• Choroidal Nevus

    Feb 19 2018 by JEFFERSON R SOUSA

    Female patient, 28 years in monitoring to control a hyperpigmented lesion in the temporal retina of the right eye.

    Photographer: Photographer JEFFERSON ROCHA DE SOUSA, Albhy Oftalmology, Institute Dr. Suel Abujamra São Paulo-Brazil

    Imaging device: Retinografo Topcin TRC-NW6S. Mosaic, Flash 25.

    Condition/keywords: choroidal nevus, choroidal nevus progressed to melanoma

  • Endophthalmitis

    Feb 17 2018 by JEFFERSON R SOUSA

    A 56-year-old male patient, with vision loss, with no light perception in the right eye, the presence of secretion in the anterior chamber was evaluated.

    Photographer: JEFFERSON R SOUSA - Study Center and Ophthalmological Research Dr. Andre M V Gomes, Institute Dr. Suel Abujamra São Paulo-Brazil

    Imaging device: Topcon TRC-50 DX, Imaginet 5.0, angle de 35 graus. Flash 36.

    Condition/keywords: candida endophthalmitis, delayed onset endophthalmitis

  • Endophthalmitis

    Feb 17 2018 by JEFFERSON R SOUSA

    A 56-year-old male patient, with vision loss, with no light perception in the right eye, the presence of secretion in the anterior chamber was evaluated.

    Photographer: JEFFERSON R SOUSA - Study Center and Ophthalmological Research Dr. Andre M V Gomes, Institute Dr. Suel Abujamra São Paulo-Brazil

    Imaging device: Topcon TRC-50 DX, Imaginet 5.0, angle de 35 graus. Flash 36, image with digital zoom.

    Condition/keywords: endophthalmitis

  • Leber's Miliary Aneurysm

    Feb 17 2018 by JEFFERSON R SOUSA

    Male patient, 29 years old, with low vision in the right eye has 9 months. In the retinal mapping and color retinography examination, there were important fundoscopical alterations.

    Photographer: JEFFERSON R SOUSA - Study Center and Ophthalmological Research Dr. Andre M V Gomes, Institute Dr. Suel Abujamra São Paulo-Brazil

    Imaging device: Fundus camera Topcon TRC-50 DX, Imaginet 5.0, angle de 50 graus. Flash 36 / Mosaic with 11 images.

    Condition/keywords: Leber's miliary aneurysm, lipid exudation, massive lipid exudation

  • Hemangioma Coroideo

    Feb 17 2018 by JEFFERSON R SOUSA

    A 33-year-old patient complained of low vision in the left eye. In the retinal and retinal mapping examination, there were important fundoscopic alterations suggestive of choroidal hemangioma. Such alterations were confirmed in the Ocular Ultrasonography examination. And also in Optical Coherence Tomography.

    Photographer: JEFFERSON R SOUSA - Study Center and Ophthalmological Research Dr. Andre M V Gomes, Institute Dr. Suel Abujamra São Paulo-Brazil

    Imaging device: OCT CIRRUS 4000, Line Protocol, three line assembly.

    Condition/keywords: choroidal hemangioma

  • Retinal Detachment

    Feb 17 2018 by JEFFERSON R SOUSA

    A 42-year-old patient complained of low vision in the left eye. In retinal mapping and background color photography, extensive retinal detachment was observed.

    Photographer: JEFFERSON R SOUSA - Study Center and Ophthalmological Research Dr. Andre M V Gomes, Institute Dr. Suel Abujamra São Paulo-Brazil

    Imaging device: Fundus camera Topcon TRC-50 DX, Imaginet 5.0, angle de 50 graus. Flash 36 / Mosaic with 10 images.

    Condition/keywords: retinal detachment

  • Laser Barrage for Temporal Localized Rhematogenous Retinal Detachment

    Feb 15 2018 by Kushal S Delhiwala, MBBS, MS, FMRF,FICO, FAICO

    39-year-old female presenting with sudden onset flashes and floaters in left eye having undergone refractive surgery 20 years before for pathologic myopia.Color fundus photograph montage of left eye showing macula sparing inferotemporal localized Rhematogenous retinal detachment with horse shoe tear and temporal lattice degeneration treated with laser barrage.

    Photographer: Dr Kushal Delhiwala, Netralaya superspeciality eye hospital ,Ahmedabad

    Imaging device: Zeiss Visucam 500

    Condition/keywords: barrier laser, horseshoe tear, macula sparring, rhegmatogenous retinal detachment

  • Macula sparing Superior Rhegmatogenous retinal detachment

    Feb 15 2018 by Kushal S Delhiwala, MBBS, MS, FMRF,FICO, FAICO

    60- year-old phakic female presenting with sudden onset floaters and curtain like shadow in inferior field of vision in right eye, having undergone scleral buckling surgery in left eye before 2 years. Color fundus photograph montage of right eye showing fresh superior rhegmatogenous retinal detachmnent sparing macula and well above superior arcade.

