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Macular Scar with Retinal Pigment Epithelial Hyperplasia - Hyperpigmentation - Wet Macular Degeneration1035 x angesehenMacular Scar in age related macular degeneration with pathology showing retinal pigment epithelial hyperplasia at the edge of the scar. Histopathogy, microscopic slide, pathology.
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Peripapillary Choroidal Nevus1035 x angesehen37-year-old woman was seen in the office on July 27, 2011. She has photographs from 2009 and 2010 showing a peripapillary choroidal nevus in the right eye. VISUAL ACUITY: OD 20/20
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Retinal Detachment - Treated Horseshoe Tear on segmental buckle1035 x angesehensegmental buckle
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Ghost Cell Glaucoma1035 x angesehenPost 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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Gonioscopy, Pigment Dispersion Syndrome1035 x angesehenPatient 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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Group 2a Juxtafoveal Telangiectasis - MacTel - Idiopathic Juxtafoveal Macular Telangiectasia - Macular Hole1034 x angesehen80-year-old man has juxtafoveal retinal telangiectasis in both eyes. He also has a true full-thickness macular hole in the left eye. The vision OD is 20/40, OS is 20/160
Group 2a Juxtafoveal Retinal Telangiectasis (telangiectasia), MacTel
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Cytomegalovirus Retinitis1034 x angesehenPatient who is HIV Positive with Cytomegalovirus Retinitis. Patient was treated with Gangcyclovir Intra-Vitreal injection.
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Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child1033 x angesehen14-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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Acute Annular Outer Retinopathy - VA loss 2 days Right Eye Only - 25 Year Old Woman- AZOOR - White Line Around Fresh Lesions1032 x angesehenInitial 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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Macular Pre-Retinal Hemorrhage 1032 x angesehenPatient 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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Recurrent Macula Off Retinal Detachment - Corrugated Shallow Appearance1031 x angesehen
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Toxoplasmosis - Vitreoretinal Traction1031 x angesehenA 28-year old male who noticed an upper partial visual loss to his right eye for about 2-weeks. Diagnosed with retinitis and was put on acyclovir. Patient received second opinion due to culture of aqueous humor which was then diagnosed as Toxoplasmosis. VA was 20/25 in the right eye. Pt has been followed after for the past 7-months.
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Choroidal Melanoma with Sub Retinal Fluid1031 x angesehenFundus 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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Equatorial Drusen Fundus Photo Right Eye1030 x angesehen
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Peripapillary Choroidal Nevus1029 x angesehen37-year-old woman was seen in the office on July 27, 2011. She has photographs from 2009 and 2010 showing a peripapillary choroidal nevus in the right eye. VISUAL ACUITY: OD 20/20
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Large serous PED1029 x angesehen63-year-old female with acute onset large retinal pigment epithelium detachment from age-related macular degeneration
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Bullseye Maculopathy without Plaquinel1029 x angesehenFundus 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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Proliferative Diabetic Retinopathy - Vitreous Hemorrhage and Tractional Retinal Detachment Left Eye1028 x angesehen52-year-old man has been diabetic for nineteen years developed substantial vision loss over the last month or two. OD 20/70, OS 20/200.
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Diabetic Macular Edema and Hypertensive Retinopathy - Circinate Exudate (Ring Exudate) 1028 x angesehen55-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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Capillary Non-Perfusion - Severe Non-Proliferative (Background) Diabetic Retinopathy - Type I - 20 Year Old Man Diabetic 16 years1028 x angesehen20 year old diabetic with poor vision for the past three or four years. He has been diabetic for sixteen years and hemoglobin A1C of 10.0. 20/25 OD, 20/30 OS.
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Ghost Cell Glaucoma1028 x angesehenPost 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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Sarcoid Multifocal Choroiditis - Posterior Uveitis1028 x angesehen66 year old man with biopsy proven (by dentist) sarcoidosis. Problems with recurrent vitreous cells responsive to PST kenalog injections. VA 20/32 OU
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Macular possible Cone Dystrophy - SD-OCT1027 x angesehen
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Bullseye Maculopathy without Plaquinel1027 x angesehenFundus 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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Choroidal Melanoma1027 x angesehenPatient 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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Bilateral Diffuse Uveal Melanocytic Proliferation - BDUMP - Paraneoplastic Syndrome1026 x angesehen80-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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Myelinated Nerve Fiber Layer1026 x angesehen
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Ghost Cell Glaucoma1025 x angesehenPost 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 - Tilted - Optic Nerves with Torsion1024 x angesehen 82-year-old man He had an injury when he was a child. The right eye unfortunately has had poor vision since he is so nearsighted, even without a lens, he sees some out of the right eye. Vision OD is 20/100, OS is 20/20.
