• Congenital Simple Hamartoma of the Retinal Pigment Epithelium

    May 16 2022 by David C Sousa, MD PhD FRANZCO

    A 49-year-old man was referred after an incidental finding in the right eye macula. Best-corrected visual acuity was 20/25. Anterior segment examination was unremarkable. Fundoscopy revealed a juxta-foveal heavily pigmented well-demarcated slightly elevated lesion measuring 0.4 x 0.4 mm. No other changes were observed adjacent to the lesion or elsewhere in either eye. Optical coherence tomography revealed an area of retinal elevation with high optical reflectivity and posterior shadowing. The findings are consistent with congenital simple hamartoma of the retinal pigment epithelium. Given the benign, non-progressive and usually asymptomatic nature of this condition, most patients are diagnosed in adulthood.

    Imaging device: Topcon Maestro2

    Condition/keywords: retinal pigment epithelium (RPE) hamartoma

  • Congenital Simple Hamartoma of the Retinal Pigment Epithelium

    May 16 2022 by David C Sousa, MD PhD FRANZCO

    A 49-year-old man was referred after an incidental finding in the right eye macula. Best-corrected visual acuity was 20/25. Anterior segment examination was unremarkable. Fundoscopy revealed a juxta-foveal heavily pigmented well-demarcated slightly elevated lesion measuring 0.4 x 0.4 mm. No other changes were observed adjacent to the lesion or elsewhere in either eye. Optical coherence tomography revealed an area of retinal elevation with high optical reflectivity and posterior shadowing. The findings are consistent with congenital simple hamartoma of the retinal pigment epithelium. Given the benign, non-progressive and usually asymptomatic nature of this condition, most patients are diagnosed in adulthood.

    Imaging device: Topcon Maestro2

    Condition/keywords: retinal pigment epithelium (RPE) hamartoma

  • Sunset Glow Fundus

    May 15 2022 by Manuel Ángel Alcántara Delgado, MD

    Optomap ultra-widefield retinal imaging of an 35-year-old woman showed sunset glow fundus, multiple nummular chorioretinal atrophic lesions, macular subretinal fibrosis and pigment clumping in chronic recurrent stage of Vogt-Koyanagi-Harada disease.

    Photographer: Manuel Ángel Alcántara Delgado. Conde de Valenciana.

    Condition/keywords: abnormal retina, benign pigmented lesions, pigment clumps, retinal fibrosis, uveitis, Vogt-Koyanagi-Harada

  • Epiretinal Membrane

    May 14 2022 by Rinat Sutiushev

    Female, born in 1961. Complains of decreased vision and distortion when reading text. The ocular fundus showed retinal surface wrinkling due to membrane contracture.

    Photographer: Rinat Sutiushev

    Condition/keywords: Cellophane Maculopathy, epiretinal membrane (ERM), macular pucker

  • Bilateral Chronic Central Serous Chorioretinopathy

    May 14 2022 by Sukanya Mondal, MBBS, MS, FICO, MRCSEd

    Fundus Autofluoroscence image of a 45-year-old man with bilateral chronic Central Serous Chorioretinopathy showing classic 'Comet-tail' sign from gravitational descending tracts.

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

    Imaging device: Zeiss Clarus 500

    Condition/keywords: central serous chorioretinopathy (CSCR), fundus autofluorescence (FAF)

  • Peripheral haemorrhagic. Choroidopathy

    May 12 2022 by Shobhit Chawla, M.S.

    An elderly with peripheral subretinal haemorrhage due to a peripheral haemorrhagic choroidopathy akin to a peripheral PCV like lesion

    Photographer: Shobhit chawla

    Imaging device: Zeiss clarus 500

    Condition/keywords: PERIPHERAL HAEMORRHAGIC CHOROIDOPATHY

  • Idiopathic Polypoidal Choroidal Vasculopathy

    May 11 2022 by Pramod Kumar Suman, MBBS, MD

    Fundus photograph of an 59-year-old male with clinically visible orange-red sub-retinal nodules with sub-retinal hemorrhage.

    Photographer: Pramod Kumar Suman, Retina Foundation, Ahmedabad

    Condition/keywords: polypoidal choroidal vasculopathy (PCV)

  • Choroidal detachment

    May 8 2022 by Adel Al Akeely, MD

    Fundus UWF photograph of a 71-year-old man with choroidal detachment with a distant history of trabeclectomy and a recent cataract surgery

    Photographer: Adel AlAkeely, Magrabi Center, Riyadh Saudi Arabia

    Imaging device: Optos Silverstone

    Condition/keywords: choroid, detachment

  • Ocular Toxoplasmosis

    May 6 2022 by Eder Díaz Dorado

    Fundus photograph of an 31-year-old man with a macular scar of toxoplasmosis and a review with OCT

    Photographer: Eder Díaz Dorado, Hospital Central Militar, Ciudad de México

    Imaging device: Heidelberg Spectralis /Smartphone Photography

    Condition/keywords: inactive toxoplasmosis, ocular toxoplasmosis, toxoplasmosis chorioretinitis

  • Submacular haemorrhage PCV

    May 6 2022 by Shobhit Chawla, M.S.

    SUBMACULAR HAEMORRHAGE IN A 38YEAR OLD LADY PATIENT CAUSE POLYP BLEED IN PCV. Following viterectomy , subretinal tpa . gas and aflibercept injection. 1ST day post operative image.