    Photographer: Dr Kushal Delhiwala, Netralaya superspeciality eye hospital ,Ahmedabad

    Imaging device: Zeiss Visucam 500

    Condition/keywords: macula sparring, rhegmatogenous retinal detachment

  • Proliferative Diabetic Retinopathy with Temporal Seafan NVE Dragging Retinal Vein

    Feb 15 2018 by Kushal S Delhiwala, MBBS, MS, FMRF,FICO, FAICO

    58-year-old diabetic male presenting with Bilateral Proliferative diabetic retinopathy and centre involving Diabetic macular edema.Left eye fundus photograph showing large seafan NVE temporal to macula causing upward dragging of inferotemporal retinal vein and arteriovenous anastomosis.

    Photographer: Dr Kushal Delhiwala, Netralaya superspeciality eye hospital, Ahmedabad

    Imaging device: Zeiss Visucam 500

    Condition/keywords: neovascularization elsewhere (NVE), proliferative diabetic retinopathy (PDR), sea fan

  • MEWDS

    Feb 14 2018 by Daniel K Bennett, MD

    24-year-old white female with mild scotoma.

    Imaging device: Zeiss Visucam

    Condition/keywords: multiple evanescent white dot syndrome (MEWDS)

  • Ophthalmomyiasis

    Feb 14 2018 by Daniel K Bennett, MD

    67-year-old man with blurred vision OS over several months.

    Imaging device: Zeiss Visucam

    Condition/keywords: Ophthalmomyiasis Interna

  • Birdshot retinopathy

    Feb 13 2018 by Francisco Olguin, MD

    Fundus photograph of an 45-year-old-woman with multiple ovoid spots in the posterior pole and in the mid periphery of the retina.

    Photographer: Francisco Olguin, Asociacion para Evitar la Ceguera en México, APEC. Mexico city.

    Imaging device: Optos

    Condition/keywords: white dot syndrome

  • Susac's Syndrome

    Feb 13 2018 by John S. King, MD

    Background: 46-year-old WF with CML (stable on Sprycel) saw her PCP for headaches without known cause; Headaches worsened and became confused, disoriented, off balance, and impaired short term memory. Heme-oncology ordered MRI that showed abnormal signal in the cerebellum and other parts of the brain, and LP has elevated protein. LP did show positive tau test, but fortunately, was a false positive for CJD. IV and PO steroids started and symptoms improved. MRI showed much improvement one month since starting steroids. 3 weeks later had a scotoma in right eye and eye doctor did not find anything at that time to cause it. Tinnitus developed (and some intermittent vertigo before that) and ENT referred back to eye doctor, who then referred the patient to Dr. Zocchi. He found a CWS and superotemporal BRAO OD, and bilateral arteritis. She had some additional work-up for vasculitis. Given the retinal arteritis, cochlear issues, and MRI findings, Dr.Zocchi suspected Susac's Syndrome. She was started on multiple regimens including prednisone, IVIG, azathiprine, and MTX, and has had the best reponse to IVIG (this FA is one month post recurrence with resolved inferotemporal BRAO after prednisone taper and increase in IMT). She is stable and doing well with 20/20 vision in both eyes.

    Imaging device: Topcon

    Condition/keywords: retinal vasculitis, Susac's syndrome

  • Susac's Syndrome

    Feb 13 2018 by John S. King, MD

    Background: 46-year-old WF with CML (stable on Sprycel) saw her PCP for headaches without known cause; Headaches worsened and became confused, disoriented, off balance, and impaired short term memory. Heme-oncology ordered MRI that showed abnormal signal in the cerebellum and other parts of the brain, and LP has elevated protein. LP did show positive tau test, but fortunately, was a false positive for CJD. IV and PO steroids started and symptoms improved. MRI showed much improvement one month since starting steroids. 3 weeks later had a scotoma in right eye and eye doctor did not find anything at that time to cause it. Tinnitus developed (and some intermittent vertigo before that) and ENT referred back to eye doctor, who then referred the patient to Dr. Zocchi. He found a CWS and BRAO superotemporally OD, and bilateral arteritis. She had some additional work-up for vasculitis. Given the retinal arteritis, cochlear issues, and MRI findings, Dr.Zocchi suspected Susac's Syndrome. She was started on multiple regimens including prednisone, IVIG, azathiprine, and MTX, and has had the best reponse to IVIG (FA shows a inferotemporally BRAO while adjusting IMT). She is stable and doing well with 20/20 vision in both eyes.

