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May 7 2025 by Aayesha - Khanum, MBBS. D.N.B

A 45-year-old male presented with diminished vision for one month. His Mantoux test was negative, but as steroids worsened the condition, quantiferon TB was advised and it returned positive. He was started on anti-tuberculosis treatment (ATT). Oral steroids were reintroduced after one week of ATT. Optic disc granulomas can arise from direct invasion of the optic nerve or may represent hypersensitivity reaction to tuberculous antigens. The pathogenesis involves infiltration of immune cells, leading to formation of a granulomatous structure that disrupts normal architecture and function of the optic disc. Steroids with ATT facilitated regression of granulomatous lesion.

Photographer: Ms. Krishna Jeyanthi

Imaging device: Zeiss Clarus 500

Condition/keywords: Tuberculosis

May 6 2025 by Amol yuvraj ganvir

A 37-year-old female patient presented for a routine eye examination. Her best-corrected visual acuity was 6/6 in both eyes. Fundus examination revealed multiple small yellow dots over the macula in both eyes. FAF imaging demonstrated characteristic hyperautofluorescence corresponding to these dots.

Photographer: Dr. Amol Ganvir, Vitreo-Retina Fellow, Ishwar Eye Centre, Rohtak, Haryana

Imaging device: Visucam-Zeiss

Condition/keywords: Autoflourescence, yellow dots

May 5 2025 by Malvika Singh

Fundus photograph of a retinal detachment showing a horse shoe shaped tear and a bridging vessel.

Photographer: Dr Tejaswita Verma, Retina Foundation, Ahmedabad, India

Imaging device: Mirante SLO/OCT

Condition/keywords: bridging vessel, horseshoe tear

May 5 2025 by Gustavo Uriel Fonseca Aguirre

This B-mode axial ultrasound scan reveals vitreous hemorrhage, a folded retinal detachment, and sub-Tenon’s fluid extending into the optic nerve sheath, forming the characteristic 'T-sign.' These findings are consistent with severe posterior segment trauma secondary to blunt ocular injury.

Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

Condition/keywords: blunt trauma, retinal detachment, T sign

May 5 2025 by Gustavo Uriel Fonseca Aguirre

This B-mode longitudinal ultrasound scan over the macular area reveals vitreous hemorrhage, retinal detachment with folding, peripheral annular choroidal detachment, and sub-Tenon's fluid in the setting of blunt ocular trauma. The findings indicate severe posterior segment disruption with multi-compartment involvement.

Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

Condition/keywords: blunt trauma, Retinal Detachment

May 5 2025 by Gustavo Uriel Fonseca Aguirre

This B-mode axial ultrasound scan shows an eye with a scleral buckle in place for previous rhegmatogenous retinal detachment. The image demonstrates the characteristic indentation of the ocular wall at the buckle site, with proper retinal reattachment.

Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

Condition/keywords: scleral buckle

May 4 2025 by KANWALJEET HARJOT MADAN, M.S. (Ophthalmology), FAICO (Vitreous - Retina)

This is a fundus picture of a young 42-year male who visited for a routine eye exam. His BCVA was 20/20 in both eyes. Anterior segment examination was normal. His left eye showed grey-black pigmentation at the infero-nasal margin of the optic disc. Fundus of the right eye was normal. The patient was diagnosed to have optic disc melanocytoma on multimodal imaging and was advised regular follow-up. Optic nerve melanocytoma is typically a benign tumor made up of melanocytes and melanin. It can grow, but rarely transforms into a malignancy. Patients with Optic Nerve Melanocytoma should be periodically examined for evidence of growth, loss of visual field and optic nerve compression.

Photographer: Dr. Kanwaljeet Harjot Madan, Thind Eye Hospital, Jalandhar City (Punjab) INDIA.

Imaging device: Zeiss Fundus Camera

Condition/keywords: melanocytoma, melanoma, optic nerve

May 1 2025 by Tejaswita Verma

Fundus photo of a middle aged male with CRAO partially sparing cilioretinal artery and papillomacular bundle. Vision 6/60.

Photographer: Dr. Tejaswita Verma

Imaging device: MIRANTE

Condition/keywords: CRAO with cilioretinal sparing

May 1 2025 by Tejaswita Verma

Fundus photo of a middle aged male with 6/60 vision in left eye showing CRAO partially sparing cilioretinal artery.

Photographer: Dr. Tejaswita Verma

Imaging device: MIRANTE

Condition/keywords: cilioretinal sparing, CRAO

Apr 30 2025 by Amber Dubey

A 50 year-old man with sudden onset diminution of vision since 3 days. Optos Image showing a fovea-sparing giant RPE rip temporally with associated serous retinal detachment inferiorly without ocular and systemic co-morbidity or antecedent history of trauma.

