• Battle of BRVOs: Old vs New

    Jul 30 2021 by Gayathri Mohan

    Color fundus photograph of a 48-year-old showing an inferno temporal BRVO. Old BRVO with neovascularization seen super-temporally.

    Photographer: Dr. Gayathri Mohan

    Imaging device: Canon

    Condition/keywords: branch retinal vein occlusion (BRVO), cystoid macular edema (CME), neovascularization (NV)

  • Unilateral Macular Coloboma

    Jul 29 2021 by Mihir Trivedi

    Fundus examination of a 35-year-old man with focal areas of altered retinal pigment epithelium and subretinal yellowish lesion in the foveal area in the right eye. Left eye showed a punched out circumscribed lesion in the center of the macula with thin foveal roof suggestive probably of the internal limiting membrane. Macular coloboma is characterized by a sharply defined, oval or rounded, usually unilateral, atrophic lesions of varying size presenting rudimentary or absent retina, choroid and sclera located at the macula leading to decreased vision in the central area of the fundus. It can be associated with retinal dystrophy in the fellow eye, as was the case in our patient.

    Photographer: Priyanshi Kambodi, RNC Eye Hospital, Valsad

    Condition/keywords: macular coloboma

  • Senile Retinoschisis

    Jul 27 2021 by Dhaivat Shah

    Senile retinoschisis is an acquired, idiopathic, degenerative condition of the neurosensory layer of the retina. It is characterized by separation at the outer plexiform layer or less commonly at the neurosensory layer of the retina. A 71-year-old male underwent cataract surgery in the right eye 1 week before his presentation to retina clinic. His chief complaint was minimal visual improvement after the surgery. His visual acuity in the right eye was 5/60 before cataract surgery and 6/60 after the surgery and no improvement with pinhole. On fundus examination of the right eye, an immobile, transparent subtle bullous elevation of the retina with minimal pigmentary changes was noted at the macula. The absence of a retinal tear , corrugations and demarcation lines differentiate it from rhegmatogenous retinal detachment. Optical Coherence Tomography is a confirmatory tool to diagnose senile retinoschisis. The OCT of this patient showed epiretinal membrane and coalescence of microcystic degenerations with splitting of the outer plexiform layer from rest of the outer retinal layers. Guarded visual prognosis was explained.

    Photographer: Choithram Netralaya

    Condition/keywords: optical coherence tomography (OCT), retinoschisis

  • The Fallen Curtain

    Jul 25 2021 by Vishal Gupta, MBBS, MS

    Superior half of the retina is detached and has fallen like a curtain concealing details of the attached inferior part of the retina too.

    Photographer: Dr Vishal Gupta, INHS Asvini, Mumbai, INDIA

    Imaging device: Zeiss

    Condition/keywords: giant retinal tear, retinal detachment

  • Hollenhorst Plaque

    Jul 25 2021 by Vishal Gupta, MBBS, MS

    Hollenhorst plaque shining in the red free image of a patient with superior branch retinal artery occlusion.

    Photographer: Dr Vishal Gupta, INHS Asvini, Mumbai, INDIA

    Imaging device: Zeiss

    Condition/keywords: hollenhorst plaque, red-free

  • BRAO with Hollenhorst

    Jul 25 2021 by Vishal Gupta, MBBS, MS

    Half ischemic retina seen in a case of BRAO with Hollenhorst plaque at the disk.

    Photographer: Dr Vishal Gupta, INHS Asvini, Mumbai, INDIA

    Imaging device: zeiss

    Condition/keywords: branch retinal artery occlusion (BRAO)

  • Stargardt Disease

    Jul 25 2021 by Vishal Gupta, MBBS, MS

    The remarkable symmetry of both eyes showing Stargardt Disease.

    Photographer: Dr Vishal Gupta, INHS Asvini, Mumbai, INDIA

    Condition/keywords: Stargardt disease

  • Von Hippel-Lindau Syndrome

    Jul 23 2021 by Gabriel Costa de Andrade, M.D.

    Fundus photograph of an 20-year-old woman with Von Hippel-Lindau Syndrome. The patient presented a ERM associated with vascular tumor in temporal periphery.

    Photographer: Gabriel Andrade

    Condition/keywords: tumor, Von Hippel-Lindau

  • Eye Blossoms

    Jul 22 2021 by Vishal Gupta, MBBS, MS

    Fundus image of a floating encapsulated vitreous cyst in a 42-year-old diabetic woman resembled a Flower Bud and was doubted to be a hydatid cyst, but was finally confirmed to be an encapsulate vitreous hemorrhage.

    Photographer: Dr Vishal Gupta, INHS Asvini, Mumbai, INDIA

    Imaging device: Zeiss

    Condition/keywords: hemorrhage, vitreous

  • BRAO with Hollenhorst plaque

    Jul 22 2021 by Vishal Gupta, MBBS, MS

    Fundus image of 54-year-old male patient with inferior branch retinal artery occlusion and a prominent Hollenhorst plaque seen as shining white dot at disk along with cattle trucking phenomenon.

