Dec 6 2024 by Jasmeet Kaur Chandi

Fundus photo of a 55 year-old female with extensive flame-shaped and dot-blot hemorrhages in all four quadrants. Tortuous and dilated veins with cotton-wool spots. Optic disc swelling with hyperemia and macular edema.

Photographer: Dr. Jasmeet Kaur Chandi

Condition/keywords: Ischemic Central Retinal Vein Occlusion

Dec 5 2024 by Tejaswita Verma

Fundus image of a middle aged male with NVD, multiple dot blot and flame shaped hemorrhages, cotton wool spots, hard exudates at the posterior pole in a case of PDR . Vision was 6/9.

Photographer: DR. TEJASWITA VERMA

Imaging device: MIRANTE

Condition/keywords: NEOVASCULARISATION OF DISC, proliferative diabetic retinopathy (PDR)

Dec 5 2024 by Tejaswita Verma

Fundus photo showing extramacular TRD in a 16 year old boy with idiopathic occlusive vasculitis secondary to presumed IOTB. History of taking ATT for 6 months , Mantoux positive previously. Vision was 6/6P,other eye had funnel RD .

Photographer: DR. TEJASWITA VERMA

Imaging device: MIRANTE

Condition/keywords: tractional retinal detachment, vasculitis

Dec 5 2024 by Tejaswita Verma

26 year old male with 6/18 vision , anterior chamber reaction, vitritis and retinitis lesion along the superotemporal arcade with full thickness involvement on OCT . FFA showing hypofluorescence with surrounding hyperfluorescence characterstic of toxoplasma retinitis . ICGA shows hypocyanescence.

Photographer: DR. TEJASWITA VERMA

Imaging device: MIRANTE

Condition/keywords: Fundus Fluorescein Angiography, indocyanine green (ICG) angiography, toxoplasmosis

Dec 5 2024 by Tejaswita Verma

Fundus picture of the right eye of a 40 year old female with 6/12 vision showing exudative subretinal fluid and multiple PEDs in a case of CSR.

Photographer: DR. TEJASWITA VERMA

Imaging device: MIRANTE

Condition/keywords: central serous retinopathy (CSR), pigment epithelial detachment (PED)

Dec 5 2024 by Tejaswita Verma

Fundus photo of a 40 year old female with Multiple PEDs ,vision was 6/9 . Other eye had CSR.

Photographer: DR. TEJASWITA VERMA

Imaging device: MIRANTE

Condition/keywords: pigment epithelial detachment (PED)

Dec 5 2024 by Tejaswita Verma

FAF of a 20 year old female who presented with 2 months history of sudden painless vision loss, bilaterally light perception vision, s/o presumed atypical RP, bilateral old CRAO with typhoid retinitis sequelae.

Photographer: DR. TEJASWITA VERMA

Imaging device: MIRANTE

Condition/keywords: CRAO, retinitis pigmentosa, typhoid fever

Dec 5 2024 by Tejaswita Verma

Fundus picture of a 26 year old male who presented with right eye abaxial proptosis, MRI confirmed venolymphatic mass inferomedial in location located near the optic disc with disc edema , nasal elevation ,retinal folds. Vision was 6/18 . He was planned for intralesional bleomycin injection.

Photographer: DR. TEJASWITA VERMA

Imaging device: MIRANTE

Condition/keywords: disc edema, intraorbital mass, proptosis

Dec 5 2024 by Shobhit Chawla, M.S.

50 year old diabetic male with table top TRD and fair visual acuity .

Photographer: Ranjit Ray

Imaging device: Clarus500

Condition/keywords: florid type PDR, PDR, TRD

Dec 4 2024 by Virginia Gebhart

72 year old female with temporal limbal lesion that extends onto the cornea from 10:00 - 8:00 encroaching on visual axis. Possible lymphomatous process. Will refer to Emory.

Photographer: Dr Chris Bergstrom MD, OD

Condition/keywords: corneal scars and opacities, Rosai-Dorfman Disease, Subconjunctival mass

Dec 3 2024 by Andrea Espinosa Quintana, MD

Fundus photograph of a 54 year old woman that presented Central Retinal Artery Occlusion (CRAO) with cherry-red spot in a flowery form.

