• Vitrectomy nucleus and lens matter fragments in vitreous

    Nov 30 2022 by Manish Nagpal, MD, FRCS (UK) ,FASRS

    Vitrectomy is carried out to clear retained lens matter and nucleus fragments status post cataract surgery. After clearing the surrounding vitreous a fragmatome is introduced to aspirate the nucleus fragment from the vitreous. The residual lens matter is cleared using the cutter. Overall screening of peripheral retina is done before closing the case.

    Photographer: Manish Nagpal

    Condition/keywords: fragmatome, lens matter in vitreous, nucleus drop, nucleus in vitreous, vitrectomy

  • A rare case of a 45-year-old male with choroidal neovascular membrane in Familial Dominant Drusen (Doyne Honeycomb Drusen) in both eyes treated with intravitreal injections.

    Nov 30 2022 by SHRADDHA ASHOK CHANDORKAR, DNB DO

    A 45-year-old man presented with diminution of vision in both eyes with metamorphopsia, which was painless and gradually progressive in nature. BCVA at presentation were 6/40 and 6/36 for the right and left eye respectively. Anterior segment examination of both eyes was unremarkable. IOP were within normal limits. Fundus examination showed bilateral numerous yellowish white round closely spaced lesions extending radially from the vascular arcades till the periphery associated with an elevated grayish macular choroidal neovascular membrane (CNV) with multiple drusen in the macular area and posterior pole. Impression was Familial Dominant Drusen (Doyne Honeycomb Drusen) associated with CNVM, both eyes. Color fundus photograph and autofluorescence showed Familial Dominant Drusen with CNVM. Subsequently , the patient underwent periodic intravitreal injections of Ranibizumab in both eyes under guarded visual prognosis, for which he tolerated well.

    Photographer: NATIONAL INSTITUTE OF OPHTHALMOLOGY, PUNE

    Imaging device: ZEISS CLARUS

    Condition/keywords: choroidal neovascular membrane (CNVM), Doyne's Honeycomb, FAMILIAL DOMINANT DRUSEN, IMIM (Online Mendelian Inheritance in Man), intravitreal injection, Malattia Leventinese

  • Rod Cone dystrophy

    Nov 29 2022 by Niloofar Piri, MD

    Fundus autofluorescence of the left eye in a 58 yo male with rod cone dystrophy. He presented with night blindness and peripheral vision loss since youth and recent decrease in central vision for the past 10 years. Notice multiple coin shaped hypoautofluorescent pacthes within central 20 degrees which are coalescing centrally. (fundus photo uploaded separately) He has one pathogenic variants of both CEP290 and PRPH2 genes.

    Photographer: Sean Kelso, Saint Louis University

    Condition/keywords: hereditary retinal degeneration, hereditary retinal dystrophy, rod cone dystrophy

  • Rod Cone dystrophy

    Nov 29 2022 by Niloofar Piri, MD

    Fundus photograph of the left eye in a 58 yo male with rod cone dystrophy. He presented with night blindness and peripheral vision loss since youth and recent decrease in central vision for the past 10 years. Notice waxy pallor of the nerve, severe arterial narrowing and chorioretinal atrophy mainly around the arcades as well as posterior pole along with RPE hyperplastic changes and atrophy. RPE atrophy in midperiphery has coin shaped appearance. FAF has characteristic appearance (uploaded separately) He has one pathogenic variants of both CEP290 and PRPH2 genes.

    Photographer: Sean Kelso, Saint Louis University

    Condition/keywords: hereditary retinal deg, hereditary retinal dystrophy, Rod cone dystrophy

  • Vitrectomy for Subhyaloid blood over macula in Diabetic retinopathy

    Nov 29 2022 by Manish Nagpal, MD, FRCS (UK) ,FASRS

    Subhyaloid blood over macula in diabetic retinopathy| This is a case of non resolving subhyaloid haemorrhage over macula in a case of diabetic retinopathy.. Vitrectomy is carried out and then using the cutter a opening is made in the hyaloid to give a oulet to the blood. Typically the blood in the subhyaloid plane does not clot and easily aspirates out|. After this endolaser PRP is carried out to achieve good regression of the retinopathy. Air fluid exchange is carried out.

    Photographer: Manish Nagpal

    Condition/keywords: diabetic macular oedema, diabetic retinopathy, endolaser, PRP, SHH, subhyaloid blood, subhyaloid haemorrhage, vitrectomy

  • Bimanual Tractional Retinal Detachment Repair with Viscous Subretinal Fluid Removal

    Nov 28 2022 by Nimesh A. Patel, MD

    Using a chandelier endoillumination, a 2-handed approach with forceps and a vitrector can be used to remove preretinal membranes in a TRD from PDR. The subretinal fluid had a high viscosity. It was removed mechanically by rotating the vitrector.

    Condition/keywords: retinal detachment, subretinal fluid

  • Vitrectomy for subhyaloid blood over macula

    Nov 28 2022 by Manish Nagpal, MD, FRCS (UK) ,FASRS

    Subhyaloid blood over macula. This is a case of non resolving subhyaloid haemorrhage over macula. Vitrectomy is carried out and then using the cutter a opening is made in the hyaloid to give a oulet to the blood. Typically the blood in the subhyaloid plane does not clot and easily aspirate out.

