• Coats' Disease - Widefield Fundus Image

    May 18 2019 by Tony Tsai, MD

    Widefield fundus image of 11-year-old male with peripheral lipid exudative retinopathy secondary to Coats' Syndrome.

    Photographer: Chue Vang, Retinal Consultants, Sacramento, CA

    Imaging device: Optos

    Condition/keywords: Coats' disease

  • PAMM

    May 14 2019 by Paola Brito, MD

    OCT image of a 52-year-old male, no systemic disease. Left eye with central scotoma and VA 20/25. Hyperreflective lesion in the inner nuclear layer. OCT-A decreased capilar density in superficial and deep capilar plexus. Irregular FAZ.

    Photographer: Paola Brito Sandoval, Fundación Hospital Nuestra Señora de la Luz

    Imaging device: Angioplex

    Condition/keywords: paracentral acute middle maculopathy

  • Silicone Oil Retention Sutures 3

    May 13 2019 by Andrew W. Eller, MD

    48-year-old male sustained trauma including retinal detachment. Due to irregular pupil, 10-0 Prolene silicone oil retention sutures were placed to protect the cornea from keratopathy.

    Photographer: Gary Vagstad, UPMC Eye Center, University of Pittsburgh

    Condition/keywords: iris, silicone oil, trauma

  • Silicone Oil Retention Sutures 2

    May 13 2019 by Andrew W. Eller, MD

    48-year-old male sustained trauma including retinal detachment. Due to irregular pupil, 10-0 Prolene silicone oil retention sutures were placed to protect the cornea from keratopathy.

    Photographer: Gary Vagstad, UPMC Eye Center, University of Pittsburgh

    Condition/keywords: iris, silicone oil, trauma

  • Silicone Oil Retention Sutures

    May 13 2019 by Andrew W. Eller, MD

    48-year-old male sustained trauma including retinal detachment. Due to irregular pupil, 10-0 Prolene silicone oil retention sutures were placed to protect the cornea from keratopathy.

    Photographer: Gary Vagstad, UPMC Eye Center, University of Pittsburgh

    Condition/keywords: iris, silicone oil, trauma

  • Macular Telangiectasis

    May 13 2019 by Hashim Ali Khan, OD, FAAO

    OCT-angio of superficial vascular network and structural OCT of a 60-years-old female demonstrating macular TEL showing alterations in FAZ and vascular remodeling and increased the intercapillary distance.

    Imaging device: Optical Coherence Tomography Angiography

    Condition/keywords: idiopathic macular telangiectasia, macular telangiectasia, macular telangiectasia type 2

  • Combined Hamartoma of Retina and RPE

    May 10 2019 by Deepak Bhojwani, MS

    A 31-year-old male came with incidental finding of poor vision in left eye on his screening eye examination (done for job purpose). His left eye depicts classic combined hamartoma of retina and RPE in left eye. Right examination was unremarkable.

    Photographer: Deepak Bhojwani, Raghudeep Eye Hospital, Ahmedabad

    Imaging device: Zeiss Viscam 500

    Condition/keywords: combined hamartoma, retina, retinal pigment epithelium, tumor

  • Focal Choroidal Excavation in Choroidal Rupture

    May 9 2019 by RANJITH P C

    Video OCT showing both conforming and non conforming focal choroidal excavations in a case of indirect choroidal rupture.

    Condition/keywords: choroidal rupture, excavation, macula, retina, trauma

  • Focal Choroidal Excavation in a Case of Choroidal Rupture

    May 9 2019 by RANJITH P C

    OCT showing non conforming focal choroidal excavation in a case of indirect choroidal rupture of the macula.

    Photographer: Dr RANJITH P C MS

    Imaging device: SPECTRALIS

    Condition/keywords: choroidal rupture, excavation, macula, retina, trauma

  • Unilateral Acute Idiopathic Maculopathy FA

    May 7 2019 by William Ensor

    A 37-year-old female presented with a two-week history of vision loss in the right eye. She experienced a flu-like illness including rash on the hands, feet, and mouth 2 days prior to her vision change. Her 3-year-old son had a similar illness diagnosed as hand, foot, and mouth disease by his pediatrician one week prior. Her visual acuity was 20/150 of the right eye, and 20/20 of the left eye. On dilated fundus examination, the left eye was unremarkable; the right eye revealed a circular, variably pigmented lesion of the macula. OCT imaging showed areas of RPE loss and clumping, with overlying loss of the photoreceptor layer. Fluorescein angiography showed central and peripheral hyperfluorescence consistent with window defect, and blockage in area of RPE loss. No treatment was initiated at this time. The patient returned 10 days later; her visual acuity improved to 20/50 in the right eye. Dilated fundus exam showed increased pigmentation of the macular lesion. OCT of the right eye showed further RPE clumping without recovery of the photoreceptor layer, despite her improved visual acuity.

