Vishal Agrawal, MD, FRCS,FACS,FASRS » Miscellaneous

Nov 18 2017 by Vishal Agrawal, MD, FRCS,FACS,FASRS

Right eye fundus picture of a 24-year-old male patient who suffered blunt trauma 7 days back with a wooden stick . He presented with NLP vision with a non reacting dilated pupil. Fundus montage picture shows ONH avulsion,CRAO,peripapillary resolving hemorrhages and cicatricial tissue at the edge.

Photographer: Vishal Agrawal, MD, SMS Medical College, Jaipur, India

Imaging device: Zeiss 524

Condition/keywords: avulsion, central retinal artery occlusion (CRAO)

Apr 14 2018 by Vishal Agrawal, MD, FRCS,FACS,FASRS

Intraoperative view of a 20-year-old male patient of FEVR operated for a combined tractional and rheghmatogenous RD and macular hole. The right eye image shows temporal fibrovascular band, macular drag, stained inverted flap in the macular hole under the PFCL bubble. Also seen is the nasal indentation mound with its shadow falling over the retina.

Photographer: Vishal Agrawal MD,FRCS

Imaging device: SONY PMW-10 MD HD

Condition/keywords: familial exudative vitreoretinopathy (FEVR)

Oct 10 2018 by Vishal Agrawal, MD, FRCS,FACS,FASRS

Intraoperative fundus picture of right eye of a 18-year-old boy with complaints of DOV for the past 2 months. There were 12 intravitreal cysts in total with vitritis sclerosis retinal vessels and TRD. To note here, the largest cyst has a flimsy wall and no scolex (possibly ruptured) and the rest of the smaller cysts have a scolex and a taut wall.

Photographer: Vishal Agrawal MD,FRCS

Imaging device: SONY PMW-10 MD HD

Condition/keywords: cysticercosis, scolex

Dec 29 2019 by Vishal Agrawal, MD, FRCS,FACS,FASRS

Fundus montage of a 3-year-old boy with mass lesion involving macula and abutting the disc of the right eye.The superior half of the tumor shows preretinal extension.

Photographer: Vishal Agrawal MD

Imaging device: Zeiss

Condition/keywords: retinoblastoma

Jan 18 2020 by Vishal Agrawal, MD, FRCS,FACS,FASRS

Left eye fundus montage of a 55-year-old female with choroidal metastases with the primary being breast carcinoma. The right eye had exudative retinal detachment.

Photographer: Dr Vishal Agrawal MD,FRCS

Imaging device: Zeiss

Condition/keywords: breast cancer, choroidal metastasis, metastatic lesion

Jan 18 2020 by Vishal Agrawal, MD, FRCS,FACS,FASRS

Left eye FFA montage of a 55-year-old female with choroidal metastases with the primary being breast carcinoma. The right eye had exudative retinal detachment . Note the pin point leaks at the border of the 2 lesions.

Photographer: Dr Vishal Agrawal MD,FRCS

Imaging device: Zeiss

Condition/keywords: breast cancer, FA mid phase, metastatic lesion

Mar 5 2021 by Vishal Agrawal, MD, FRCS,FACS,FASRS

24-year-old male presented with DOV in right for the past 1 month. On examination live cyst noted at macula with inflammatory exudation at the posterior pole.

Photographer: Vishal Agrawal MD,FRCS

Imaging device: SONY PMW-10 MD HD

Condition/keywords: cyst, cysticercosis, macula lesion

Jun 13 2022 by Vishal Agrawal, MD, FRCS,FACS,FASRS

A 18 year old boy presented with injury by a plant thorn. The thorn entered in stab wound fashion through para plana, falling just short of the retinal surface. The IOFB was removed after PPV and repair of the scleral wound. The image is a still of the intra operative view during vitrectomy.

Photographer: Vishal Agrawal MD

Imaging device: SONY PMW-10 MD HD

Condition/keywords: globe perforation, trauma, vitrectomy

Jul 10 2022 by Vishal Agrawal, MD, FRCS,FACS,FASRS

Intra operative picture of a 70 year old female who presented with a history of blunt trauma and vision loss .

Photographer: Vishal Agrawal MD

Imaging device: SONY PMW 10 MD

Condition/keywords: dislocated crystalline lens, retina, trauma

Aug 31 2022 by Vishal Agrawal, MD, FRCS,FACS,FASRS

Optic disc Melanocytoma detected on routine examination in the left eye of a 30 year old male .

