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Central Serous Retinopathy Acute - Fundus Autofluorescence1128 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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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female Macula OS 2 months post rx1125 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.
2 months post-rx with posterior subtenons kenalog and intravitreal avastin - va os 20/30 and lesion has retracted and organized. It never subsequently grew over 2 years follow-up
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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fundus Photo - Color1123 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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Retinal Pigment Epithelial Dysgenesis1122 views
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DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematode1120 views
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Central Serous Retinopathy Acute - Indocyanine Green Angiogram - Leakage Choriocapillaris 1120 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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Macular Hole with Peripheral Laser Scars1120 viewsDiabetic patient comes in with flashes and floaters in both eyes. Patient's VA is 20/400, right eye and 20/25, left eye. Fundus exam presents with large macular hole with diabetic changes in the retina. Laser scars in the peripheral.
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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome1119 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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Stargardt's Juvenille Macular Dystrophy - Fundus Flavimaculatus - Famlial1119 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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Calcified Drusen - Dry Age-related Macular Degeneration - Geographic Atrophy1119 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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Myopic Degeneration with RPE Loss1119 viewsPatient 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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Hemi Central Retinal Vein Occlusion 35 year old non-compliant man1118 views35-year-old man hazy vision in his left eye for about the last three days. OD 20/20, OS 20/30
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Pseudophakic Macula-Off Retinal Detachment with Larger Retinal Tear1117 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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hypertension retinopathy w/ disc edema and CRVO1117 views64 year old white male w/ a vision of 20/200 which eventually improved to 20/60 without treatment
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Subluxed IOL with TID1116 viewsPatient comes in with blurred vision in the left eye. Slit lamp exam shows dislocated IOL, inferior, left eye. PXF material on the implant inferiorly.
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Ghost Cell Glaucoma1116 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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Optic Nerve Hypoplasia1115 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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Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child1115 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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AMD - Wet - Fibrovascular Hemorrhagic PED - Occult CNVM1114 views87-year-old woman for one month OS: 20/60 Fibrovascular PED and Hemorrhage
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Retinocytoma - Retinoma - Regressed Retinoblastoma 43 year old male incidental finding 1114 views
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Toxoplasmosis Macular Scar (acquired not congenital) 31 Year Old Man- Recent Vision Change - Creeping Scar1114 views31-year-old man had an episode of toxoplasmosis in the left eye, where unfortunately it adversely affected his central vision that was back in 2004 (7 years ago)
He did notice recently a change in his visual function. He plays softball, he was getting hit by the ball and having trouble seeing and he said that is how he noticed the toxoplasmosis when it first occurred and he was concerned it might have recurred.
OD 20/16, OS 20/80.
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1113 views6 week fu - CWS are Fading
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Acute Zonal Occult Outer Retinopathy1112 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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New Subfoveal Classic CNVM OS - Wet AMD - Macular Scar Congenital Toxoplasmosis Right Eye 1112 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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Basal Laminar Drusen - Cuticular Drusen - Equatorial Drusen - 70 Year Old Woman 1112 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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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fluorescein Angiogram1112 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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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - SD-OCT Line Scan Inner retinal edema1112 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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Central Serous Retinopathy Acute - Indocyanine Green Angiogram - Leakage Choriocapillaris 1111 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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CNV secondary to Angioid Streaks, PXE1110 views
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360-Degree's Pseudoexfoliation1110 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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Pseudoxanthoma Elasticum with Angioid Streaks1110 viewsYoung female patient who comes in for routine eye exam, VA 20/20 in both eyes. Fundus photos shows a Peu'd orange appearance in the periphery of the retina and angioid streaks around the optic nerve.
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Patterned Pigment Dystrophy of the Fovea 79 YO Woman VA 20/20 Right 20/30 Left1108 views
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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification1108 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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Glaucomatous optic nerve with severe cupping1108 views
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Macular Hole with Subretinal Hemorrhage Secondary to Ocular Trauma1108 views
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Glaucoma (also Diabetes and Previous Retinal Detachment both Eyes)1107 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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Calcified Drusen - Dry Age-related Macular Degeneration - Geographic Atrophy1107 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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Macroaneurysm FP1107 viewsMacroaneurysm with Subretinal Hemorrhage and ME in OS of an Elderly Female
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Cytomegalovirus Retinitis1107 viewsPatient who is HIV Positive with Cytomegalovirus Retinitis. Patient was treated with Gangcyclovir Intra-Vitreal injection.
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Adult Vitelliform Macular Dystrophy - Pattern Dystrophy1106 views69-year-old woman sees a dark spot centrally. When she looks at things she loses letters and numbers and is having more and more difficulty balancing her checkbook. OD is 20/80, OS is 20/40
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Gonioscopy; Scattered Peripheral Anterior Synechiae1106 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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Full Thickness Macular Hole1105 viewsFull Thickness Macular Hole
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Diabetic Macular Edema and Hypertensive Retinopathy - Circinate Exudate (Ring Exudate) 1104 views55-year-old woman diabetic for fifteen years and high blood pressure, especially over the last few months. She has had problems with nosebleeds, headaches, and there has been some difficulty bringing her blood pressure down. She said now the blood pressure is under control but it was running 220/120 mmHg for some time. Her vision in the right eye has been poor for four weeks with a spot in the central vision and both eyes have been blurred.
