atrophyvu 1064 fois87 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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Iris Nevusvu 1064 foisRoutine eye exam. Iris nevus located around 4-o'clock off the pupil.
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Gonioscopy; Scattered Peripheral Anterior Synechiaevu 1063 foisPatient 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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Ahmed Tube Placementvu 1063 foisPatient 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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Mild Clinically Significant Diabetic Macular Edemavu 1062 fois58-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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Vitreo-Traction due to Diabetic Retinopathyvu 1062 foisPatient 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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Progressive Outer Retinal Necrosis 77 Year Old Woman with CLL (Acute Retinal Necrosis) (PORN - ARN)vu 1061 fois77-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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Ozurdex Implant in ACvu 1060 fois79yr 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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Giant Papillary Conjunctivitis, Left Upper Eyelidvu 1060 foisContact 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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Flower Cataractvu 1060 foisPatient with ahmed tube and flower cataract
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Macular Degeneration with Hemorrhagevu 1059 foisPatient 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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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema vu 1059 fois
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Three years after Injury - Optic Atrophy - Vision is 1/200 in each eyevu 1056 fois
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Hyperpigmentation of Retinal Pigment Epithlium in Dry AMD (hyperplasia)vu 1056 fois87-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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Chorodial Sclerosisvu 1056 fois74 year old female diagnosed with Chorodial Sclerosis OU and ARMD OU. Va 20/400 OD 2'200 OS
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Conjunctival Melanomavu 1055 foisRight 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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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photovu 1054 fois61-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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Optic Pit OCTvu 1053 foisOCT Scan of an Optic Pit in OS of a 40 yr old male
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Gonioscopy, Pigment Dispersion Syndromevu 1052 foisPatient 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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Central Areolar Choroidal Dystrophyvu 1051 foisVision loss from early 60's. This 78 year old woman has choroidal atrophy centrally.
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Acute Zonal Occult Outer Retinopathyvu 1049 fois45-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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Retinocytoma - Retinoma - Regressed Retinoblastoma 43 year old male incidental finding vu 1049 fois
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Hemicentral Retinal Vein Occlusion Vision 20/60 vu 1049 fois84-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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New Subfoveal Classic CNVM OS - Wet AMD - Macular Scar Congenital Toxoplasmosis Right Eye vu 1049 fois77-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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Diabetic Retinopathy with CMEvu 1049 foisSecond 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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Optic Nerve Drusen - - Nerve Fiber Layer Scanvu 1048 fois72-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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wyburn-mason syndrome fundus photosvu 1048 fois28 year old female, visual acuity 20/200
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Cilia and Cement Intraocular Foreign Bodyvu 1048 foisConstruction worker jack-hammering 3 months prior to pictures. Asymptomatic. 20/20 OU. Corneal wound seen superiorly (not in pictures)
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Equatorial Drusen Fundus Photo Left Eyevu 1047 fois
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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangiomavu 1046 fois61-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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PDR with heavy PRP laser and worsening macular edema vu 1042 fois51-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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Pigmented Peripheral Retinal Degenerationvu 1042 fois42-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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Optic Nerve Hypoplasiavu 1041 fois28-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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PDR with subhyloid hemvu 1041 foisPDR with subhyloid hem
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Accordioning Crystalline Lens with loss of Posterior Capsulevu 1040 fois71-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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Calcified Drusen - Dry Age-related Macular Degeneration - Geographic Atrophyvu 1038 fois87 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 vu 1038 fois42-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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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndromevu 1037 fois80-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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Stargardt's Juvenille Macular Dystrophy - Fundus Flavimaculatus - Famlialvu 1037 fois55-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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Central Areolar Choroidal Sclerosisvu 1037 foisElderly man with poor central vision starting in his 50's
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Lattice Degenerationvu 1036 foisAprox 180 degree lattice degeneration in OD of a 17yr old girl.
