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Combined Occlusion with TRD
Jun 30 2025 by Shivankar Sen, MS, FVRS
Posterior Pole and Ultra-wide field Fluorescein angiogram of a 79 yr. old one eyed male revealing arterial occlusion, grossly non-perfused peripheral retina with neovascularisation elsewhere and significant tractions at the posterior pole.
Photographer: Gayathri M S, Dr. Shivankar Sen MD
Imaging device: Heidelberg Spectralis HRA+OCT
Condition/keywords: arterial occlusion, Traction retinal detachment, Vein Occlusion
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Fluorescein Angiography (FA) of a Primary Retinal Vasoproliferative Tumor
Jun 29 2025 by Marcelo Zas, MD PhD
We present a case of a 33-year-old male patient, who presented with decreased visual acuity in his right eye with 20/80, presenting a primary retinal vasoproliferative tumor in the lower temporal quadrant. The fluorescein angiography findings are: 1. Early hyperfluorescence due to its rich intrinsic vascularity and often has dilated feeding arterioles and draining venules. 2. Marked progressive leakage from the tumor vessels. 3. The late leakage often obscures fine vascular details in the late phase and corresponds to exudation and macular edema seen clinically. 4. Staining of surrounding exudates, RPE disturbances and gliosis. 5. In our case also a marked peripheral capillary closure in the areas adjacent to the tumor and in other quadrants as well.
Photographer: Marcelo Zas MD PhD
Condition/keywords: RETINAL VASOPROLIFERATIVE TUMOR
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Purtscher-like Retinopathy in Preeclampsia
Jun 28 2025 by Sriharanathan Poopalaratnam, MD,FRCS
A 24-year-old female, 6 weeks post-emergency cesarean section (LSCS), with a history of pregnancy-induced hypertension (PIH), presented with acute, profound, bilateral painless vision loss of 2 days’ duration
Photographer: Yattiwarra
Condition/keywords: preeclampsia, Purtscher like
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The Horseshoe Of Havoc
Jun 28 2025 by Tejaswita Verma
Fundus image of a 50 year old male with a very large horseshoe tear causing RRD with macula off, hydration folds.
Photographer: Dr. Tejaswita Verma
Imaging device: MIRANTE
Condition/keywords: horseshoe tear, large break
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The Horseshoe Of Havoc
Jun 28 2025 by Tejaswita Verma
Fundus image of a 50 year old male with a very large horseshoe tear causing RRD with macula off, hydration folds.
Photographer: DR. TEJASWITA VERMA
Imaging device: MIRANTE
Condition/keywords: horseshoe tear
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Double Trouble
Jun 28 2025 by Tejaswita Verma
Fundus image of a 60 year old diabetic female with double macular holes with 6/60 vision status post LE PPV+gas 4 months ago. Other eye also had an unoperated large macular hole. Known case of glaucoma
Photographer: Dr. Tejaswita Verma
Imaging device: MIRANTE
Condition/keywords: macular hole
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Double Trouble
Jun 28 2025 by Tejaswita Verma
Retro image of aa double macular hole in a 60 yr old diabetic female status post PPV + gas 4 months ago. Vision was 6/60 in LE.
Photographer: Dr. Tejaswita Verma
Imaging device: MIRANTE
Condition/keywords: macular hole, retro mode
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Love Through the Lens of Retinal Detachment
Jun 27 2025 by Claudio Brancato
The image depicts a case of rhegmatogenous retinal detachment where the vitreous was extremely adherent to the retina. The primary surgeon was performing membrane peeling using a surgical loop, while the assisting surgeon was captivated by the intricate procedure. In a moment of affectionate dedication, the primary surgeon carefully peeled the membrane to form a heart shape, symbolizing both his passion for surgery and perhaps a personal gesture towards the assisting surgeon. This delicate and precise maneuver highlights the complexity and artistry involved in vitreoretinal surgery, showcasing the blend of technical skill and emotional expression within the operating room.
