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Leo Semes, OD, FAAO
Multiple diagnostic modalities for x-linked retinoschisis
A six-year old white male presented for low vision rehabilitation with a history of X-linked retinoschisis (XLRS). He reported blurred vision for a year.
Evaluating myopic maculopathy
A 12-year-old Hispanic male was evaluated for fundus appearance at the ocular disease service at University of Alabama at Birmingham (UAB) Eye Care.
Anti-VEGF treatment helps diabetic patient
A 76-year-old white female presented for her periodic diabetic eye examination at UAB Eye Care in July 2014. She admitted to blurry vision in her left eye for approximately one week.
A closer look at the retina in multiple sclerosis
A closer look at the retina in multiple sclerosis
A 40-year-old black male was evaluated at UAB Eye Care for decreasing vision secondary to multiple sclerosis (MS).
Reviewing an optic pit in a glaucoma suspect
Reviewing an optic pit in a glaucoma suspect
A 24-year-old was referred to the Ocular Disease Service at UAB Eye Care for a glaucoma evaluation. Other than a history of spectacle correction for myopic refractive error, the personal ophthalmic history is negative.
Laser injury requires second opinion
A 56 year-old male patient came into the clinic recently for a second opinion concerning a previous injury to his right eye. A high-powered commercial laser in a physics laboratory was the source of the injury in 2005.
Imaging a choroidal nevus
A mid-50s female was sent for imaging of a choroidal nevus that had been followed clinically for several years without observation of changes. There was no suspicion of growth or significant elevation. The purpose of the imaging studies was to establish digital baseline characteristics and to add additional documentation.
Vitreoretinal traction leads to a macular hole
A 51 year-old female presented with recent-onset “distorted” vision in the right eye. The duration was described as 3 days and specifically, she used the terms “fragmented” and “pulsing” to describe her symptoms.
Top 5 reasons to request a retinal consult
Don’t fear the retina. Optometrists are able to diagnose and treat many retinal disorders. Remembering these 5 reasons to refer out will help you know when to ask for help and keep your patients in your practice—both of which create value for your patients.
Explore the mechanism of macular hole formation
A 56 year-old black female attended to clinic for a 6-month follow-up of macular hole (MH) OD with mild vitreous traction at the macula OS. Aside from the MH and minimal refractive correction, the ocular history is unremarkable. She has been systemically treated for hypertension and diabetes for 20 years. Examination revealed best-corrected visual acuity of 10/400 OD and 20/25 OS. At that time, an OCT baseline was performed. The figures show baseline fundus photographs taken 3 months earlier (See Figure 1).
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