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Occult Maculopathy - Thin Fovea on OCT and Normal Color VA, Photos, FA VA 20/80 OUvu 1035 fois45-year-old man his mother and his maternal grandmother each had vision loss at a relatively young age. Retina OD
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Juxtafoveal Telangiectasis - MacTel - Retinal Telangiectasis - Both Eyes - Crystalsvu 1035 fois61-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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Posterior Staphyloma and Geographic Atrophy Myopic Degenerationvu 1034 fois54-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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Ruptured Retinal Arterial Macroaneurysm - Submacular Hemorrhage - Vision 20/400 never recovered - Hypertension 205/94vu 1033 fois
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HTN Retinopathy w/ cotton wool spots and hemorrhagesvu 1033 fois23 year old african american male w/ visual acuity of 20/20
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Calcified Drusen - Dry Age-related Macular Degeneration - Geographic Atrophyvu 1031 fois87 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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Juxtafoveal Telangiectasis - MacTel - Group 2a - Stage IV - Pigment Plaque 89 Year Old Manvu 1031 fois89-year-old man has stage IV juxtafoveal retinal telangiectasis in both eyes with background diabetic retinopathy. His vision is stable since he was here last which is about 6 months ago. OD 20/50, OS 20/70.
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Alphamethlyacyl COA Racemase Deficiencyvu 1031 fois
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Psuedo-retinitis Pigmentosa - Bone Spicules One Eye - Probably Acute Zonal Occult Outer Retinopathy (AZOOR)vu 1030 fois65-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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Central Serous Retinopathy Acute - Indocyanine Green Angiogram - Leakage Choriocapillaris vu 1030 fois42-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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Hyperpigmentation of the Retinal Pigment Epithelium Right Eye (Treated wet AMD OS)vu 1030 fois85-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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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema vu 1029 fois6 week fu - CWS are Fading
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Myopic Macular Degeneration - Dry vu 1028 fois55-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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Myelinated Nerve Fiber Layervu 1028 fois69-year-old woman OD is 20/30, OS is 20/40.
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CHOROIDAL Melanomavu 1027 fois
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Fundus Albipunctatusvu 1027 fois12 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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Propionibacterium acnes endophthalmitis with capsular plaque and uveitisvu 1026 fois61 year old man with inflammation after cataract surgery who ultimately needed removal of intraocular lens and capsule to quiet eye.
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Macular Telangiectasis (Group 2a Juxtafoveal Telangiectasis) Decreased Fundus Autofluorescencevu 1026 fois63-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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PXE with Angioid Streaksvu 1026 foisPXE with angioid streaks OS (12/09/2011)
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Juxtafoveal Retinal Telangiectasia (Telangiectasis) - MacTel - Striking Gray Ring in Maculavu 1025 fois59-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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Macroaneurysm FPvu 1025 foisMacroaneurysm with Subretinal Hemorrhage and ME in OS of an Elderly Female
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Ghost Cell Glaucomavu 1025 foisPost 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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vu 1022 fois
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Epiretinal Membrane with Flecks of Hemorrhagevu 1022 fois
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Best Disease, Vitelliform Macular Dystrophy - 6 year old childvu 1021 foisVISUAL ACUITY: Vision OD is 20/30, OS is 20/100.
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Plaquenil Toxicity - Bulls Eye Maculopathyvu 1021 fois70-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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Retinal Tear Before Laservu 1020 fois65-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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Myopic Degeneration with RPE Lossvu 1020 foisPatient comes in for follow up for glaucoma. VA is 20/30 in both eyes. Fundus photography shows the RPE loss due to myopic degeneration, nasally, inferiority in the left eye.
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Acute Zonal Occult Outer Retinopathyvu 1019 fois45-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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Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Leftvu 1019 fois
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DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematodevu 1019 fois
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Regressed Proliferative Diabetic Retinopathy with Recurrent Vitreous Hemorrhage from Vitreoretinal Traction over a Major Retinal Vessel (Vein)vu 1019 fois56-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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