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Anomalous Branch Retinal Artery 950 views59-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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Best Disease - Left Eye Treated Previously, Elsewhere, with PDT and Avastin949 views11-year-old has Best’s disease that runs in his family on his mothers side. At another retina specialists office, he had photodynamic laser in April of 2009 and Avastin subsequently in June of 2009. Unfortunately with that his vision is substantially declining. OD 20/30, OS 20/100
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Best Disease- Fundus Autofluorescence949 views
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Gonioscopy; Scattered Peripheral Anterior Synechiae949 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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Stargardt's Dystrophy - Silent Choroid - Fluorscein Angiogram949 views
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Gonioscopy, Pigment Dispersion Syndrome949 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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Plaquenil Toxicity - Bulls Eye Maculopathy948 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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Extensive PRP scarring948 views64 year old male with extensive PRP scarring due to diabetic retinopathy.
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Reoccurring Retinal Detachment948 viewsPatient 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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AVM948 viewsFP of AVM in OS of a 48 yr old female.
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Toxocariasis947 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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Pre retinal hemorrhage associated with partial PVD947 views56 year old female in for checkup- no symptoms and normal vision - there is a hemorrhage by the nerve that could be vascular, tractional or from her mild glaucoma (which is controlled). The macular hemorrhage is preretinal.
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Chronic Retinal Detachment and Macular hole Pre-Op946 views51-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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946 views
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Fundus Flavimaculatus - Stargardt Disease - 20/50 OD 20/200 OS 61 Year old Color Photo946 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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Papilledema unspecified 946 views
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Ghost Cell Glaucoma946 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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Pigmented Lattice Degeneration946 viewsPigmented Lattice - Incidental Finding
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Acute Zonal Occult Outer Retinopathy945 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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DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematode945 views
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Retinal Tear945 views
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Choriodal Rupture with Hemorrhage945 views
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Central Areolar Choroidal Sclerosis945 views66 year old woman with 20/160 vision - loss of central vision 11 years ago. Strong family history of vision loss.
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944 views
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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fundus Autofluorescence944 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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Ectopia Lentis and Cataract - Marfan's Syndrome943 views40-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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Pterygium and RK Scars943 viewsPatient 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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Plaquenil Toxicity - Bull's Eye Maculopathy - 25 Years Therapy OCT Line Scan942 views73-year-old woman has been on Plaquenil for twenty five years. Plaquenil has now been stopped for 6 months. VA continues to decline as does visual function - 20/80 OD , 20/40 OS
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Optic Nerve Drusen - Nerve Fiber Layer Scan942 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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Fundus Albipunctatus942 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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Fundus Albipunctatus941 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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DUSN - Diffuse Unilateral Subacute Neuroretinitis - Nematode940 views
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Optic Nerve Drusen - Fundus Autofluorescence - FAF940 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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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female940 viewsSD OCT shows disruption of the outer retina nasal to the fovea
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 939 views6 week fu - CWS are Fading
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Ocular Histoplasmosis both Eyes - Laser Right Eye Only 938 views58-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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Acute Non-arteritic Anterior Ischemic Optic Neuropathy Right Eye - Previous NA-AION left eye 937 views69-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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PDR with heavy PRP laser and worsening macular edema 936 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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Asteroid Hyalosis Before Vitrectomy 936 views80 year old woman with decreased vision and blurring in the left eye for the past year. She reports that she has blurring that comes and goes and floaters that bother her when she reads.
The patient reports that the floaters that bother her have been occurring on a daily basis lately. She reports that she is having a “hard time readingâ€. Visual acuity with correction 20/30-3 OD and 20/30-2
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Retinal Flap Tear - Horseshoe - Cystic Retinal Tuft on Flap936 views73-year-old woman who noticed two days ago she was bending over and had a sudden “ribbon†in her
vision which looked to her like blood. VISUAL ACUITY: Vision OD is 20/25, OS is 20/20.
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Chronic Retinal Detachment936 views51 year old female, with a chronic retinal detachment. The patient has been stable since 1999.
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago935 views66-year-old woman lost vision in the left eye from a central retinal artery occlusion 1 year ago. Vision OD is fine. OD 20/25, OS 20/50
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Birdshot Chorioretinitis Mild - Asymptomatic934 views59-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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Ruptured Retinal Arterial Macroaneurysm - Submacular Hemorrhage - Vision 20/400 never recovered - Hypertension 205/94934 views
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HD OCT Image of Operculum934 views
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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Ipsilateral Diffuse Choroidal Hemangioma933 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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Reticular Macular Disease (Pseudo-drusen) Both Eyes - Wet AMD OS - Dry AMD OD FAF933 views84-year-old woman has wet age-related macular degeneration in the left eye and dry macular degeneration in the right eye. She takes the eye vitamins and her vision is stable since she was treated three months ago with Avastin. OD 20/50, OS 20/32
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Choroidal Melanoma with Retinal Detachment932 views57 year old female who underwent proton beam therapy for Choroidal Melanoma. VA was 20/400 at post op visit.
