• Fibrosis and Traction Following Traction Retinal Detachment Repair

    Oct 13 2020 by Sophia El Hamichi, MD

    A 29-year-old female with a history of diabetes mellitus type 1, presented with proliferative diabetic retinopathy OU and tractional retinal detachment OD. The patient underwent retinal detachment repair with pars plana vitrectomy, endolaser and silicone oil placement. After one month of her surgery, the patient presented with retinal fibrosis and traction. The image on the top shows the OCT of the fibrosis post op, that was not present in the pre op (OCT image on the bottom).

    Photographer: Belinda Rodriguez, Murray Ocular Oncology and Retina, Miami

    Condition/keywords: optical coherence tomography (OCT), pars plana vitrectomy (PPV), proliferative diabetic retinopathy (PDR), proliferative vitreoretinopathy (PVR), tractional retinal detachment

  • Fibrosis and Traction Following Traction Retinal Detachment Repair

    Oct 13 2020 by Sophia El Hamichi, MD

    A 29-year-old female with a history of diabetes mellitus type 1, presented with proliferative diabetic retinopathy OU and tractional retinal detachment OD. The patient underwent retinal detachment repair with pars plana vitrectomy, endolaser and silicone oil placement. After one month of her surgery, the patient presented with retinal fibrosis and tractions depicted in the image.

    Photographer: Belinda Rodriguez, Murray Ocular Oncology and Retina, Miami

    Condition/keywords: pars plana vitrectomy (PPV), post-op, proliferative diabetic retinopathy (PDR), proliferative vitreoretinopathy (PVR), tractional retinal detachment

  • Pentosan Polysulfate Toxicity

    Oct 12 2020 by Elizabeth A Atchison, MD

    A 50-year-old woman with a 15 year history of pentosan polysulfate treatment for interstitial cystitis.

    Photographer: Amanda McCuen

    Imaging device: Clarus 700

    Condition/keywords: toxic maculopathy

  • Pentosan Polysulfate Toxicity

    Oct 12 2020 by Elizabeth A Atchison, MD

    A 50-year-old woman with a 15 year history of pentosan polysulfate treatment for interstitial cystitis.

    Photographer: Amanda McCuen

    Imaging device: Clarus 700

    Condition/keywords: toxic maculopathy

  • Sub-ILM hemorrhage

    Oct 11 2020 by Ahmad B. Tarabishy, MD

    41-year-old gentleman with decreased vision following a motorcycle accident. Examination initially was 20/200 and improved without treatment to 20/40 over two months.

    Photographer: Steve Morris COA, Retina Specialists of Tampa

    Imaging device: Zeiss Cirrus Photo

    Condition/keywords: sub-inner limiting membrane hemorrhage

  • Sub-ILM hemorrhage

    Oct 11 2020 by Ahmad B. Tarabishy, MD

    41-year-old gentleman with decreased vision following a motorcycle accident. Examination initially was 20/200 and improved without treatment to 20/40 over two months.

    Photographer: Steve Morris COA, Retina Specialists of Tampa

    Imaging device: Zeiss Cirrus Photo

    Condition/keywords: sub-inner limiting membrane hemorrhage

  • Sub-ILM hemorrhage

    Oct 11 2020 by Ahmad B. Tarabishy, MD

    41-year-old gentleman with decreased vision following a motorcycle accident. Examination initially was 20/200 and improved without treatment to 20/40 over two months.

    Photographer: Steve Morris COA, Retina Specialists of Tampa

    Imaging device: Zeiss Cirrus Photo

    Condition/keywords: sub-inner limiting membrane hemorrhage

  • MEWDS

    Oct 9 2020 by David L Kilpatrick, MD

    26-year-old female presented with unilateral vision loss. She c/o flashes and a peripheral scotoma. Vision was 20/100. On exam, she showed foveal granularity, mild disc edema, and white dots as seen. Three weeks later, white dots had resolved and vision improved to 20/25.

    Photographer: Mississippi Retina Associates

    Imaging device: Optos

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

  • MEWDS - Widefield FA

    Oct 9 2020 by David L Kilpatrick, MD

    26-year-old female presented with unilateral vision loss. She c/o flashes and a peripheral scotoma. Vision was 20/100. On exam, she showed foveal granularity, mild disc edema, and white dots as seen. Three weeks later, white dots had resolved and vision improved to 20/25.

    Photographer: Mississippi Retina Associates

    Imaging device: Optos

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

  • Acute Posterior Multifocal Placoid Pigment Epitheliopathy (APMPPE)

    Oct 8 2020 by Mihir Trivedi

    Fundus photograph of a 21-year-old male having complaints of blurring of vision. Had a viral prodrome 2 weeks before the onset of symptoms.

    Imaging device: DRI OCT-1 Triton (plus) TOPCON

    Condition/keywords: acute multifocal placoid pigment epitheliopathy (AMPPE)

  • Peripheral Exudative Hemorrhagic Chorioretinopathy

    Oct 7 2020 by Olivia Rainey

    Fluorecein and ICG angiography of a 80-year-old male with peripheral exudative hemorrhagic chorioretinopathy affecting his right eye. Patient noted only mild floaters for a couple weeks OD on 10/5/2020. The physician strongly suspects that the lesion is subretinal blood (likely from PEHCR) rather than choroidal melanoma. There is blocking on FA and ICG with a definite lack of intrinsic vessels within the mass lesion. He will monitor closely, as the patient is monocular with a history of multiple surgeries (which the family believes PPV for "scar tissue") OS mostly in 2013. His family also reports remembering possibly being told there was a "small mass" in the left eye at one point in their surgical course. The physician believes that it's possible this was a bleed related to PEHCR as it typically exists as a bilateral condition.

