am meisten angesehen - Retinal Vascular Disease
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Diabetic Vitreous Hemorrhage Left Eye646 x angesehen35-year-old man diabetic for the last 25 years. His hemoglobin A1C has been running between 10 and 11. He was doing fine and then when he woke up from sleeping last night he noticed sudden vision loss in his left eye OD 20/30, OS 20/200.
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Central Retinal Vein Occlusion and Tractional Retinal Detachment for 3 Years (Patient is Diabetic)646 x angesehen67-year-old woman has severe vision loss in the left eye for 3 years OD 20/32, OS 3/200
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Capillary Drop Out of the FAZ646 x angesehenHigh magnification image of a damaged foveal avascular zone secondary to proliferative diabetic retinopathy. Seen here are multiple laser scars and capillary drop out in FAZ.
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Capillary Non-Perfusion - Severe Non-Proliferative (Background) Diabetic Retinopathy - Type I - 20 Year Old Man Diabetic 16 years645 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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Montage of Hemi-Central Retinal Artery Occlusion645 x angesehen
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Diabetic Macular Edema - Mild645 x angesehen70 year old man with mild edema did well without treatment
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Lacy Neovascularization of the Disk - Color Photo645 x angesehen
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Diabetic and Pseudophakic Cystoid Macular Edema Pretreatment Mid FA644 x angesehen56-year-old woman has diabetic retinopathy in both eyes and macular edema. She is recently pseudophakic. OD 20/80, OS 20/200.
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Hemicentral Retinal Vein Occlusion Vision 20/60 644 x angesehen84-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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AIDS - HIV Retinopathy - Cotton Wool Spots644 x angesehen54-year-old woman HIV positive for 18 years. Her CD4 count is currently less than 50 and she was hospitalized for pneumocystis carinii pneumonia 5 months ago. She has noticed just for the last few weeks a few blind spots in the paracentral vision. Predominantly out of her right eye when she closes her left eye, she sees a few temporal blind spots. VA 20/25 in both eyes.
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Cilioretinal artery occlusion and Ophthalmic Artery Occlusion with Relative Sparing of the Central Retinal Artery644 x angesehen80-year-old woman who says she was looking in the mirror, covered her right eye and noticed she could not see well out of the left eye. That just happened yesterday. Her last eye check was a few years ago. She also had a carotid endarterectomy on the right side in 2006 shortly after coronary bypass surgery. OD is 20/40, OS is 20/200.
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Self Sealed Retinal Arteriol Macroaneurysm 644 x angesehenFA on presentation showed minimal to no active leakage. Also, there is a small cuff of blood around the MA which is favorable for closure
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Diabetic and Pseudophakic Cystoid Macular Edema Late FA fellow Eye643 x angesehen56-year-old woman has diabetic retinopathy in both eyes and macular edema. She is recently pseudophakic. OD 20/80, OS 20/200.
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Diabetic and Pseudophakic Cystoid Macular Edema Pre treatment line OS643 x angesehen56-year-old woman has diabetic retinopathy in both eyes and macular edema. She is recently pseudophakic. OD 20/80, OS 20/200.
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Hypertensive Retinopathy One Year later with good Vision IgA Nephropathy643 x angesehenOD 20/30, OS 20/25 One year following initial episode.
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Retinal Arterial Macroaneurysm - Increased Swelling after Laser 643 x angesehen65-year-old woman was seen in the office on January 12, 2011. She has noticed decreased vision in the right eye for the last two or three weeks. She has had some discomfort in both eyes as well. She has a history of low blood pressure, but she does have high cholesterol.
VISUAL ACUITY: OD 20/60
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Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male642 x angesehen49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.
VISUAL ACUITY: OD 20/60, OS 20/25.
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Non-Ischemic Central Retinal Vein Occlusion in Young Man (30 years) - Many Cotton Wool Spots642 x angesehen30-year-old man with a history of a central retinal vein occlusion for which he was first examined on 2 months ago and his vision then was 4/200. He responded nicely to two Avastin treatments. OD is 20/20, OS is 20/60
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Trousseau Sign - CRVO and Pancreatic Cancer642 x angesehenLeft eye shows CRVO with severe edema. The right eye has multiple small hemorrhages. Some of this is probably anemic retinopathy and some from hypercoaguability of cancer. The patient has pancreatic cancer.
