Retina Gallery ~ Full Sized Retina Images

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Most viewed - Retinal Vascular Disease

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Hemi Central Retinal Vein Occlusion 35 year old non-compliant man591 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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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day591 views
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Pattern Dystrophy - Adult Vitelliform Macular Degeneration591 views72-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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Late591 viewsCorresponding FA for Cilioretinal artery occlusion with early venous stasis retinopathy
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Hypertensive Retinopathy591 viewsPatient comes in complaining of spots in vision in both eyes. VA was 20/25 - right eye and 20/20- left eye. Fundus exam reveals little hemorrhages with cotton wool spots due to hypertension and anemia.
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BRAO and PAMM591 views
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Acute Branch Retinal Artery Occlusion Left Eye591 viewsThis 84 year old woman had an old BRVO in the right eye and saw a shadow for 2 days in the left eye. She has a superotemporal BRAO. The photos show retinal whitening, the OCT shows inner retinal edema and the FA shows poor circulation.
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Trousseau Sign - CRVO and Pancreatic Cancer591 viewsLeft 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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Wet AMD Small New Hemorrhage - Valsalva590 views79-year-old two weeks ago he was having difficulty seeing out of the right eye. When he covered his left eye things were distorted OD 20/50
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Diabetic Retinopathy - Foveal Laser Scar Right Eye590 views74-year-old woman has diabetic retinopathy in both eyes. She has had focal laser in her right eye done elsewhere in the mid 90’s and unfortunately the laser was fairly close to the center and as time progressed she developed foveal atrophy around the scars. She has noticed her vision declining since she was here last a year ago. She does take Travatan in both eyes at night for glaucoma.

VISUAL ACUITY: OD 20/200, OS 20/40.
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AIDS - HIV Retinopathy - Cotton Wool Spots590 views54-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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BRAO and PAMM590 views
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy late fa589 views59-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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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 589 views80-year-old woman one month ago had vision loss and a vascular occlusion in the right eye. Vision loss occurred in the left eye about 9 years ago with cotton wool spots. Patients has a 30 year history of tinnitis.
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Hemi Central Retinal Vein Occlusion 35 year old non-compliant man589 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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Diabetic Macular Edema and Hypertensive Retinopathy - Circinate Exudate (Ring Exudate) 589 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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Diabetic Macular Edema and Hypertensive Retinopathy - Circinate Exudate (Ring Exudate) 589 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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Proliferative Diabetic Retinopathy in patient with Moyamoya Disease588 views28-year-old womandiabetic since age nine, and she also has had multiple strokes. OD is 20/30, OS is 20/30.
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Macular Branch Retinal Vein Occlusions (2) Left Eye - No Macular Edema (yet) 588 views77-year-old woman with two macular branch retinal vein occlusions in the left eye OD 20/25
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BDR588 views
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Branch Retinal Vein Occlusion with NVE (Neovascularization Elsewhere)588 viewsOne month post laser
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Sickle Retinopathy - Ultra Wide Field Angiogram - Heidelberg588 viewsLeakage from peripheral fronds of NV - HGB SC disease - 28 year old man with vision loss OS from acute vitreous hemorrhage
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Central Retinal Vein Occlusion and Cystoid Macular Edema - Acute - Vision 20/50 587 views68-year-old man six weeks of vision loss right eye from CRVO and CME, vision right eye 20/50
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 587 views80-year-old woman one month ago had vision loss and a vascular occlusion in the right eye. Vision loss occurred in the left eye about 9 years ago with cotton wool spots. Patients has a 30 year history of tinnitis.
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Sickle Cell587 views
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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing587 views1 month after initial laser
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Branch Retinal Vein Occlusion with NVE (Neovascularization Elsewhere)587 views
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Macular Branch Retinal Vein Occlusions (2) Left Eye - No Macular Edema (yet) 586 views77-year-old woman with two macular branch retinal vein occlusions in the left eye OD 20/25
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586 views63-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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Retinal Arterial Atheromata585 views68-year-old woman with records going back 7 years, which clearly document retinal arterial plaques in both eyes.
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Diabetic Retinopathy - Foveal Laser Scar Right Eye585 views74-year-old woman has diabetic retinopathy in both eyes. She has had focal laser in her right eye done elsewhere in the mid 90’s and unfortunately the laser was fairly close to the center and as time progressed she developed foveal atrophy around the scars. She has noticed her vision declining since she was here last a year ago. She does take Travatan in both eyes at night for glaucoma.