Photographer: Vishal Agrawal

Imaging device: Clarus 700

Condition/keywords: Melanocytoma

Sep 9 2022 by Vishal Agrawal, MD, FRCS,FACS,FASRS

24-year-old female patient presented with sudden decrease in vision. On examination there was a left eye subtotal retinal detachment involving macula.

Photographer: Vishal Agrawal MD

Imaging device: Clarus 700

Condition/keywords: bullous retinal detachment, retinal break

Oct 5 2022 by Vishal Agrawal, MD, FRCS,FACS,FASRS

Fundus picture of a 54 year old female presenting with acute onset of floaters . On examination nasal HST was noted & lasered.

Photographer: Pankaj

Imaging device: CLARUS 700

Condition/keywords: hemorrhage, tear

Oct 13 2022 by Vishal Agrawal, MD, FRCS,FACS,FASRS

3 month Post operative picture of right eye .The patient had PPV + gas (C3F8) for total retinal detachment with multiple breaks.

Photographer: Pankaj, Agrawal Hospital,Jaipur

Imaging device: Clarus 700

Oct 13 2022 by Vishal Agrawal, MD, FRCS,FACS,FASRS

65 year old female presented with sudden vision loss. On examination superior giant tear with retinal detachment was noted in the right eye.

Photographer: Mahipal,Agrawal Hospital

Imaging device: Clarus 700

Condition/keywords: giant retinal tear, Retinal Detachment

Oct 22 2022 by Vishal Agrawal, MD, FRCS,FACS,FASRS

Supero-temporal retinal detachment with single horse shoe tear.

Photographer: Pankaj

Imaging device: CLARUS 700

Condition/keywords: Retinal Detachment

Oct 22 2022 by Vishal Agrawal, MD, FRCS,FACS,FASRS

67 yr old male , post PPV for retinal detachment ( 5 years ) presented with sudden DOV . On examination posteriorly dislocated 4 loop haptic iol - bag complex was noted .

Photographer: Pankaj

Imaging device: CLARUS 700

Condition/keywords: dropped intraocular lens (IOL)

Jan 14 2023 by Vishal Agrawal, MD, FRCS,FACS,FASRS

30 year old female with stickler syndrome and subtotal retinal detachment . Fundus pic shows radial para vascular lattices with multiple breaks .

Photographer: Pankaj

Imaging device: CLARUS 700

Condition/keywords: Retinal Detachment, Stickler Syndrome

Jan 14 2023 by Vishal Agrawal, MD, FRCS,FACS,FASRS

50 year old female with left eye sub total retinal detachment

Photographer: Pankaj

Jan 14 2023 by Vishal Agrawal, MD, FRCS,FACS,FASRS

Traumatic dislocation of IOL in vitreous cavity .

Photographer: Pankaj

Imaging device: CLARUS 700

Condition/keywords: posterior dislocation of lens

Jan 14 2023 by Vishal Agrawal, MD, FRCS,FACS,FASRS

Traumatic dislocation of IOL in vitreous cavity .

Photographer: Dr Bhagya Shree

Condition/keywords: dislocated posterior chamber intraocular lens (PCIOL)

Mar 20 2023 by Vishal Agrawal, MD, FRCS,FACS,FASRS

10 year old female with high myopia presented with right eye retinal detachment.

Photographer: Pankaj

Imaging device: Clarus 700

Condition/keywords: Retinal Detachment

Aug 30 2023 by Vishal Agrawal, MD, FRCS,FACS,FASRS

12 year old male patient presented with photophobia, decrease in vision and Nystagmus. Bulls eye maculopathy gives an appearance of an eye on the fovea on color fundus photo due to nystagmus.

Photographer: Dr Bhagyashree

Imaging device: Clarus 700

Condition/keywords: bull's eye maculopathy, Cone-Rod Dystrophy

Dec 21 2023 by Vishal Agrawal, MD, FRCS,FACS,FASRS

20-year-old male patient having PDR with multiple NVE in all quadrants.

Photographer: Dr Ayushi

Imaging device: Clarus 700

Condition/keywords: Neovascularisation elsewhere (NVE), PDR

Dec 21 2023 by Vishal Agrawal, MD, FRCS,FACS,FASRS

20-year-old male patient having PDR with multiple NVE in all quadrants. Red free image accentuates the NVE as compared to color pic.

Photographer: Dr Ayushi

Imaging device: Clarus 700

Condition/keywords: NVE, PDR, RedFree

Dec 21 2023 by Vishal Agrawal, MD, FRCS,FACS,FASRS

10-year male with high myopia on examination revealed diffuse flecks distributed all over fundus in both eyes sparing macula. Inferior lattice with WWOP areas were also noted in right eye.

