Anfisa Ayalon, MD » Miscellaneous

Mar 15 2019 by Anfisa Ayalon, MD

Left eye fundus photograph of premature baby. Note the ridge, with small tufts of fibrovascular proliferation.

Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

Imaging device: Phoenix ICON

Condition/keywords: neovascularization (NV), retina, retinopathy of prematurity stage2

Mar 20 2019 by Anfisa Ayalon, MD

Fundus fluorescein angiography of 58-year-old patient with left eye high-risk proliferative diabetic retinopathy. Note severe ischemia of retina, large areas of neovascularization elsewhere and preretinal hemorrhages.

Photographer: Anfisa Ayalon,MD., Meir Medical Center, Kfar Saba, Israel.

Imaging device: California, Optos 200 DTX

Condition/keywords: ischemia, neovascularization elsewhere (NVE), proliferative diabetic retinopathy (PDR), retina, subhyaloid hemorrhage

Apr 1 2019 by Anfisa Ayalon, MD

81-year-old male who had trabeculectomy in his right eye 4 years ago, presented to the emergency room with complains of decreased vision in that eye for two months. Slit-lamp examination showed cystic bleb with leakage, intraocular pressure was 0 MMHg. Fundus examination showed hypotony maculopathy, peripheral choroidal detachments, multiple chorioretinal folds with subretinal fluid.

Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

Imaging device: California, Optos 200 DTX

Condition/keywords: choroidal detachment, hypotonous retinopathy, hypotony maculopathy

Apr 1 2019 by Anfisa Ayalon, MD

Fundus autofluorescence image of 81-year-old male with right eye ocular hypotony due to leaking bleb. Note severe hypotony maculopathy, peripheral choroidal detachments, multiple chorioretinal folds.

Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

Imaging device: California, Optos 200 DTX

Condition/keywords: choroidal detachment, choroidal folds, fundus autofluorescence (FAF), hypotonous retinopathy, hypotony maculopathy

Jul 15 2019 by Anfisa Ayalon, MD

Slit-lamp photograph of a pseudo-hypopyon of perfluorocarbon in the eye of a young patient who had undergone repair of rhegmatogenous retinal detachment years prior. Note the emulsified appearance.

Photographer: Anfisa Ayalon, MD. Meir Medical Center, Kfar Saba, Israel.

Condition/keywords: pars plana vitrectomy (PPV), perfluorocarbon fluid, retained perfluorocarbon, retinal detachment

Jul 19 2019 by Anfisa Ayalon, MD

36-years-old male with both eyes Familial Dominant Drusen. Snellen chart visual acuity in both eyes-20/20.

Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

Condition/keywords: drusen, drusenoid deposit, familial drusen, Malattia Leventinese

Sep 19 2019 by Anfisa Ayalon, MD

Fundus picture of a 34-year-old patient with left eye vitreous base avulsion three months after rhegmatogenous retinal detachment repair with circular scleral buckle implantation. Note bucket handle sign and 360 degrees scleral buckle indentation with a flat retina.

Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

Imaging device: California, Optos 200 DTX

Condition/keywords: avulsed vitreous base, behind the vitreous base, retinal detachment, scleral buckle

Nov 16 2019 by Anfisa Ayalon, MD

Fundus autofluorescence image of neovascularization elsewhere, patient with high-risk proliferative diabetic retinopathy.

Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

Condition/keywords: diabetes, fundus autofluorescence (FAF), ischemia, neovascularization elsewhere (NVE), proliferative diabetic retinopathy (PDR)

Nov 21 2019 by Anfisa Ayalon, MD

Patient with proliferative diabetic retinopathy, severe retinal ischemia, rubeosis and angle neovascularization with IOP elevation.

Photographer: Anfisa Ayalon,MD., Meir Medical Center, Kfar Saba, Israel.

Imaging device: with gonioscopy lens

Condition/keywords: angle neovascularization, neovascular glaucoma, proliferative diabetic retinopathy (PDR), rubeosis

Dec 7 2019 by Anfisa Ayalon, MD

Fundus photograph of a 55-year-old woman with high myopia.

Photographer: Anfisa Ayalon,MD., Meir Medical Center, Kfar Saba, Israel.

Condition/keywords: high myopia, myopia, peripapillary atrophy

Dec 7 2019 by Anfisa Ayalon, MD

Red-free fundus photograph of a 55-year-old woman with high myopia.

Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

Condition/keywords: fundus photograph, high myopia, red-free

Dec 7 2019 by Anfisa Ayalon, MD

Fluorescein angiography pictures of a 55-year-old woman with high myopia.

Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

Condition/keywords: fluorescein angiogram (FA), high myopia, peripapillary atrophy

Dec 8 2019 by Anfisa Ayalon, MD

Fundus photograph of a 37-year-old male with CACD. The patient has visual acuity of 1/18 in the right eye and 6/30 in the left eye. Full-field ERG was normal under photopic and scotopic conditions.

Photographer: Anfisa Ayalon,MD., Meir Medical Center, Kfar Saba, Israel.