    Photographer: Olivia Rainey, OCT-C, COA

    Imaging device: Optos California

    Condition/keywords: fluorescein angiogram (FA), indocyanine green (ICG) angiography, lesion, monocular, Optos, peripheral exudative hemorrhagic chorioretinopathy (PEHCR), periphery, right eye, subretinal hemorrhage, ultra-wide field imaging

  • Ophthalmic Artery Occlusion in a 39-Year-Old with Rheumatoid Arthritis

    Oct 6 2020 by Michael Izzo, MD

    Left image: fundus photograph of a 39-year-old male with rheumatoid arthritis found to have ophthalmic artery occlusion depicting boxcar segmentation of blood in retinal vasculature and macular ischemia demonstrated by retinal whitening without cherry red fovea. Right image: early phase fluorescein angiography demonstrating patchy choroidal filling, arterial non-perfusion and optic nerve head leakage.

    Photographer: Karen Rivera, COA; Washington National Eye Center

    Condition/keywords: fluorescein angiogram (FA), ophthalmic artery occlusion, rheumatoid arthritis

  • Bietti's Crystalline Dystrophy

    Oct 3 2020 by SHISHIR VERGHESE

    Fundus photo of the right eye of a 21-year-old gentleman with complaints of reduced vision, nyctalopia and visual field reduction. Fundus photograph showing numerous small glistening yellow-white retinal crystalline deposits in the retina.

    Photographer: Shishir Verghese, Aravind Eye Hospital, Coimbatore

    Condition/keywords: Bietti's crystalline dystrophy, hereditary retinal degeneration, heredomacular degeneration

  • Bietti's Crystalline Dystrophy

    Oct 3 2020 by SHISHIR VERGHESE

    Fundus photo of the left eye of a 21-year-old gentleman with complaints of reduced vision, nyctalopia and visual field reduction. Fundus photograph showing numerous small glistening yellow-white retinal crystalline deposits in the retina.

    Photographer: Shishir Verghese, Aravind Eye Hospital, Coimbatore

    Condition/keywords: Bietti's crystalline dystrophy, heredomacular degeneration, retinal degeneration

  • Syphilitic Chorioretinitis

    Oct 2 2020 by David L Kilpatrick, MD

    22-year-old female presented with painless blurry vision OD > OS for one week. On exam, she exhibited moderate vitritis, papillitis and broad placoid chorioretinitis OD and multifocal placoid peripheral chorioretinitis OS (without vitritis or papillitis). The anterior segment was unremarkable OU. Serum RPR and confirmatory treponemal Ab were both positive. Neuroimaging and CSF studies were unremarkable. A 2 week course of IV penicillin was initiated. The placoid lesions had resolved five days after beginning treatment.

    Photographer: Mississippi Retina Associates

    Condition/keywords: acute syphilitic posterior placoid chorioretinitis, syphilis

  • Repaired Retinal Detachment

    Oct 2 2020 by Jason Griffith

    60-year-old female 4 months s/p retinal detachment repair.

    Photographer: Korey Starkey, Tennessee Retina, Nashville, TN

    Imaging device: Zeiss Clarus 700

    Condition/keywords: retinal detachment

  • Choroidal Melanoma

    Oct 1 2020 by Jason Griffith

    54-year-old female with regressing choroidal melanoma.

    Photographer: Jason Griffith, Tennessee Retina, Nashville, TN

    Imaging device: Zeiss Clarus 700

    Condition/keywords: choroidal melanoma

  • CRVO with Cilioretinal Artery Occlusion

    Sep 30 2020 by MOHIT GUPTA

    Fundus photograph of right eye of a 12-year-old girl with Central retinal vein occlusion with cilioretinal artery occlusion secondary to haemoglobinopathy.

    Photographer: Dr Mohit Gupta, Prakash Netra Kendr, Lucknow, India

    Imaging device: Heidelberg spectralis Fundus camera

    Condition/keywords: central retinal vein occlusion (CRVO), cilioretinal artery occlusion

  • Inferior Retinal Detachment with Lattice

    Sep 30 2020 by Sham Talati

    A patient of inferior retinal detachment with lattice inferiorly.

    Photographer: Dr. Sham Talati,Retina Foundation,Ahmedabad

    Imaging device: Nidek Mirante

    Condition/keywords: lattice degeneration, retinal detachment

  • Bergmeister's Papilla

    Sep 29 2020 by Dhaivat Shah

    Bergmeister's papilla is a small tuft of glial tissue which arises from the center of the optic disc, and represents a remnant of the fetal hyaloid artery. The hyaloid artery provides nutrition to the lens during development, and runs forward to the lens from the optic disc. At birth the hyaloid artery regresses, and is normally completely regressed by the time of birth. Bergmeister's papilla is frequently observed as an incidental clinical finding if this artery has an incomplete regression posteriorly. However, in the severe forms it can be associated with cataracts, persistence of the primitive vitreous, microphthalmia, vitreous hemorrhages and sometimes tractional retinal detachment, due to contraction of the residual fibro vascular tissue. Therefore, careful monitoring of vitreous thickening in the peripapillary areas, both by examining the ocular fundus, and especially by SD-OCT, is of considerable importance. Here we have one such of a 30 year old young male who came in for a routine checkup, in whom we noted a Bergmeister’s papilla. Due to its benign nature, patient was reassured and was asked to follow up yearly.

    Condition/keywords: Bergmeister's Papillae

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