Photographer: Dr Ayushi

Imaging device: Clarus 700

Condition/keywords: fleck retinopathy, myopia

Dec 21 2023 by Vishal Agrawal, MD, FRCS,FACS,FASRS

Green Autoflourescence image of fleck retinopathy.

Photographer: Dr Ayushi

Imaging device: Clarus 700

Condition/keywords: autofluorescence imaging, fleck retinopathy

Apr 28 2024 by Vishal Agrawal, MD, FRCS,FACS,FASRS

30-year female with sudden loss of vision came for examination. She was in her first trimester of pregnancy. Examination revealed bilateral bullous NSD with subretinal fibrin s/o CSR.

Photographer: Dr Ayushi

Imaging device: Clarus 700

Condition/keywords: Central Serous Chorioretinopathy (CSR), neurosensory detachment of retina, pregnancy

Apr 28 2024 by Vishal Agrawal, MD, FRCS,FACS,FASRS

30-year female with sudden loss of vision came for examination. She was in her first trimester of pregnancy. Examination revealed bilateral bullous NSD with subretinal fibrin s/o CSR.

Photographer: Dr Ayushi

Imaging device: Clarus 700

Condition/keywords: Central Serous Chorioretinopathy (CSR), neurosensory detachment of retina, pregnancy

May 1 2024 by Vishal Agrawal, MD, FRCS,FACS,FASRS

Left eye fundus picture of a 65-year-old female with choroidal metastases and exudative retinal detachment. The patient is under treatment for breast carcinoma.

Photographer: Dr Ayushi

Imaging device: Clarus 700

Condition/keywords: choroidal metastasis, exudative detachment

Jun 27 2024 by Vishal Agrawal, MD, FRCS,FACS,FASRS

Fundus picture of a 65-year-old male patient presenting with posteriorly dislocated IOL & Soemmerring ring in the right eye. PPV + IOL removal + secondary IOL (Yamane technique) was performed.

Photographer: Dr Ayushi

Imaging device: Clarus 700

Condition/keywords: IOL, Soemmering's ring

Jan 27 2025 by Vishal Agrawal, MD, FRCS,FACS,FASRS

16 year-old male patient presented with DOV, nyctalopia and nystagmus. Fundus revealed pigment clumping, pale disc and preserved para-arteriolar retinal pigment epithelium (PPRPE) in both eyes. Genetic testing revealed CRB1 gene mutation.

Photographer: Dr Ayushi

Imaging device: Clarus 700

Condition/keywords: retinitis pigmentosa

Jan 27 2025 by Vishal Agrawal, MD, FRCS,FACS,FASRS

16 year-old male patient presented with DOV, nyctalopia and nystagmus. Fundus revealed pigment clumping, pale disc and preserved para-arteriolar retinal pigment epithelium (PPRPE) in both eyes. Genetic testing revealed CRB1 gene mutation.

Photographer: Dr Ayushi Gupta

Imaging device: Clarus 700

Condition/keywords: retinitis pigmentosa

Jan 28 2025 by Vishal Agrawal, MD, FRCS,FACS,FASRS

A 31-year-old female was referred with a diagnosis of subretinal cysticercosis. BCVA was 20/200 OS. OCT showed a large subfoveal bacillary layer detachment (BALAD) without any scolex. FFA revealed a smoke-stack appearance. A final diagnosis of CSR with Fibrin was made and was managed conservatively. BCVA at final visit was 20/20.

Photographer: Dr Ayushi Gupta

Imaging device: Clarus 700

Condition/keywords: central serous chorioretinopathy (CSCR)

Jan 29 2025 by Vishal Agrawal, MD, FRCS,FACS,FASRS

A 31-year-old female was referred with a diagnosis of subretinal cysticercosis. BCVA was 20/200 OS. OCT showed a large subfoveal bacillary layer detachment (BALAD) without any scolex. FFA revealed a smoke-stack appearance. A final diagnosis of CSR with Fibrin was made and was managed conservatively. BCVA at final visit was 20/20.

Photographer: Dr Ayushi Gupta

Imaging device: Clarus 700

Condition/keywords: central serous chorioretinopathy (CSCR)

Jan 29 2025 by Vishal Agrawal, MD, FRCS,FACS,FASRS

A 45-year-old male patient presented with decreased vision in Left Eye. On fundus examination, a boat-shaped sub hyaloid hemorrhage was noted. YAG hyaloidotomy was performed and the patient recovered with a vision of 20/20.