    Photographer: Manish Nagpal

    Condition/keywords: SHH, subhyaloid blood, subhyaloid haemorrhage, vitrectomy

  • Broken macroaneurysm

    Nov 27 2022 by Nassim Alejandro Abreu Arbaje, MD

    Fundus video frame of a 58 year old male who had a PPV on his left eye because a retinal macroaneurysm that broke a bled on all 3 retinal planes.

    Photographer: Nassim Abreu, Hospital Dr. Elías Santana

    Imaging device: NGenuity 3D system

    Condition/keywords: broken macroanerysm, intraretinal hemorrhage, macroaneurysm, subretinal hemorrhage, vitreous hemorrhage

  • Type-1 ROP treated with laser

    Nov 25 2022 by Alexandre Grandinetti, MD, PhD

    This picture shows the case of a 8-year-old girl born with 26 weeks of gestation, who was treated with laser photocoagulation due to type-1 ROP

    Photographer: Corina Szrek, Hospital de Olhos do Paraná

    Imaging device: California

    Condition/keywords: retinopathy of prematurity (ROP), rop laser

  • Familial Exudative Vitreoretinopathy

    Nov 25 2022 by Aditya S Kelkar, MS, FRCS, FASRS,FRCOphth

    Colour fundus photograph of the right eye of a 56-year-old lady showing lasered FEVR with epiretinal membrane and vitreous band.

    Photographer: Dr. Pranali Surawase. National Institute of Ophthalmology, Pune, Maharashtra, India

    Imaging device: Zeiss Clarus 500

    Condition/keywords: ERM, familial exudative vitreoretinopathy (FEVR), laser photocoagulation

  • Uveitis

    Nov 25 2022 by Filip Kecer

    Multicolor composite of an 15 year old boy with cyclitis posterior, first diagnosed with uveitis intermedia retinoschisis o.dx., since then he underwent several procedures, such as PPV, ILM peeling, capsulectomy, retinotomy, transscleral cryo

    Photographer: Filip Kecer, National Institute of Childrens Diseases

    Imaging device: Spectralis, Heidelberg Engineering

    Condition/keywords: cyclitis, epiretinal membrane (ERM), uveitis

  • Myelinated Nerve Fiber Layer

    Nov 24 2022 by Eder Díaz Dorado

    Fundus photograph of an 35-year-old woman with myelinated nerve fiber layer

    Photographer: Eder Díaz Dorado, Hospital Central Militar CDMX

    Imaging device: Smartphone

    Condition/keywords: myelinated nerve fibers

  • Traumatic Vitreous hemmorrhage in a 4-month-old baby

    Nov 23 2022 by Alexandre Grandinetti, MD, PhD

    This is a intraoperatory picture taken during a vitrectomy due to dense vitreous hemorrhage

    Photographer: Alexandre Grandinetti

    Imaging device: Ngenuity 3D

    Condition/keywords: hemorrhage, vitreous

  • Intermediate uveitis

    Nov 23 2022 by Vaidehi Sathaye

    Fundus photograph of RE of 21 year male with Intermediate uveitis with snowballs in vitreous inferiorly

    Photographer: Dr. Vaidehi Sathaye

    Imaging device: Mirante

    Condition/keywords: intermediate uveitis, snowballs

  • Intermediate uveitis

    Nov 23 2022 by Vaidehi Sathaye

    Fundus photograph of LE of 21 year male with Intermediate uveitis with snowballs in vitreous inferiorly

    Photographer: Dr. Vaidehi Sathaye

    Imaging device: Mirante

    Condition/keywords: intermediate uveitis, snowballs

  • Retinal Cavernous Hemangioma

    Nov 22 2022 by Vaidehi Sathaye

    Widefield FA of LE of a 9 yr male patient with Cavernous Hemangioma appearing as a cluster of grapes

    Photographer: Dr. Vaidehi Sathaye

    Imaging device: Mirante

    Condition/keywords: cavernous hemangioma of the retina, FA

  • Vitreous Hemorrhage with Sub hyaloid hemorrhage with branch retinal vein occlusion in case of high risk PDR

    Nov 22 2022 by Vaidehi Sathaye

    Widefield Color photo montage of LE of 53 yr old Diabetic female with Vitreous hemorrhage with subhyaloid hemorhage with branch retinal vein occlusion in a case of HRC-PDR

    Photographer: Dr. Vaidehi Sathaye

    Imaging device: Mirante

    Condition/keywords: branch retinal vein occlusion (BRVO), HRC-PDR, subhyaloid hemorrhage, vitreous hemorrhage

  • FEVR

    Nov 22 2022 by Vaidehi Sathaye

    Widefield FA montage of LE of a 23 year old male patient with FEVR

    Photographer: Dr. Vaidehi Sathaye

    Imaging device: Mirante

    Condition/keywords: FA, familial exudative vitreoretinopathy (FEVR)

  • Tuberculosis-related serpiginous-like choroiditis

    Nov 22 2022 by Ricardo Leitão Guerra

    True color BLFI of a 60-year-old male presenting chorioretinal scars from a tuberculosis-related serpiginous-like choroiditis.

    Photographer: Ricardo Leitão Guerra

    Imaging device: Zeiss Clarus 700

    Condition/keywords: serpiginous choroiditis, tuberculosis

  • Polypoidal choroidal vasculopathy

    Nov 21 2022 by T. P . VIGNESH, MBBS,MS

    SD-OCT of a 60 year old woman revealing a large PED , multilobular PED and subretinal hemorrhage .

    Photographer: Priyanka

    Imaging device: Heidelberg Spectralis

    Condition/keywords: polypoidal choroidal vasculopathy (PCV)

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