• Peripapillary Myelinated Retinal Nerve Fibers

    Oct 24 2026 by Seif Allah Anwar

    Wide-field montage fundus photograph of the left eye showing extensive peripapillary myelinated retinal nerve fibers (dense white, striated, opaque patches with feathery margins ) radiate from the optic disc along the superior and inferior arcades and nasally, obscuring the disc margin and partially masking the overlying retinal vessels. The macula is spared. The remaining fundus is unremarkable.

    Photographer: Seif Anwar , FRCSEd King Salman International University

    Imaging device: TOPCON

    Condition/keywords: Extensive, Myelinated Nerve Fibres

  • Mickey's Headband of Hemorrhage

    Oct 24 2026 by Shikhara Vijayan

    Fundus photograph of a 33-year-old man with proliferative diabetic retinopathy in both eyes. Preretinal hemorrhage in left eye looks like Mickey Mouse's headband.

    Condition/keywords: proliferative diabetic retinopathy (PDR)

  • Chimney Smoke

    Oct 21 2026 by Vicente Nicanor Mancilla Guerrero

    A 30-year-old male patient presents with sudden vision loss in the left eye. A diagnosis of central serous chorioretinopathy (CSCR) is suspected. In the late-phase fluorescein angiography image, we can observe the classic “smokestack” sign, which appears as the dye enters the serous detachment. Treatment will depend on the course of the condition over a period of 1 to 3 months.

    Photographer: Vicente Mancilla G, Medical technologist specialized in ophthalmology

    Imaging device: TOPCON TRC-50DX

    Condition/keywords: central serous chorioretinopathy (CSCR)

  • Presumed Ocular Histoplasmosis Syndrome (POHS) with Choroidal Neovascular Membrane (CNVM) in the Right Eye: Treatment Response After One Dose of Anti-VEGF Therapy (Bevacizumab)

    Oct 20 2026 by Fernando Pellerano, MD

    A 48-year-old man presented with acute vision loss OD. BCVA was 20/80 OD and 20/20 OS. (A) Fundus examination of the right eye showed mild peripapillary atrophy (PPA), peripheral chorioretinal scars, and macular chorioretinal scarring with hemorrhage, concerning for CNVM. (B) Fundus autofluorescence (FAF) of the right eye showed hypoautofluorescence in areas of chorioretinal scarring. (C) Optical coherence tomography (OCT) of the right eye showed cystoid macular edema, subretinal hyperreflective material, and subretinal fluid. (D) OCT one month after a single dose of bevacizumab showed resolution of intraretinal fluid (IRF) and subretinal fluid (SRF), and visual acuity improved to 20/25. The patient was treated and extended with bevacizumab and faricimab-svoa, receiving a total of six intravitreal injections OD. Two years after discontinuing treatment, he remains free of active CNVM with preserved vision. The left eye showed histo spots and PPA without CNVM (not shown).

    Photographer: Fernando Pellerano MD , Glick Eye Institute, Indiana University , School of Medicine

    Imaging device: Heidelberg Spectralis

    Condition/keywords: choroidal neovascular membrane (CNVM), presumed ocular histoplasmosis syndrome (POHS)

  • Lyophilized Amniotic Membrane Graft for Traumatic Macular Hole

    Oct 16 2026 by Mauricio Bayram-Suverza, MD

    Fundus image of a 31-year-old man who underwent pars plana vitrectomy + ILM peeling + lyophilized amniotic membrane graft for a traumatic macular hole in the right eye.

    Photographer: Mauricio Bayram-Suverza

    Imaging device: TRC-50DX

    Condition/keywords: Lyophilized Amniotic Membrane, traumatic macular hole, vitreoretinal surgery

  • Scars and Memories of Impact: Chorioretinitis sclopetaria.