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Diabetic Patient with Macular Edema and Blood Pressure 200/95641 x angesehen49-year-old decreasing vision over the last year. OD is 20/80, OS 20/80. blood pressure which was 200/95.
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Retinal Arterial Macroaneurysm - Increased Swelling after Laser 641 x angesehen65-year-old woman was seen in the office on January 12, 2011. She has noticed decreased vision in the right eye for the last two or three weeks. She has had some discomfort in both eyes as well. She has a history of low blood pressure, but she does have high cholesterol.
VISUAL ACUITY: OD 20/60
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Twig Branch Retinal Vein Occlusion - Recurrent Macular Edema with extended interval Lucentis Therapy after first 6 monthly Injections641 x angesehen39-year-old man has a macular branch retinal vein occlusion with macular edema. He had an excellent response to Lucentis for his first 6 treatments. He was last here 6 weeks ago and his vision seems OK to him. OD 20/40.
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Retinal Arterial Macroaneurysm - Increased Swelling after Laser 640 x angesehen65-year-old woman was seen in the office on January 12, 2011. She has noticed decreased vision in the right eye for the last two or three weeks. She has had some discomfort in both eyes as well. She has a history of low blood pressure, but she does have high cholesterol.
VISUAL ACUITY: OD 20/60
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montage. os640 x angesehenno disease
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PDR w/ERM and severe CSDME640 x angesehen24 year old woman with uncontrolled blood sugar; progressively worsening vision OU - from level of 20/40 in August 2012 to 20/200:OD and 20/CF:OS in January 2013.
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Proliferative Diabetic Retinopathy - Vitreous Hemorrhage and Tractional Retinal Detachment Left Eye639 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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Retinal Arterial Macroaneurysm - Increased Swelling after Laser 639 x angesehenVisit 2 - 2 months later:
March 21, 2011. This pleasant 66-year-old woman had laser to retinal arterial microaneurysm in the right eye January 12th. Her vision was getting better, but now it is worse the last few days. She is at home taking care of her demented mother and she and her sister lift her mother a fare amount of the time. I also checked her blood pressure, which was 120/65. VISUAL ACUITY: OD 20/200
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Capillary Non-Perfusion - Severe Non-Proliferative (Background) Diabetic Retinopathy - Type I - 20 Year Old Man Diabetic 16 years639 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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Stasis Retinopathy, Central Retinal Vein Occlusion638 x angesehenYoung male who complains of decreased vision in the left eye. VA is 20/20 in the left eye. Fundus photo shows mild central retinal vein occlusion in the left eye.
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Branch Retinal Vein Occlusion with NVE (Neovascularization Elsewhere)638 x angesehen
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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy637 x angesehen39-year-old man two days ago he noticed poor vision in his right eye OD: 8/200; OS: 20/20. BP is 240/120
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Macular Branch Retinal Vein Occlusions (2) Left Eye - No Macular Edema (yet) 637 x angesehen77-year-old woman with two macular branch retinal vein occlusions in the left eye OD 20/25
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Moderate PDR637 x angesehen43 year old man 20/32 vision in both eyes. Being started on Anti-VEGF injections which will be followed by PRP.
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BRVO with collaterals and cystoid macular edema636 x angesehen66 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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Central Retinal Vein Occlusion and Laser Induced Chorioretinal Anastomosis635 x angesehen84-year-old woman has age-related macular degeneration in both eyes with foveal atrophy. She also has a central retinal vein occlusion
in the left eye for which she had intravitreal Kenalog and finally chorioretinal anastomosis laser a year
ago. VISUAL ACUITY: Vision OD is 20/160, OS is 7/200
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635 x angesehen60 year old male with LP vision due to extensive blood flow loss.
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Sickle Retinpoathy SC Disease - Vitreous Hemorrhage Left Eye - 29 Year old635 x angesehenFrond of NV in the periphery
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PDR with heavy PRP laser and worsening macular edema red free photo634 x angesehen51-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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Diabetic Patient with Macular Edema and Blood Pressure 200/95634 x angesehen49-year-old decreasing vision over the last year. OD is 20/80, OS 20/80. blood pressure which was 200/95.
