Kim Barrett » Miscellaneous

  • Multiple Myeloma with Cytomegalovirus Retinitis

    Apr 5 2018 by Kim Barrett

    Ultra-wide field fluorescein angiogram of a 77-year-old male with multiple myeloma. Patient's angiogram presented significant peripheral retinal ischemia and cystoid macular edema. Patient tested positive for polymerase chain reaction, confirming cytomegalovirus retinitis. Patient is being treated with intravitreal ganciclovir and his current vision is 20/200.

    Photographer: Kim Barrett, COA

    Imaging device: Optos

    Condition/keywords: cystoid macular edema (CME), fluorescein angiogram (FA), fluorescein leakage, intravitreal ganciclovir, myeloma, peripheral ischemia, positive polymerase chain reaction (PCR), right eye, ultra-wide field imaging

  • Disseminated Chorioretinitis With Unknown Etiology

    Apr 5 2018 by Kim Barrett

    Ultra-wide field fluorescein angiogram of a 31-year-old female with intermittent pain in her left eye. Her condition has been managed in Liberia until recently when she moved to the United States. She suffers from multiple modalities including central retinal artery occlusion, posterior synechiae of the iris, interstitial keratitis, disseminated chorioretinitis, as well as HIV. An infectious cause is high on the differential in light of her HIV status. DDx: hypertensive crisis, an embolism (? IV drug use), coagulopathy, trauma, infectious. Blood work was normal. Her current vision is 20/30 right eye and 20/400 left eye.

    Photographer: Kim Barrett, COA

    Imaging device: Optos

    Condition/keywords: central retinal artery occlusion (CRAO), chorioretinal scar, ciliary artery sparring, disseminated chorioretinitis, HIV, left eye, optic atrophy, staining

  • Central Retinal Artery Occlusion

    Apr 20 2018 by Kim Barrett

    64-year-old female woke with no vision in her right eye. This image was taken at 6:11 minutes and the vessels have not filled. Patient has been treated with PRP laser and anti-VEGF therapy. Current vision is CF @ 2 ft.

    Photographer: Kim Barrett C.O.A.

    Imaging device: Heidelberg

    Condition/keywords: central retinal artery occlusion (CRAO), diabetes, hypertension, smoker, uncontrolled

  • Coats' Disease

    Aug 24 2018 by Kim Barrett

    Montage fluorescein angiography of 14-year-old male with Coats' Disease of the left eye. Multiple focal laser treatments. Current uncorrected visual acuity is 20/15-1 OU.

    Photographer: Kim Barrett, C.O.A. Retina Specialist of Michigan

    Imaging device: Heidelberg Spectralis

    Condition/keywords: adolescent, Coats' disease, fluorescein angiogram (FA), Heidelburg Spectralis, laser photocoagulation, left eye, macroaneurysm, montage

  • Coats' Disease

    Jul 16 2019 by Kim Barrett

    Ultra-wide field fluorescein angiogram of a 23-year-old male with Coats' disease, presented with distorted vision affecting his left eye. He reported seeing flashes and floaters since January of 2019, but the flashes had resolved. He was treated with Intravitreal Preservative Free Triamcinolone in the office and scheduled for PRP laser in the near future.

    Photographer: Kim Barrett

    Imaging device: Optos

    Condition/keywords: Coats' disease, fluorescein angiogram (FA), fluorescein leakage, inferior retina, ischemia, left eye, Optos, ultra-wide field imaging

  • Optic Nerve Pit Left Eye

    Feb 15 2021 by Kim Barrett

    A 14-year-old male presented with vision loss and VF defect. Patient was treated for presumed amblyopia with patching since age 4. He has had neurologic care for post traumatic skull fracture and brain bleed in 2012. Patient has a superior hemifield defect OS on HVF. IOP's WNL. There are vessels emanating from the optic pit OS. Patient is at risk of serous detachment. Current VA 20/20-2+2

    Photographer: Kim Barrett C.O.A. Retina Specialist of Michigan, Grand Rapids, MI

    Imaging device: Optos California

    Condition/keywords: amblyopia, hemifield, Humphrey visual field, nerve, optic nerve pit, visual field defect

  • Optic Nerve Pit Right Eye

    Feb 15 2021 by Kim Barrett

    A 14-year-old male presented with vision loss and VF defect. Patient was treated for presumed amblyopia with patching since age 4. He has had neurologic care for post traumatic skull fracture and brain bleed in 2012. IOP's WNL. OD is without retinoschisis or subretinal fluid. Patient is at risk of serous detachment. Current VA OD 20/200+1 PH 20/80.

    Photographer: Kim Barrett C.O.A. Retina Specialist of Michigan, Grand Rapids, MI

    Imaging device: Optos California

    Condition/keywords: amblyopia, hemifield, Humphrey visual field, nerve, optic nerve pit, visual field defect

  • Sickle Cell Retinopathy

    Feb 15 2021 by Kim Barrett

    24-year-old female with Sickle Cell Retinopathy, stage 3. She confirms she has the trait as well as her grandmother, mother and a sibling. She has seafan neovascularization superotemporal OD. Current VA is 20/20. Photo is pre-PRP laser with areas of non-profusion temporally.

    Photographer: Kim Barrett C.O.A. Retina Specialist of Michigan, Grand Rapids, MI

    Imaging device: Optos California

    Condition/keywords: neovascularization (NV), pan-retinal photocoagulation (PRP), sickle cell retinopathy, stage 3, trait