VISUAL ACUITY: OD 20/200, OS 20/40.
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Malignany Hypertension - BP 250/130 - Vision 1/200 in each eye - Diabetic585 views68-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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Macula Threatening Diabetic Traction Retinal Detachment - Proliferative Diabetic Retinopathy - Vitreous Hemorrhage585 viewsVision 20/50 but tractional retinal detachment supero-temporally is extending toward fovea and vessels are still active on optic nerve.
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Proliferative Diabetic Retinopathy and Vitreous Hemorrhage - FA shows leakage of dye from NVE584 views
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Proliferative Diabetic Retinopathy - Vitreous Hemorrhage and Tractional Retinal Detachment Left Eye583 views52-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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NVD - proliferative diabetic retinopathy Heidelberg False Color583 views
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Trousseau Sign - CRVO and Pancreatic Cancer583 viewsLeft 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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BRVO with collaterals and cystoid macular edema582 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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New BRVO Left Eye Old BRVO Right Eye - Left Eye Shows Twig Superior Vein Occlusion with Edema581 views90-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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Serous Macular Detachment Left Eye - Possible Hypertensive Choroidopathy v. Central Serous Retinopathy581 views59-year-old woman decreasing vision in the left eye for about two days. She sees a spot in front of her vision. It is a yellow spot which is just straight ahead and moves with her eye. She does have high blood pressure. She checks her blood pressure at home, and even at home her blood pressure runs very high, with the systolic running around 200 and the diastolic around 100, although occasionally it does return to the normal range.

VISUAL ACUITY: Vision OD is 20/60, OS is 20/30
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581 views
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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception581 views
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Ruptured Retinal Arterial Macroaneurysm - Submacular Hemorrhage - Vision 20/400 never recovered - Hypertension 205/94581 views
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Proliferative Sickle Retinopathy - Hemoglobin SC581 views53-year-old woman with a new spider-like floater in the right eye for about six days. She sees one big floater and another little one. She does have hemoglobin SC hemoglobinopathy. VISUAL ACUITY: Vision OD is 20/20; OS is 20/50, PH is 20/20.
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Proliferative Sickle Retinopathy - Hemoglobin SC581 views53-year-old woman with a new spider-like floater in the right eye for about six days. She sees one big floater and another little one. She does have hemoglobin SC hemoglobinopathy. VISUAL ACUITY: Vision OD is 20/20; OS is 20/50, PH is 20/20.
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Retinal Arterial Macroaneurysm - Ruptured and self-sealed after hemorrhage581 views6 Month Follow-up
91-year-old woman had a retinal arterial macroaneurysm in the right eye 6 Month Follow-up Vision is 20/200.
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Retinal Arterial Macroaneurysm - Untreated Hypertension (250/135) - Serous Macular Detachment581 views82 year old asian woman. VA 20/80 Headaches and vision loss for 1 month. Negative medical history but has not been to the doctor for years. (no insurance)
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Central retinal artery and vein occlusion - Protein C Deficiency 33 year old male581 views33 year old male with vision loss for 3 hours. VA 20/12 right eye, 5/200 left eye. He has a protein C deficiency. The left eye recovered vision in about 1 month to 20/16. FA shows very slow recirculation time.
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 580 views80-year-old woman one month ago had vision loss and a vascular occlusion in the right eye. Vision loss occurred in the left eye about 9 years ago with cotton wool spots. Patients has a 30 year history of tinnitis.
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New BRVO Left Eye Old BRVO Right Eye - Right Eye Showing Bulls Eye Atrophy from Chronic CME and Non-Perfusion Infero-temporally580 views90-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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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Indocyanine Green Angiogram580 views48-year-old woman noticed when she was blinking there was a white flash in the left eye starting about a month ago. She sees it temporally. OD 20/16, OS 20/20. There is a serous retinal detachment superotemporal to the optic nerve falling short of the fovea. Her blood pressure 165/120.
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PDR - FAF580 views
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Retinal Arterial Macroaneurysm - Untreated Hypertension (250/135) - Serous Macular Detachment580 views82 year old asian woman. VA 20/80 Headaches and vision loss for 1 month. Negative medical history but has not been to the doctor for years. (no insurance)
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Normal SD OCT580 views
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Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion580 views79 year old man He has had hairy cell leukemia since 2002. He is in remission. His last blood tests were 9/2018. He just moved down here and needs a new leukemia doctor. His vision is fine.
VA OD: Dcc20/25
VA OS: Dcc20/25
IOP: TP: OD:12 OS:12
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PDR with heavy PRP laser and worsening macular edema map579 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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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 579 views80-year-old woman one month ago had vision loss and a vascular occlusion in the right eye. Vision loss occurred in the left eye about 9 years ago with cotton wool spots. Patients has a 30 year history of tinnitis.
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Regressed Proliferative Diabetic Retinopathy with Recurrent Vitreous Hemorrhage from Vitreoretinal Traction over a Major Retinal Vessel (Vein)579 views56-year-old woman has had recurrent vitreous hemorrhage in the left eye from vitreoretinal traction. Diabetes Mellitus for 20 years and excellent response to vitrectomy in the right eye about 1 year ago for recurrent vitreous hemorrhage from traction over a major retinal vessel.