Photographer: Dr. Amber Dubey, Sri Sankaradeva Nethralaya, Guwahati, India

Imaging device: Optos imaging system

Condition/keywords: Optos, RPE Rip, serous retinal detachment

Apr 30 2025 by Vishal Agrawal, MD, FRCS,FACS,FASRS

Fundus fluorescein angiography image of a young girl with diagnosed Takayasu arteritis who presented with complains of diminished vision in both eyes. FFA shows complete absence of venous filling with segmented blood column secondary to CRAO with peripheral avascular area.

Photographer: Dr Ayushi Gupta

Imaging device: Clarus 700

Condition/keywords: CRAO, Takayasus disease

Apr 30 2025 by Vishal Agrawal, MD, FRCS,FACS,FASRS

Fundus fluorescein angiography image of a young girl with diagnosed Takayasu arteritis who presented with complains of diminished vision in both eyes. FFA shows complete absence of venous filling with segmented blood column secondary to CRAO with peripheral avascular area.

Photographer: Dr Ayushi Gupta

Imaging device: Clarus 700

Condition/keywords: calcified drusen, CRAO, takayasu arteritis

Apr 29 2025 by Gustavo Uriel Fonseca Aguirre

This B-mode axial ultrasound scan demonstrates the Weiss ring, visualized as a circular hyperechoic structure in the vitreous cavity, representing the detached posterior vitreous face with the optic disc insertion site. The ring shows mild mobility on dynamic assessment without retinal traction.

Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

Condition/keywords: Weiss ring

Apr 29 2025 by Daniela Bogenschutz

57 year-old male referred for decreased vision from optometrist. His only complaint was floaters and the letters were moving on the screen. He had never been out of the country, but is a farmer. Upon examination, our retina specialist found a bot fly larvae with numerous tracks made in this patient's retina. Patient was treated with laser to kill the larvae which was successful and he has been monitored yearly.

Photographer: Daniela Bogenschutz, OSC; Retina Consultants of Carolina, P.A.

Imaging device: Topcon

Condition/keywords: Bot Fly Larvae

Apr 29 2025 by Daniela Bogenschutz

72 year-old female has visual complaints of central vision changes ongoing for 4 days. Patient was acutely symptomatic with an intraretinal hemorrhage due to the retinal macroaneurysm. We had a fun little laugh as this retinal macroaneurysm form a shape of a tick in her left eye. This photo is a side-by-side of the color photos and the autofluorescence done. She is being treated by her general doctor for elevated blood pressure.

Photographer: Daniela Bogenschutz, OSC; Retina Consultants of Carolina, P.A.

Imaging device: Optos

Condition/keywords: retinal macroaneurysm

Apr 29 2025 by Gustavo Uriel Fonseca Aguirre

This kinetic B-mode ultrasound scan (inferior transverse view) reveals combined vitreous and subhyaloid hemorrhage, accompanied by a mobile posterior hyphema level. The dynamic evaluation shows dependent blood shifting with positional changes, confirming fresh hemorrhage without organization.

Condition/keywords: diabetic retinopathy

Apr 28 2025 by Malvika Singh

Fundus photograph of the left eye of a 31 year old with retinitis pigmentosa, showing the shadow of posterior subcapsular cataract over the fundus.

Photographer: Dr Malvika Singh, Retina Foundation, Ahmedabad, India

Imaging device: Mirante SLO/OCT

Condition/keywords: posterior subcapsular cataract, retinitis pigmentosa

Apr 28 2025 by Malvika Singh

Fundus photograph of the right eye of a 31 year old with retinitis pigmentosa with a macular hole, showing the shadow of posterior subcapsular cataract over the fundus.

Photographer: Dr Malvika Singh, Retina Foundation, Ahmedabad, India

Imaging device: Mirante SLO/OCT

Condition/keywords: macular hole, posterior subcapsular cataract, retinitis pigmentosa

Apr 28 2025 by Maria de los Angeles Cabrera Zuñiga

Fundus photograph of a 48-year-old man with choroideremia. Whole-exome sequencing revealed the variant NM_000390.4:c.1336del (p.Arg446Valfs*12) in the CHM gene.

Photographer: Maria de los Angeles Cabrera Zuñiga. Hospital Militar de Especialidades Oftalmológicas.

Imaging device: Optos

Condition/keywords: CHM gene, choroideremia, x linked recessive

Apr 28 2025 by Paulina Araujo

Fundus photography demonstrates a 2-disc-diameter chorioretinal scar in the superior temporal arcade, consistent with inactive toxoplasmic retinochoroiditis. The lesion exhibits pigmented borders and central atrophy, with adjacent splinter hemorrhages and vascular sheathing. No vitreous inflammation or active satellite lesions are present.

Photographer: Paulina D.Araujo Martínez, Asociación para Evitar la Ceguera en México I.A.P., Hospital Dr Luis Sánchez Bulnes.

Condition/keywords: toxoplasmosis chorioretinitis