VISUAL ACUITY: Vision OD is 20/160, OS is 20/60
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Gonioscopy, Mass in the Angle of Anterior Chamber1103 viewsSlit Lamp and goinoscopy photos show a mass at 7-o'clock i the right eye. The mass extends beneath the iris behind the lens.
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Low Tension Glaucoma1102 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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PDR OS with NVE1101 views57-year-old man has diabetic retinopathy in both eyes.
Diabetic for 14 years with HgB A1C often over 10.
VISUAL ACUITY: OD 20/30, OS 20/40. PDR OS BDR OD
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Toxocariasis1101 views15-year-old one year ago had pink eye then her vision has been abnormal. She recently went for a drivers’ test and failed, OD: 20/80; OS: 20/20.
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Cone Rod Dystrophy1101 viewsCone Rod Dystrophy in OD of seven year old girl
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Bullseye Maculopathy without Plaquinel1101 viewsFundus photograph reveals Bull's-eye maculopathy without the use of plaquinel. Patients VA is 20/20, Right eye and 20/25, Left eye. There are reported cases of Scleroderma patients with retinal pigment epithelial atrophy. Will return for follow up in 6-months.
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Central Retinal Vein Occlusion with Disc Collaterals1101 views
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1100 views6 week fu - CWS are Fading
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Bullseye Maculopathy without Plaquinel1100 viewsFundus photograph reveals Bull's-eye maculopathy without the use of plaquinel. Patients VA is 20/20, Right eye and 20/25, Left eye. There are reported cases of Scleroderma patients with retinal pigment epithelial atrophy. Will return for follow up in 6-months.
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Retinal Tear Before Laser1099 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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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Sequential color photos show progression1099 viewsVision in right eye dropped to 5/200 by the last photo.
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Gonioscopy, Pigment Dispersion Syndrome1099 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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1098 views
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Hemicentral Retinal Vein Occlusion Vision 20/60 1098 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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Choroidal Melanoma with Sub Retinal Fluid1097 viewsFundus photography shows choroidal melanoma superiorily between 11-12-o'clock in the left eye. VA is 20/150 in the left eye.
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Juxtafoveal Telangiectasis - MacTel - Group 2a - Stage IV - Pigment Plaque 89 Year Old Man1096 views89-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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A case of DUSN-21096 views
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Retinitis Pigmentosa1096 viewsRetinitis Pigmentosa
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Choroidal Tumor consistent with Uveal Melanoma1096 viewsPatient comes in for second opinion for 2-melanomas in the right eye. Patient's VA is 20/20, both eyes. Fundus exam reveals melanoma superior to the macula which measured at 0.7-mm thick. Second melanoma is nasally which measured at 4.1-mm thick and has low internal reflectivity. Patient will be followed up with MRI and ocular protocol.
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Radioactive Plaque Placement for Choroidal Melanoma Radioactive Plaque Placement for Choroidal Melanoma 1095 views
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Melanoma - Large Ciliary Body Photo shows tumor visible through the pupil1093 views
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Angioid Streaks - Peau D'Orange - Pseudoxanthoma Elasticum - Asymptomatic Extrafoveal Choroidal Neovascular Membrane1093 views60-year-old woman has pseudoxanthoma elasticum since 2008. Her sister has the same problem and lost vision in both eyes. She had a problem with blood vessel growth in the left eye for which she had injections of Avastin in August, September, and October of 2011 (5 months ago). Subsequent to that, the macula has been dry and you have just been watching her carefully. She is in Florida for a short time but will ultimately be spending nine months out of the year here. Both of her eyes have good vision at
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Gonioscopy; Scattered Peripheral Anterior Synechiae1093 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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50 Year Old woman with Congenital Retinal Vascular Tortuosity - Normal Vision1092 views
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AMD - Wet - Fibrovascular Hemorrhagic PED - Occult CNVM1091 views87-year-old woman for one month OS: 20/60 Fibrovascular PED and Hemorrhage
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Fuch's heterochromic iridocyclitis - inflammed blue eye1090 views46-year-old man has had blurred vision in the left eye for the last two years. He had cataract surgery in that eye eight years ago. He has also had a lot of floaters in the left eye for several years. His left eye is blue and his right eye is brown. OD 20/16, OS 20/50.
