• Subretinal Fibrosis (PPCNVM and POHS) OS

    Sep 18 2019 by John S. King, MD

    57-year-old white male with history of PPCNVM OS and POHS OU here for a routine visit. History of avastin in 2014, and stable since then. Va OS 20/20. PP scar with macular subretinal fibrosis. No heme or exudates. CR spot supero-nasally.

    Photographer: Shelly Blair

    Imaging device: Topcon 50

    Condition/keywords: choroidal neovascular membrane (CNVM), ocular histoplasmosis syndrome (OHS), peripapillary choroidal neovascularization (PPCNVM), presumed ocular histoplasmosis syndrome (POHS)

  • Dry AMD with Central Geographic Atrophy, a Few Intraretinal Crystals, and Prominent Choroidal Vessels

    Sep 18 2019 by John S. King, MD

    93-year-old white female routine AMD visit with VA of CF in OD due to central geographic atrophy.

    Photographer: Gretchen Harper

    Imaging device: Topcon 50

    Condition/keywords: crystalline retinopathy, dry, geographic atrophy

  • Multiple Areas of Myelinated RNFL OD

    Sep 18 2019 by John S. King, MD

    68-year-old African American male presented with an acute PVD in the fellow eye. Fellow eye had similar findings, but the pics were not as good as OD.

    Photographer: Brittany Dewberry

    Imaging device: Optos CA

    Condition/keywords: myelinated nerve fiber layer, myelinated nerve fibers

  • Retinal Arterial Macroaneurism

    Sep 17 2019 by Zachary M Bodnar, MD

    Retinal arterial macroaneurism.

    Condition/keywords: retinal arterial macroaneurysm

  • Aneurysm Early

    Sep 17 2019 by Zachary M Bodnar, MD

    Aneurysm early

    Condition/keywords: retinal arterial macroaneurysm

  • Aneurysm OCT

    Sep 17 2019 by Zachary M Bodnar, MD

    Aneurysm OCT

    Condition/keywords: optical coherence tomography (OCT), retinal arterial macroaneurysm

  • Retinoblastoma Stage 5 After One Cycle of Systemic Chemotherapy and Laser Ablation

    Sep 17 2019 by Sophia El Hamichi, MD

    A 1-year-old patient with stage 5B retinoblastoma, fundus after one cycle of systemic chemotherapy and laser ablation.

    Photographer: Abby Orcutt-Hayes, Murray Ocular Oncology and Retina

    Condition/keywords: chemoreduction, laser photocoagulation, montage, retinoblastoma, stage 5

  • Retinobalstoma Stage 5B Before Treatment

    Sep 17 2019 by Sophia El Hamichi, MD

    A 1-year-old male patient with retinoblastoma stage 5B OS before treatment.

    Photographer: Abby Orcutt-Hayes, Murray Ocular Oncology and Retina

    Condition/keywords: retinoblastoma, stage 5

  • Disc Edge Veins of Kraupa

    Sep 15 2019 by Hashim Ali Khan, OD, FAAO

    Color fundus with overlay drawing of 12-year-old girl with superonasal disc edge veins of Kraupa; a rare exit anomaly. The superonasal retina is drained through the venous trunk exiting at the edge of optic disc.

    Condition/keywords: disc edge veins of Kraupa, vascular exit anomalies

  • Disc Edge Veins of Kraupa

    Sep 15 2019 by Hashim Ali Khan, OD, FAAO

    Color fundus with overlay drawing of 12-year-old girl with superonasal disc edge veins of Kraupa; a rare exit anomaly. The superonasal retina is drained through the venous trunk exiting at the edge of optic disc.

