Discover images

  • 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

  • Multiple Myeloma with Cytomegalovirus Retinitis

    Apr 5 2018 by Kim Barrett

    Ultra-wide field fluorescein angiogram of a 77-year-old male with multiple myeloma. Patient's angiogram presented significant peripheral retinal ischemia and cystoid macular edema. Patient tested positive for polymerase chain reaction, confirming cytomegalovirus retinitis. Patient is being treated with intravitreal ganciclovir and his current vision is 20/200.

    Photographer: Kim Barrett, COA

    Imaging device: Optos

    Condition/keywords: cystoid macular edema (CME), cytomegalovirus (CMV), fluorescein angiogram (FA), fluorescein leakage, intravitreal ganciclovir, multiple myeloma, peripheral ischemia, positive polymerase chain reaction (PCR), right eye, ultra-wide field imaging

  • Valsalva Retinopathy

    Apr 5 2018 by Mohamed Tawfik

    Fundus photography of 30-year-old male presented with sudden drop of vision .. diagnosed as valsalva retinopathy .. we do YAG hylodotomy ... vision is improved from HM to 1.0.

    Photographer: Mohamed A.Tawfik MD,FRCSed

    Condition/keywords: valsalva retinopathy

  • Commotio Post-Blunt Trauma

    Apr 3 2018 by Paulo Bueno

    Fundus photograph of an 35-year-old man with commotio retinae after indoor soccer ball blunt trauma.

    Photographer: Paulo Bueno, Taubaté, Brazil.

    Imaging device: Zeiss Visucam

    Condition/keywords: blunt trauma, commotio retinae

  • Macular Reticular Drusen

    Feb 22 2018 by Nichole Lewis

    Macular Reticular Drusen

    Photographer: Nichole Lewis

    Condition/keywords: Macular Reticular Drusen, reticular drusen

  • Retinal Detachment

    Feb 8 2018 by JEFFERSON R SOUSA

    The male patient attended the clinic with low vision. In the retinal and retinal mapping examination, important fudoscopical alterations were observed. Full retinal detachment with Giant rupture in upper temporal arch.

    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, campo de 50 graus. Flash 36 / Mosaic with 16 images.

    Condition/keywords: retinal detachment, retinal in rupture

  • Macular Dystrophy

    Oct 2 2017 by Mehul A Shah

    A 20-year-old male presented with loss of central vision clinical picture captured.

    Photographer: Mehul Shah

    Condition/keywords: macular dystrophy

  • Subhyaloid Hemorrhage

    Oct 2 2017 by Mehul A Shah

    A 25-year-old patient presented with history of sudden loss of vision following blunt trauma.

    Photographer: Mehul Shah

    Condition/keywords: subhyaloid hemorrhage

  • Post Traumatic Optic Nerve Head Avulsion

    Nov 18 2017 by Vishal Agrawal, MD,FRCS

    Right eye fundus picture of a 24-year-old male patient who suffered blunt trauma 7 days back with a wooden stick . He presented with NLP vision with a non reacting dilated pupil. Fundus montage picture shows ONH avulsion,CRAO,peripapillary resolving hemorrhages and cicatricial tissue at the edge.

    Photographer: Vishal Agrawal, MD, SMS Medical College, Jaipur, India

    Imaging device: Zeiss 524

    Condition/keywords: avulsion, central retinal artery occlusion (CRAO)

  • Macular Scar

    Jan 22 2018 by Jason Griffith

    44-year-old male with history of CR scarring secondary to histoplasmosis.

    Photographer: Jason Griffith, Tennessee Retina, Nashville TN

    Imaging device: Topcon TRC 50EX

    Condition/keywords: macular scar

  • Coloboma

    Jan 23 2018 by JEFFERSON R SOUSA

    Male patient, 22 years old, with low vision since infancy. In retinal and retinal mapping examinations, important alterations were observed in the formation of retinochoroidal structures suggestive of coloboma.

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

    Imaging device: Acquisition of the image in the Camera background Topcon TRC-50 Dx - IA, Keystone field photo of 50 Degrees. Composition automatic of Imaginet with manual adjustment

    Condition/keywords: coloboma, coloboma of choroid

  • Cytomegalovirus Retinitis

    Jan 16 2018 by Olivia Rainey

    Color fundus montage of a 37-year-old HIV positive male with CMV retinitis affecting his right eye.

    Photographer: Olivia Rainey

    Imaging device: Topcon

    Condition/keywords: color fundus photograph, cytomegalovirus (CMV), HIV, montage, right eye

  • Autosomal Recessive Bestrophinopathy - Color Photo OD

    Dec 22 2017 by Tony Tsai, MD

    11-year-old Asian male with 20/40 vision OU, negative family history for ocular conditions, and bilateral atypical vitelliform deposits and subretinal fluid. EOG confirmed abnormally low Arden ratios OU. Genetic testing revealed homozygous recessive mutation in BEST1 gene (p.L140V:c.418C>G). Also known as p.L80V; Ref: Davidson (2009) Am J Hum Genet 85, 581.

