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Most viewed - Retinal Vascular Disease associated with Systemic Disease

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Purtscher's Retinopathy - Motor Vehicle Accident3593 viewsNerve Fiber Layer Inflammation and retinal hemorrhages due to severe trauma. Patient was a teenage boy that got into a car accident.
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Retinal Vasculitis due to Lupus (color)2339 viewsSystemic Lupus Erythematosis - Vasculitis
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1989 viewsElschnig Spots
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1900 viewsElschnig Spots
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Aplastic anemia1605 views29 y.o.m. with aplastic anemia OD VA 20/25.
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1546 views
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1505 views
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1493 viewsElschnig Spots are pigment spots in periphery
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Eales Disease1361 views
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1312 views
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Post- treatment1295 views
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1294 views
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Post- treatment1288 views
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Sickle Cell1206 views
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago1203 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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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1192 viewsElschnig Spots are pigment spots in periphery
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Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male1177 views49-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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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1177 views
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Retinal Vasculitis due to Lupus (FA)1146 viewsSystemic Lupus Erythematosis - Vasculitis
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 1124 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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A case of Valsalva Retinopathy -11118 views
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 1098 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1096 views
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Three years after Injury - Optic Atrophy - Vision is 1/200 in each eye1083 views
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HTN Retinopathy w/ cotton wool spots and hemorrhages1056 views23 year old african american male w/ visual acuity of 20/20
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1052 views6 week fu - CWS are Fading
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1040 views6 week fu - CWS are Fading
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hypertension retinopathy w/ disc edema and CRVO1004 views64 year old white male w/ a vision of 20/200 which eventually improved to 20/60 without treatment
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Lupus Retinopathy985 viewsFemale patient comes in for eval on Lupus Retinopathy. Has poor vision in the right eye. VA is hand motion in the right eye. Fundus photos show fibrosis along the temporal arcades and narrowing of the arteries. No macular edema found.
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 981 views
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AIDS - HIV Retinopathy - Cotton Wool Spots954 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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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 939 views6 week fu - CWS are Fading
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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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Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male912 views49-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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Macular Hemorrhage911 viewsPatient comes in with central vision loss in the right eye. Fundus photography shows a macular hemorrhage in the central portion of the fovea. Cotton wool spots are present around the optic nerve and a little hemorrhage present inferiorily at 6-o'clock.
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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy862 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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Valsalva Retinopathy862 viewsSmall central hemorrhage due to straining
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago860 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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Diabetic Patient with Macular Edema and Blood Pressure 200/95847 views49-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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Hypertensive Retinopathy846 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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Optic Nerve Edema with Retinal Hemorrhages.839 viewsFemale patient diagnosed with lupus a year ago, comes in with spot and decreased vision in the right eye. VA is 20/400 in the right eye and 20/40, in the left eye. Fundus photography shows multiple retinal hemorrhages and possible bilateral papilledema.
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Diabetic Patient with Macular Edema and Blood Pressure 200/95829 views49-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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AIDS - HIV Retinopathy - Cotton Wool Spots820 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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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Fluorescein Angiogram818 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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Proliferative Sickle Retinopathy - Hemoglobin SC815 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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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 813 views
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Purtscher's Retinopathy794 views19 year old female after pregnancy
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Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion791 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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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago779 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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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema (NFL Scan - Black Line this visit, Gray line 6 weeks ago)768 viewsNerve Swelling is Less
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Purtscher's Retinopathy767 views19 year old female after pregnancy
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago765 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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Proliferative Sickle Retinopathy - Hemoglobin SC758 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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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 756 views6 week fu - CWS are Fading
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A case of Valsalva Retinopathy -3752 views
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Retinal Arterial Atheromata750 views68-year-old woman with records going back 7 years, which clearly document retinal arterial plaques in both eyes.
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 740 views6 week fu - CWS are Fading
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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy738 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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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy early fa735 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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Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion735 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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Three years after Injury - Optic Atrophy - Vision is 1/200 in each eye734 views
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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Fluorescein Angiogram728 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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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy 727 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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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 727 viewsMacular Scan Shows Cotton Wool Spots and Nerve Swelling (on Left)
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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy723 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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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 717 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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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy 715 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.
59-year-old woman had a blood pressure spike to 170/90 and was on medications for tha
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Cotton Wool Spots and New Diagnosis of Chronic Lymphocytic leukemia714 views73-year-old man with cotton wool spots diagnosed subsequently with with Chronic Lymphocytice Leukemia
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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Fundus Autofluorescence (FAF)714 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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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago712 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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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago712 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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703 views
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Cotton Wool Spots and New Diagnosis of Chronic Lymphocytic leukemia702 views73-year-old man with cotton wool spots diagnosed subsequently with with Chronic Lymphocytice Leukemia
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Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion702 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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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 698 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 698 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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Retinal Arterial Atheromata697 views68-year-old woman with records going back 7 years, which clearly document retinal arterial plaques in both eyes.
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 696 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male695 views49-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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Anemic Retinopathy690 viewsMyelodysplasia - HgB 8 and very low platelet count
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy 687 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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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 686 views6 week fu - CWS are Fading
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Microaneursyms and Macular Edema Not Diabetic684 views85 year old man has been tested about 2-3 times and is always negative for diabetes
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Cotton Wool Spots and New Diagnosis of Chronic Lymphocytic leukemia682 views73-year-old man with cotton wool spots diagnosed subsequently with with Chronic Lymphocytice Leukemia
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Cotton Wool Spots and New Diagnosis of Chronic Lymphocytic leukemia681 views73-year-old man with cotton wool spots diagnosed subsequently with with Chronic Lymphocytice Leukemia
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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Indocyanine Green Angiogram681 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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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 677 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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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy OCT right eye line scan675 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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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago669 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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AIDS - HIV Retinopathy - Cotton Wool Spots666 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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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy663 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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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 662 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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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy660 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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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy659 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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Anemic Retinopathy659 viewsMyelodysplasia - HgB 8 and very low platelet count
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Serous Retinal Detachment - Hypertensive Retinopathy - 1 month later - less fluid (better blood pressure) - SD OCT658 views48 Year old woman resolving hypertensive serous retinal detachment.
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Serous Macular Detachment Left Eye - Possible Hypertensive Choroidopathy v. Central Serous Retinopathy657 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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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy656 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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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 655 viewsNerve Swelling is less
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Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male651 views49-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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