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Optic Nerve (Disc) Drusen - Infrared Reflectance1024 x angesehen34 Year Old woman no headaches normal vision
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Central Retinal Artery Occlusion1024 x angesehenCentral Retinal Artery Occlusion with cilio artery perfusion.
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Myopic - Tilted - Optic Nerves with Torsion1023 x angesehen 82-year-old man He had an injury when he was a child. The right eye unfortunately has had poor vision since he is so nearsighted, even without a lens, he sees some out of the right eye. Vision OD is 20/100, OS is 20/20.
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1023 x angesehen
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Fibrosis Traction1023 x angesehenYoung 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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Multifocal CHRPE also called "Bear Tracks"1022 x angesehen
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Acute Multifocal Vitelliform Exudative Maculopathy Right Eye At 1 Mo Follow Up1022 x angesehen
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Myopic Macular Degeneration - Dry 1021 x angesehen55-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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Radioactive Plaque Placement for Choroidal Melanoma Plaque Placed but not Sutured to Eye Ye1020 x angesehen
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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification1019 x angesehen7-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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Chronic Retinal Detachment1018 x angesehen51 year old female, with a chronic retinal detachment. The patient has been stable since 1999.
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Melanoma of Optic Nerve1018 x angesehenPatient comes in for evaluation on Optic Nerve Melanoma in the right eye. Patient's VA is 20/40 in the right eye. Fundus photograph reveals melanoma invading optic nerve and ultrasound reveals behind the optic nerve as well.
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Macular Scars - Laser (1980s) Ocular Histoplasmosis1017 x angesehen70 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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Giant Cell Arteritis - 85 year old woman sudden vision loss left eye - AION- Pale Swollen Optic Nerve1016 x angesehen 85-year-old woman has felt sick and weak for about the last two months. She is having headaches, jaw claudication, and her eyes ache. Then, three days ago she had sudden vision loss in the left eye. You saw her with optic nerve swelling and suggested she come in here for evaluation. She had coronary bypass surgery in 2004.
VISUAL ACUITY: Vision OD is 20/80, OS is light perception
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy1016 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus
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Gonioscopy, Pigment Dispersion Syndrome1015 x angesehenPatient 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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Birdshot Chorioretinitis Mild - Asymptomatic1014 x angesehen59-year-old man has birdshot chorioretinopathy in both eyes. Vision OD 20/25, OS 20/20. IOP: OD 16, OS 14. The right eye has a posterior chamber intraocular lens in good position. There is 1+ posterior capsular opacity. The left eye has 2+ nuclear sclerosis.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ration is 0.8. There is patchy depigmented lesion in the nasal periphery. The retina is attached with peripheral laser.
OS: Vertical C/D ratio is 0.4. There are peripheral punched out lesions in the periphery
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Traumatic Vitreous Hemorrhage - Firecracker in Face - Teenager1014 x angesehenSixteen year-old with traumatic vitreous hemorrhage following injury from firecracker exploding in his face.
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DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematode1013 x angesehen
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Mild Clinically Significant Diabetic Macular Edema1013 x angesehen58-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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Grade B Proliferative Vitreo-retinopathy - Pigment in Anterior Vitreous - Chronic Retinal Detachment1013 x angesehen72 year old woman - just noticed vision loss.
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Choroidal Rupture and small Hemorrhage - Assault1012 x angesehen34 year old man. The patient reports he was assaulted by a couple of adolescents near downtown St. Petersburg about forty-eight hours ago. He reports the pain in the left eye has significantly improved, but his vision is a little fuzzy and he sees some floaters in the left eye. 20/125 OD, 20/20 OS. Pinhole improves in the right eye to 20/50. IOP: 15 OD, 13 OS.
SLIT LAMP EXAMINATION: Biomicroscopy reveals 3+ pupillary reaction OD, 2+ OS with no afferent pupillary defect. EXTENDED OPHTHALMOSCOPY: Extended funduscopy with Volk 90-diopter lens and fundus drawings of both eyes reveal a clear view with no posterior vitreous separation. C/D ratio is 0.2. There is no vitreous debris or hemorrhage. Large retinal vessels and macula are healthy. The retinal periphery, inspected with scleral depression for 360° shows no retinal tears, breaks, or detachments.