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AMD - Wet - Fibrovascular Hemorrhagic PED - Occult CNVM931 views87-year-old woman for one month OS: 20/60 Fibrovascular PED and Hemorrhage
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Amelanotic Choroidal Nevus 931 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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Eccentric Disciform Scar - Breakthrough Vitreous Hemorrhage - InferoTemporal Subretinal Fibrosis - Ectopic Choroidal Neovascular Membranes931 views88-year-old man has noticed for the last few months the vision in the right eye is foggy, like there is a film in the eye or a haze, His vision is 20/16 in each eye.
Right eye - inferotemporal periphery there is a hemorrhage at the equator at about 7:00 o’clock, which is about 4-disc diameters across and adjacent to that there is scarring.
Left eye - large disciform scar inferotemporally
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visit and 4 Month Follow-Up - Color Photo931 viewsPigmented lesion is visible in the superior half of the macular on the follow-up visit.
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50 Year Old woman with Congenital Retinal Vascular Tortuosity - Normal Vision931 views
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Foveal hypoplasia - aplasia931 viewsSD OCT shows persistent plexiform layers in the center of the macula
EXTENDED HPI: He is having some trouble seeing his gadgets (like his watch). He was diagnosed with morning glory syndrome at about 3 yeras old. This last visit you saw fluid under the retina and asked him to come here. The vision is a little worse.
VA OD: Dcc20/40+2 NccJ2-2
VA OS: Dcc20/25-2 NccJ1-2
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Cartwheel CNVM - Classic - wet AMD - evidence of possible old CSR - Subretinal hemorrhage next to subfoveal lesion930 views75 y.o Decreased Vision right eye for one year. VA OD: sc20/125+2 OS 20/25. Autofluorescence and SD OCT show evidence of old serous retinal detachment superior to the fovea suggesting a history of CSR. The macular lesion on FA shows a classic cartwheel appearance
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Equatorial Drusen Fundus Photo Right Eye929 views
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Retinitis Pigmentosa - Leber's Congenital Amaurosis - 7 Year Old Child929 views7-year-old child who trips over things that the other children do not have trouble seeing. She is the only person in the family tree that the mother knows has any vision problems. Vision is 20/20 in each eye
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Macular possible Cone Dystrophy - Fundus Autofluorescence929 views
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Choroidal Rupture and small Hemorrhage - Assault928 views34 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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Macular Scars - Laser (1980s) Ocular Histoplasmosis928 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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Crystalline retinopathy associated with chronic retinal detachment (Macular Crystals)928 views54-year-old man with an asymptomatic chronic inferotemporal retinal detachment (10 years old) OD 20/25, OS 20/30
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Cornea Ulcer with Iris Prolaps928 views
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Acute Posterior Multifocal Placoid Pigment Epitheliopathy - APMPPE - Fundus Photo - Color928 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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Myopic Macular Degeneration - Dry OCT OS927 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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Juxtafoveal Telangiectasis - MacTel - Retinal Telangiectasis - Both Eyes - Crystals927 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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927 views
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Hyperpigmentation of the Retinal Pigment Epithelium in Dry AMD927 views87-year-old woman has wet age-related macular degeneration in the left eye. Vision OD is 20/25, OS is 20/400
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Choroidal Melanoma927 viewsFemale patient comes in with a visual defect in the right eye. VA is 20/40 in the right eye. Fundus photography shows choroidal melanoma with retinal detachment temporally at 3-o'clock in the right eye.
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Bullous Retinal Detachment927 viewsPatient comes in with a curtain down in his vision in the right eye. Patient was hand motion. Fundus photograph shows retinal detachment with macula detached temporal superiorly in the right eye. There were 3-retinal tears between 10-12-o'clock. Schedule scleral buckle to fix RD.
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HD OCT of Macular Hole with Operculum926 views
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Amelanotic Choroidal Nevus 925 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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Optic Nerve (Disc) Drusen - Infrared Reflectance925 views34 Year Old woman no headaches normal vision
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Fundus Flavimaculatus - Asymptomatic - Spectral Domain OCT Line Scan925 views45 year old man was told to come in because of ‘white spots on their retina’.
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Occult Maculopathy - Thin Fovea on OCT and Normal Color VA, Photos, FA VA 20/80 OU924 views45-year-old man his mother and his maternal grandmother each had vision loss at a relatively young age. LINE SCAN SHOW FOVEAL ATROPHY
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Proliferative Diabetic Retinopathy with Tractional Retinal Detachment924 viewsProliferative Diabetic Retinopathy with Tractional Retinal Detachment
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Branch Retinal Vein Occlusion924 viewsPatient comes in for eval on retinal hemorrhage in the right eye. VA is 20/30 in the right eye. Fundus photography shows branch retinal vein occlusion inferior of the macula with retinal hemorrhage present. Will reevaluate in 2-months.
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BRVO with collaterals and cystoid macular edema923 views66 Year Old Man with has had a branch retinal vein occlusion in the right eye with vision loss for the last few months. OD is 20/40, OS is 20/20. IOP: OD 18, OS 19. There is a superotemporal macular branch retinal vein occlusion with edema, hemorrhage, and exudate.
