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Epiretinal Membranevista 437 vecesPatient with a history of pars planitis comes in with decreased vision in the left eye. VA is 20/30 in the left eye. Fundus photos show a rather large epiretinal membrane covering the optic nerve in the left eye.

hydroxychloroquine (Plaquenil) Toxicity - Taiwanese 56 year old female (Asian)vista 437 veces56 year old female on 400 mg plaquenil for 22 years presents with vision loss. VA 20/50 both eyes. Plaquenil was stopped. The vision in the left eye continued to deteriorate to 3/200. 5'2" 127 lb (6.6 mg/kg body weight)

Macular Telangiectasia and dry AMD - Simulating wet AMDvista 437 vecesThis patient was told different things by different retina specialists. Her case is complex because she has OCT findings of Macular Telangiectasis and dry AMD. This makes it look like she has wet AMD. Her vision is stable.

Travatan Induced CME Left eyevista 437 veces63 year old woman 4 years post ECCE and 2 years post PPV for floaters. She developed CME in the left eye after 1 year of travatan. The travatan was stopped and the CME and serous retinal detachment resolved.

Hydroxychloroquine retinopathy - Plaquenil - Moderatevista 437 veces51 year old female on with trouble driving at night for a year. No eye examination for several years. 2009 (11 years ago) Plaquenil 300 then up to 400 a few years ago now down to 300 - 5'2" 135 lbs

VA 20/20 OD, 20/25 OS

Macular Pucker Pre-OP 20/200 Macular Pucker Pre-OP 20/200 vista 436 veces

Vitreomacular Traction 3 months - 20/60 vision - Fellow Eye Normal - 80 Year Old Man - Red Freevista 436 veces80-year-old man has a macular pucker in the right eye with vitreomacular traction and vision loss for 3 months. His vision seems about stable to him. OD 20/60.

Macular Telangiectasia - Stage 5 left eye - 20/40 vision after 2 years of Avastin vista 436 vecesConfocal Green Reflectance

Macular Hole Left Eye - progression from VMT - Stage II macular hole - Spontaneously Closed Macular Holevista 436 veces

Macular Telangiectasia - Mildvista 436 veces56 year old female with good vision and mild macular telangiectasia. VA 20/40 OD 20/16 OS

Macular Puckervista 435 veces. This pleasant 59-year-old man had vitrectomy for a macular pucker in the right eye in July. His vision is gradually improving.

VISUAL ACUITY: Vision OD is 20/30. IOP: OD 22. There is 2+ nuclear sclerosis.

EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.5. The macula is smooth and the retina is attached.

OCT SCAN: The OCT scan shows an average central foveal thickness of 349 microns, which compares favorably to the pre-op thickness of 482 microns.

Idiopathic Central Serous Retinopathy - Bilateral - Acute vista 435 veces49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400

Macular Pucker - Diabetic - Severe non-foveal Edema OSvista 435 veces74-year-old man has a macular pucker in the left eye and diabetic retinopathy.
VISUAL ACUITY: Vision OD is 20/25, OS is 20/40.

Acute Central Serous Retinopathy (Chorioretinopathy) Right Eyevista 435 veces45-year-old man decreased vision in the right eye starting about two days ago. VISUAL ACUITY: Vision OD is 20/60, OS is 20/20.

Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachmentvista 435 veces38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.

VISUAL ACUITY: OD 20/100, OS 20/50.

Chronic Pseudophakic Cystoid Macular Edema - Haptic Migrated into Anterior Chamber Through Peripheral Iridotomyvista 435 veces57-year-old man with congenital nystagmus. He had cataract surgery done 30 years ago and has decreased vision left eye for 6 months. OD is 20/50, OS is 20/100

Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vista 435 veces60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM

Vitreomacular traction - 20/50 vision and symptomatic with metamorphopsiavista 435 veces

Cystoid Macular Edema 10 years after Cataract Surgeryvista 435 vecesNo overt uveitis but the patient had aching in the eyes and responded to topical anti-inflammatory drops with recurrence of the CME on discontinuation of topical therapy

Retinal fold following removal of severe macular puckervista 435 veces75 year old man had macula on inferior retinal detachment repair. He then developed a 5/200 dense macular pucker. After the pucker was removed the vision returned to 20/40 but there was a persistent superior retinal fold that looks a little like a snake.