    Oct 16 2026 by Sean Teixeira

    A 14-year-old male presented with a history of ocular trauma to the left eye (OS) caused by a rubber projectile. Fundus photography revealed concentric chorioretinal scars consistent with choroidal ruptures surrounding the optic disc. A temporal lesion with hyperpigmented and hypopigmented areas and a cicatricial appearance was also observed. Diagnosis: Chorioretinitis sclopetaria.

    Photographer: Sean Teixeira, Instituto de Oftalmologia do Rio de Janeiro

    Imaging device: Clarus Zeiss

    Condition/keywords: chorioretinal fold, chorioretinitis sclopetaria, trauma

  • "Couched" Crystalline Lens

    Oct 16 2026 by Max D Schlesinger, MD

    Optos image of a spontaneously dislocated intact crystalline lens.

    Photographer: Annalisa Lombardi

    Condition/keywords: dislocated crystalline lens

  • Dislocaed IOL in Retinitis Pigmentosa

    Oct 15 2026 by Parnian Arjmand, MD, MSc, FRCSC, DABO, FASRS

    A lone one piece acrylic IOL sits on an RP retina in the eye of a patient with an optically empty vitreoretinopathy

    Photographer: Alex Amigleo

    Condition/keywords: aphakia, sector retinitis pigmentosa

  • YAG Hyaloidotomy

    Oct 14 2026 by Seif Allah Anwar

    Fundus photograph immediately after Nd:YAG laser hyaloidotomy for a dense premacular (subhyaloid) hemorrhage. The posterior hyaloid face over the hemorrhage has been punctured, and the trapped blood is now draining into the vitreous cavity. The residual boat-shaped pocket, with its sharp inferior border, outlines the original sub-hyaloid space.

    Photographer: Seif Anwar FRCSEd , King Salman International University

    Imaging device: TOPCON TRC DX50

    Condition/keywords: YAG HYALOIDOTOMY

  • Postoperative Image of Patient Operated for Giant Retinal Tear Detachment

    Oct 13 2026 by PUJA NEGI

    Postoperative photograph of patient operated for giant retinal tear detachment with attached retina and early emulsification of silicon oil

    Photographer: Dr Margi Panchal

    Condition/keywords: Giant Retinal Tear

  • Preoperative Giant Retinal Tear with Nasal RD

    Oct 13 2026 by PUJA NEGI

    Young male patient with giant retinal tear

    Photographer: Dr Margi Panchal

    Condition/keywords: giant retinal tear

  • The Retinal Hibiscus: Neovascularization of the Disc in CRAO

    Oct 11 2026 by S. Natarajan, MD, FASRS, FRCS (GLASGOW) , FICO, D.Sc, FELA

    A 59-year-old female presented with complaints of sudden loss of vision in the left eye since 1 year. On examination, visual acuity in the right eye (RE) was 20/20, while in the left eye (LE) it was perception of light (PL) with inaccurate projection. Anterior segment examination was unremarkable. Fundus examination of the LE revealed Neovascularization of the Disc (NVD) with scleroses retinal vessels, giving a "retinal hibiscus" appearance. Based on clinical findings, a probable diagnosis of Central Retinal Artery Occlusion (CRAO) with Ocular Ischemic Syndrome (OIS) was made. The patient was advised Pan-Retinal Photocoagulation (PRP) for the NVD and further systemic evaluation.

    Photographer: MS. ASHWINI SUTAR

    Imaging device: MIRANTE NIDEK

    Condition/keywords: CRAO, neovascularization of the disc (NVD)

  • Retinal Hemangioblastoma - Macular OCT

    Oct 11 2026 by César Adrián Gómez Valdivia, MD

    The foveal depression is lost and replaced by large central intraretinal cystoid spaces. Numerous hyperreflective foci in the outer retina, consistent with hard exudates, cast posterior shadows. Subretinal fluid extends beneath the fovea. The inner retinal surface is irregular, and the outer retinal bands are poorly defined in the subfoveal region.

    Photographer: @eyemissu2

    Imaging device: Heidelberg E.