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New BRVO Left Eye Old BRVO Right Eye - Left Eye Shows Twig Superior Vein Occlusion with Edema634 x angesehen90-year-old man decreased vision maybe one year since cataract surgery he is no longer able to read. OD 20/200, OS 20/200
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Proliferative Diabetic Retinopathy both eyes Type I Diabetic for 25 years634 x angesehen47-year-old woman with diabetes for 25 years and decreased vision for 3 months. OD 20/40, OS 20/40
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Central Retinal Vein Occlusion and Laser Induced Chorioretinal Anastomosis634 x angesehen84-year-old woman has age-related macular degeneration in both eyes with foveal atrophy. She also has a central retinal vein occlusion
in the left eye for which she had intravitreal Kenalog and finally chorioretinal anastomosis laser a year
ago. VISUAL ACUITY: Vision OD is 20/160, OS is 7/200
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Diabetic and Pseudophakic Cystoid Macular Edema Laser Photo whole Macula633 x angesehen56-year-old woman has diabetic retinopathy in both eyes and macular edema. She is recently pseudophakic. OD 20/80, OS 20/200.
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HIV Retinopathy632 x angesehenCentral white spot is an artifact. The small vascular abnormalities are from HIV
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PDR - Mild Vitreous Hemorrhage and Good Vision631 x angesehen58-year-old woman has diabetic retinopathy in both eyes with neovascularization of the optic nerve, worse in the right eye than the left eye. She has had panretinal laser in both eyes and vitreous hemorrhage in the left eye. Her vision, since I saw her last in June, is about the same.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/20.
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Diabetic and Pseudophakic Cystoid Macular Edema Pretreatment Mid FA630 x angesehen56-year-old woman has diabetic retinopathy in both eyes and macular edema. She is recently pseudophakic. OD 20/80, OS 20/200.
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day630 x angesehen
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Sectoral Optic Atrophy from an old Branch Retinal Artery Occlusion 630 x angesehen74-year-old woman had cataract surgery 3 months ago. Her vision in the right eye has been abnormal since. She notices a shadow in the inferior vision in the right eye. OD is 20/60, OS is 20/50
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Branch Retinal Vein Occlusion with NVE (Neovascularization Elsewhere)630 x angesehen
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Branch Retinal Vein Occlusion with NVE (Neovascularization Elsewhere)630 x angesehenLate Leakage on FA - NV is adjacent to non-perfusion
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Hemi Central Retinal Vein Occlusion 35 year old non-compliant man629 x angesehen35-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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Diabetic Macular Edema with Circinate Exudate OCT Map628 x angesehen74-year-old man has diabetic macular edema in both eyes and background diabetic retinopathy. His vision has blurred over the last few months. His blood sugars have been fluctuating.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/80
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Hypertensive Retinopathy - BP 240 / 130 mmHg - Grade 4628 x angesehen71 year old woman who claims to be asymptomatic with decreased vision, macular edema, cotton wool spots, subretinal fluid and optic nerve edema
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Macular Branch Retinal Vein Occlusions (2) Left Eye - No Macular Edema (yet) 627 x angesehen77-year-old woman with two macular branch retinal vein occlusions in the left eye OD 20/25
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Anemic Retinopathy627 x angesehenMyelodysplasia - HgB 8 and very low platelet count
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branch retinal vein occlusion - fluorescein angiogram626 x angesehen70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion626 x angesehen85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
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BRAO and PAMM626 x angesehen
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Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 625 x angesehen68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
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Diabetic Retinopathy - Non-Perfusion - Possible Central Retinal Vein Occlusion625 x angesehen68-year-old woman OD 20/70, OS 20/200 CYSTOID MACULAR EDEMA, POSSIBLE EITHER OCULAR ISCHEMIC SYNDROME IN THE RIGHT EYE OR OCCULT CENTRAL RETINAL VEIN OCCLUSION IN THE RIGHT EYE,S EVERE NON-PerfUSION WITH DIABETIC RETINOPATHY IN THE LEFT EYE.
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Central Retinal Vein Occlusion and Tractional Retinal Detachment for 3 Years (Patient is Diabetic)625 x angesehen67-year-old woman has severe vision loss in the left eye for 3 years OD 20/32, OS 3/200
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625 x angesehen63-year-old man diabetic for twenty two years. His central vision is fine.