Photographer: Andrea Espinosa, Fundación Hospital Nuestra Señora de la Luz

Condition/keywords: central retinal artery occlusion (CRAO), cherry red spot

Dec 3 2024 by Sarah D Kang

Fundus photograph of an 85-year-old female patient with macular degeneration observed for retinal clearance before cataract surgery.

Condition/keywords: floaters, macular degeneration

Dec 3 2024 by Sarah D Kang

Fundus photograph of an 85-year-old female patient with macular degeneration observed for retinal clearance before cataract surgery.

Condition/keywords: floaters, macular degeneration

Dec 3 2024 by Dr Bilal Mir

This is a fundus picture showing angiod streaks, CNVM, comet lesion.

Photographer: Dr pervaiz ahmad handoo associate professor department of ophthalmology government medical college srinagar

Imaging device: Zeiss fundus camera

Condition/keywords: Angiod streaks in Pseudoxanthoma elasticum, Pseudoxanthoma elasticum

Dec 3 2024 by Dibya Prabha

Colour Fundus photograph of 62 Year old female patient with Suprachoroidal hemorrhage post trauma

Photographer: Dibya Prabha, LV Prasad eye Institute, Hyderabad

Condition/keywords: suprachoroidal hemorrhage

Dec 2 2024 by Catherine S Kang

A 66-year-old female with past medical history significant for hypertension and ocular ischemic syndrome. She presented in emergency department (ED) reporting eye pain and blurred vision in both eyes since earlier that morning. On examination, best corrected visual acuity in each eye was counting fingers (20cm). Further investigation was performed and fluorescein angiography revealed a delay in choroidal filling. The patient has been followed for ocular ischemic syndrome since the onset of the condition and hyperbaric oxygen therapy was promptly initiated. Final best corrected visual acuity was 20/150 and macula developed atrophy.

Photographer: Catherine Kang

Condition/keywords: hyperbaric oxygen therapy, ocular ischemic syndrome

Dec 2 2024 by KANWALJEET HARJOT MADAN, M.S. (Ophthalmology), FAICO (Vitreous - Retina)

This is fundus picture of a 21 year old female patient who had come for refractive surgery consultation. Her best corrected vision in both eyes was 20/20. She had myopic astigmatism in both eyes. Fundus exam revealed presence of multiple yellowish white flecks spread throughout retina sparing macular area in both eyes. Her color vision was normal. Electroretinogram and electrooculogram were normal. She gave no history of night blindness. A diagnosis of Benign Familial Fleck Retina was made. She was also advised ocular exam of her parents and elder brother which was normal.

Photographer: Dr. Kanwaljeet Harjot Madan, M.S. (Ophthalmologist) Fellow in Vitrous & Retina. Thind Eye Hospital, Jalandhar City. Punjab. India

Imaging device: Zeiss Clarus

Condition/keywords: Benign familial fleck retina, Night Blindness

Nov 30 2024 by John S. King, MD

Both right and left eyes have symmetrical ring of mottled hypo/hyper AF around the fovea and disc. The HyperAF areas correspond to RPE deposits on OCT as well as areas of blockage on FA, and drusenoid deposits seen on fundus photos 57 yo WF referred for AMD vs Pattern Dystrophy that was diagnosed 10 years ago. Reported some slow progressive vision loss in both eyes for distance and near. Denies nyctalopia or hemeralopia. Background medical history includes HTN, CVD, and DM. No family history of eye problems. Denied pentosan use. Anterior segment showed moderate cataracts (OD>OS). Posterior segment exam showed macular changes and mild NPDR. The macular appearance showed a symmetrical, paramacular ring of fleck-like drusenoid material with some faint focal areas of RPE hyperplasia. Fundus Photos, AF, OCT were performed as well as a gene test. Further questioning showed revealed that her mother and maternal grandmother had both diabetes mellitus and sensorineural hearing loss. The patient developed diabetes in her teens, and some high frequency hearing loss in her early twenties. She had not had a previous genetic test or diagnosis of MIDD. Gene testing is pending for the mitochondrial component. Invitae's retinal panel, which does not include mitochondrial disorders, only showed a variant of uncertain significance, HMCN1. I discussed this case with Dr. Freund, and it is similar to a the case report : Inoue M, Kiss S, Freund KB. MACULAR PIGMENT RINGS AS THE PRESENTING FINDING OF MITOCHONDRIAL MYOPATHY, ENCEPHALOPATHY, LACTIC ACIDOSIS, AND STROKELIKE EPISODES. Retin Cases Brief Rep. 2015 Fall;9(4):260-4. doi: 10.1097/ICB.0000000000000182. PMID: 26200388.