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Choroidal Rupture Secondary to Ocular Trauma1090 views
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Equatorial Drusen Fundus Photo Right Eye1088 views
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Subretinal Perfluoro-n-octane Droplets - Color1087 viewsSubretinal Perfluoro-n-octane droplets
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Optic Nerve (Disc) Drusen - Spectral Domain Optical Coherence Tomography Line Scan1087 views34 Year Old woman no headaches normal vision
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Corneal Foreign Body 1087 viewsPatient complains of foreign body sensation in the right eye. Slit lamp photos shows a piece of glass metal embedded into the inferior part of the cornea at 7-o'clock in the right eye. Foreign body was removed.
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Amelanotic Choroidal Nevus 1086 views45-year-old man OD 20/20, OS 20/20. 5x5 mm flat, yellow choroidal lesion just inferonasal to the optic nerve, two disc-diameters from the nerve with scalloped edges. It looks like a confluent drusen, but it is not elevated.
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Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child1085 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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Choroidal Melanoma1085 viewsPatient comes in with spot in vision in the right eye. Fundus photography shows medium size melanoma adjacent to the optic nerve and measures 13mm across horizontally and 6mm diameter in thickness. Patient will undergo proton beam therapy.
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Steel Dart Perforating Injury - 15 year old - 3 weeks post-injury Vision 20/4001084 views15-year-old injured in his left eye with a steel dart. The dart entered superiorly at the pars plana and his vision is clearing as the blood absorbs.
VISUAL ACUITY: OD 20/20, OS 20/400.
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Lupus Retinopathy1084 viewsFemale patient comes in for eval on Lupus Retinopathy. Has poor vision in the right eye. VA is hand motion in the right eye. Fundus photos show fibrosis along the temporal arcades and narrowing of the arteries. No macular edema found.
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Best Disease, Vitelliform Macular Dystrophy - 6 year old child1082 viewsVISUAL ACUITY: Vision OD is 20/30, OS is 20/100.
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Fibrosis Traction1082 viewsYoung female patient with severe diabetes. Patients VA is 20/400 in the right eye. Fundus photos show a lot of fibrosis traction throughout the macula area. Fovea seems flat. Patient will undergo surgery for peeling of traction.
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Fundus Photograph - Enhanced S Cone Syndrome - Goldmann Favre - 1081 views55-year-old woman while in college her vision was poor even with glasses and she sought evaluation for that. She was told after she had an electroretinogram at USF 15 years ago, that she had something with her blue cones. She does have poor night vision, but her reading vision is pretty good.
VISUAL ACUITY: OD 20/40, OS 20/40
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Macular Scars - Laser (1980s) Ocular Histoplasmosis1080 views70 year old man who had laser at Wills, Wilmer and the Mayo clinic before better therapies were available for ocular histoplasmosis related CNVM
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Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child - IR Photo1080 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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Radioactive Plaque Placement for Choroidal Melanoma Plaque Sutured to Globe1079 views
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Hyperpigmentation of Retinal Pigment Epithlium in Dry AMD (hyperplasia)1079 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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Posterior Staphyloma and Geographic Atrophy Myopic Degeneration1078 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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69 Year Old Woman Normal Fundus Photograph1078 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fundus Autofluorescence1078 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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Metastatic Choroidal Lesion1078 viewsYoung female with choroidal lesion with subretinal fluid in the left eye. VA is finger count in the left eye.
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CHRPE - Congenital Hypertrophy of the Pigment Epithelium - Peripheral1077 views55-year-old woman OD 20/30, OS 20/25
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Macular Pre-Retinal Hemorrhage 1077 viewsPatient complains of loss of vision in his left eye. Patient is diabetic. VA was 20/20, right eye and 20/150, left eye with no improvement pinhole. Fundus exam reveals very large pre retinal hemorrhage in the left eye. Embolism located inferior, nasally just off the optic nerve in the left eye. Patient underwent PRP for treatment of the hemorrhage.
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Radioactive Plaque Placement for Choroidal Melanoma Eye After Surgery with Conjunctiva Closed1076 views
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Free Floating Dislocated Lens in Vitreous1076 viewsPatient comes in aphakic with dislocated lens floating to the back of the eye when laying down. Lens is laying up against the endothelium of the cornea when patient is right side up..
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Stage 2 Macular Hole with 20/70 Vision1074 views57-year-old woman blurred central vision in the right eye for about two to three weeks. OD 20/70
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80 year old woman with Reticular Drusen (pseudodrusen) 20/30 Vision1074 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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Crystalline retinopathy associated with chronic retinal detachment (Macular Crystals)1074 views54-year-old man with an asymptomatic chronic inferotemporal retinal detachment (10 years old) OD 20/25, OS 20/30
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Peripheral Bullous Retinoschisis Spectral Domain Optical Coherence Tomography (SD-OCT)1074 views64-year-old man with peripheral retinal problem noted during comprehensive eye examination. OD 20/32, OS 20/25
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Acute Multifocal Vitelliform Exudative Maculopathy Right Eye At 1 Mo Follow Up1074 views
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Retinal Detachment - Treated Horseshoe Tear on segmental buckle1074 viewssegmental buckle
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