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Most viewed - Macular Diseases - Acquired

Macular Telangiectasis with Symptomatic Blind Spots392 views55 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.

Pseudophakic Cystoid Macular Edema Both Eyes392 views81 year old man with vision loss about 4 months following ECCE. Did not respond to topical therapy but did fine with PST kenalog

Acute Bilateral Central Serous Chorioretinopathy - Female - Smokestack392 views39 year old female She had no prior epsisodes of vision loss and then a week ago she noticed decreased vision in the right eye. She has not had any health problems and she is not pregnant. Phendimetrazine started 3 months ago. She is not on steroids. VA OD: sc20/63-1 NscJ16 VA OS: sc20/125-1 Dcc20/80 NscJ16 IOP: TP: OD:14 OS:14 Time:11:23 AM

391 views

Macular Pucker 20/40 vision - minimal symptoms for 1 year Right eye391 viewsFA shows leakage from traction from pucker in the right eye - cystoid macular edema

391 views

Central Serous Retinopathy - Subretinal Fibrin391 views66 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 CSR with mild vision loss - Macular Atrophy Right Eye391 views55 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.

Normal Vision - Chronic Central Serous Chorioretinopathy391 views67 year old man - never had any symptoms - 20/16 vision in each eye. Lesions spare the fovea

Chronic Central Serous Chorioretinopathy391 views77 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.

Central Serous Chorioretinopathy - Moderate391 views49 year old man with episodes in 2011, 2017, and 2018 - now with some paracentral vision loss in the right eye and subretinal fluid.

Juxtafoveal Telangiectasis - After Hemorrhage Absorbed Right Eye with Avastin Injections390 views73-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.

390 views

Travatan Induced CME Left eye390 views63 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.

Multifocal Bilateral Central Serous Retinopathy in African American Male390 views67 year old african american male with : Blurred Vision OD. Duration of Problem: 4-6 weeks. VA 20/32 OD 20/20 OS

Chronic CSR with mild vision loss - Macular Atrophy Right Eye390 views55 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 Central Serous Chorioretinopathy390 views77 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 PDT390 views50 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

Central Serous Chorioretinopathy - Moderate390 views49 year old man with episodes in 2011, 2017, and 2018 - now with some paracentral vision loss in the right eye and subretinal fluid.

Macular Telangiectasis and Vision loss following vitrectomy with membrane peel390 views76 year old man with MacTel who had membrane peel in the right eye 10 years ago with permanent vision loss.
VA OD: sc20/200-4 and VA OS: sc20/25-1

Acute Bilateral Central Serous Chorioretinopathy - Female - Smokestack390 views39 year old female She had no prior epsisodes of vision loss and then a week ago she noticed decreased vision in the right eye. She has not had any health problems and she is not pregnant. Phendimetrazine started 3 months ago. She is not on steroids. VA OD: sc20/63-1 NscJ16 VA OS: sc20/125-1 Dcc20/80 NscJ16 IOP: TP: OD:14 OS:14 Time:11:23 AM

389 views

Myopic Traction Maculopathy - Long Term Follow-up389 views88-92 year old woman with about 20/40 vision and myopic tractional maculopathy. Her vision fluctuates a little. The serial OCT's show no progression.

Vitrectomy with membrane peel389 viewsIntraoperative images showing the peeling of an epiretinal membrane - macular pucker - with a 25 gauge forcepts.

Multifocal Bilateral Central Serous Retinopathy in African American Male389 views67 year old african american male with : Blurred Vision OD. Duration of Problem: 4-6 weeks. VA 20/32 OD 20/20 OS

PAMM post CRAO389 views

Vitreomacular Traction -> Macular Hole -> Aborted Macular hole389 viewsProgression of VMT in both eyes over time

Stage 2-3 Macular Hole - Closed with Vitrectomy and ILM peel with Brilliant blue389 views68 year old female was 20/100 with macular hole - VA improved to 20/25 post-op. C3F8 was used

Vitreomacular traction with traction over retinal vessels in non-diabetic - Fluorescein leakage in areas of traction - Progressing vision loss left eye388 views80-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

388 views

Myopic Traction Maculopathy - Long Term Follow-up388 views88-92 year old woman with about 20/40 vision and myopic tractional maculopathy. Her vision fluctuates a little. The serial OCT's show no progression.

Multifocal Bilateral Central Serous Retinopathy in African American Male388 views67 year old african american male with : Blurred Vision OD. Duration of Problem: 4-6 weeks. VA 20/32 OD 20/20 OS

Cystoid Macular Edema following Cataract surgery and vitrectomy for floaters388 views73 year old woman who had decreased vision 4 months following combined vitrectomy and cataract surgery. VA 20/63 improved in 1 month to 20/25 with ketorolac and prednisolone drops.