Photographer: Claudio Brancato, ARNAS CIVICO Hospital, Palermo, Italy
Imaging device: Zeiss Artevo 800
Condition/keywords: finesse, peeling, proliferative vitreoretinopathy (PVR), Retina detachment
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Pigmented Paravenous Retinochoroidal Atrophy (PPRCA)
Jun 27 2025 by Maria Letícia Costa Holanda
Fundoscopy of a 42-year-old asymptomatic man with pigmented paravenous chorioretinal atrophy. Pigmented paravenous retinochoroidal atrophy (PPRCA) is a rare disorder of unknown etiology. The disease is characterized by pigment accumulation along the distribution of retinal veins. The findings are usually incidental with minimal effect on vision.
Photographer: Guilherme da Cruz Reis, CLINOS Eye Hospital - Feira de Santana (BA),Brazil
Condition/keywords: pigmented paravenous chorioretinal atrophy (PPCRA)
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Pigmented Paravenous Retinochoroidal Atrophy (PPRCA)
Jun 27 2025 by Maria Letícia Costa Holanda
Fundoscopy of a 42-year-old asymptomatic man with pigmented paravenous chorioretinal atrophy. Pigmented paravenous retinochoroidal atrophy (PPRCA) is a rare disorder of unknown etiology. The disease is characterized by pigment accumulation along the distribution of retinal veins. The findings are usually incidental with minimal effect on vision.
Photographer: Guilherme da Cruz Reis, CLINOS Eye Hospital - Feira de Santana (BA),Brazil
Condition/keywords: pigmented paravenous chorioretinal atrophy (PPCRA)
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Pigmented Paravenous Retinochoroidal Atrophy (PPRCA)
Jun 27 2025 by Maria Letícia Costa Holanda
Fundoscopy of a 42-year-old asymptomatic man with pigmented paravenous chorioretinal atrophy. Pigmented paravenous retinochoroidal atrophy (PPRCA) is a rare disorder of unknown etiology. The disease is characterized by pigment accumulation along the distribution of retinal veins. The findings are usually incidental with minimal effect on vision.
Photographer: Guilherme da Cruz Reis, CLINOS Eye Hospital - Feira de Santana (BA),Brazil
Condition/keywords: Pigmented Paravenous Retinochoroidal Atrophy
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Pigmented Paravenous Retinochoroidal Atrophy (PPRCA)
Jun 27 2025 by Maria Letícia Costa Holanda
Fundoscopy of a 42-year-old asymptomatic man with pigmented paravenous chorioretinal atrophy. Pigmented paravenous retinochoroidal atrophy (PPRCA) is a rare disorder of unknown etiology. The disease is characterized by pigment accumulation along the distribution of retinal veins. The findings are usually incidental with minimal effect on vision.
Photographer: Guilherme da Cruz Reis, CLINOS Eye Hospital - Feira de Santana (BA),Brazil
Condition/keywords: pigmented paravenous chorioretinal atrophy (PPCRA)
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Pigmented Paravenous Chorioretinal Atrophy (PPCRA)
Jun 27 2025 by Maria Letícia Costa Holanda
Fundoscopy of a 42-year-old asymptomatic man with pigmented paravenous chorioretinal atrophy. Pigmented paravenous retinochoroidal atrophy (PPRCA) is a rare disorder of unknown etiology. The disease is characterized by pigment accumulation along the distribution of retinal veins. The findings are usually incidental with minimal effect on vision.
Photographer: Guilherme da Cruz Reis, CLINOS Eye Hospital - Feira de Santana (BA),Brazil
Condition/keywords: pigmented paravenous chorioretinal atrophy (PPCRA)
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BRVO-MCR-FFA
Jun 27 2025 by Gayathri M S
Case of impending Macular BRVO. 52 year old female on medication for Hypertension and Diabetes Mellitus since 2 years. BCVA 6/18,N6. IOP 16 mmHg. Multicolor Reflectance and Fundus Fluorescein Angiography picture shows mild dilated tortuous inferior vessels, small areas of capillary non perfusion and few microanurysms.