Photographer: Dr Ayushi Gupta

Imaging device: Clarus 700

Condition/keywords: Sub hyaloid haemorrhage, YAG HYALOIDOTOMY

Feb 5 2025 by Vishal Agrawal, MD, FRCS,FACS,FASRS

A 22- year male, one eyed patient came for routine examination. Fundus showed temporal straightening of Vessels. FA revealed peripheral avascular area and leakage. 3 siblings had the same findings with no history of prematurity. All the siblings underwent laser treatment.

Photographer: Dr Ayushi Gupta

Imaging device: Clarus 700

Condition/keywords: familial exudative vitreoretinopathy (FEVR)

Feb 6 2025 by Vishal Agrawal, MD, FRCS,FACS,FASRS

A 22- year male, one eyed patient came for routine examination. Fundus showed temporal straightening of Vessels. FA revealed peripheral avascular area and leakage. 3 siblings had the same findings with no history of prematurity. All the siblings underwent laser treatment.

Photographer: Dr Ayushi Gupta

Imaging device: Clarus 700

Condition/keywords: familial exudative vitreoretinopathy (FEVR)

Mar 1 2025 by Vishal Agrawal, MD, FRCS,FACS,FASRS

A 37-year-old male presented with sudden diminution of vision in the right eye. On fundus examination boat shaped sub hyaloid hemorrhage was noted and a YAG hyaloidotomy was performed.

Photographer: Dr Ayushi Gupta

Imaging device: Clarus 700

Condition/keywords: Sub hyaloid haemorrhage, YAG HYALOIDOTOMY

Mar 1 2025 by Vishal Agrawal, MD, FRCS,FACS,FASRS

A 37-year-old male presented with decreased vision in the right eye. This is the fundus autofluorescence (FAF-G) of the right eye showing hypo auto fluorescent lesion with surrounding hyper auto fluorescence extending inferiorly corresponding to the fluid tract.

Photographer: Dr Ayushi Gupta

Imaging device: Clarus 700

Condition/keywords: Circumscribed Choroidal Hemangioma, fundus autofluorescence (FAF)

Apr 26 2025 by Vishal Agrawal, MD, FRCS,FACS,FASRS

A 32 year-old male presented with complaints of perceiving a shadow in OS for 15-20 days. His BCVA was 20/20 OU. On Fundus examination, a large, elevated, well-defined, pigmented choroidal mass with few hemorrhages over the lesion was seen and a provisional diagnosis of uveal melanoma was made. urgent oncological consultation was recommended for further treatment.

Photographer: Dr Ayushi Gupta

Imaging device: Clarus 700

Condition/keywords: melanoma

Apr 28 2025 by Vishal Agrawal, MD, FRCS,FACS,FASRS

Fundus image showing prominent neovascularization of the disc (NVD)- visible as fine, frond-like vascular proliferation extending from the disc surface.

Photographer: Dr Ayushi Gupta

Imaging device: Clarus 700

Condition/keywords: branch retinal vein occlusion (BRVO), NVD

Apr 28 2025 by Vishal Agrawal, MD, FRCS,FACS,FASRS

The red-free image enhances the visualization of the NVD, showing the fine neovascular fronds sprouting from the optic disc. Collateral vessels and vascular anastomosis are better appreciated.

Photographer: Dr Ayushi Gupta

Imaging device: Clarus 700

Condition/keywords: branch retinal vein occlusion (BRVO), collaterals

Apr 30 2025 by Vishal Agrawal, MD, FRCS,FACS,FASRS

Fundus fluorescein angiography image of a young girl with diagnosed Takayasu arteritis who presented with complains of diminished vision in both eyes. FFA shows complete absence of venous filling with segmented blood column secondary to CRAO with peripheral avascular area.

Photographer: Dr Ayushi Gupta

Imaging device: Clarus 700

Condition/keywords: calcified drusen, CRAO, takayasu arteritis

Apr 30 2025 by Vishal Agrawal, MD, FRCS,FACS,FASRS

Fundus fluorescein angiography image of a young girl with diagnosed Takayasu arteritis who presented with complains of diminished vision in both eyes. FFA shows complete absence of venous filling with segmented blood column secondary to CRAO with peripheral avascular area.

Photographer: Dr Ayushi Gupta

Imaging device: Clarus 700

Condition/keywords: CRAO, Takayasus disease