VISUAL ACUITY: OD 20/25, OS 20/25
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Serous Retinal Detachment - Hypertensive Retinopathy -- 1 month later - less fluid (better blood pressure) SD OCT625 x angesehen48 Year old woman resolving hypertensive serous retinal detachment.
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Macroaneurysm FA625 x angesehenMacroaneurysm with Subretinal Hemorrhage and ME in OS of an Elderly Female
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branch retinal vein occlusion - fluorescein angiogram624 x angesehen70 year old woman with 20/80 vision from a branch retinal vein occlusion and macular edema. She has had laser treatment and intravitreal steroids. Her vision with further laser improved to 20/50.
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Diabetic Patient with Macular Edema and Blood Pressure 200/95624 x angesehen49-year-old decreasing vision over the last year. OD is 20/80, OS 20/80. blood pressure which was 200/95.
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Cotton Wool Spots Both Eyes after Strep Pneumonia and Cardiac ICU Stay 1 Month Ago 623 x angesehen60-year-old man was sick in the hospital in 1 month ago with streptococcal pneumonia. He was in the cardiac intensive care unit and at one point he was in critical condition. He has no visual complaints. OD 20/20, OS 20/25.
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Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male623 x angesehen49-year-old man chronic very high blood pressure sometimes the blood pressure will go as high as 260/160, sometimes it is 200/120 and sometimes it is 160/80. He has a pheochromocytoma on the adrenal gland and he has had vision loss in the right eye starting between three and four years ago.
VISUAL ACUITY: OD 20/60, OS 20/25.
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Retinal Arterial Macroaneurysm - Increased Swelling after Laser 623 x angesehenVisit 2 - 2 months later:
March 21, 2011. This pleasant 66-year-old woman had laser to retinal arterial microaneurysm in the right eye January 12th. Her vision was getting better, but now it is worse the last few days. She is at home taking care of her demented mother and she and her sister lift her mother a fare amount of the time. I also checked her blood pressure, which was 120/65. VISUAL ACUITY: OD 20/200
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Macular Branch Retinal Vein Occlusions (2) Left Eye - No Macular Edema (yet) 623 x angesehen77-year-old woman with two macular branch retinal vein occlusions in the left eye OD 20/25
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Cilioretinal artery occlusion and Ophthalmic Artery Occlusion with Relative Sparing of the Central Retinal Artery623 x angesehen80-year-old woman who says she was looking in the mirror, covered her right eye and noticed she could not see well out of the left eye. That just happened yesterday. Her last eye check was a few years ago. She also had a carotid endarterectomy on the right side in 2006 shortly after coronary bypass surgery. OD is 20/40, OS is 20/200.
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 622 x angesehen50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Central Retinal Vein Occlusion and Tractional Retinal Detachment for 3 Years (Patient is Diabetic)622 x angesehen67-year-old woman has severe vision loss in the left eye for 3 years OD 20/32, OS 3/200
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Neovascularization elsewhere (NVE) Left Eye with Vitreous Hemorrhage622 x angesehen
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BDR OD with Edema621 x angesehen57-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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Retinal Arterial Macroaneurysm - Increased Swelling after Laser 621 x angesehenVisit 2 - 2 months later:
March 21, 2011. This pleasant 66-year-old woman had laser to retinal arterial microaneurysm in the right eye January 12th. Her vision was getting better, but now it is worse the last few days. She is at home taking care of her demented mother and she and her sister lift her mother a fare amount of the time. I also checked her blood pressure, which was 120/65. VISUAL ACUITY: OD 20/200
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periphery 2. od621 x angesehenleaking miliary aneurysms
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620 x angesehen63-year-old man diabetic for twenty two years. His central vision is fine.
VISUAL ACUITY: OD 20/25, OS 20/25
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Cilioretinal artery occlusion620 x angesehenCilioretinal artery occlusion with early venous stasis retinopathy
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Branch Retinal Vein Occlusion (BRVO) no macular edema - cotton wool spot620 x angesehen85 year old man with asymptomatic BRVO - his vision stayed great without needing any treatment.