Photographer: Grace Melton and Carley Gunn

Imaging device: Clarus

Condition/keywords: Macular Dystrophy, Maternally Inherited Diabetes and Deafness, MIDD, Mitochondrial Disorder

Nov 30 2024 by John S. King, MD

Both right and left eyes have symmetrical ring of mottled hypo/hyper AF around the fovea and disc. The HyperAF areas correspond to RPE deposits on OCT as well as areas of blockage on FA, and drusenoid deposits seen on fundus photos. Disc drusen in right eye present as HyperAF spot 57 yo WF referred for AMD vs Pattern Dystrophy that was diagnosed 10 years ago. Reported some slow progressive vision loss in both eyes for distance and near. Denies nyctalopia or hemeralopia. Background medical history includes HTN, CVD, and DM. No family history of eye problems. Denied pentosan use. Anterior segment showed moderate cataracts (OD>OS). Posterior segment exam showed macular changes and mild NPDR. The macular appearance showed a symmetrical, paramacular ring of fleck-like drusenoid material with some faint focal areas of RPE hyperplasia. Fundus Photos, AF, OCT were performed as well as a gene test. Further questioning showed revealed that her mother and maternal grandmother had both diabetes mellitus and sensorineural hearing loss. The patient developed diabetes in her teens, and some high frequency hearing loss in her early twenties. She had not had a previous genetic test or diagnosis of MIDD. Gene testing is pending for the mitochondrial component. Invitae's retinal panel, which does not include mitochondrial disorders, only showed a variant of uncertain significance, HMCN1. I discussed this case with Dr. Freund, and it is similar to a the case report : Inoue M, Kiss S, Freund KB. MACULAR PIGMENT RINGS AS THE PRESENTING FINDING OF MITOCHONDRIAL MYOPATHY, ENCEPHALOPATHY, LACTIC ACIDOSIS, AND STROKELIKE EPISODES. Retin Cases Brief Rep. 2015 Fall;9(4):260-4. doi: 10.1097/ICB.0000000000000182. PMID: 26200388.

Photographer: Grace Melton and Carley Gunn

Imaging device: Clarus

Condition/keywords: Macular Dystrophy, Maternally Inherited Diabetes and Deafness, MIDD, Mitochondrial Disorder

Nov 30 2024 by John S. King, MD

Both the right and left Eye have fairly symmetrical, extrafoveal drusenoid-like flecks and focal and faint areas of RPE hyperplasia (in addition to mild NPDR and PPA) 57 yo WF referred for AMD vs Pattern Dystrophy that was diagnosed 10 years ago. Reported some slow progressive vision loss in both eyes for distance and near. Denies nyctalopia or hemeralopia. Background medical history includes HTN, CVD, and DM. No family history of eye problems. Denied pentosan use. Anterior segment showed moderate cataracts (OD>OS). Posterior segment exam showed macular changes and mild NPDR. The macular appearance showed a symmetrical, paramacular ring of fleck-like drusenoid material with some faint focal areas of RPE hyperplasia. Fundus Photos, AF, OCT were performed as well as a gene test. Further questioning showed revealed that her mother and maternal grandmother had both diabetes mellitus and sensorineural hearing loss. The patient developed diabetes in her teens, and some high frequency hearing loss in her early twenties. She had not had a previous genetic test or diagnosis of MIDD. Gene testing is pending for the mitochondrial component. Invitae's retinal panel, which does not include mitochondrial disorders, only showed a variant of uncertain significance, HMCN1. I discussed this case with Dr. Freund, and it is similar to a the case report : Inoue M, Kiss S, Freund KB. MACULAR PIGMENT RINGS AS THE PRESENTING FINDING OF MITOCHONDRIAL MYOPATHY, ENCEPHALOPATHY, LACTIC ACIDOSIS, AND STROKELIKE EPISODES. Retin Cases Brief Rep. 2015 Fall;9(4):260-4. doi: 10.1097/ICB.0000000000000182. PMID: 26200388.

Photographer: Grace Melton and Carley Gunn

Imaging device: Clarus

Condition/keywords: Macular Dystrophy, Maternally Inherited Diabetes and Deafness, MIDD, Mitochondrial Disorder