Photographer: Gayathri MS
Imaging device: Heidelberg spectralis
Condition/keywords: fluorescein angiogram (FA), macular branch retinal vein occlusion (BRVO), multicolor
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Dark Territories
Jun 27 2025 by Tejaswita Verma
OCT-Angio image of the LE of a 76 year old hypertensive male with history of old superotemporal branch retinal vein occlusion status post 3 anti VEGF injections received in 2012.Vision was 6/9 in left eye. OCTA shows a large CNP area .
Photographer: Dr. Tejaswita Verma
Imaging device: MIRANTE
Condition/keywords: branch retinal vein occlusion (BRVO), CNP areas, OCTA, ST BRVO
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Ocular B-scan Ultrasound (Longitudinal Scan M6, gain 100 dB)
Jun 26 2025 by Hector Gabriel Moreno Solano, MD, MHA
B-scan ultrasound was performed in longitudinal section M6 with a gain of 100 dB. A hyperechoic structure with posterior acoustic shadowing is observed, consistent with lens luxation and condensed vitreous bands adjacent to the lens. The dislocated lens measures approximately 9.54 mm x 4.62 mm. The study was conducted following blunt ocular trauma caused by a golf ball. The remaining vitreous cavity appears anechoic, with no evidence of retinal detachment or other structural abnormalities in this section.
Photographer: Hector Gabriel Moreno Solano, Instituto Mexicano de Oftalmología “IMO I.A.P”
Imaging device: Quantel Medical
Condition/keywords: B scan ultrasound, lens luxation, ocular trauma
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Fluorescein Angiography in Choroidal Rupture
Jun 26 2025 by Hector Gabriel Moreno Solano, MD, MHA
Fluorescein angiography of the right eye reveals three linear hypofluorescent lesions with progressive staining at the edges, consistent with choroidal ruptures. These lesions are temporally located in the posterior pole, with one of them situated near the fovea but without direct foveal involvement. The pattern is suggestive of previous blunt ocular trauma.
Photographer: Héctor Gabriel Moreno Solano, Instituto Mexicano de Oftalmología “IMO I.A.P”
Imaging device: CLARUS
Condition/keywords: Choroidal Rupture, fluorescein angiogram (FA)
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OCT Choroidal Rupture
Jun 26 2025 by Hector Gabriel Moreno Solano, MD, MHA
High-resolution OCT of the right eye shows a localized disruption of the retinal pigment epithelium (RPE)–Bruch’s membrane complex, consistent with a choroidal rupture. There is loss of the normal outer retinal architecture over the lesion, with focal elevation and irregularity of the underlying RPE. Hyperreflective material is noted at the level of the break, without associated subretinal fluid or signs of active choroidal neovascularization.
Photographer: Hector Gabriel Moreno Solano, Instituto Mexicano de Oftalmología “IMO I.A.P”
Imaging device: REVO
Condition/keywords: Choroidal Rupture, OCT
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Autofluorescence in Multiple Choroidal Ruptures
Jun 26 2025 by Hector Gabriel Moreno Solano, MD, MHA
Fundus autofluorescence imaging of the right eye shows three hypoautofluorescent linear lesions located temporally to the fovea, consistent with choroidal ruptures. The lesions demonstrate sharply demarcated borders with variable surrounding hyperautofluorescence, suggestive of retinal pigment epithelium (RPE) disruption and potential remodeling. One rupture is located near the foveal region, though the foveal center remains spared.
Photographer: Hector Gabriel Moreno Solano, Instituto Mexicano de Oftalmología “IMO I.A.P”
Imaging device: CLARUS
Condition/keywords: autofluorescence imaging, Choroidal Rupture
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Multiple Chorodial Ruptures
Jun 26 2025 by Hector Gabriel Moreno Solano, MD, MHA
Color fundus photograph of the right eye reveals three well-defined, curvilinear choroidal ruptures located temporal to the fovea running parallel. The lesions appear as pale, crescent-shaped bands, with underlying retinal pigment epithelium disruption. One of the ruptures is situated near the foveal center, though without direct involvement.
Photographer: Hector Gabriel Moreno Solano, Instituto Mexicano de Oftalmología “IMO I.A.P”
Imaging device: CLARUS
Condition/keywords: Choroidal Rupture, color fundus photograph, color wide field