    Condition/keywords: unilateral acute idiopathic maculopathy

  • Unilateral Acute Idiopathic Maculopathy FA

    May 7 2019 by William Ensor

    A 37-year-old female presented with a two-week history of vision loss in the right eye. She experienced a flu-like illness including rash on the hands, feet, and mouth 2 days prior to her vision change. Her 3-year-old son had a similar illness diagnosed as hand, foot, and mouth disease by his pediatrician one week prior. Her visual acuity was 20/150 of the right eye, and 20/20 of the left eye. On dilated fundus examination, the left eye was unremarkable; the right eye revealed a circular, variably pigmented lesion of the macula. OCT imaging showed areas of RPE loss and clumping, with overlying loss of the photoreceptor layer. Fluorescein angiography showed central and peripheral hyperfluorescence consistent with window defect, and blockage in area of RPE loss. No treatment was initiated at this time. The patient returned 10 days later; her visual acuity improved to 20/50 in the right eye. Dilated fundus exam showed increased pigmentation of the macular lesion. OCT of the right eye showed further RPE clumping without recovery of the photoreceptor layer, despite her improved visual acuity.

    Condition/keywords: unilateral acute idiopathic maculopathy

  • Unilateral Acute Idiopathic Maculopathy Fundus

    May 7 2019 by William Ensor

    A 37-year-old female presented with a two-week history of vision loss in the right eye. She experienced a flu-like illness including rash on the hands, feet, and mouth 2 days prior to her vision change. Her 3-year-old son had a similar illness diagnosed as hand, foot, and mouth disease by his pediatrician one week prior. Her visual acuity was 20/150 of the right eye, and 20/20 of the left eye. On dilated fundus examination, the left eye was unremarkable; the right eye revealed a circular, variably pigmented lesion of the macula. OCT imaging showed areas of RPE loss and clumping, with overlying loss of the photoreceptor layer. Fluorescein angiography showed central and peripheral hyperfluorescence consistent with window defect, and blockage in area of RPE loss. No treatment was initiated at this time. The patient returned 10 days later; her visual acuity improved to 20/50 in the right eye. Dilated fundus exam showed increased pigmentation of the macular lesion. OCT of the right eye showed further RPE clumping without recovery of the photoreceptor layer, despite her improved visual acuity.

    Condition/keywords: unilateral acute idiopathic maculopathy

  • Unilateral Acute Idiopathic Maculopathy Fundus

    May 7 2019 by William Ensor

    A 37-year-old female presented with a two-week history of vision loss in the right eye. She experienced a flu-like illness including rash on the hands, feet, and mouth 2 days prior to her vision change. Her 3-year-old son had a similar illness diagnosed as hand, foot, and mouth disease by his pediatrician one week prior. Her visual acuity was 20/150 of the right eye, and 20/20 of the left eye. On dilated fundus examination, the left eye was unremarkable; the right eye revealed a circular, variably pigmented lesion of the macula. OCT imaging showed areas of RPE loss and clumping, with overlying loss of the photoreceptor layer. Fluorescein angiography showed central and peripheral hyperfluorescence consistent with window defect, and blockage in area of RPE loss. No treatment was initiated at this time. The patient returned 10 days later; her visual acuity improved to 20/50 in the right eye. Dilated fundus exam showed increased pigmentation of the macular lesion. OCT of the right eye showed further RPE clumping without recovery of the photoreceptor layer, despite her improved visual acuity.

    Condition/keywords: unilateral acute idiopathic maculopathy

  • Unilateral Acute Idiopathic Maculopathy Fundus

    May 7 2019 by William Ensor

    A 37-year-old female presented with a two-week history of vision loss in the right eye. She experienced a flu-like illness including rash on the hands, feet, and mouth 2 days prior to her vision change. Her 3-year-old son had a similar illness diagnosed as hand, foot, and mouth disease by his pediatrician one week prior. Her visual acuity was 20/150 of the right eye, and 20/20 of the left eye. On dilated fundus examination, the left eye was unremarkable; the right eye revealed a circular, variably pigmented lesion of the macula. OCT imaging showed areas of RPE loss and clumping, with overlying loss of the photoreceptor layer. Fluorescein angiography showed central and peripheral hyperfluorescence consistent with window defect, and blockage in area of RPE loss. No treatment was initiated at this time. The patient returned 10 days later; her visual acuity improved to 20/50 in the right eye. Dilated fundus exam showed increased pigmentation of the macular lesion. OCT of the right eye showed further RPE clumping without recovery of the photoreceptor layer, despite her improved visual acuity.