Juxtafoveal Telangiectasis - After Hemorrhage Absorbed Right Eye with Avastin Injectionsvista 434 veces73-year-old woman has juxtafoveal retinal telangiectasis in both eyes. The right eye has stage 5 disease. Her last Avastin treatment in the right eye was in 6 months ago. The right eye has been the worst of her two eyes for years.

VISUAL ACUITY: Vision OD is 20/200, OS is 20/50.

Asymptomatic 20/200 Macular Pucker 79 year old man - Left Eyevista 434 veces79-year-old man who had not noticed a change in vision, but was diagnosed with a macular pucker in the left eye. Even now he doesnâ€™t notice much difference between the eyes, although he doesnâ€™t usually compare them. He has a prescription for new glasses.

VISUAL ACUITY: OD 20/80, Pinhole 20/50. OS 20/200.

Macular Pucker - Spontaneously Partial Peel after 20 Years. Vision improved to 20/30vista 434 veces83-year-old woman decreased vision in the right eye for about a month. 20 years ago she was diagnosed with a macular pucker OD 20/50, OS 20/20.

Vitreomacular traction - recent vision loss left eye - FAvista 434 veces

Macular Hole Left Eye - progression from VMT - Stage II macular hole - Spontaneously Closed Macular Holevista 434 vecesAsymptomatic VMT OS with 20/30 VA

Choroidal Effusions and Serous retinal detachment with Systemic Testosterone and Cialis in 75 year old Manvista 434 veces4 months after presentation - vision is 20/20 OU

Vitreomacular traction - 20/50 vision and symptomatic with metamorphopsiavista 434 veces

Macular Telangiectasis - visible telangiectasia on color photosvista 434 vecesMulticolor photos too show pathology. This patient had 20/50 vision with pinhole to 20/25

Chronic CSR with mild vision loss - Macular Atrophy Right Eyevista 434 veces55 year old man has not been to an eye doctor in years. VA 20/40 OD and 20/25 OS. OCT shows outer retinal atrophy and choroidal thickening. FAF shows guttering. FA shows no active lesions. ICG shows patchy mild leakage visible at about 5 minutes.

Macular Pucker 20/32 with increased distortion for a monthvista 434 veces

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Macular Puckervista 433 vecesOCT scan of MP

Pseudophakic CME with serous retinal detachment - FA shows leakage in both eyesvista 433 veces68 year old man with 2 months of vision loss. FA shows CME, notice that the nerve also leaks. This is typical for pseudophakic inflammatory cystoid macular edema

Macular Telangiectasis (MacTel)vista 433 veces

Chronic CSR with mild vision loss - Macular Atrophy Right Eyevista 433 veces55 year old man has not been to an eye doctor in years. VA 20/40 OD and 20/25 OS. OCT shows outer retinal atrophy and choroidal thickening. FAF shows guttering. FA shows no active lesions. ICG shows patchy mild leakage visible at about 5 minutes.

Chronic CSC Both Eyes - Recent vision loss Right Eye Treated with PDTvista 433 veces50 year old man The right eye has had vision loss for a few weeks. He had previous episodes seen by me in 2012 OS and 2008 OD. This was 2018. VA OS has been poor for several years.
VA OD: Dcc20/100
VA OS: Dcc20/200-3
The patient had PDT to leaky area superotemporal to the fovea 1/2 dose and within 3 months was back up to 20/25. The last two OCT scans show fluid absorbing

Acute Central Serous Chorioretinopathy with Symptoms in Hazy Vision Both Eyesvista 432 veces48-year-old man with hazy vision in the right eye for about three days. He has a little more of a headache than usual. He is under a fair amount of stress. He does not take any steroids that he knows of. He does use a nasal spray, which he is not sure if that is a steroid spray or not. He is going to call us with that medicine. I checked his blood pressure today is was 115/95.

VISUAL ACUITY: OD 20/15, OS 20/25

Idiopathic Central Serous Retinopathy - Bilateral - Acute vista 432 veces49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400

Macular Pucker 20/40 Vision vista 432 veces59-year-old woman blurry vision in the right eye for about the last one or two years. She had cataract surgery in 1981, a retinal detachment repair with scleral buckle in 1988 in the right eye, and then she had lens implants in both eyes, anterior chamber lenses, in 1994. She did start taking Latisse for eyelashes about a year and a half ago.

