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Most viewed - Retinal Vascular Disease associated with Systemic Disease

HTN-Ret_270-150-wacu_02.png
Grade 4 hypertensive retinopathy519 views55 year old man Hhe did have headaches a few weeks ago and also some nausea and vomiting. He noticed for a few weeks the vision in the left eye was blurred and that the vision in the left eye is dark.
VA OD: Dcc20/20
VA OS: Dcc20/100-1

He was admitted directly to ICU for blood pressure control (290 / 170 mmHg)
3 weeks later his VA increased to 20/20 OD, 20/32 OS
atheromatapama_28529.png
Retinal Arterial Atheromata518 views68-year-old woman with records going back 7 years, which clearly document retinal arterial plaques in both eyes.
liwe_06141213.jpg
Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Fluorescein Angiogram518 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.
hgbsc_vegi11.jpg
Proliferative Sickle Retinopathy - Hemoglobin SC517 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.
liwe_06141225.jpg
Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Indocyanine Green Angiogram517 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 200/95516 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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Cotton Wool Spots now Gone in Both Eyes516 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
sickle_moda_102314_33.jpg
Sickle Retinopathy - Ultra Wide Field Angiogram - Heidelberg516 viewsLeakage from peripheral fronds of NV - HGB SC disease - 28 year old man with vision loss OS from acute vitreous hemorrhage
orbcell_pabr_101915_13.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia516 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.
ocularischemiacarotids_chbl14.png
Ocular Ishemic Syndrome - Bilateral Carotid Occlusions - OD 20/60 OS 20/200 Enlarged Foveal Avascular Zone and Temporal Non-perfusion515 views75-year-old man had laryngeal cancer treated in 15 year ago with radiation. He recently was told that the carotid circulation is closed off on both sides. He does have a patent vertebral artery, which is supplying him pretty well and in addition to that his cardiac output is compromised by poor mitral valves. His consideration is to what can be done about that in the future.
VISUAL ACUITY: OD 20/60, OS 20/200
orbcell_pabr_101915_18.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia515 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.
dmhypertensiveretin_61852sufr_28729.jpg
Diabetic Patient with Macular Edema and Blood Pressure 200/95514 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 Retinopathy - BP 240 / 130 mmHg - Grade 4514 views71 year old woman who claims to be asymptomatic with decreased vision, macular edema, cotton wool spots, subretinal fluid and optic nerve edema
liwe_06141212.jpg
Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Fluorescein Angiogram513 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.
sickle_moda_102314_23.jpg
Sickle Retinopathy - Ultra Wide Field Angiogram - Heidelberg513 viewsLeakage from peripheral fronds of NV - HGB SC disease - 28 year old man with vision loss OS from acute vitreous hemorrhage
hypertensivechronic_jowe09.png
Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male512 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.
crao_vo_daep_041516_15.jpg
Central retinal artery and vein occlusion - Protein C Deficiency 33 year old male512 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.
hypertensivechronic_jowe19.png
Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male511 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.
htndiabetic_glse14.png
Malignany Hypertension - BP 250/130 - Vision 1/200 in each eye - Diabetic511 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
cwshiv_pali13.jpg
AIDS - HIV Retinopathy - Cotton Wool Spots510 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.
sickle_moda_102314_21.jpg
Sickle Retinopathy - Ultra Wide Field Angiogram - Heidelberg510 viewsLeakage from peripheral fronds of NV - HGB SC disease - 28 year old man with vision loss OS from acute vitreous hemorrhage
sickle_moda_102314_29.jpg
Sickle Retinopathy - Ultra Wide Field Angiogram - Heidelberg510 viewsLeakage from peripheral fronds of NV - HGB SC disease - 28 year old man with vision loss OS from acute vitreous hemorrhage
crao_vo_daep_041516_03.jpg
Central retinal artery and vein occlusion - Protein C Deficiency 33 year old male510 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.
orbcell_pabr_101915_04.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia510 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.