Pseudophakic Cystoid Macular Edema Both Eyes388 views81 year old man with vision loss about 4 months following ECCE. Did not respond to topical therapy but did fine with PST kenalog

Chronic Central Serous Chorioretinopathy388 views77 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 PDT388 views50 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

387 views

Choroidal Effusions and Serous retinal detachment with Systemic Testosterone and Cialis in 75 year old Man387 viewsFluorescein angiogram shows some staining of the disk - confocal system renders peripheral effusions black

Central Serous Chorioretinopathy - Moderate387 views49 year old man with episodes in 2011, 2017, and 2018 - now with some paracentral vision loss in the right eye and subretinal fluid.

Acute Bilateral Central Serous Chorioretinopathy - Female - Smokestack387 views39 year old female She had no prior epsisodes of vision loss and then a week ago she noticed decreased vision in the right eye. She has not had any health problems and she is not pregnant. Phendimetrazine started 3 months ago. She is not on steroids. VA OD: sc20/63-1 NscJ16 VA OS: sc20/125-1 Dcc20/80 NscJ16 IOP: TP: OD:14 OS:14 Time:11:23 AM

Macular Telangiectasia - Mild387 views56 year old female with good vision and mild macular telangiectasia. VA 20/40 OD 20/16 OS

Macular telangiectasia - images from 10 years later - crystals 387 views75 year old man with MacTel and a lot of crystals VA 20/63 OD, 20/50 OS.

Myopic Traction Maculopathy - Long Term Follow-up386 views88-92 year old woman with about 20/40 vision and myopic tractional maculopathy. Her vision fluctuates a little. The serial OCT's show no progression.

Multifocal Bilateral Central Serous Retinopathy in African American Male386 views67 year old african american male with : Blurred Vision OD. Duration of Problem: 4-6 weeks. VA 20/32 OD 20/20 OS

Prefoveal Opercula and early Lamellar Macular Hole386 views73 year old man with 20/32 vision and pre-foveal opercula. The OCT shows very early lamellar hole with lamellar hole epiretinal proliferation

Severe Macular Pucker386 views57 year old female with 20/200 vision and dense macular pucker. Vision improved to 20/50 within about 6 months of surgery.

Vitreomacular Traction -> Macular Hole -> Aborted Macular hole386 viewsProgression of VMT in both eyes over time

Juxtafoveal Telangiectasis - MacTel - Group 2a - Stage IV - Pigment Plaque 89 Year Old Man - Asteroid Hyalosis385 views89-year-old man has stage IV juxtafoveal retinal telangiectasis in both eyes with background diabetic retinopathy. His vision is stable since he was here last which is about 6 months ago. OD 20/50, OS 20/70.

Vitreomacular traction - recent vision loss Right Eye 385 views

Red Free Macular Hole 385 viewsFull Thickness Macular Hole

Travatan Induced CME Left eye385 views63 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.

Aborted Macular Hole385 views73 year old female with vision improved from 20/60 to 20/20 over 8 months

pucker-prepeel-MC385 views

Vitreomacular Traction -> Macular Hole -> Aborted Macular hole385 viewsProgression of VMT in both eyes over time

Acute Bilateral Central Serous Chorioretinopathy - Female - Smokestack385 views39 year old female She had no prior epsisodes of vision loss and then a week ago she noticed decreased vision in the right eye. She has not had any health problems and she is not pregnant. Phendimetrazine started 3 months ago. She is not on steroids. VA OD: sc20/63-1 NscJ16 VA OS: sc20/125-1 Dcc20/80 NscJ16 IOP: TP: OD:14 OS:14 Time:11:23 AM

Macular Telangiectasia (MacTel) and Pattern Dystrophy385 views71 year old man with diabetes for 5 years and blurred vision in the left eye. VA 20/25 OD, 20/50 OS. OCT OS shows MacTel

Macular Pucker - Spontaneously Partial Peel after 20 Years - OCT Video - Takes Time to Load384 views83-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.

Retinal Pigment Epithelial Detachment with no Sub-Retinal Fluid...384 viewsA 38-year old male who comes in with blurred vision in the left eye. VA is 20/30. Notices a defect inferior of his central vision. Did an Fluorescence Angiogram to determine an RPE with no sub retinal fluid. Also OCT confirms. Patient was injected with Avastin.

384 views

Multifocal Bilateral Central Serous Retinopathy in African American Male384 views67 year old african american male with : Blurred Vision OD. Duration of Problem: 4-6 weeks. VA 20/32 OD 20/20 OS

Normal Vision - Chronic Central Serous Chorioretinopathy384 views67 year old man - never had any symptoms - 20/16 vision in each eye. Lesions spare the fovea

Pseudophakic Cystoid Macular Edema Both Eyes384 views81 year old man with vision loss about 4 months following ECCE. Did not respond to topical therapy but did fine with PST kenalog

383 views

Travatan Induced CME Left eye383 views63 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.

