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VKH Syndrome
Jun 12 2025 by Virginia Gebhart
Fluorescein angiogram of 22 year old male with VKH syndrome. Significant cell in AC and vitreous, multiple punched-out CR scars in periphery, mild vascular leakage. Pt referred to rheumatology for immunomodulatory treatment.
Photographer: Virginia Gebhart, Retina Consultants of Carolina
Imaging device: Optos California
Condition/keywords: FA, fluorescein angiogram (FA), multifocal choroiditis, panuveitis, VKH, Vogt-Koyanagi-Harada
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Berlin's Edema
Jun 12 2025 by Shivankar Sen
A 22 year old male came with history of sports injury to the right eye with the nose of shuttlecock while playing badminton. On examination, right eye anterior segment shows conjunctival congestion with brisk pupillary reaction and quiet anterior chamber. His best corrected visual acuity was 6/12; N6 in the right eye and 6/6; N6 in the left eye. Retinal examination revealed OD Berlin's Edema, OS within normal limits. Image Description (From Left to Right) Multicolor Reflectance (Blue-Green Enhanced) shows well defined yellowish discoloration Green reflectance and blue reflectance show corresponding whitish discoloration at the area of edema
Photographer: Dr. Shivankar Sen
Imaging device: Heidelberg Spectralis HRA+OCT
Condition/keywords: Shuttlecock Injury
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Amelanotic Choroidal Melanoma with Optic Atrophy
Jun 11 2025 by Aditya S Kelkar, MS, FRCS, FASRS,FRCOphth
Fundus photograph of a 64-year-old woman with optic atrophy and amelanotic choroidal melanoma temporal to the macula.
Photographer: Dr Harsh Jain, National Institute of Ophthalmology
Imaging device: Optos Daytona
Condition/keywords: amelanotic melanoma, optic atrophy
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Commotio Retinae
Jun 10 2025 by CUI YUELING
The patient presented 2 hours after sustaining a left eye injury caused by a stick. Visual acuity in the left eye was 0.2 without improvement upon correction, and intraocular pressure measured 15 mmHg. Examination of the anterior segment revealed ciliary conjunctival injection accompanied by patchy subconjunctival hemorrhage. The corneal surface remained smooth, and the anterior chamber was deep with hyphema characterized by blood-tinged aqueous humor predominantly settled inferiorly. The pupil was slightly irregular, approximately 3 mm in diameter, with a superotemporal notch; pupillary light reflex was intact. The lens appeared clear. Fundus examination showed well-defined optic disc margins with normal coloration and a cup-to-disc ratio of 0.2. Retinal arteries and veins were normally distributed with an artery-to-vein ratio of 2:3. At the posterior pole, the foveal reflex exhibited concentric ripple-like changes centered on the fovea, accompanied by localized pigment attenuation and reduced reflex intensity. Irregular reflectivity was noted in the superotemporal and inferotemporal nerve fiber layers.
Photographer: Yueling Cui
Imaging device: Zeiss Clarus 500
Condition/keywords: commotio retinae
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Traction in Proliferative Diabetic Retinopathy
Jun 9 2025 by Malvika Singh
Fundus photograph of a 44 year old with uncontrolled diabetes showing fibrovascular proliferation and traction with details of disc and macula obscured with sclerosed vessels in the periphery.
Photographer: Dr Malvika Singh, Retina Foundation, Ahmedabad, India
Imaging device: Mirante SLO/OCT
Condition/keywords: proliferative diabetic retinopathy (PDR), TRACTION
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Complex Retinal Detachment with PVR and Starfold
Jun 6 2025 by Jenn Geelan
57 year old male with a Complex Retinoschisis related retinal detachment with PVR and a Posterior Star Fold
Photographer: Jenn Geelan, Retina-Vitreous Surgeons of CNY
Imaging device: Optos California
Condition/keywords: proliferative vitreoretinopathy (PVR), rare, Retinal Detachment, retinoschisis, Starfolds, subretinal fluid
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Extensive Macular Atrophy with Pseudodrusen EMAP OS
Jun 5 2025 by Rogerio N Shinsato, MD, PhD
Extensive Macular Atrophy with Pseudodrusen Patient with EMAP associated with rheumatic fever and benzathine penicillin use. Left eye
Photographer: Rogério N Shinsato
Imaging device: Canon CX-1
Condition/keywords: EMAP
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Extensive Macular Atrophy with Pseudodrusen (EMAP) OD
Jun 5 2025 by Rogerio N Shinsato, MD, PhD
Extensive Macular Atrophy with Pseudodrusen Patient with EMAP associated with rheumatic fever and benzathine penicillin use. Right eye
Photographer: Rogério N Shinsato
Imaging device: Canon CX-1
Condition/keywords: macular atrophy
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Macular Coloboma
Jun 5 2025 by César Adrián Gómez Valdivia, MD
Macular Coloboma found in a 28 year-old male patient, visual acuity was 20/60. Resulting due to fusion failure of the optic fissure, colobomas are commonly found in the infero-nasal quadrant. If the retina is involved, it is reduced to glial tissue with no underlying RPE or choroid. This appears as an area of whitening often with pigment deposition at the junction of the coloboma and normal retina. Findings were bilateral.