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Full Thickness Macular Hole1012 x angesehenFull Thickness Macular Hole
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Propionibacterium acnes endophthalmitis with capsular plaque and uveitis1011 x angesehen61 year old man with inflammation after cataract surgery who ultimately needed removal of intraocular lens and capsule to quiet eye.
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Mild Clinically Significant Diabetic Macular Edema1011 x angesehen58-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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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Infrared Image OS1011 x angesehen61-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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Giant Retinal Diaylsis Retinal Detachment - Previous Inflammatory Retinitis - Small Inferior Retinal Holes1011 x angesehen25-year-old man vision loss for three days. He had a previous episode in this eye in 3 years ago with a strange sort of inflammatory lesion. He had laser in that eye and a pneumatic retinopexy at the time for a retinal detachment. That same area has a giant dialysis retinal detachment. OD 20/400, OS is 20/20
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Central Serous Retinopathy1011 x angesehenYoung male who comes in for follow up on CSR in the left eye. Patient had focal laser treatment 1-month ago. There are still spots of leaking and proceeded with another focal laser treatment. Notice the top of the hyperfluorescent area.
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Congenital Hypertrophy of the Retinal Pigment Epithelium CHRPE has Satellite Lesions1011 x angesehen
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Free Floating Dislocated Lens in Vitreous1011 x angesehenPatient 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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Cavernous Hemangioma1010 x angesehen
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Glaucoma (also Diabetes and Previous Retinal Detachment both Eyes)1009 x angesehen84-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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1009 x angesehen46 year old man seen for diabetic macular edema. The patient recieve several laser treatments for the swelling.
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Papilledema 10 year old child1008 x angesehen10-year-old child has uveitis in both eyes. She probably has tubulointerstitial nephritis-uveitis syndrome, and she apparently also independently has idiopathic elevated intracranial pressure. VISUAL ACUITY: Vision OU is 20/20.
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Stage 2 20/100 Idiopathic Macular Hole1008 x angesehen62-year-old woman has a macular hole in the left eye. Her vision is worse than when she was here 1 month ago with a 100 micron hole
VISUAL ACUITY: OS 20/100.
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo1008 x angesehen61-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 Nerve Drusen in 7 Year Old Child - Miminal Calcification1007 x angesehen7-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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Optic Disc Drusen1006 x angesehenOptic Nerve Head Drusen in teenage patient.
James L. Perron, C.R.A.
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Weiss Ring1006 x angesehen
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Optic Nerve Pit Retinal Detachment - Macular Detachment - 8 Year Old - 5/200 Vision OS1004 x angesehen8-year-old child on two school exams that his vision was poor in the left eye and his last normal exam was in preschool.
VISUAL ACUITY: OD 20/30, OS 5/200. OS: Vertical C/D ratio is 0.2. There is a whitening on the temporal edge of the optic nerve consistent with an optic disc pit and there is a serous macular detachment.
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Anomalous Branch Retinal Artery 1004 x angesehen59-year-old man OD 20/25, OS 20/25. TORTUOUS RETINAL ARTERY – LEF EYE
(POSSIBLE GROUP 2 WYBURN-MASON SYNDROME
POSSIBLE ACEPHALIC MIGRAINES )
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Central Serous Retinopathy - Acute1002 x angesehen49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
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Multifocal Choroiditis Old Scars - Also Peripapillary Scar 82 Year Old Woman1002 x angesehen82-year-old woman with multifocal chorioretinal scars, more in the right than the left eye. OD is 20/40, OS is 20/20.
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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fundus Photo - Color1002 x angesehen 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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Pseudophakic Cystoid Macular Edema FA late frame1002 x angesehen
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Fundus Flavimaculatus - Asymptomatic - Fundus Autofluorescence1002 x angesehen45 year old man was told to come in because of ‘white spots on their retina’. - FAF image shows that spots are strongly autofluorescent
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Best Disease, Vitelliform Macular Dystrophy - 6 year old child1001 x angesehenVISUAL ACUITY: Vision OD is 20/30, OS is 20/100.
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Myopic Macular Degeneration - Dry 1001 x angesehen55-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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Choroidal Melanoma with Retinal Detachment1001 x angesehen57 year old female who underwent proton beam therapy for Choroidal Melanoma. VA was 20/400 at post op visit.
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Retinal Tear999 x angesehen
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Drusen Maculopathy - Confluent Subfoveal Soft Hydrophobic Drusen - Yellow Drusen in Center of the Macula998 x angesehen73-year-old woman. She is diabetic for thirteen years. She is also on Coumadin for her heart disease.