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Diabetic Macular Ischemia - Enlarged FAZ - OCT-A620 x angesehen70 year old female diagnosed with diabetes 2 years ago. Her blood pressure was normal at 116/73. She has vision loss for 6 months in both eyes. VA is 20/100 OU. OCT-A shows macular ischemia.
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Focal Laser for diabetic macular edema619 x angesehen66 year old female with diabetes for 45 years. VA 20/20 OU. Extrafoveal edema in the left eye treated with light focal laser.
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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day619 x angesehen
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Central Retinal Vein Occlusion Recurrent Edema 6 weeks after Lucentis - Nonperfusion Temporally619 x angesehen66-year-old woman has a central retinal vein occlusion in the right eye with macular edema. She had intravitreal Lucentis treatment six weeks ago and she has noticed over the last week or two her vision is declining.
VISUAL ACUITY: OD 20/70, OS 20/30.
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Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute619 x angesehen 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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Proliferative Diabetic Retinopathy both eyes Type I Diabetic for 25 years618 x angesehen47-year-old woman with diabetes for 25 years and decreased vision for 3 months. OD 20/40, OS 20/40
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Proliferative Diabetic Retinopathy both Eyes Neovascularization of the Disc618 x angesehen63-year-old woman has been diabetic for twenty one years who sees new floaters in the right eye. OD 20/40, OS 20/40.
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion618 x angesehen85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
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Pattern Dystrophy - Adult Vitelliform Macular Degeneration618 x angesehen72-year-old woman 2 months post ECCE with poor vision since surgery especially left eye.
VISUAL ACUITY: OD 20/50, OS 20/200
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autofluorescence. od618 x angesehenautofluorescence helps localize the subretiinal fluid
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Branch Retinal Vein Occlusion with NVE (Neovascularization Elsewhere)618 x angesehenLate Leakage on FA - NV is adjacent to non-perfusion
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception617 x angesehen
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Macular Atrophy - Macular Degeneration and Previous Diabetic Macular Laser 72 Year Old Man617 x angesehen72-year-old man has age-related macular degeneration who had macular and peripheral laser done 30 years ago for diabetic retinopathy. He has developed worsening macular atrophy in both eyes
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Malignany Hypertension - BP 250/130 - Vision 1/200 in each eye - Diabetic617 x angesehen68-year-old woman poor vision in both eyes for the last few years. She is diabetic since 1989. Her blood pressure has been very high. She was in the hospital Friday. Her blood pressure during that visit was 250/130 and her blood pressure in your office she reports was somewhere around the same. I just checked her blood pressure at the beginning of my visit and it was 200/120 in her right arm sitting. Her vision is poor enough that she can barely see to walk around. She has also been feeling nauseous
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy 616 x angesehen59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
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Macular and Peripheral Retinal Scarring from Diabetic Laser Done 25 years previously616 x angesehen72-year-old man had macular and peripheral laser done in the past(1980's)(25 years ago). His vision, although limited, seems about stable to him. He is diabetic for 30 years. OD is 20/160, OS is 20/160.
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Hypertensive Retinopathy - BP 240 / 130 mmHg - Grade 4616 x angesehen71 year old woman who claims to be asymptomatic with decreased vision, macular edema, cotton wool spots, subretinal fluid and optic nerve edema
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Diabetic Macular Edema and Hypertensive Retinopathy - Circinate Exudate (Ring Exudate) 615 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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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy very early fa614 x angesehen59-year-old woman had a blood pressure spike to 170/90 and was on medications for that. She does have facioscapulohumeral muscular dystrophy, which runs in her family. She has a cousin with the same disorder.
VISUAL ACUITY: Her vision is 20/25 OU. IOP: OD 21, OS 18.
There is no posterior vitreous separation, telangiectatic vessels near the macula. There are patchy retinal hemorrhages. There is no edema or proliferation.
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Twig Branch Retinal Vein Occlusion - Recurrent Macular Edema with extended interval Lucentis Therapy after first 6 monthly Injections614 x angesehen39-year-old man has a macular branch retinal vein occlusion with macular edema. He had an excellent response to Lucentis for his first 6 treatments. He was last here 6 weeks ago and his vision seems OK to him. OD 20/40.
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