OCT SCAN: The right eye shows edema with a central foveal thickness of 354 microns FA: shows remodeling of the superotemporal vasculature. There are already venous-venous collaterals, suggesting the vein occlusion may be a little more than a few months old. There are multiple microaneurysms superotemporal to the fovea, and there is leakage in the late frames involving the fovea.
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Peripheral Exudative Hemorrhagic Chorioretinopathy923 views70 year old man with recurrent peripheral choroidal hemorrhages - no treatment - b-scan shows hemorrhage shrinking over a month
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Corneal Abrasion with Foreign Body Present 923 viewsER 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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Optic Nerve Drusen in 7 Year Old Child - Miminal Calcification922 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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Flower Cataract922 viewsPatient with ahmed tube and flower cataract
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Retinal Torsion after Macula Off Retinal Detachment Repair with Inferior PVR921 views37 year old with torsion of the retina after macula off retinal detachment repair with inferior PVR and membranes dragging the fovea inferiorly.
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Gyrate Atrophy - 15 year old male - 20/25 vision both eyes - Positive Family History921 views15 year old male was diagnosed with “retinitis pigmentosa†at age seven. The patient reports that his night vision is poor. He reports he does not notice a visual field change. He reports that his maternal grandfather has lost vision and a cousin has lost vision as well. He reports he has an uncle with some visual changes.
The most significantly affected relative is a 26-year-old legally blind cousin.
20/25+ OD, 20/25 OS.
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920 views23 yr old w/ chronic RD and sub retinal fibrosis. Also has a h/o scleral buckle removal
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chronic RD w/ sub retinal fibrosis920 views23 yr old male w/ a vision of 20/30 and a history of scleral buckle removal
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Myopic Choroidal Neovascular Membrane 54 year old woman 20/20919 views54-year-old woman has had problems in her vision in the right eye for about the last three months. Inferotemporally she sees a gray area, which is distorted. OD is 20/20, OS is 20/20
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late phase FA919 views50+ YO female presented with DM type 1;
PT presented with PDR s/p extensive PRP
FA showed CNV OD
VA stable at 20/150 for 1 year
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Drusen Maculopathy - Confluent Subfoveal Soft Hydrophobic Drusen - Early Fluorescein Angiogram Drusen do not yet stain918 views73-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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Stargardt's Disease - Macular Dystrophy - 69 Year Old African American Male - 20/200 both eyes918 views69-year-old man has had vision loss in both eyes starting 20 years ago. He was diagnosed at one point with Stargardt’s macular dystrophy. When I saw him, he had retinal atrophy in each eye.
Vision is 20/200 in each eye
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BRAO and PAMM918 viewsLayers of retina are thickened showing ischemia to the middle retina (deep retinal capillary plexus)
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Central Areolar Choroidal Sclerosis917 viewsElderly man with poor central vision starting in his 50's
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Cuticular Drusen (Basal Laminar Drusen) and Bilateral Chronic Subfoveal Fluid (Serous Retinal Detachment) unresponsive to monthly Avastin OCT OD EDI917 views66-year-old man with bilateral subfoveal fluid unresponsive to one year of monthly avastin therapy.
OD 20/160, Pinhole 20/80. OS 20/63, Pinhole 20/50. OCT scan shows subretinal fluid with normal choroidal thickness. Fluorescein angiogram shows cuticular/basal laminar drusen. ICG shows no foci of choriocapillaris leakage.
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Radioactive Plaque Placement for Choroidal Melanoma Plaque Sutured to Globe916 views
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Radioactive Plaque Placement for Choroidal Melanoma Transillumination of Globe to Localize Melanoma Arrow Points to Tumor Shadow915 views
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Nanopthalmous (Microphthalmous) Chorioretinal Folds and Choroidal Thickening Both Eyes B-Scan Ultrasound915 views
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Fresh Macular Fold following Macula On Superior Retinal Detachment Repair915 viewsMacular fold after pneumatic retinopexy for macula on superior retinal detachment. Visual acuity is 20/200
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Acute Macular Neuroretinopathy - (AMN) - Spot in Vision OS - 40 Year old Female915 viewsSD OCT shows disruption of the outer retina nasal to the fovea
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Central Serous Retinopathy Acute - Fluorescein Angiogram914 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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Punctate Inner Choroidopathy - PIC and Choroidal Neovascular Membrane - Right Eye - ICG Angiogram914 views34-year-old woman with a change in vision in the right eye about eight days ago. Her vision was hazy and she saw waviness in the vision. She does have a history of aches and pains and she was diagnosed with Sjogren’s and 2 months ago she had some fevers and some sinus drainage and that went on for about two months. She is a moderate myope. OD 20/25, OS 20/20.
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Superior Peripapillary Hemorrhage914 viewsPatient was seen for acute vision loss in the right eye. Patient has glaucoma. VA was 20/70 in the right eye. Had Vitrectomy back in May 2012 for ERM stripping. Also had Trabectome with cataract surgery back in December of 2012. Fundus photos presents a Superior Peripapillary Hemorrhage of the optic nerve. Patient will be followed up in one month.
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