VISUAL ACUITY: Vision OD is 20/40, OS is 20/20
(4 months later with a short course of antiinflammatory drops and new glasses her vision improved to 20/25)

Macular Pucker - Spontaneously Partial Peel after 20 Years. Vision improved to 20/30vista 432 veces83-year-old woman decreased vision in the right eye for about a month. 20 years ago she was diagnosed with a macular pucker OD 20/50, OS 20/20.

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Central Serous Retinopathyvista 432 vecesPatient comes in with blurred vision. Patient also had a lung transplant. VA was 20/150 with pinhole correction to 20/60 in the right eye. Fundus exam in the right eye shows a great amount of sub retinal fluid over the macula. Will monitor to see if it goes away on its own, if not then will consider laser treatment.

Central Serous Retinopathy 25 year old professional baseball player - Atypical - Choroidal Hypo-perfusion?vista 432 veces

vista 432 veces

Macular Telangiectasia and dry AMD - Simulating wet AMDvista 432 vecesThis patient was told different things by different retina specialists. Her case is complex because she has OCT findings of Macular Telangiectasis and dry AMD. This makes it look like she has wet AMD. Her vision is stable.

Central Serous Retinopathy - Subretinal Fibrinvista 432 veces66 year old female with 20 year history of single episode of CSR. Now with vision loss for a month but improving - VA 20/63 OD; 20/32 OS

Severe Macular Puckervista 432 veces57 year old female with 20/200 vision and dense macular pucker. Vision improved to 20/50 within about 6 months of surgery.

Stage 4 Macular Holevista 432 veces57 year old female with 20/160 vision and stage 4 macular hole

Macular Hole - Asymptomaticvista 432 veces71 year old female did not notice 20/200 macular hole. Post surgery vision improved to 20/30

Juxtfoveal Telangiectasis Group 2a - Type II - MacTel - also Juxtapapillary Asymptomatic CNVM Right Eyevista 431 veces82-year-old woman who has juxtafoveal retinal telangiectasis in both eyes. She recently had cataract surgery in the right eye and the vision in the right eye is still limited. OD 20/100, OS 20/40.

Juxtafoveal Telangiectasis - After Hemorrhage Absorbed Right Eye with Avastin Injectionsvista 431 veces73-year-old woman has juxtafoveal retinal telangiectasis in both eyes. The right eye has stage 5 disease. Her last Avastin treatment in the right eye was in 6 months ago. The right eye has been the worst of her two eyes for years.

VISUAL ACUITY: Vision OD is 20/200, OS is 20/50.

Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vista 431 veces60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM

vista 431 veces

Central Serous Retinopathy 25 year old professional baseball player - Atypical - Choroidal Hypo-perfusion?vista 431 veces

Choroidal Effusions and Serous retinal detachment with Systemic Testosterone and Cialis in 75 year old Manvista 431 vecesFAF shows choroidal effusion as black (confocal system)

Central Serous Retinopathy - Subretinal Fibrinvista 431 veces66 year old female with 20 year history of single episode of CSR. Now with vision loss for a month but improving - VA 20/63 OD; 20/32 OS

Chronic Central Serous Chorioretinopathyvista 431 veces77 year old man was seen at uveitis clinic and tested positive to Anti-retinal antibody against 35 kDa and anti-optic nerve antibody. He did not have EDI OCT, FAF, or ICG. All testing was consistent with Chronic CSR. His immunosuppresives were stopped and he did fine for 3 years.

Chronic CSC Both Eyes - Recent vision loss Right Eye Treated with PDTvista 431 veces50 year old man The right eye has had vision loss for a few weeks. He had previous episodes seen by me in 2012 OS and 2008 OD. This was 2018. VA OS has been poor for several years.
VA OD: Dcc20/100
VA OS: Dcc20/200-3
The patient had PDT to leaky area superotemporal to the fovea 1/2 dose and within 3 months was back up to 20/25. The last two OCT scans show fluid absorbing

Acute Central Serous Chorioretinopathy with Symptoms in Hazy Vision Both Eyesvista 430 veces48-year-old man with hazy vision in the right eye for about three days. He has a little more of a headache than usual. He is under a fair amount of stress. He does not take any steroids that he knows of. He does use a nasal spray, which he is not sure if that is a steroid spray or not. He is going to call us with that medicine. I checked his blood pressure today is was 115/95.