    Condition/keywords: disc edge veins of Kraupa, vascular exit anomalies

  • Central Retinal Artery Occlusion Leading to Patent Foramen Ovale Diagnosis

    Sep 13 2019 by Patrícia José Figueiredo Lopes

    A 19-year-old man presented in emergency department (ED) reporting painless blurred vision in the right eye that started one hour ago while he was doing exercise. His medical history was unremarkable. On examination, best corrected visual acuity in the right eye was counting fingers (20cm), right relative afferent pupillary defect was evident, intraocular pressure and anterior segment were normal. Dilated retinal examination revealed retinal whitening in the macular area and a cherry red spot (panel A) that became increasingly evident with time. Patient denied other systemic symptoms. Macular spectral domain optic coherence tomography showed hyperreflectivity of the inner retina (panel B). In ED, patient underwent ocular massage using a three-mirror contact lens and topical hypotensive treatment. Additionally, oral antiplatelet and hyperbaric oxygen treatment were initiated. Further investigation was performed and fluorescein angiography revealed a delay in arterial filling. Blood tests including hypercoagulation disorders investigation, plain chest radiography and electrocardiogram were unremarkable. Patent foramen ovale was diagnosed in transesophageal echocardiogram (panel C), anticoagulation therapy was promptly initiated and percutaneous closure of patent foramen ovale was done successfully a few weeks later. Final best corrected visual acuity was 20/200 and macula developed atrophy.

    Photographer: Patrícia José

    Condition/keywords: central retinal artery occlusion (CRAO), patent foramen ovale

  • Asteroid Hyalosis

    Sep 12 2019 by Marco D'Angelo

    Left eye, 63-year-old man, normal visual acuity (20/20).

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

    Imaging device: Topcon TRC-NW6S

    Condition/keywords: asteroid hyalosis, vitreous

  • Choroidal Osteoma Associated to Myelinated Nerve Fibers Autofluorescence

    Sep 11 2019 by Sophia El Hamichi, MD

    A 36-year-old male with supratemporal juxta papillary choroidal osteoma associated with myelinated nerve fibers of the left eye.

    Photographer: Sophia El Hamichi, MD, Murray Ocular Oncology and Retina

    Condition/keywords: choroidal osteoma, fundus autofluorescence (FAF), myelinated nerve fibers, Optos

  • Choroidal Osteoma

    Sep 11 2019 by Sophia El Hamichi, MD

    A 36-year-old male with superotemporal juxtapapillary choroidal osteoma associated with myelinated nerve fibers of the left eye.

    Photographer: Sophia El Hamichi, Murray Ocular Oncology and Retina, Miami

    Condition/keywords: autofluorescence imaging, choroidal osteoma, myelinated nerve fibers, Optos

  • Choroidal Osteoma Associated to Myelinated Nerve Fibers

    Sep 11 2019 by Sophia El Hamichi, MD

    A 36-year-old male with supratemporal juxta papillary choroidal osteoma associated with myelinated nerve fibers of the left eye.

    Photographer: Sophia El Hamichi, MD, Murray Ocular Oncology and Retina

    Imaging device: Optos

    Condition/keywords: choroidal osteoma, myelinated nerve fibers, Optos

  • BRAO

    Sep 10 2019 by Jason Griffith

    59-year-old male referred with new onset loss of peripheral vision OS with cloudiness.

    Photographer: Jodi Schiele, Tennessee Retina, Nashville, TN

    Imaging device: Optos

    Condition/keywords: branch retinal artery occlusion (BRAO)

  • Sickle SC Sea-Fan Neovascularization

    Sep 10 2019 by Kristin Thomas

    52-year-old female with undiagnosed sickle cell, presenting with sickle SC sea-fan neovascularization. FA at 00:55 seconds of the left eye. Right eye presents as well.

    Photographer: Kristin Thomas, Jones Family Eyecare

    Imaging device: Optos California

    Condition/keywords: sickle cell retinopathy

  • Congenital Hypertrophy of Retinal Pigment Epithelium

    Sep 7 2019 by Hashim Ali Khan, OD, FAAO

    Color fundus montage of a 22-year-old man with congenital hypertrophy of retinal pigment epithelium.

    Condition/keywords: bear tracks, congenital hypertrophy of the retinal pigment epithelium (CHRPE), RPE hyperplasia

  • Congenital Hypertrophy of Retinal Pigment Epithelium (CHRPE)

    Sep 7 2019 by Hashim Ali Khan, OD, FAAO

    Color fundus montage of a 22-year-old man with congenital hypertrophy of retinal pigment epithelium..

    Condition/keywords: bear tracks, congenital hypertrophy of the retinal pigment epithelium (CHRPE)

  • Congenital Hypertrophy of Retinal Pigment Epithelium (CHRPE)

    Sep 6 2019 by Hashim Ali Khan, OD, FAAO

    Color fundus montage of a 22-year-old man with congenital hypertrophy of retinal pigment epithelium.

    Imaging device: TOPCON TRC NW8F

    Condition/keywords: bear tracks, congenital hypertrophy of the retinal pigment epithelium (CHRPE), RPEH-FAP

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