VISUAL ACUITY: Vision OS is 20/200
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NVD - proliferative diabetic retinopathy579 views
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Trousseau Sign - CRVO and Pancreatic Cancer579 viewsLeft 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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Mild Proliferative Diabetic Retinopathy579 viewsRight eye has NVE and left eye has NVD and NVE. VA 20/25 OU.
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Hemi Central Retinal Vein Occlusion 35 year old non-compliant man578 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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Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception578 views
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Non-Ischemic Central Retinal Vein Occlusion in Young Man (30 years) - Many Cotton Wool Spots578 views30-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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Diabetic and Pseudophakic Cystoid Macular Edema Late FA577 views56-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 Retinopathy - Non-Perfusion - Possible Central Retinal Vein Occlusion577 views68-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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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 577 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion577 views85-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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Central Retinal Vein Occlusion and Laser Induced Chorioretinal Anastomosis577 views84-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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Branch Retinal Arterial Occlusion 20/20 Vision - Symptoms for 1 Day576 views75-year-old man was seen in the office on 4/6/2010. He noticed a sudden vision change in the right eye yesterday morning. 20/20 Vision both Eyes
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Sectoral Optic Atrophy from an old Branch Retinal Artery Occlusion 576 views74-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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Proliferative Diabetic Retinopathy with NVD, NVE, and Pre Retinal Hemorrhage576 viewsJuvenile Onset Diabetic with NVD, NVE and Pre Retinal Hemorrhage.
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Retinal Arterial Macroaneurysm - Untreated Hypertension (250/135) - Serous Macular Detachment576 views82 year old asian woman. VA 20/80 Headaches and vision loss for 1 month. Negative medical history but has not been to the doctor for years. (no insurance)
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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy575 views39-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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Cotton Wool Spots now Gone in Both Eyes575 views60-year-old man was sick in the hospital in 3 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. Cotton Wool Spots now GONE
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Malignany Hypertension - BP 250/130 - Vision 1/200 in each eye - Diabetic575 views68-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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Sectoral Optic Atrophy from an old Branch Retinal Artery Occlusion 575 views74-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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Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion575 views79 year old man He has had hairy cell leukemia since 2002. He is in remission. His last blood tests were 9/2018. He just moved down here and needs a new leukemia doctor. His vision is fine.
VA OD: Dcc20/25
VA OS: Dcc20/25
IOP: TP: OD:12 OS:12
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Orbital Cellulitis - Optic nerve compression with ocular ischemia575 views81 year old woman with constricted eye movement, orbital cellulitis and severe vision loss in the right eye (LP). She has whitening of the retina and the OCT shows ischemic changes as well as subretinal fluid and blood. The vision in this eye declined to NLP and the eye remained ischemic despite control of her infection.
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Holenhorst Plaque - Small and asymptomatic575 views72 year old woman with mild dry ARMD. VA 20/40 OU. Asymptomatic plaque noted in the right eye.