VISUAL ACUITY: OD 20/15, OS 20/25

Idiopathic Central Serous Retinopathy - Bilateral - Acute vista 430 veces49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400

Idiopathic Central Serous Retinopathy - Bilateral - Acute 4 months later VA 20/40 OUvista 430 vecesNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.

Vitreomacular traction with traction over retinal vessels in non-diabetic - Fluorescein leakage in areas of traction - Progressing vision loss left eyevista 430 veces80-year-old woman had vitrectomy surgery done in the right eye in 2007. Vision has been poor since despite a good anatomical result. Recently her vision in the left eye has been declining. The vision has declined in the left eye. Vision OD is 20/160, OS is 20/80

Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vista 430 veces60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM

Juxtafoveal Telangiectasis (MacTel) and Asymptomatic Extrafoveal Juxtapapillary Choroidal Neovascular Membranevista 430 veces84-year-old woman has juxtafoveal retinal telangiectasis in both eyes. The right eye has an asymptomatic extra foveal juxtapapillary choroidal neovascular membrane. OD 20/400, OS 20/63.

Macular Puckervista 430 vecesOCT scan of MP

Macular Hole Left Eye - progression from VMT - Stage II macular hole - Spontaneously Closed Macular Holevista 430 veces

Vitrectomy with membrane peelvista 430 vecesIntraoperative images showing the peeling of an epiretinal membrane - macular pucker - with a 25 gauge forcepts.

Macular Telangiectasis with Symptomatic Blind Spotsvista 430 veces55 year old man with non-neovascular MacTel. VA 20/20 right eye 20/50 left eye. The color images show gray areas temporally. The FAF shows decreased macular pigment. The OCT shows outer retinal atrophy.

Chronic CSR with mild vision loss - Macular Atrophy Right Eyevista 430 veces55 year old man has not been to an eye doctor in years. VA 20/40 OD and 20/25 OS. OCT shows outer retinal atrophy and choroidal thickening. FAF shows guttering. FA shows no active lesions. ICG shows patchy mild leakage visible at about 5 minutes.

Juxtafoveal Telangiectasis and Newly Decreasing Visionvista 429 veces70-year-old woman followed for 10 years with IJFT with newly decreasing vision OU OD: 20/160; OD: 20/80

Chronic Central Serous Retinopathy treated with Photodynamic Laser and Visudynevista 429 veces48-year-old man has had waxing and waning vision in the left eye for the last year from central serous retinopathy. OD is 20/16, OS is 20/30.

vista 429 veces

Idiopathic Central Serous Retinopathy - Bilateral - Acute vista 429 veces49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400

Lumigan (Bimatoprost) Cystoid Macular Edema - Eye Better 1 month after Stopping Lumiganvista 429 veces 82-year-old man had cataract surgery in 1993. He has had glaucoma for seven or eight years for a long time. He is taking Lumigan only in the left eye. About a year ago he started in the right eye and then starting just about a few months ago he has noticed intermittent blurring in the vision in the right eye. Vision 20/25 OD, 20/20 OS

Cystoid macular edema 4 months following cataract surgery with serous retinal detachmentvista 429 vecesAfter Posterior sub tenon's kenalog vision improved within 1 month and IOP was fine

Central Serous Retinopathy - Subretinal Fibrinvista 429 veces66 year old female with 20 year history of single episode of CSR. Now with vision loss for a month but improving - VA 20/63 OD; 20/32 OS

Chronic Central Serous Chorioretinopathy Both Eyesvista 429 veces60 year old man with 20 year history of chronic CSR. He has had laser and PDT in the past. The left eye has been 20/100 for decades. The right eye is now declining. Was 20/32 and is down to 20/50. There is chronic low grade subretinal fluid away from the center in the right eye. (focal laser in the right eye in 2005, left eye 2001 at BPEI). Refampin tried in 2012, Aldactone in 2013. PDT in 204 and 2017 Images are from 2017

Macular Telangiectasia - Mildvista 429 veces56 year old female with good vision and mild macular telangiectasia. VA 20/40 OD 20/16 OS