Chronic CSR with mild vision loss - Macular Atrophy Right Eye383 views55 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 Hole - Asymptomatic383 views71 year old female did not notice 20/200 macular hole. Post surgery vision improved to 20/30

Macular Telangiectasis and Vision loss following vitrectomy with membrane peel383 views76 year old man with MacTel who had membrane peel in the right eye 10 years ago with permanent vision loss.
VA OD: sc20/200-4 and VA OS: sc20/25-1

Central Serous Retinopathy 41 year old woman with Vision Loss for One Year382 views41-year-old woman has chronic central serous retinopathy in the right eye with decreased vision in that eye for over a year. Her vision has been waxing and waning and recently is getting worse. Her vision in the left eye is fine.

VISUAL ACUITY: OD 20/40

Multifocal Bilateral Central Serous Retinopathy in African American Male382 views67 year old african american male with : Blurred Vision OD. Duration of Problem: 4-6 weeks. VA 20/32 OD 20/20 OS

Macular Hole - Asymptomatic382 views71 year old female did not notice 20/200 macular hole. Post surgery vision improved to 20/30

pucker-prepeel-MC382 views

Pseudophakic Cystoid Macular Edema Both Eyes382 views81 year old man with vision loss about 4 months following ECCE. Did not respond to topical therapy but did fine with PST kenalog

Macular Telangiectasis - Very Mild382 views52 year old female with normal vision and suspicious OCT referred. Multimodal imaging shows very mild mactel (loss of macular pigment, ring on multicolor image and very mild OCT findings)

Chronic CSC Both Eyes - Recent vision loss Right Eye Treated with PDT382 views50 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

Plaquenil Toxicity - 4 years use382 views47 year old female She started plaquenil 4 years ago for lupus with cutaneous findings. She has never been on the plaquenil before. Her renal function is normal (her husband is an internist) and she is not on Tamoxifen. Stopped the medication about 2.5 weeks ago. She noticed vision when she started the depacote. She is also myopic. (-9.50)

Her dose was 6.3 mg/kg. She is 5'1" tall.
VA 20/25 OU

Cystoid Macular Edema and Macular Pucker382 viewshas been particular bad for 3 years. She has a macular pucker and severe CME.

VA 20/160 left eye

Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachment381 views38-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.

Central Serous Retinopathy 41 year old woman with Vision Loss for One Year381 views41-year-old woman has chronic central serous retinopathy in the right eye with decreased vision in that eye for over a year. Her vision has been waxing and waning and recently is getting worse. Her vision in the left eye is fine.

VISUAL ACUITY: OD 20/40

381 views

Central Serous Retinopathy - Subretinal Fibrin381 views66 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

Vitreomacular Traction -> Macular Hole -> Aborted Macular hole381 viewsProgression of VMT in both eyes over time

Vitreomacular Traction -> Macular Hole -> Aborted Macular hole381 viewsProgression of VMT in both eyes over time

Stage 2-3 Macular Hole - Closed with Vitrectomy and ILM peel with Brilliant blue381 views68 year old female was 20/100 with macular hole - VA improved to 20/25 post-op. C3F8 was used

Plaquenil Toxicity - 4 years use381 views47 year old female She started plaquenil 4 years ago for lupus with cutaneous findings. She has never been on the plaquenil before. Her renal function is normal (her husband is an internist) and she is not on Tamoxifen. Stopped the medication about 2.5 weeks ago. She noticed vision when she started the depacote. She is also myopic. (-9.50)

Her dose was 6.3 mg/kg. She is 5'1" tall.
VA 20/25 OU

Vitreomacular traction with traction over retinal vessels in non-diabetic - Fluorescein leakage in areas of traction - Progressing vision loss left eye380 views80-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

380 views

Normal Vision - Chronic Central Serous Chorioretinopathy380 views67 year old man - never had any symptoms - 20/16 vision in each eye. Lesions spare the fovea

Vitreomacular traction OU - Aborted in 3 months - Right eye initial visit380 views62 year old female with blurred vision in both eyes for 2 months intermittently. She was referred for macular edema.
A 20/32 OD, 20/25 OS
OCT showed VMT in one eye and edema in the other
3 months later in the last 2 OCT scans
VA 20/20 OD, 20/16 OS and VMT had released.

Macular Telangiectasis - Very Mild380 views52 year old female with normal vision and suspicious OCT referred. Multimodal imaging shows very mild mactel (loss of macular pigment, ring on multicolor image and very mild OCT findings)

Plaquenil Toxicity - 4 years use380 views47 year old female She started plaquenil 4 years ago for lupus with cutaneous findings. She has never been on the plaquenil before. Her renal function is normal (her husband is an internist) and she is not on Tamoxifen. Stopped the medication about 2.5 weeks ago. She noticed vision when she started the depacote. She is also myopic. (-9.50)

Her dose was 6.3 mg/kg. She is 5'1" tall.
VA 20/25 OU

Hydroxychloroquine retinopathy - Plaquenil - Moderate380 views51 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

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