    Condition/keywords: vhl

  • Retinal Hemangioblastoma - Raster OCT

    Oct 11 2026 by César Adrián Gómez Valdivia, MD

    The infrared reference image shows a round, dark, well-circumscribed lesion temporal to the macula, about 5 mm from the fovea. The B-scan through it reveals a dome-shaped elevation of the inner retina with a hyperreflective surface and dense posterior shadowing. The adjacent retina shows intraretinal cystoid spaces, hyperreflective foci consistent with hard exudates, and subretinal fluid.

    Photographer: @eyemissu2

    Imaging device: Heidelberg E.

    Condition/keywords: OCT, tumor

  • Retinal Hemangioblastoma - FA

    Oct 11 2026 by César Adrián Gómez Valdivia, MD

    The dilated superotemporal artery fills rapidly in the earliest frames, while the tortuous inferotemporal vein shows delayed laminar filling. The temporal peripheral lesion demonstrates intense early hyperfluorescence with progressive leakage that obscures its margins by one minute. Hypofluorescent areas with hyperfluorescent borders correspond to the chorioretinal scars. A round hyperfluorescent focus temporal to the fovea increases in intensity throughout the sequence.

    Photographer: @eyemissu2

    Imaging device: Clarus 700

    Condition/keywords: FA late phase leakage

  • Retinal Hemangioblastoma - RG

    Oct 11 2026 by César Adrián Gómez Valdivia, MD

    A markedly dilated and tortuous pair of retinal vessels arises from the optic disc and courses along the temporal arcades, converging on an elevated orange-red lesion in the temporal periphery. The lesion is surrounded by fibroglial tissue with preretinal traction. Lipid exudates are present in the macula and along the inferotemporal arcade. Pigmented chorioretinal scars from prior treatment are seen temporal to the macula and in the mid-periphery.

    Photographer: @eyemissu2

    Imaging device: OPTOS

    Condition/keywords: retinal hemangioblastoma

  • Diabetic Retinopathy

    Oct 9 2026 by Andrea Arriola-Lopez, MD MSc

    43-year-old male, BCVA 20/400, rubeosis iridis, PDR.

    Photographer: Dr. Wendy Yax

    Imaging device: EIDON UWF

    Condition/keywords: Advanced diabetic eye disease, proliferative diabetic retinopathy (PDR)

  • Acute Optic Nerve Head Avulsion With Secondary CRAO

    Oct 8 2026 by Vishal Agrawal, MD, FRCS,FACS,FASRS

    Fundus photograph of a 6 year old boy with sudden and complete loss of vision in left eye following blunt trauma. Fundus photography shows pre retinal blood surrounding the nerve suggestive of ONH avulsion. A fresh central retinal artery occlusion with stagnant blood column is also seen.

    Photographer: Dr Gargi Sharma

    Imaging device: Clarus 700

    Condition/keywords: central retinal artery occlusion, optic nerve head avulsion

  • Laser Barrage

    Oct 6 2026 by Seif Allah Anwar

    Widefield fundus image of the right eye shows a superotemporal retinal tear surrounded by a confluent, well-pigmented laser barrage, with dispersed vitreous haemorrhage settling inferiorly and a normal-appearing disc and macula.

    Photographer: Seif Anwar FRCSEd , King Salman International University

    Imaging device: CenterVue Eidon

    Condition/keywords: BARRAGE LASER

  • The Disappearing Gold: Oguchi Disease

    Oct 6 2026 by Abhishek Karra, MS

    Color fundus photographs before (upper panels) and after dark adaptation (lower panels) demonstrate the characteristic Mizuo–Nakamura phenomenon. The diffuse golden-yellow fundus sheen of Oguchi disease markedly diminishes following dark adaptation, revealing a relatively normal fundus appearance.

    Photographer: Abhishek Karra

    Imaging device: Zeiss Clarus

    Condition/keywords: congenital stationary night blindness (CSNB), inherited retinal disease, Mizuo Nakamura Phenomenon, Oguchi's disease

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