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Most viewed - Retinal Vascular Disease associated with Systemic Disease

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Purtscher's Retinopathy - Motor Vehicle Accident3683 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)2408 viewsSystemic Lupus Erythematosis - Vasculitis
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 2064 viewsElschnig Spots
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1948 viewsElschnig Spots
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Aplastic anemia1639 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 1580 views
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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 1538 viewsElschnig Spots are pigment spots in periphery
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Eales Disease1417 views
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1354 views
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Post- treatment1334 views
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1321 views
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Post- treatment1316 views
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Sickle Cell1260 views
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago1246 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 1233 viewsElschnig Spots are pigment spots in periphery
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Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male1227 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 1205 views
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 1186 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 Vasculitis due to Lupus (FA)1166 viewsSystemic Lupus Erythematosis - Vasculitis
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Three years after Injury - Optic Atrophy - Vision is 1/200 in each eye1153 views
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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 1148 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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A case of Valsalva Retinopathy -11142 views
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1126 views
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HTN Retinopathy w/ cotton wool spots and hemorrhages1112 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 1080 views6 week fu - CWS are Fading
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 1064 views6 week fu - CWS are Fading
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hypertension retinopathy w/ disc edema and CRVO1041 views64 year old white male w/ a vision of 20/200 which eventually improved to 20/60 without treatment
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Lupus Retinopathy1029 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 1012 views
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AIDS - HIV Retinopathy - Cotton Wool Spots981 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 971 views6 week fu - CWS are Fading
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago969 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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Macular Hemorrhage942 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 Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male929 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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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy905 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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Optic Nerve Edema with Retinal Hemorrhages.905 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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Valsalva Retinopathy888 viewsSmall central hemorrhage due to straining
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago887 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 Retinopathy873 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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Diabetic Patient with Macular Edema and Blood Pressure 200/95872 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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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Fluorescein Angiogram859 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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Diabetic Patient with Macular Edema and Blood Pressure 200/95858 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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Proliferative Sickle Retinopathy - Hemoglobin SC854 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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AIDS - HIV Retinopathy - Cotton Wool Spots844 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 838 views
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Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion835 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 ago812 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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Purtscher's Retinopathy811 views19 year old female after pregnancy
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Purtscher's Retinopathy799 views19 year old female after pregnancy
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago794 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)794 viewsNerve Swelling is Less
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Proliferative Sickle Retinopathy - Hemoglobin SC792 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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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Fundus Autofluorescence (FAF)788 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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Three years after Injury - Optic Atrophy - Vision is 1/200 in each eye779 views
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 779 views6 week fu - CWS are Fading
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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Fluorescein Angiogram777 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 Arterial Atheromata772 views68-year-old woman with records going back 7 years, which clearly document retinal arterial plaques in both eyes.
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy 769 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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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy early fa766 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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A case of Valsalva Retinopathy -3766 views
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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 766 views6 week fu - CWS are Fading
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Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion764 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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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy762 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 761 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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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy755 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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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 753 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 753 viewsMacular Scan Shows Cotton Wool Spots and Nerve Swelling (on Left)
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy 751 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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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 750 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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Cotton Wool Spots and New Diagnosis of Chronic Lymphocytic leukemia743 views73-year-old man with cotton wool spots diagnosed subsequently with with Chronic Lymphocytice Leukemia
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago742 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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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 741 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago741 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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Cotton Wool Spots and New Diagnosis of Chronic Lymphocytic leukemia734 views73-year-old man with cotton wool spots diagnosed subsequently with with Chronic Lymphocytice Leukemia
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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 733 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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733 views
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Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male732 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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Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion728 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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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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Anemic Retinopathy726 viewsMyelodysplasia - HgB 8 and very low platelet count
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Cotton Wool Spots and New Diagnosis of Chronic Lymphocytic leukemia724 views73-year-old man with cotton wool spots diagnosed subsequently with with Chronic Lymphocytice Leukemia
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Microaneursyms and Macular Edema Not Diabetic720 views85 year old man has been tested about 2-3 times and is always negative for diabetes
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Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 712 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 Arterial Atheromata711 views68-year-old woman with records going back 7 years, which clearly document retinal arterial plaques in both eyes.
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Cotton Wool Spots and New Diagnosis of Chronic Lymphocytic leukemia710 views73-year-old man with cotton wool spots diagnosed subsequently with with Chronic Lymphocytice Leukemia
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Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy OCT right eye line scan709 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 Retinal Detachment - Hypertensive Retinopathy - 165/120 - Indocyanine Green Angiogram709 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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Malignant Hypertension - Cotton Wool Spots - Elschnig Spots - Optic Nerve Edema 709 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 Nephropathy699 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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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago699 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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Serous Retinal Detachment - Hypertensive Retinopathy - 1 month later - less fluid (better blood pressure) - SD OCT699 views48 Year old woman resolving hypertensive serous retinal detachment.
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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy698 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 Nephropathy695 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 Macular Detachment Left Eye - Possible Hypertensive Choroidopathy v. Central Serous Retinopathy691 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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Bilateral Retinal Arteriol Occlusions - Possible Susac Syndrome 688 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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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy688 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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Microaneurysms from Ocular Ischemic Syndrome (non-diabetic) Right Eye - Left eye CRAO 1 year ago686 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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Anemic Retinopathy684 viewsMyelodysplasia - HgB 8 and very low platelet count
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Serous Macular Detachment Left Eye - Possible Hypertensive Choroidopathy v. Central Serous Retinopathy683 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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