    Imaging device: Topcon

    Condition/keywords: branch retinal artery occlusion (BRAO), retinal vasculitis, Susac's syndrome

  • Susac's Syndrome

    Feb 13 2018 by John S. King, MD

    Background: 46-year-old WF with CML (stable on Sprycel) saw her PCP for headaches without known cause; Headaches worsened and became confused, disoriented, off balance, and impaired short term memory. Heme-oncology ordered MRI that showed abnormal signal in the cerebellum and other parts of the brain, and LP has elevated protein. LP did show positive tau test, but fortunately, was a false positive for CJD. IV and PO steroids started and symptoms improved. MRI showed much improvement one month since starting steroids. 3 weeks later had a scotoma in right eye and eye doctor did not find anything at that time to cause it. Tinnitus developed (and some intermittent vertigo before that) and ENT referred back to eye doctor, who then referred the patient to Dr. Zocchi. He found a CWS and BRAO superotemporally OD, and bilateral arteritis. She had some additional work-up for vasculitis. Given the retinal arteritis, cochlear issues, and MRI findings, Dr.Zocchi suspected Susac's Syndrome. She was started on multiple regimens including prednisone, IVIG, azathiprine, and MTX, and has had the best reponse to IVIG (FA shows a inferotemporally BRAO while adjusting IMT). She is stable and doing well with 20/20 vision in both eyes.

    Imaging device: Topcon

    Condition/keywords: branch retinal artery occlusion (BRAO), retinal vasculitis, Susac's syndrome

  • Susac's Syndrome

    Feb 13 2018 by John S. King, MD

    Background: 46-year-old WF with CML (stable on Sprycel) saw her PCP for headaches without known cause; Headaches worsened and became confused, disoriented, off balance, and impaired short term memory. Heme-oncology ordered MRI that showed abnormal signal in the cerebellum and other parts of the brain, and LP has elevated protein. LP did show positive tau test, but fortunately, was a false positive for CJD. IV and PO steroids started and symptoms improved. MRI showed much improvement one month since starting steroids. 3 weeks later had a scotoma in right eye and eye doctor did not find anything at that time to cause it. Tinnitus developed (and some intermittent vertigo before that) and ENT referred back to eye doctor, who then referred the patient to Dr. Zocchi. He found a CWS and BRAO OD without embolus, and bilateral arteritis. She had some additional work-up for vasculitis. Given the retinal arteritis, cochlear issues, and MRI findings, Dr.Zocchi suspected Susac's Syndrome. She was started on multiple regimens including prednisone, IVIG, azathiprine, and MTX, and has had the best reponse to IVIG (photo of BRAO inferotemporally while adjusting immunosuppression). She is stable and doing well with 20/20 vision in both eyes.

    Imaging device: Topcon

    Condition/keywords: retinal vasculitis, Susac's syndrome

  • Susac's Syndrome

    Feb 13 2018 by John S. King, MD

    Background: 46-year-old WF with CML (stable on Sprycel) saw her PCP for headaches without known cause; Headaches worsened and became confused, disoriented, off balance, and impaired short term memory. Heme-oncology ordered MRI that showed abnormal signal in the cerebellum and other parts of the brain, and LP has elevated protein. LP did show positive tau test, but fortunately, was a false positive for CJD. IV and PO steroids started and symptoms improved. MRI showed much improvement one month since starting steroids. 3 weeks later had a scotoma in right eye and eye doctor did not find anything at that time to cause it. Tinnitus developed (and some intermittent vertigo before that) and ENT referred back to eye doctor, who then referred the patient to Dr. Zocchi. He found a CWS and BRAO OD, and bilateral arteritis. She had some additional work-up for vasculitis. Given the retinal arteritis, cochlear issues, and MRI findings, Dr.Zocchi suspected Susac's Syndrome. She was started on multiple regimens including prednisone, IVIG, azathiprine, and MTX, and has had the best reponse to IVIG (FA shows a recurrence/worsening while adjusting IMT). She is stable and doing well with 20/20 vision in both eyes.