Photographer: @eyemissu2
Imaging device: TOPCON TRC-50DX
Condition/keywords: coloboma
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Retinal Detachment
Jun 5 2025 by César Adrián Gómez Valdivia, MD
Fundus Photograph of a 19 year-old male patient with a RRD due to a Retinal Dialysis. Subretinal fluid and retinal folding can be appreciated.
Photographer: @eyemissu2
Imaging device: OPTOS
Condition/keywords: retinal detachment
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Retinal Detachment
Jun 5 2025 by César Adrián Gómez Valdivia, MD
Fundus Photograph of a 19 year-old male patient with a RRD due to a Retinal Dialysis. Subretinal fluid and retinal folding can be appreciated.
Photographer: @eyemissu2
Imaging device: TOPCON TRC-50DX
Condition/keywords: retinal detachment
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Wagon-Wheel Lesion
Jun 5 2025 by César Adrián Gómez Valdivia, MD
Wagon-wheel lesion found in a 12 YO male patient diagnosed with congenital toxoplasmosis. Findings were bilateral.
Photographer: @eyemissu2
Imaging device: TOPCON TRC-50DX
Condition/keywords: toxoplasmosis chorioretinitis, Wagon-wheel lesion
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Wagon-Wheel Lesion
Jun 5 2025 by César Adrián Gómez Valdivia, MD
Wagon-wheel lesion found in a 12 year-old male patient diagnosed with congenital toxoplasmosis. Findings were bilateral.
Photographer: @eyemissu2
Imaging device: California ICG OPTOS
Condition/keywords: toxoplasmosis, Wagon-wheel lesion
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Wagon-Wheel Lesion
Jun 5 2025 by César Adrián Gómez Valdivia, MD
Wagon-wheel lesion found in a 12 year-old male patient diagnosed with congenital toxoplasmosis. Findings were bilateral.
Photographer: @eyemissu2
Imaging device: TOPCON TRC-50DX
Condition/keywords: toxoplasmosis, Wagon-wheel lesion
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Franceschetti's Sign
Jun 5 2025 by César Adrián Gómez Valdivia, MD
Franceschetti's sign found in a 22 year-old female patient diagnosed with ocular toxoplasmosis. These bands typically link an old scar to the optic disc, indicative of previous inflammation. Findings were unilateral.
Photographer: @eyemissu2
Imaging device: TOPCON TRC-50DX
Condition/keywords: chorio, Franceschetti's Sign, toxoplasmosis
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Tuberculoma
Jun 4 2025 by Paulina Araujo
The 55-degree central fundus photograph of the left eye reveals an elevated, nodular whitish choroidal lesion along the inferior temporal arcade, consistent with a tuberculoma.
Photographer: Paulina D.Araujo Martínez, Asociación para Evitar la Ceguera en México I.A.P., Hospital Dr Luis Sánchez Bulnes.
Condition/keywords: Choroidal-tuberculoma
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Hypertensive Retinopathy
Jun 4 2025 by Paulina Araujo
The 55-degree central fundus photograph of the right eye reveals vascular tortuosity, generalized arteriolar narrowing with a vein-to-artery ratio of 3:1, along with Guist and Bonnet signs.
Photographer: Paulina D.Araujo Martínez, Asociación para Evitar la Ceguera en México I.A.P., Hospital Dr Luis Sánchez Bulnes.
Condition/keywords: hypertensive retinopathy
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Diabetic Retinopathy
Jun 4 2025 by Paulina Araujo
The 55-degree central fundus photograph of the right eye demonstrates numerous hard exudates, dot intraretinal hemorrhages, and microaneurysms.
Photographer: Paulina D.Araujo Martínez, Asociación para Evitar la Ceguera en México I.A.P., Hospital Dr Luis Sánchez Bulnes.
Condition/keywords: diabetic retinopathy
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Choroidal Nevus
Jun 4 2025 by Paulina Araujo
The 55-degree central fundus photograph of the right eye reveals a choroidal nevus measuring 0.5 disc diameters along the superior temporal arcade.
Photographer: Paulina D.Araujo Martínez, Asociación para Evitar la Ceguera en México I.A.P., Hospital Dr Luis Sánchez Bulnes.
Condition/keywords: Choroidal nevus
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Myelinated Nerve Fibers
Jun 4 2025 by Paulina Araujo
The 55-degree central fundus photograph of the left eye reveals myelination of the nerve fiber layer along the inferior nasal arcade.
Photographer: Paulina D.Araujo Martínez, Asociación para Evitar la Ceguera en México I.A.P., Hospital Dr Luis Sánchez Bulnes.
Condition/keywords: myelinated nerve fibers