Vitreomacular traction with traction over retinal vessels in non-diabetic - Fluorescein leakage in areas of traction - Progressing vision loss left eyevista 428 veces80-year-old woman had vitrectomy surgery done in the right eye in 2007. Vision has been poor since despite a good anatomical result. Recently her vision in the left eye has been declining. The vision has declined in the left eye. Vision OD is 20/160, OS is 20/80

Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel VIDEO TAKES TIME TO LOADvista 428 veces60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM

vista 428 veces

Macular Hole Left Eye - progression from VMT - Stage II macular hole - Spontaneously Closed Macular Holevista 428 vecesVision has dropped to 20/50 and there is a full thickness macular hole

Pseudophakic CME with serous retinal detachment - FA shows leakage in both eyesvista 428 veces68 year old man with 2 months of vision loss. FA shows CME, notice that the nerve also leaks. This is typical for pseudophakic inflammatory cystoid macular edema

Central Serous Retinopathy - Subretinal Fibrinvista 428 veces66 year old female with 20 year history of single episode of CSR. Now with vision loss for a month but improving - VA 20/63 OD; 20/32 OS

Chronic CSC Both Eyes - Recent vision loss Right Eye Treated with PDTvista 428 veces50 year old man The right eye has had vision loss for a few weeks. He had previous episodes seen by me in 2012 OS and 2008 OD. This was 2018. VA OS has been poor for several years.
VA OD: Dcc20/100
VA OS: Dcc20/200-3
The patient had PDT to leaky area superotemporal to the fovea 1/2 dose and within 3 months was back up to 20/25. The last two OCT scans show fluid absorbing

Bilateral Acute Central Serous Chorioretinopathy - Evidence of old disease OSvista 428 veces64 year old man noticed in the right eye that is a black spot 4 days ago. Also vertical lines in his kitchen were a little wavy. He is not on any steroid medications. He has vertigo.
VA OD: Dcc20/25-2 NccJ1+-3
VA OS: Dcc20/32-1 PHNI NccJ5-1
IOP: TP: OD:12 OS:15

Macular Telangiectasia and dry AMD - Simulating wet AMDvista 427 vecesThis patient was told different things by different retina specialists. Her case is complex because she has OCT findings of Macular Telangiectasis and dry AMD. This makes it look like she has wet AMD. Her vision is stable.

Chronic CSR with mild vision loss - Macular Atrophy Right Eyevista 427 veces55 year old man has not been to an eye doctor in years. VA 20/40 OD and 20/25 OS. OCT shows outer retinal atrophy and choroidal thickening. FAF shows guttering. FA shows no active lesions. ICG shows patchy mild leakage visible at about 5 minutes.

Stage 4 Macular Holevista 427 veces57 year old female with 20/160 vision and stage 4 macular hole

pucker-prepeel-linevista 427 veces

Macular Pucker - 3 Weeks Vision Loss - 20/50 Vision - Preoperative Imagesvista 426 vecesPREOP:
59-year-old man new onset floaters about a year ago. Subsequent to that his vision was not quite right in the right eye and then he noticed, starting about three weeks ago, substantial change in the vision. VISUAL ACUITY: Vision OD is 20/50, OS is 20/16

Choroidal Effusions and Serous retinal detachment with Systemic Testosterone and Cialis in 75 year old Manvista 426 vecesSD OCT shows choroidal thickening and subretinal fluid

Vitrectomy with membrane peelvista 426 vecesIntraoperative images showing the peeling of an epiretinal membrane - macular pucker - with a 25 gauge forcepts.

Hydroxychlorquine (Plaquenil) Toxicity - Taiwanese 56 year old female (Asian)vista 426 veces56 year old female on 400 mg plaquenil for 22 years presents with vision loss. VA 20/50 both eyes. Plaquenil was stopped. The vision in the left eye continued to deteriorate to 3/200. 5'2" 127 lb (6.6 mg/kg body weight)

hydroxychloroquine (Plaquenil) Toxicity - Taiwanese 56 year old female (Asian)vista 426 veces56 year old female on 400 mg plaquenil for 22 years presents with vision loss. VA 20/50 both eyes. Plaquenil was stopped. The vision in the left eye continued to deteriorate to 3/200. 5'2" 127 lb (6.6 mg/kg body weight)

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