htndiabetic_glse05.jpg
Malignany Hypertension - BP 250/130 - Vision 1/200 in each eye - Diabetic508 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
sickle_moda_102314_15.jpg
Sickle Retinpoathy SC Disease - Vitreous Hemorrhage Left Eye - 29 Year old508 viewsSD OCT shows foveal atrophy not uncommon in Sickle from ischemia
hairycell_frno_100115_41.jpg
Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion508 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 Nephropathy507 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 Retinopathy507 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.
atheromatapama_28629.png
Retinal Arterial Atheromata506 views68-year-old woman with records going back 7 years, which clearly document retinal arterial plaques in both eyes.
hgbsc_vegi12.jpg
Proliferative Sickle Retinopathy - Hemoglobin SC506 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.
hypertensivechronic_jowe21.png
Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male505 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.
liwe_06141217.jpg
Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Fluorescein Angiogram505 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.
liwe_06141230.jpg
Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 - Late - ICG shows leakage505 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.
crvo1_frho_010716_02.png
Trousseau Sign - CRVO and Pancreatic Cancer505 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.
fshdystroph_eldi_28729.jpg
Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy early fa504 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.
cwshiv_pali07.jpg
AIDS - HIV Retinopathy - Cotton Wool Spots504 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.
cwshiv_pali14.jpg
AIDS - HIV Retinopathy - Cotton Wool Spots504 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.
hairycell_frno_100115_17.jpg
Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion504 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
crvo1_frho_010716_15.jpg
Trousseau Sign - CRVO and Pancreatic Cancer504 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.
ocularischemiacarotids_chbl13.png
Ocular Ishemic Syndrome - Bilateral Carotid Occlusions - OD 20/60 OS 20/200 Enlarged Foveal Avascular Zone and Temporal Non-perfusion503 views75-year-old man had laryngeal cancer treated in 15 year ago with radiation. He recently was told that the carotid circulation is closed off on both sides. He does have a patent vertebral artery, which is supplying him pretty well and in addition to that his cardiac output is compromised by poor mitral valves. His consideration is to what can be done about that in the future.
VISUAL ACUITY: OD 20/60, OS 20/200
hypertensivechronic_jowe11.png
Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male502 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.
liwe_06141210.jpg
Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 Infra Red502 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.
HTN-Ret_270-150-wacu_03.png
Grade 4 hypertensive retinopathy502 views55 year old man Hhe did have headaches a few weeks ago and also some nausea and vomiting. He noticed for a few weeks the vision in the left eye was blurred and that the vision in the left eye is dark.
VA OD: Dcc20/20
VA OS: Dcc20/100-1

He was admitted directly to ICU for blood pressure control (290 / 170 mmHg)
3 weeks later his VA increased to 20/20 OD, 20/32 OS
liwe_06141206.jpg
Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 501 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.
hgbsc_vegi08.jpg
Proliferative Sickle Retinopathy - Hemoglobin SC500 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.
sickle_moda_102314_31.jpg
Sickle Retinopathy - Ultra Wide Field Angiogram - Heidelberg500 viewsLeakage from peripheral fronds of NV - HGB SC disease - 28 year old man with vision loss OS from acute vitreous hemorrhage
hivRet_rish_031015_02.png
HIV Retinopathy500 viewsCentral white spot is an artifact. The small vascular abnormalities are from HIV
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Wet AMD Small New Hemorrhage - Valsalva499 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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Malignany Hypertension - BP 250/130 - Vision 1/200 in each eye - Diabetic499 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
hairycell_frno_100115_16.jpg
Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion499 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
crvo1_frho_010716_12.jpg
Trousseau Sign - CRVO and Pancreatic Cancer499 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.
liwe_06141234.avi
Serous Retinal Detachment - Hypertensive Retinopathy -- 1 month later - less fluid (better blood pressure) (SD OCT VIDEO TAKES TIME TO LOAD)498 views48 Year old woman resolving hypertensive serous retinal detachment.