    Photographer: Dr Vishal Gupta, INHS Asvini, Mumbai, INDIA

    Imaging device: Zeiss

    Condition/keywords: branch retinal artery occlusion (BRAO), hollenhorst plaque

  • Lightening In Eyes

    Jul 22 2021 by Vishal Gupta, MBBS, MS

    Fundus fluorescein angiogram of a neovascular frond lighting up like a silent lightening thunder in the dark night.

    Photographer: Dr Vishal Gupta, INHS Asvini, Mumbai, INDIA

    Imaging device: zeiss

    Condition/keywords: branch retinal vein occlusion (BRVO), fluorescein angiogram (FA), neovascularization elsewhere (NVE)

  • The Diamond Ring

    Jul 22 2021 by Vishal Gupta, MBBS, MS

    fundus image of 56-year-old male patient with circinate retinopathy.

    Photographer: Dr Vishal Gupta, INHS Asvini, Mumbai, INDIA

    Condition/keywords: circinate retinopathy

  • Retinal Detachment post ROP

    Jul 22 2021 by Vishal Gupta, MBBS, MS

    Fundus image of total Retinal Detachment in a five-year-old male kid with a history of prematurity.

    Photographer: Dr Shobhit Chawla, Prakash Netra Kendr, Lucknow, UP, INDIA

    Imaging device: Zeiss Clarus

    Condition/keywords: retinal detachment, retinopathy of prematurity (ROP)

  • RD operated with Morning Glory Optic Disc

    Jul 22 2021 by Vishal Gupta, MBBS, MS

    Fundus image of a 7-year-old patient status post Vitrectomy and Silicone oil insertion in a case of Retinal detachment with Morning glory Syndrome.

    Photographer: Dr Shobhit Chawla, Prakash Netra Kendr, Lucknow, UP, INDIA

    Imaging device: Zeiss Clarus

    Condition/keywords: Morning Glory Syndrome, retinal detachment, silicone oil

  • Spontaneously Settled RD

    Jul 22 2021 by Vishal Gupta, MBBS, MS

    Fundus image of a 16-year-old male patient with a history of trauma 1 year back leading to diminution of vision followed by spontaneous incomplete visual function regain after some time without any history of any surgical intervention.

    Photographer: Dr Shobhit Chawla, Prakash Netra Kendr, Lucknow, UP, INDIA

    Imaging device: Zeiss Clarus

    Condition/keywords: retinal detachment, spontaneously settled, subretinal bands, tractional retinal detachment

  • Retinitis Pigmentosa #2

    Jul 22 2021 by Niloofar Piri, MD

    Montage wide field fundus photograph of the left eye of the same patient. 55-year-old male presented with late onset night blindness and peripheral vision loss for one year. Central vision is preserved at 20/25. ERG demonstrated extinguished rod function, and minimally diminished cone function. Waxy pallor of the optic nerve, arterial narrowing, and peripheral bony spicules are the classic triad of RP which are demonstrated in the photograph.

    Photographer: Niloofar Piri, MD

    Condition/keywords: retinitis pigmentosa

  • Retinitis Pigmentosa #1

    Jul 22 2021 by Niloofar Piri, MD

    Montage wide field fundus photograph of a 55-year-old male who presented with late onset night blindness and peripheral vision loss for one year. His central vision is preserved at 20/25. Fundus photograph demonstrates waxy pallor of the optic nerve, arterial narrowing, and peripheral RPE atrophy outside the arcades with bony spicules.

    Photographer: Niloofar Piri, MD

    Condition/keywords: retinitis pigmentosa

  • Surgical Management of a Symptomatic Full Thickness Macular Fold

    Jul 19 2021 by Anton Orlin, MD

    A balanced salt solution is injected into the subretinal space to focally detach the macula, ensuring that the fold is incorporated, in order to stretch and relax it. This can be done with a 38 or 41 gauge subretinal cannula, and is typically performed just within the macular arcade. Perfluorocarbon heavy liquid (PFCL) is then injected to flatten the macula and push the excess fluid to the periphery. A peripheral retinotomy is made, and the subretinal fluid is subsequently drained with air fluid exchange. The PFCL is removed and endolaser is applied to surround the retinotomy site. The eye was left with a gas tamponade.

    Condition/keywords: macular fold, surgical management, video

  • Retinal Holes, Demarcation Line

    Jul 19 2021 by RUSHIK PATEL

    Utlrawide pseudo-color fundus photograph of 28-year-old boy with 2 retinal hole surrounded by subretinal fluid less than 1 disc diameter and demarcation line.

    Photographer: Rushik Patel, Netralaya Super Speciality Eye Hospital

    Condition/keywords: retinal hole

  • Melanoma

    Jul 18 2021 by Abhishek Verma

    Ultrawide image of choroidal melanoma in 52-year-old female.

    Photographer: Dr. Abhishek Verma, Retina Foundation, Ahmedabad

    Imaging device: Nidek Mirante

    Condition/keywords: choroidal melanoma

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