    Condition/keywords: unilateral acute idiopathic maculopathy

  • Unilateral Acute Idiopathic Maculopathy OCT Macula

    May 7 2019 by William Ensor

    A 37-year-old female presented with a two-week history of vision loss in the right eye. She experienced a flu-like illness including rash on the hands, feet, and mouth 2 days prior to her vision change. Her 3-year-old son had a similar illness diagnosed as hand, foot, and mouth disease by his pediatrician one week prior. Her visual acuity was 20/150 of the right eye, and 20/20 of the left eye. On dilated fundus examination, the left eye was unremarkable; the right eye revealed a circular, variably pigmented lesion of the macula. OCT imaging showed areas of RPE loss and clumping, with overlying loss of the photoreceptor layer. Fluorescein angiography showed central and peripheral hyperfluorescence consistent with window defect, and blockage in area of RPE loss. No treatment was initiated at this time. The patient returned 10 days later; her visual acuity improved to 20/50 in the right eye. Dilated fundus exam showed increased pigmentation of the macular lesion. OCT of the right eye showed further RPE clumping without recovery of the photoreceptor layer, despite her improved visual acuity.

    Condition/keywords: unilateral acute idiopathic maculopathy

  • Unilateral Acute Idiopathic Maculopathy OCT Macula

    May 7 2019 by William Ensor

    A 37-year-old female presented with a two-week history of vision loss in the right eye. She experienced a flu-like illness including rash on the hands, feet, and mouth 2 days prior to her vision change. Her 3-year-old son had a similar illness diagnosed as hand, foot, and mouth disease by his pediatrician one week prior. Her visual acuity was 20/150 of the right eye, and 20/20 of the left eye. On dilated fundus examination, the left eye was unremarkable; the right eye revealed a circular, variably pigmented lesion of the macula. OCT imaging showed areas of RPE loss and clumping, with overlying loss of the photoreceptor layer. Fluorescein angiography showed central and peripheral hyperfluorescence consistent with window defect, and blockage in area of RPE loss. No treatment was initiated at this time. The patient returned 10 days later; her visual acuity improved to 20/50 in the right eye. Dilated fundus exam showed increased pigmentation of the macular lesion. OCT of the right eye showed further RPE clumping without recovery of the photoreceptor layer, despite her improved visual acuity.

    Condition/keywords: unilateral acute idiopathic maculopathy

  • Smoke Stack Leakage in Central Serous Chorio Retinopathy

    May 7 2019 by RANJITH P C

    This video shows the development of a smoke stack leakage on fluorescein angiography.

    Photographer: RANJITH PC MS

    Imaging device: SPECTRALIS

    Condition/keywords: central serous retinopathy (CSR), fluorescein angiogram (FA), macula, retina

  • Closing the Persistent Macular Hole: Third Time’s the Charm

    May 7 2019 by Srinivas Joshi, MD

    Patient was operated for macular hole with vitrectomy and conventional ILM peeling following which macular hole did not close. In second step, macular detachment induction with subretinal BSS injection using 42G needle was done but macular hole did not close. In third attempt a neurosensory retinal patch graft surgery was done and finally the macular hole was closed successfully with type 1 closure.

    Condition/keywords: macular detachment, macular hole, neurosensory retinal patch graft, subretinal BSS

  • Adult Onset Coats' Disease

    May 5 2019 by Steven Lapere, MBChB, FCOphth

    51-year-old gentleman with 3-week history of decreased vision in the left eye. Two active Coats' lesions are visible, with a third involuted lesions infero-temporally.

    Photographer: Steven Lapere, Cape Town, South Africa

    Imaging device: Clarus 500

    Condition/keywords: Coats' disease

  • Laser Induced BRAO in IRVAN Syndrome

    May 3 2019 by Deependra Vikram Singh, MD

    Fundus photograph of a 26-year-old man with IRVAN syndrome referred for vitreous surgery in OS for secondary rhegmatogenous retinal detachment. OD has received laser photocoagulation for capillary nonperfusion areas and retinal artery macroaneurysm associated with retinal vasculitis. Fundus photograph of OD shows laser induced nasal BRAO. Case re-emphasizes why laser for macroaneurysm should be avoided in cases with IRVAN.

    Photographer: Deependra V Singh, Eye-Q Superspecialty Eye Hospitals. Gurugram, India

    Imaging device: Zeiss Visucam 500

    Condition/keywords: arteriolar macroaneurysm, branch retinal artery occlusion (BRAO), laser photocoagulation

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