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branch retinal vein occlusion - fluorescein angiogram574 views70 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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Proliferative Diabetic Retinopathy - Vitreous Hemorrhage and Tractional Retinal Detachment Left Eye574 views52-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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Proliferative Diabetic Retinopathy in patient with Moyamoya Disease574 views28-year-old womandiabetic since age nine, and she also has had multiple strokes. OD is 20/30, OS is 20/30.
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Malignany Hypertension - BP 250/130 - Vision 1/200 in each eye - Diabetic574 views68-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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Proliferative Diabetic Retinopathy - Fresh and Old Scatter (Panretinal) Photocoagulation (Laser) - Neovascularization is regressing574 views1 month after initial laser
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Acute Branch Retinal Artery Occlusion Left Eye574 viewsThis 84 year old woman had an old BRVO in the right eye and saw a shadow for 2 days in the left eye. She has a superotemporal BRAO. The photos show retinal whitening, the OCT shows inner retinal edema and the FA shows poor circulation.
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 573 views80-year-old woman one month ago had vision loss and a vascular occlusion in the right eye. Vision loss occurred in the left eye about 9 years ago with cotton wool spots. Patients has a 30 year history of tinnitis.
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Cilioretinal artery occlusion and Ophthalmic Artery Occlusion with Relative Sparing of the Central Retinal Artery573 views80-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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Central Retinal Vein Occlusion and Tractional Retinal Detachment for 3 Years (Patient is Diabetic)573 views67-year-old woman has severe vision loss in the left eye for 3 years OD 20/32, OS 3/200
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PDR573 views
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Diabetic Retinopathy with CME573 viewsSecond opinion for diabetic retinopathy. VA is 20/30, right eye, 20/50, left eye. Patient has mild swelling in the macula of the right eye. No evidence of CME but does have a moderate cataract in the left eye.
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Vitreo-Traction due to Diabetic Retinopathy573 viewsPatient comes in for follow up on her diabetes. VA is 20/30 in the right eye. Fundus photos shows thick traction nasally to the optic nerve forming a ring around the macula. Will follow up in 6-months.
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Acute Branch Retinal Artery Occlusion Left Eye573 viewsThis 84 year old woman had an old BRVO in the right eye and saw a shadow for 2 days in the left eye. She has a superotemporal BRAO. The photos show retinal whitening, the OCT shows inner retinal edema and the FA shows poor circulation.
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Diabetic Macular Edema with Circinate Exudate Macular Photo Post - Laser (Fresh)572 views74-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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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy mid fa572 views59-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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Serous Macular Detachment Left Eye - Possible Hypertensive Choroidopathy v. Central Serous Retinopathy572 views59-year-old woman decreasing vision in the left eye for about two days. She sees a spot in front of her vision. It is a yellow spot which is just straight ahead and moves with her eye. She does have high blood pressure. She checks her blood pressure at home, and even at home her blood pressure runs very high, with the systolic running around 200 and the diastolic around 100, although occasionally it does return to the normal range.

VISUAL ACUITY: Vision OD is 20/60, OS is 20/30
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Proliferative Diabetic Retinopathy - Vitreous Hemorrhage and Tractional Retinal Detachment Left Eye572 views52-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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Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion572 views85-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 PAMM572 views
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Trousseau Sign - CRVO and Pancreatic Cancer572 viewsLeft 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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