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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

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

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

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

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)

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

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)

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

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

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)

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

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

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

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

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

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

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

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

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

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