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Mar 27 2025 by Shrishti mishra

A 73 year old male with Le optic disc pit . On color fundus photo a single pit can be noted whereas on oct enface is- os interface 2 optic disc pits are noted which resembles a halloween smile .

Photographer: Mr Sudhakar

Imaging device: Zeiss cirrus6000

Condition/keywords: OCT, oct en face, optic disc pit

Mar 26 2025 by Virginia Gebhart

54 year old female referred for iris mass. UBM shows large solid mass originating in the ciliary body and eroding into the anterior chamber. Pt will be scheduled for brachytherapy with tumor biopsy pending CT scan results

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Samsung Galaxy

Condition/keywords: ciliary body melanoma, iris melanoma, melanoma

Mar 26 2025 by Korey Starkey

9 month old patient presents today with Retinopathy of Prematurity in both eyes. Patient was born at gestational age of 25 weeks 2 days, 940g. Left eye presents with vitreoretinal traction and peripheral VH with regressed stage 3 and persistent stage 2 disease.

Photographer: Korey Starkey

Imaging device: Optos

Condition/keywords: retinopathy of prematurity stage 2, rop, stage 3, vitreoretinal traction, vitreous hemorrhage

Mar 26 2025 by Korey Starkey

41 year-old patient presents with vascular FA findings of occlusive vasculitis with four quadrant Kyrieleis plaques OU showcases a possibly rare but reported atypical presentation of Behcet's Syndrome.

Photographer: Korey Starkey

Imaging device: Optos

Condition/keywords: FA early phase, Fundus Fluorescein Angiography, ischemia, Optos, retinal vasculitis, ultra-wide field imaging, venous beading

Mar 26 2025 by Korey Starkey

41 year-old patient presents with vascular FA findings of occlusive vasculitis with four quadrant Kyrieleis plaques OU showcases a possibly rare but reported atypical presentation of Behcet's Syndrome.

Photographer: Korey Starkey

Imaging device: Optos

Condition/keywords: Behcet's Disease, FA early phase, Fundus Fluorescein Angiography, Optos, retinal vasculitis, ultra-wide field imaging, venous beading

Mar 25 2025 by Gustavo Uriel Fonseca Aguirre

Peripheral cross-section of B-mode ultrasound showing IOL dislocated into the vitreous cavity.

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

Condition/keywords: IOL, vitreous cavity

Mar 25 2025 by Gustavo Uriel Fonseca Aguirre

Longitudinal B-scan echogram shows mildly elevated lesion overlying surface of optic nerve. A-scan shows regular internal structure and high reflectivity of lesion.

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

Condition/keywords: Melanocytoma

Mar 25 2025 by Gustavo Uriel Fonseca Aguirre

Patient diagnosed with pars planitis and a history of phacovitrectomy. Longitudinal B-scan section showing a very pronounced, homogeneous tumor lesion in the periphery. The A-scan revealed high average reflectivity with an irregular internal structure.

Photographer: Gustavo U. Fonseca Aguirre, Hospital Oftalmológico de la Luz, Ciudad de México

Condition/keywords: pars planitis, Vasoproliferative Tumor

Mar 25 2025 by Toolie Winters

Ultra-wide field fundus photograph of a 78-year-old woman with extensive CHRPE lesions OS. Continued observation has been recommended at this time.

Photographer: Toolie Winters

Imaging device: Optos California

Condition/keywords: CHRPE, congenital hypertrophy of the retinal pigment epithelium (CHRPE), fundus photography, Optos, Optos California, pseudocolor, ultra-wide field imaging

Mar 25 2025 by Korey Starkey

26 year-old patient presented at first visit with rhegmatogenous macula involving retinal detachment of the left eye. Underwent prompt surgical repair. Both eyes also present with lattice degeneration with atrophic holes.

Photographer: Korey Starkey

Condition/keywords: atrophic retinal hole, fundus photography, lattice degeneration, montage photo, Optos, OPTOS CALIFORNIA RGB, retinal detachment, retinal holes, rhegmatogenous retinal detachment, ultra-wide field imaging

Mar 25 2025 by Robert Andrew Sisk, MD, FACS, FASRS

Color stills from surgical video after subretinal delivery of gene augmentation therapy with voretigene neparvovec-rzyl A) before and B) after fluid-air exchange (FAX). The blebs were between 0.5- and 1-disc diameters from the fovea. After FAX, they gradually extended beneath the fovea and eventually merged. This spared the fovea the trauma from the injection pressure of subretinal injection while allowing treatment to the area.