Condition/keywords: central areolar choroidal dystrophy (CACD), geographic atrophy, hereditary retinal degeneration

Dec 8 2019 by Anfisa Ayalon, MD

Fundus autofluorescence pictures of a 37-year-old male with CACD. The patient has visual acuity of 1/18 in the right eye and 6/30 in the left eye. Full-field ERG was normal under photopic and scotopic conditions.

Photographer: Anfisa Ayalon,MD., Meir Medical Center, Kfar Saba, Israel.

Condition/keywords: central areolar choroidal dystrophy (CACD), fundus autofluorescence (FAF), hereditary retinal degeneration

Dec 8 2019 by Anfisa Ayalon, MD

OCT pictures of a 37-year-old male with CACD. Note atrophic changes in the outer retinal layer.

Photographer: Anfisa Ayalon,MD., Meir Medical Center, Kfar Saba, Israel.

Condition/keywords: central areolar choroidal dystrophy (CACD), geographic atrophy, optical coherence tomography (OCT)

Dec 20 2019 by Anfisa Ayalon, MD

OCT of a 60 -year-old man with epiretinal membrane. Note a spiral-like edge.

Photographer: Anfisa Ayalon,MD., Meir Medical Center, Kfar Saba, Israel.

Condition/keywords: epiretinal membrane (ERM), optical coherence tomography (OCT), rare

Dec 28 2019 by Anfisa Ayalon, MD

A 42-year-old highly myopic patient presented to the retina clinic with complains of metamorphopsia for the past months. SD-OCT revealed RE vitreomacular traction with stage 1 macular hole (pictures from the left). After 3 weeks of follow up spontaneous resolution of vitreomacular traction (pictures from the right) was seen with full resolution of the symptoms.

Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

Condition/keywords: macular hole, myopia, spontaneous resolution, stage 1 macular hole, vitreomacular traction (VMT)

Dec 28 2019 by Anfisa Ayalon, MD

A 42-year-old highly myopic patient presented to the retina clinic with complains of metamorphopsia in his RE for the past months. SD-OCT revealed RE vitreomacular traction with stage 1 macular hole (A-B) and flat myopic retinoschisis (C). Visual acuity in the same eye was 6/30. After 3 weeks of follow up spontaneous resolution of vitreomacular traction was seen with full resolution of the symptoms. (D-E). Visual acuity remained without significant change.

Photographer: Anfisa Ayalon,MD., Meir Medical Center, Kfar Saba, Israel.

Condition/keywords: flat retinoschisis, macular hole, myopia, stage 1 macular hole, vitreomacular traction (VMT)

Jan 19 2020 by Anfisa Ayalon, MD

Slit-lamp photograph of a 3 -year-old male with total serous retinal detachment due to Coats' disease in the right eye. S/p laser photocoagulation, cryotherapy, retinal detachment repair with scleral buckle implantation 2 years ago. Currently, the right eye has no light perception.

Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

Condition/keywords: chronic retinal detachment, Coats' disease, exudative retinal detachment, retinal detachment

Jan 19 2020 by Anfisa Ayalon, MD

Slit-lamp photograph of a 3 -year-old male with total serous retinal detachment due to Coats' disease in the right eye. S/p laser photocoagulation, cryotherapy, retinal detachment repair with scleral buckle implantation 2 years ago. Currently, the right eye has no light perception.

Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

Condition/keywords: blind eye, Coats' disease, retinal detachment without retinal defect, serous retinal detachment

Jan 19 2020 by Anfisa Ayalon, MD

Slit-lamp photograph of a 3 -year-old male with an aggressive course of Coats' disease. Total serous retinal detachment in the right eye can be seen through the pupil. S/p laser photocoagulation, cryotherapy, retinal detachment repair with scleral buckle implantation 2 years ago. Currently, the right eye has no light perception.

Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

Condition/keywords: Coats' disease, pupil view, retinal detachment, serous retinal detachment

Mar 2 2020 by Anfisa Ayalon, MD

Fundus photograph of a 40-year-old patient with diabetes. Note severe fibrovascular membrane that covers almost the whole posterior pole, areas of tractional retinal detachment and preretinal hemorrhages.

Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

Imaging device: California, Optos 200 DTX

Condition/keywords: hemorrhage, neovascularization (NV), proliferative diabetic retinopathy (PDR), tractional retinal detachment

Mar 13 2020 by Anfisa Ayalon, MD

Fundus photograph of a 26-year-old woman with high myopia. Note inferotemporally margins of sharply demarcated WWP area.

Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

Imaging device: California, Optos 200 DTX

Condition/keywords: myopia, white without pressure

Mar 18 2020 by Anfisa Ayalon, MD

Intraoperative image of a 61-year-old high-myopic woman with total retinal detachment and dislocated 3-piece IOL.

Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

Condition/keywords: dislocated posterior chamber intraocular lens (PCIOL), high myopia, retinal detachment

Mar 22 2020 by Anfisa Ayalon, MD

Intraoperative images were taken during the management of submacular hemorrhage in age-related macular degeneration. The goal of the surgery was the physical displacement of SMH out of the fovea using expansile gas. The image from the left was done during ILM peeling. Note the massive collection of subretinal blood. The image from the right was done after submacular injection of t-PA, bevacizumab and filtered air. Intravitreal injection of 20% SF6 completed the surgery. The visual acuity improved after the surgery from HM to 1/60.

Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

Condition/keywords: spontaneous submacular hemorrhage, submacular hemorrhage, vitreomacular surgery, wet age-related macular degeneration (wet AMD)

Mar 22 2020 by Anfisa Ayalon, MD

Submacular hemorrhage in age-related macular degeneration. Image A: SD-OCT before the surgery. Note widespread submacular hemorrhage with subretinal fluid and RPE detachment. Image B: SD-OCT after the surgery (PPV+ERM and ILM peeling+Submacular injection of t-PA, bevacizumab and filtered air+ Intravitreal injection of 20% SF6 ). Note remaining RPE detachment with no OCT signs of submacular hemorrhage. The visual acuity improved after the surgery from HM to 1/60.

Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

Condition/keywords: age-related macular degeneration (AMD), optical coherence tomography (OCT), submacular hemorrhage

May 1 2020 by Anfisa Ayalon, MD

Slit-lamp photograph of an 34-year-old man with oculocutaneous albinism. Note iris transillumination defects.

Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

Condition/keywords: albinism, iris, oculocutaneous albinism, transillumination

May 1 2020 by Anfisa Ayalon, MD

Slit-lamp photograph of an 34-year-old man with oculocutaneous albinism. Note iris transillumination defects. Snellen chart visual acuity in both eyes-6/60. Nystagmus is also present.

Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

Condition/keywords: iris, nystagmus, oculocutaneous albinism, transillumination

May 14 2020 by Anfisa Ayalon, MD

Fundus photograph of a 71-year-old woman with ciliochoroidal melanoma. Note a melanoma-associated massive exudative retinal detachment.

Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

Imaging device: California, Optos 200 DTX

Condition/keywords: choroidal melanoma, ciliary body melanoma, exudative retinal detachment, melanoma

May 14 2020 by Anfisa Ayalon, MD

Fundus autofluorescence photograph of a 71-year-old woman with ciliochoroidal melanoma. Note a melanoma-associated massive exudative retinal detachment.

Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

Imaging device: California, Optos 200 DTX

Condition/keywords: choroidal melanoma, ciliary body melanoma, exudative retinal detachment

May 14 2020 by Anfisa Ayalon, MD

Gonioscopy photograph of a 71-year-old woman with ciliochoroidal melanoma. Note a melanoma-associated exudative retinal detachment and feeding vessels.

Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

Condition/keywords: choroidal melanoma, ciliary body melanoma, exudative retinal detachment, gonioscopy

Oct 20 2020 by Anfisa Ayalon, MD

Fundus fluorescein angiography of 35-year-old female with right eye asymptomatic coats disease.

Photographer: Anfisa Ayalon, Meir Medical Center, Kfar Saba, Israel.

Imaging device: California, Optos 200 DTX

Condition/keywords: Coats' disease, neovascularization elsewhere (NVE), retina

Oct 20 2020 by Anfisa Ayalon, MD

Fundus fluorescein angiography of 35-year-old female with right eye asymptomatic coats disease.

Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

Imaging device: California, Optos 200 DTX

Condition/keywords: Coats' disease, fluorescein leakage, leakage

Feb 12 2021 by Anfisa Ayalon, MD

SD-OCT of 16-year-old male with Stickler Syndrome. Note a thickened and adherent posterior hyaloid.

Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

Condition/keywords: Stickler Syndrome, thickening of the posterior hyaloid

Feb 12 2021 by Anfisa Ayalon, MD

Fundus photograph of a 16-year-old male with Stickler Syndrome and giant tear rhegmatogenous retinal detachment. Note multiple vitreous veils and bands.

Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

Imaging device: California, Optos

Condition/keywords: empty vitreous, giant retinal tear, Stickler Syndrome, vitreous veils

Mar 14 2023 by Anfisa Ayalon, MD

Fundus autofluorescence image of a 38-year-old female with “Bull's eye” pattern maculopathy. There is no history of medication use associated with retinal toxicity. BCVA RE 20/25+2

Photographer: Danielle Ferguson and Alec Bertoni, University of Pittsburgh Medical Center

Condition/keywords: bull's eye maculopathy, retina

Mar 14 2023 by Anfisa Ayalon, MD

Left eye fundus autofluorescence image of a 38-year-old female with “Bull's eye” pattern maculopathy. There is no history of medication use associated with retinal toxicity. BCVA LE 20/20-3

Photographer: Danielle Ferguson and Alec Bertoni, University of Pittsburgh Medical Center

Condition/keywords: bull's eye maculopathy, Maculopathy, retina

Mar 14 2023 by Anfisa Ayalon, MD

Both eyes fundus autofluorescence image of a 38-year-old female with “Bull's eye” pattern maculopathy. There is no history of medication use associated with retinal toxicity. BCVA RE 20/25+2, LE 20/20-3

Photographer: Danielle Ferguson and Alec Bertoni, University of Pittsburgh Medical Center

Condition/keywords: bull's eye maculopathy, maculopathy, retina