    Photographer: San Juanita Zazueta

    Imaging device: Topcon

    Condition/keywords: Best disease

  • Retinal Crystals with History of Intravitreal Triamcinolone

    Jan 15 2018 by John S. King, MD

    Retinal crystals with history of intravitreal triamcinolone years ago.

    Photographer: Kay Evans

    Imaging device: Topcon

    Condition/keywords: triamcinolone

  • Dengue-Associated-Retinopathy (Anaemic Retinopathy)

    Jan 16 2018 by Deepak Bhojwani, MS

    22-year-old male with systemic dengue fever and anaemia presenting with roth spots in both eyes (OD>OS). Horizontal raster OCT scans showing intraretinal foveal hameorrhage in right eye.

    Photographer: Dr Deepak Bhojwani, Raghudeep Eye Hospital , Ahmedabad

    Imaging device: Zeiss- HD- OCT

    Condition/keywords: anaemic retinopathy, Roth spots

  • TRD After Surgical Repair

    Sep 14 2017 by Theodore Leng, MD, MS

    TRD after surgical repair.

    Condition/keywords: proliferative diabetic retinopathy (PDR), tractional retinal detachment

  • Melanoma

    Aug 8 2017 by Ginny Martinez

    Diopter changed in order to capture vascular structure in raised melanoma.

    Photographer: Ginny Martinez

    Condition/keywords: melanoma

  • Macular Scar Due to Cysticercosis Fundus Photo

    Aug 8 2017 by Manuel Paez-Escamilla, MD, FICO

    Fundus photograph of a 69-year-old patient with a long history of eye inflammation and progressive decrease in vision. Multiple trips to Asia and eating undercooked pork.

    Photographer: Mark Erickson CRA, COT. The Macula Center. Clearwater, Florida

    Condition/keywords: cystercercosis, uveitis

  • Subhyaloid Hemorrhage With Flat Neovascular Vessels

    Sep 26 2017 by Purva Patwari

    60-year-old patient with uncontrolled diabetes.

    Photographer: Dr Purva Patwari, Patwari Retina Clinic,Ahmedabad, India

    Imaging device: Zeiss

    Condition/keywords: flat neovascularization

  • UWF of Retinal Detachment Corrected with Scleral Buckle

    Aug 29 2017 by Carolyn Daley

    An ultra wide field fundus photograph of a 57-year-old male who has a past history of retinal detachment corrected with scleral buckle and three treated retinal tears.

    Photographer: Carolyn Daley

    Imaging device: Optos Imaging

    Condition/keywords: cryo-retinal tear, cryotherapy, Optos, retinal detachment, retinal tear, scleral buckle, ultra-wide field imaging

  • Horse Shoe Tear

    Sep 16 2017 by Purva Patwari

    Asymptomatic horse shoe tear found on preoperative cataract assessment of a 54-year-old male patient. Laser barrage was done and he underwent Phacoemulsification surgery a month later.

    Photographer: Dr Purva Patwari,Patwari Retina Center,Ahmedabad,India

    Imaging device: Zeiss Visucam 500

    Condition/keywords: horseshoe tear

  • Cavernous Hemangioma Color

    Jul 30 2017 by Tony Tsai, MD

    15-year-old female with asymptomatic cavernous hemangioma of the retina.

    Photographer: Michael Kinnison

    Condition/keywords: cavernous hemangioma of the retina

  • Tractional Retinal Detachment

    Jul 29 2017 by FELIPE PEREIRA

    Fundus photograph of an 40-year-old woman with diabetes mellitus diagnosed 20 years ago in insulin use. This image is from her right eye and it was diagnosed with severe total tractional retinal detachment. The best correct visual acuity was hand motion in this eye.

    Photographer: Felipe Pereira, Federal University of Sao Paulo, Sao Paulo, Brazil

    Imaging device: VISUCAM 524 Fundus Imaging

    Condition/keywords: diabetes, retinal detachment, tractional retinal detachment

  • Chorio-Retinal Coloboma

    Aug 4 2017 by Marco D'Angelo

    Left eye, 7-year-old female patient, normal visual acuity,

    Photographer: Dr. Marco D'Angelo, S.Chiara Hospital, Trento, Italy

    Imaging device: Topcon TRC-NW 6S

    Condition/keywords: coloboma

  • MIRAgel Intrusion S/P Scleral Buckle 16 Years Ago

    Sep 23 2017 by Timothy S Fuller, MD

    Wide-angle fundus photograph of a 75-year-old woman who had a MIRAgel sponge for retinal detachment repair 16+ years ago. The eye has remained comfortable, cosmetically acceptable, and with vision correctable to 20/30. The patient is not bothered by any field defect.

    Photographer: Tina Stanley, Texas Retina Associates

    Imaging device: Optos

    Condition/keywords: retinal detachment, scleral buckle