    Photographer: Shobhit Chawla

    Imaging device: ZeissClarus500

    Condition/keywords: aflibercept, idiopathic polypoidal choroidal vasculopathy, polypoidal choroidal vasculopathy (PCV), tissue plasminogen activator (tPA)

  • Submacular haemorrhage PCV

    May 6 2022 by Shobhit Chawla, M.S.

    SUBMACULAR HAEMORRHAGE IN A 38YEAR OLD LADY PATIENT CAUSE POLYP BLEED IN PCV.

    Photographer: Shobhit Chawla

    Imaging device: Zeiss Clarus 500

    Condition/keywords: polypoidal choroidal vasculopathy (PCV), submacular hemorrhage

  • Post Subretinal tpa , viterectomy and gas

    May 6 2022 by Shobhit Chawla, M.S.

    SUBMACULAR HAEMORRHAGE IN A 38YEAR OLD LADY PATIENT CAUSE POLYP BLEED IN PCV. Following viterectomy , subretinal tpa . gas and aflibercept injection. 7 day post operative image.

    Photographer: Shobhit Chawla

    Imaging device: Zeiss Clarus 500

    Condition/keywords: aflibercept, intravitreal gas bubble, submacular hemorrhage, tissue plasminogen activator (tPA), vitrectomy

  • Nasal Optic Disc Pit

    May 3 2022 by Bernardo Araújo

    Asymptomatic patient. 41-year-old woman.

    Photographer: Bernardo Araújo, Retina Clinic, São Paulo, SP, Brazil.

    Condition/keywords: nasal, optic disc

  • Thioridazine-toxicity

    Apr 30 2022 by Niloofar Piri, MD

    61 yo male with PMH of longstanding schizophrenia since 20s with secondary intellectual disability presented with decreased vision following a recent stroke. He was found to have bilateral chorio-retinal atrophy involving posterior pole with scalloped edges and coin shaped atrophic area at margins extending into mid-periphery, diagnosis most concerning for intermediate stage thioridazine toxicity given the history. Mother could find handwritten prescriptions from 1990s when he was on Thioridazine 800 mg daily for unknown period of time. Patient had better vision in the left eye which was affected by recent stroke and prompted him to seek medical care. Fundus photograph of the right eye is demonstrated here.

    Photographer: Jacob Grodsky, MD

    Condition/keywords: drug toxicity, thioridazine toxicity, toxic retinopathy

  • Spontaneously Dropped Lens in a Congenital Rubella Syndrome

    Apr 30 2022 by NEIFFER RABELO

    Intraoperative photograph of a 68-year-old patient with congenital rubella syndrome and light perception visual acuity since childhood. The image shows a pigmentary retinopathy and the lens spontaneously displaced into the vitreous cavity. The patient sought care complaining of a total and sporadic loss of vision that was hindering her in daily tasks. Surgery was indicated to remove the lens.

    Photographer: Rodrigo Dos Anjos Versiani - Retina Institute - Belo Horizonte - Brazil

    Imaging device: ZEISS OPMI LUMERA 700

    Condition/keywords: dropped nucleus, retina surgery, rubella retinopathy

  • Spontaneously dropped Nucleus In a Congenital Rubella Retina disease

    Apr 29 2022 by NEIFFER RABELO

    Intraoperative Fundus Photograph of an 68 years old with past medical history of

    Photographer: Rodrigo Dos Anjos Vesiani, Retina Institute - Belo Horizonte - Brazil

    Imaging device: OPMI LUMERA® 700

    Condition/keywords: abnormal retina, dropped nucleus, retina surgery, rubella

  • Bilateral Coloboma-OD

    Apr 29 2022 by Deepika Malik, MD

    A adolescent male with a history of intellectual disability was referred for ophthalmologic evaluation of monocular vision loss. Fundoscopic examination of the right eye revealed an inferior typical retinochoroidal coloboma without involvement of the disc. The left eye revealed an optic pit within an inferior retinochoroidal coloboma leading to a localized retinal detachment.

    Condition/keywords: coloboma of choroid

  • Optic Pit Inside Coloboma

    Apr 29 2022 by Deepika Malik, MD

    A adolescent male with a history of intellectual disability was referred for ophthalmologic evaluation of monocular vision loss. Fundoscopic examination of the right eye revealed an inferior typical retinochoroidal coloboma without involvement of the disc. The left eye revealed an optic pit within an inferior retinochoroidal coloboma leading to a localized retinal detachment.

    Condition/keywords: optic pit, retinochoroidal coloboma

  • Snail Track Peripheral Retinal Degeneration

    Apr 29 2022 by Otakar Dušek, M.D. Ph.D.

    Colour fundus photograph of 22-year-old woman with incidentally found snail track retinal degeneration in the superior temporal periphery of the retina of the right eye.

    Photographer: Otakar Dušek, Charles University, Prague

    Imaging device: Zeiss Clarus

    Condition/keywords: peripheral retinal degeneration

  • Commotio retinae

    Apr 29 2022 by Otakar Dušek, M.D. Ph.D.

    Colour fundus photograph of 24-year-old woman who was hit by volleyball onto her right eye what caused whitenning of the lower peripheral retina (Berlin's edema) i.e. commotio retinae.

    Photographer: Otakar Dušek, Charles University, Prague

    Imaging device: Zeiss Clarus

    Condition/keywords: Berlin's edema, blunt trauma, commotio retinae

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