hypertensivechronic_jowe20.png
Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male497 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.
liwe_06141232.jpg
Serous Retinal Detachment - Hypertensive Retinopathy -- 1 month later - less fluid (better blood pressure)497 views48 Year old woman resolving hypertensive serous retinal detachment.
fshdystroph_eldi_28829.jpg
Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy early fa496 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.
ocularischemiacarotids_chbl22.jpg
Ocular Ishemic Syndrome - Bilateral Carotid Occlusions - OD 20/60 OS 20/200 Enlarged Foveal Avascular Zone and Temporal Non-perfusion496 views75-year-old man had laryngeal cancer treated in 15 year ago with radiation. He recently was told that the carotid circulation is closed off on both sides. He does have a patent vertebral artery, which is supplying him pretty well and in addition to that his cardiac output is compromised by poor mitral valves. His consideration is to what can be done about that in the future.
VISUAL ACUITY: OD 20/60, OS 20/200
sickle_moda_102314_30.jpg
Sickle Retinopathy - Ultra Wide Field Angiogram - Heidelberg496 viewsLeakage from peripheral fronds of NV - HGB SC disease - 28 year old man with vision loss OS from acute vitreous hemorrhage
HTN-Ret_270-150-wacu_08.jpg
Grade 4 hypertensive retinopathy496 views55 year old man Hhe did have headaches a few weeks ago and also some nausea and vomiting. He noticed for a few weeks the vision in the left eye was blurred and that the vision in the left eye is dark.
VA OD: Dcc20/20
VA OS: Dcc20/100-1

He was admitted directly to ICU for blood pressure control (290 / 170 mmHg)
3 weeks later his VA increased to 20/20 OD, 20/32 OS
htndiabetic_glse09.png
Malignany Hypertension - BP 250/130 - Vision 1/200 in each eye - Diabetic495 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
HTN-Ret_270-150-wacu_16.png
Grade 4 hypertensive retinopathy495 views55 year old man Hhe did have headaches a few weeks ago and also some nausea and vomiting. He noticed for a few weeks the vision in the left eye was blurred and that the vision in the left eye is dark.
VA OD: Dcc20/20
VA OS: Dcc20/100-1

He was admitted directly to ICU for blood pressure control (290 / 170 mmHg)
3 weeks later his VA increased to 20/20 OD, 20/32 OS
hairycell_frno_100115_24.jpg
Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion494 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
fshdystroph_eldi_281129.jpg
Retinal Vasculopathy associated with Facioscapulohumeral Muscular Dystrophy mid fa493 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.
cwsinitial_28229.png
Cotton Wool Spots Both Eyes after Strep Pneumonia and Cardiac ICU Stay 1 Month Ago 493 views60-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.
sickle_moda_102314_12.jpg
Sickle Retinpoathy SC Disease - Vitreous Hemorrhage Left Eye - 29 Year old493 views
hairycell_frno_100115_09.png
Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion493 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
crao_vo_daep_041516_04.jpg
Central retinal artery and vein occlusion - Protein C Deficiency 33 year old male493 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.
atheromatapama_28729.png
Retinal Arterial Atheromata492 views68-year-old woman with records going back 7 years, which clearly document retinal arterial plaques in both eyes.
atheromatapama_28829.png
Retinal Arterial Atheromata492 views68-year-old woman with records going back 7 years, which clearly document retinal arterial plaques in both eyes.
ocularischemiacarotids_chbl21.jpg
Ocular Ishemic Syndrome - Bilateral Carotid Occlusions - OD 20/60 OS 20/200 Enlarged Foveal Avascular Zone and Temporal Non-perfusion492 views75-year-old man had laryngeal cancer treated in 15 year ago with radiation. He recently was told that the carotid circulation is closed off on both sides. He does have a patent vertebral artery, which is supplying him pretty well and in addition to that his cardiac output is compromised by poor mitral valves. His consideration is to what can be done about that in the future.