Imaging device: Leica Proveo 8

Condition/keywords: Fluid-Air Exchange, Gene Therapy, genetic disorder, genetics, Subretinal Injection

Mar 25 2025 by Robert Andrew Sisk, MD, FACS, FASRS

Color still from surgical video of subretinal delivery of laru-zova for X-linked retinitis pigmentosa. Live optical coherence tomography (OCT) with foveal tracking via the embedded software in the operating microscope allows monitoring foveal integrity for signs of stress. The contour of the fovea does not exceed the curvature of the bleb (e.g. no inversion). The tangential cannula angle facilitated steering of the bleb posteriorly. The bleb covers essentially the entire macula, which is the target area.

Imaging device: Zeiss Artevo 800

Condition/keywords: gene therapy, genetic disorder, optical coherence tomography (OCT), retinitis pigmentosa, subretinal injection

Mar 25 2025 by Robert Andrew Sisk, MD, FACS, FASRS

Color stills from surgical videos of subretinal delivery of gene augmentation therapy with A) voretigene neparvovec-ryzl and B) laru-zova. In the left panel, the cannula is slightly bent, and the retina and RPE are blanched white around the cannula tip engagement. The bleb was challenging to form in this patient with advanced retinal degeneration, and the bleb is shallow and mostly clear. In the right panel, the cannula tip is gently engaged, the cannula is straight, and it follows the retinotomy as the retina is elevated by the injection fluid.

Imaging device: Leica Proveo 8

Condition/keywords: gene therapy, genetic disorder, Leber's congenital amaurosis, retinitis pigmentosa, subretinal injection

Mar 25 2025 by Toolie Winters

Fundus autofluorescence image of a 69-year-old woman with toxic maculopathy OU due to Elmiron usage. Patient stopped using Elmiron in the late 2010s after having been on it for 17 years. The patient has areas of outer retinal and RPE atrophy temporal to fovea that have expanded compared to photos from two years ago. At the time of this appointment, her VA OD was sc20/40-1+2 PH20/30 and VA OS was scCF @ 1 foot.

Photographer: Toolie Winters

Imaging device: Heidelberg Spectralis

Condition/keywords: Elmiron Toxicity, FAF, fundus autofluorescence (FAF), Heidelburg Spectralis, Pentosan Toxicity, Toxic Maculopathy

Mar 25 2025 by Kimberly Wakester

Optomap RGB montage of an 64-year-old woman with a repaired retinal detachment with scleral buckle in the right eye. There is nasal and inferior pre-retinal membranes with traction. PPV was recommended but patient defers to proceed with sx at this time. Will continue to follow patient closely for worsening traction. Patient was educated on how to monitor their peripheral vision and was advised to report any changes immediately.

Photographer: Kimberly Wakester, COA, OCT-C

Imaging device: Optos California

Condition/keywords: pre-retinal membrane with traction, repaired RD, scleral buckle

Mar 25 2025 by Kimberly Wakester

Optomap RGB of a 79-year-old-woman with a repaired retinal detachment with PVR in the right eye. Patient is doing well over 7 months s/p vitrectomy with silicone oil and scleral buckle placement. Retina remains attached on the buckle under oil. Patient is to return in 6 months for follow up exam with repeat imaging.

Photographer: Kimberly Wakester, COA, OCT-C

Imaging device: Optos California

Condition/keywords: PVR, repaired RD, Retinal detachment under Silicon Oil, scleral buckle

Mar 25 2025 by Shrishti mishra

A 63 old male with RAM lesion associated with multilayered hemmoraghe.

Photographer: Mrs Vinutha, Narayana Nethralaya

Imaging device: Nikon optos

Condition/keywords: FFA, RAM, SHH

Mar 25 2025 by Shrishti mishra

A 63 year old male with RAM lesion in the right eye associated with multilayered hemorrhage.

Imaging device: Optos nikon

Condition/keywords: FFA, retinal arterial macroaneurysm, subhyaloid hemorrhage

Mar 24 2025 by DR APOORVA JADHAV, MBBS , DNB

This is a color fundus photograph showing rhegmatogenous retinal detachment with posterior pole retinal tear with macula off.

Condition/keywords: retinal detachment of the macula

Mar 22 2025 by Deepak Bhojwani, MS

A fundus image of an asymptomatic 64 year old male with large horseshoe shaped breaks in inferonasal quadrant on posterior pole, an unusual location for retinal breaks.

Photographer: DR DEEPAK BHOJWANI

Condition/keywords: horseshoe tear, posterior pole break, retinal break