VISUAL ACUITY: OD 20/25, OS 20/50.
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Acute Zonal Occult Outer Retinopathy998 x angesehen45-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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Pterygium and RK Scars998 x angesehenPatient comes in for SCL fitting. VA is 20/30. right eye and 20/70, left eye. Slit lamp photos show 8-RK Scars in both eyes. Pterygium, nasally, left eye.
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception997 x angesehen
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Corneal Abrasion with Foreign Body Present 997 x angesehenER patient comes in with corneal abrasion in the left eye which was getting worst. VA 20/25. Slit lamp exam showed corneal abrasion superiorly at 2-o'clock. Flipped eyelid and foreign body appeared on the upper tarsal plate. Foreign body was removed.
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Choroidal Metastasis Tumor 997 x angesehenPatient that a history of breast cancer. She has a metastasis tumor superiority in the right eye. VA was 20/20, right eye. Patient underwent radiation and chemotherapy and mass has not changed in size for the past year.
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Old Subhyaloid - Preretinal Hemorrhage (Yellow) Traumatic Optic Neuropathy996 x angesehen53-year-old man 3 monts previous was hit in a motor vehicle/pedestrian accident and was mostly bedridden and in and out of consciousness for two months. It is now three months since the injury. His right eye has permanent vision loss from optic nerve injury. His left eye has reasonable vision, but he does notice a floater often obstructing his vision in that eye. OD is 1/200, OS is 20/20.
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Ectopia Lentis and Cataract - Marfan's Syndrome996 x angesehen40-year-old woman has had dislocated lenses since she was a child. The right eye is seeing well with an aphakic correction. The left eye unfortunately has declining vision for 4 months. OD 20/32, OS 20/125. Pinhole 20/50
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Acute Non-arteritic Anterior Ischemic Optic Neuropathy Right Eye - Previous NA-AION left eye 996 x angesehen69-year-old man previously lost vision in the left eye from nonarteritic anterior ischemic optic neuropathy in 2006. About a week ago and noticed blurred vision in the inferonasal part of the vision in the right eye.
VISUAL ACUITY: Vision OD is 20/16, OS is 20/40
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Subfoveal CNVM wet AMD oct line scan995 x angesehenShe has noticed decreased vision in the left eye. It is hard to say for how long, maybe a few months. She had her last eye exam about a year ago. She thoughts perhaps it was cataracts, but you saw a problem with the macula and suggested she come here for evaluation.
VISUAL ACUITY: Vision OD is 20/25, OS is 2/200
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Proliferative Diabetic Retinopathy - Vitreous Hemorrhage and Tractional Retinal Detachment Left Eye995 x angesehen52-year-old man has been diabetic for nineteen years developed substantial vision loss over the last month or two. OD 20/70, OS 20/200.
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Radioactive Plaque Placement for Choroidal Melanoma Plaque Placed but not Sutured to Eye Ye994 x angesehen
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Ocular Histoplasmosis both Eyes - Laser Right Eye Only 994 x angesehen58-year-old woman who lost vision as a child in the left eye from ocular histoplasmosis. She used to play in her attic and she was told by her pulmonary doctor that is probably where she picked it up. She had laser in the right eye for a leaky lesion back in 1990. OD 20/25, OS 20/200.
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Reoccurring Retinal Detachment994 x angesehenPatient comes in for second opinion for RD in the right eye. Patient's VA was count fingers @ 2-ft in the right eye and 20/20 in the left eye. Patient is aphakic and has had 5- retinal surgeries in the past in the right eye including a scleral buckle. RD present with the macula off. Will consider surgery with silicone oil.
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Chronic Retinal Detachment and Macular hole Pre-Op993 x angesehen51-year-old woman about 3 or 4 months ago she noticed some flashing lights. Her vision became hazy and dark, especially when she was covering her left eye. OD 2/200, OS 20/20. Post op vision 20/200.
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Equatorial Drusen Fundus Photo Right Eye993 x angesehen
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo993 x angesehen61-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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Angioid Streaks - Peau D'Orange - Pseudoxanthoma Elasticum - Asymptomatic Extrafoveal Choroidal Neovascular Membrane993 x angesehen60-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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Extensive PRP scarring993 x angesehen64 year old male with extensive PRP scarring due to diabetic retinopathy.
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Congenital Hypertrophy of the Retinal Pigment Epithelium CHRPE has Satellite Lesions993 x angesehen
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Acute Zonal Occult Outer Retinopathy992 x angesehen45-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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