VISUAL ACUITY: OD 20/60, OS 20/200
hivRet_rish_031015_03.jpg
HIV Retinopathy492 viewsFAF
liwe_06141207.jpg
Serous Retinal Detachment - Hypertensive Retinopathy - 165/120 491 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.
cws2molater_wath_28129.png
Cotton Wool Spots now Gone in Both Eyes490 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
htndiabetic_glse06.png
Malignany Hypertension - BP 250/130 - Vision 1/200 in each eye - Diabetic490 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
sickle_moda_102314_24.jpg
Sickle Retinopathy - Ultra Wide Field Angiogram - Heidelberg490 viewsLeakage from peripheral fronds of NV - HGB SC disease - 28 year old man with vision loss OS from acute vitreous hemorrhage
sickle_moda_102314_28.jpg
Sickle Retinopathy - Ultra Wide Field Angiogram - Heidelberg490 viewsLeakage from peripheral fronds of NV - HGB SC disease - 28 year old man with vision loss OS from acute vitreous hemorrhage
hairycell_frno_100115_14.jpg
Hairy Cell Leukemia - Retinal Hemorrhage and twig Branch Vein Occlusion490 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
hgbsc_vegi13.jpg
Proliferative Sickle Retinopathy - Hemoglobin SC488 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.
orbcell_pabr_101915_08.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia487 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.
hypertensivechronic_jowe08.png
Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male486 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.
sickle_disa_122018_25.jpg
Sickle Retinopathy - Chronic retinal detachment OS - Proliferation OD486 views40 year old with known SC disease. Failed to return 4 years ago for treatment and lost ision in the left eye. Then returned for one visit and refused further treatment.
SCHAUERW-maphoto.jpg
Parafoveal Microaneurysm - Not Diabetic485 views88 year old man asymptomatic with parafoveal microaneurysm
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Valsalva Retinopathy - Macular Hemorrhage - Permanent Vision loss - Intraretinal Blood485 views65 year old man with sudden vision loss in the right eye. Initial vision 20/200. VA improved to 20/50 in one year. Had carotid stenosis
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Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male484 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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Ocular Ishemic Syndrome - Bilateral Carotid Occlusions - OD 20/60 OS 20/200 Enlarged Foveal Avascular Zone and Temporal Non-perfusion484 views75-year-old man had laryngeal cancer treated in 15 year ago with radiation. He recently was told that the carotid circulation is closed off on both sides. He does have a patent vertebral artery, which is supplying him pretty well and in addition to that his cardiac output is compromised by poor mitral valves. His consideration is to what can be done about that in the future.
VISUAL ACUITY: OD 20/60, OS 20/200
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Hypertensive Retinopathy484 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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Purtchers Retinopathy with Bilateral Central Retinal Artery Occlusions 483 views50-year-old man traumatic chest compression and leg crushing injury. OD 1/200, OS 3/200
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Sickle Retinpoathy SC Disease - Vitreous Hemorrhage Left Eye - 29 Year old483 views
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Wet AMD Small New Hemorrhage - Valsalva482 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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Sickle Retinpoathy SC Disease - Vitreous Hemorrhage Left Eye - 29 Year old482 views
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Sickle Retinopathy - Ultra Wide Field Angiogram - Heidelberg482 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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HIV Retinopathy482 viewsFAF
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Trousseau Sign - CRVO and Pancreatic Cancer482 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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HIV Retinopathy481 views
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Cotton Wool Spots now Gone in Both Eyes480 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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Hypertensive Choroidopathy - Pheochromocytoma - Chronic Very High Blood Pressure 49 YO Male480 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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Trousseau Sign - CRVO and Pancreatic Cancer480 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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Hypertensive Retinopathy with Choroidal Ischemia Right Eye and Vision 8/200 - Blood Pressure 240/120 mmHg IgA Nephropathy479 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.479 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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HIV Retinopathy479 views
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