Peripheral Exudative Hemorrhagic Chorioretinopathy

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File number: 131489

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    • By Toolie Winters
      Retina Specialists of Michigan
      Co-author(s): Scott Westhouse, DO
    • Uploaded on Nov 19, 2024.
    • Last modified by Joshua Friedman on Nov 20, 2024.
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    Appears in
    Miscellaneous
    Condition/keywords
    peripheral exudative hemorrhagic chorioretinopathy (PEHCR), Optos, fundus photography, OPTOS CALIFORNIA, ultra-wide field imaging, right eye, pseudocolor, wet age-related macular degeneration (wet AMD), neovascular age-related macular degeneration (AMD)
    Photographer
    Toolie Winters
    Imaging device
    Scanning laser ophthalmoscope
    Optos California
    Description
    Ultra-wide field fundus photograph of an 85-year-old woman with Peripheral Exudative Hemorrhagic Chorioretinopathy (PECHR) affecting the right eye. Patient presented with a blind spot centrally in the right eye which she first noticed 4 months prior to this image being taken. The patient states that in the month prior to this image, she began noticing bright lights flash across her vision 4-5x/day which last about 15 seconds. The flashes are either black with a blue ring around them or yellow, and their frequency has increased over time. The patient's vision at the time of this appointment was Dcc20/100+1 PHNI. Dr. Westhouse stated that the patient has neovascular age-related macular degeneration (AMD) and that PEHCR is a peripheral variant of wet AMD. He also notes that this photo shows diffuse hemorrhage, lipid, and an eccentric disciform lesion.

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