    Imaging device: Topcon

    Condition/keywords: retinal vasculitis, Susac's syndrome

  • Susac's Syndrome

    Feb 13 2018 by John S. King, MD

    Background: 46-year-old WF with CML (stable on Sprycel) saw her PCP for headaches without known cause; Headaches worsened and became confused, disoriented, off balance, and impaired short term memory. Heme-oncology ordered MRI that showed abnormal signal in the cerebellum and other parts of the brain, and LP has elevated protein. LP did show positive tau test, but fortunately, was a false positive for CJD. IV and PO steroids started and symptoms improved. MRI showed much improvement one month since starting steroids. 3 weeks later had a scotoma in right eye and eye doctor did not find anything at that time to cause it. Tinnitus developed (and some intermittent vertigo before that) and ENT referred back to eye doctor, who then referred the patient to Dr. Zocchi. He found a CWS and BRAO OD, and bilateral arteritis. She had some additional work-up for vasculitis. Given the retinal arteritis, cochlear issues, and MRI findings, Dr.Zocchi suspected Susac's Syndrome. She was started on multiple regimens including prednisone, IVIG, azathiprine, and MTX, and has had the best reponse to IVIG (FA shows a recurrence/worsening while adjusting IMT). She is stable and doing well with 20/20 vision in both eyes.

    Imaging device: Topcon

    Condition/keywords: retinal vasculitis, Susac's syndrome

  • Susac's Syndrome

    Feb 13 2018 by John S. King, MD

    Background: 46-year-old WF with CML (stable on Sprycel) saw her PCP for headaches without known cause; Headaches worsened and became confused, disoriented, off balance, and impaired short term memory. Heme-oncology ordered MRI that showed abnormal signal in the cerebellum and other parts of the brain, and LP has elevated protein. LP did show positive tau test, but fortunately, was a false positive for CJD. IV and PO steroids started and symptoms improved. MRI showed much improvement one month since starting steroids. 3 weeks later had a scotoma in right eye and eye doctor did not find anything at that time to cause it. Tinnitus developed (and some intermittent vertigo before that) and ENT referred back to eye doctor, who then referred the patient to Dr. Zocchi. He found a CWS and BRAO OD, and bilateral arteritis. She had some additional work-up for vasculitis. Given the retinal arteritis, cochlear issues, and MRI findings, Dr.Zocchi suspected Susac's Syndrome. She was started on multiple regimens including prednisone, IVIG, azathiprine, and MTX, and has had the best reponse to IVIG (FA shows a recurrence/worsening while adjusting IMT). She is stable and doing well with 20/20 vision in both eyes.

    Imaging device: Topcon

    Condition/keywords: retinal vasculitis, Susac's syndrome

  • Susac's Syndrome

    Feb 13 2018 by John S. King, MD

    Background: 46-year-old WF with CML (stable on Sprycel) saw her PCP for headaches without known cause; Headaches worsened and became confused, disoriented, off balance, and impaired short term memory. Heme-oncology ordered MRI that showed abnormal signal in the cerebellum and other parts of the brain, and LP has elevated protein. LP did show positive tau test, but fortunately, was a false positive for CJD. IV and PO steroids started and symptoms improved. MRI showed much improvement one month since starting steroids. 3 weeks later had a scotoma in right eye and eye doctor did not find anything at that time to cause it. Tinnitus developed (and some intermittent vertigo before that) and ENT referred back to eye doctor, who then referred the patient to Dr. Zocchi. He found a CWS and BRAO OD, and bilateral arteritis. She had some additional work-up for vasculitis. Given the retinal arteritis, cochlear issues, and MRI findings, Dr.Zocchi suspected Susac's Syndrome. She was started on multiple regimens including prednisone, IVIG, azathiprine, and MTX, and has had the best reponse to IVIG Background: 46yo WF with CML (stable on Sprycel) saw her PCP for headaches without known cause; Headaches worsened and became confused, disoriented, off balance, and impaired short term memory. Heme-oncology ordered MRI that showed abnormal signal in the cerebellum and other parts of the brain, and LP has elevated protein. LP did show positive tau test, but fortunately, was a false positive for CJD. IV and PO steroids started and symptoms improved. MRI showed much improvement one month since starting steroids. 3 weeks later had a scotoma in right eye and eye doctor did not find anything at that time to cause it. Tinnitus developed (and some intermittent vertigo before that) and ENT referred back to eye doctor, who then referred the patient to Dr. Zocchi. He found a CWS and BRAO OD, and bilateral arteritis. She had some additional work-up for vasculitis. Given the retinal arteritis, cochlear issues, and MRI findings, Dr.Zocchi suspected Susac's Syndrome. She was started on multiple regimens including prednisone, IVIG, azathiprine, and MTX, and has had the best reponse to IVIG (FA shows a recurrence/worsening while adjusting IMT). She is stable and doing well with 20/20 vision in both eyes.

    Imaging device: Topcon

    Condition/keywords: retinal vasculitis, Susac's syndrome

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