Manish Nagpal, MD, FRCS (UK), FASRS » Miscellaneous

Mar 12 2014 by Manish Nagpal, MD, FRCS (UK), FASRS

Fundus photo of a 56-year-old woman having myelinated nerve fibers with a atrophic macular hole.

Photographer: Pooja Barot

Condition/keywords: macular hole, myelinated nerve fibers

Mar 12 2014 by Manish Nagpal, MD, FRCS (UK), FASRS

Fundus photo of a 32-year-old male presenting with post traumatic choroidal folds and hypotony.

Photographer: Pooja Barot

Condition/keywords: choroidal folds

Mar 12 2014 by Manish Nagpal, MD, FRCS (UK), FASRS

32-year-old male had presented with extensive choroidal folds. Oral and sub tenon steroids resolved the folds and only a few residual stria are seen with good visual recovery.

Photographer: Pooja Barot

Condition/keywords: choroidal folds

May 15 2014 by Manish Nagpal, MD, FRCS (UK), FASRS

30-year-old anemic lady presented with a acute loss of vision. Her vision was just hand movements in the affected eye and the other eye was normal.

Photographer: pooja barot, Optometrist, Retina Foundation, Ahmedabad

Condition/keywords: central retinal artery occlusion (CRAO), central retinal vein occlusion (CRVO), macular edema

May 15 2014 by Manish Nagpal, MD, FRCS (UK), FASRS

30-year-old anemic lady presented with a acute loss of vision. Her vision was just hand movements in the affected eye and the other eye was normal.

Photographer: pooja barot, Optometrist, Retina Foundation, Ahmedabad

Condition/keywords: central retinal artery occlusion (CRAO), central retinal vein occlusion (CRVO), macular edema

May 15 2014 by Manish Nagpal, MD, FRCS (UK), FASRS

30-year-old anemic lady presented with a acute loss of vision. Her vision was just hand movements in the affected eye and the other eye was normal.

Photographer: pooja barot, Optometrist, Retina Foundation, Ahmedabad

Condition/keywords: central retinal artery occlusion (CRAO), central retinal vein occlusion (CRVO), macular edema

May 15 2014 by Manish Nagpal, MD, FRCS (UK), FASRS

30-year-old anemic lady presented with a acute loss of vision. Her vision was just hand movements in the affected eye and the other eye was normal.

Photographer: pooja barot, Optometrist, Retina Foundation, Ahmedabad

Condition/keywords: central retinal artery occlusion (CRAO), central retinal vein occlusion (CRVO), macular edema

May 15 2014 by Manish Nagpal, MD, FRCS (UK), FASRS

30-year-old anemic lady presented with a acute loss of vision. Her vision was just hand movements in the affected eye and the other eye was normal.

Photographer: pooja barot, Optometrist, Retina Foundation, Ahmedabad

Condition/keywords: central retinal artery occlusion (CRAO), central retinal vein occlusion (CRVO), macular edema

May 15 2014 by Manish Nagpal, MD, FRCS (UK), FASRS

Patient presenting with a acute loss of vision with a giant retinal tear.

Photographer: pooja barot, Optometrist, Retina Foundation, Ahmedabad

Condition/keywords: giant retinal tear, retinal detachment

May 15 2014 by Manish Nagpal, MD, FRCS (UK), FASRS

Patient having a retinal detachment with PVR changes.

Photographer: pooja barot, Optometrist, Retina Foundation, Ahmedabad

Condition/keywords: proliferative vitreoretinopathy (PVR), retinal detachment

May 15 2014 by Manish Nagpal, MD, FRCS (UK), FASRS

Patient having bullous superior retinal detachment with a horseshoe tear.

Photographer: pooja barot, Optometrist, Retina Foundation, Ahmedabad

Condition/keywords: horseshoe tear, retinal detachment

May 15 2014 by Manish Nagpal, MD, FRCS (UK), FASRS

Patient who underwent multiple surgeries due to recurrent PVR finally settled with a large retinectomy and a PFCL remnant bubble is seen.

Photographer: pooja barot, Optometrist, Retina Foundation, Ahmedabad

Condition/keywords: perfluorocarbon fluid, retinal detachment

Jun 30 2014 by Manish Nagpal, MD, FRCS (UK), FASRS

A patient came to us with raised intraocular pressure and normal visual acuity. He gave history of injury 2 years back with a iron particle while hammering a nail. On examination foreign body in the infero temporal region stuck in the retina with surrounding hypopigmented scarred area suggestive of resolved oedema and localised reaction. We operated the patient for vitrectomy and removed the IOFB along with laser barrage to the scarred area. The surgery and post operative recovery was uneventful.

Photographer: pooja barot, Optometrist, Retina Foundation, Ahmedabad

Condition/keywords: intraocular foreign body

Jun 30 2014 by Manish Nagpal, MD, FRCS (UK), FASRS

A patient came to us with raised intraocular pressure and normal visual acuity. He gave history of injury 2 years back with a iron particle while hammering a nail. On examination foreign body in the infero temporal region stuck in the retina with surrounding hypopigmented scarred area suggestive of resolved oedema and localised reaction. We operated the patient for vitrectomy and removed the IOFB along with laser barrage to the scarred area. The surgery and post operative recovery was uneventful.

Photographer: pooja barot, Optometrist, Retina Foundation, Ahmedabad

Condition/keywords: intraocular foreign body

Jun 30 2014 by Manish Nagpal, MD, FRCS (UK), FASRS

A patient came to us with raised intraocular pressure and normal visual acuity. He gave history of injury 2 years back with a iron particle while hammering a nail. On examination foreign body in the infero temporal region stuck in the retina with surrounding hypopigmented scarred area suggestive of resolved oedema and localised reaction. We operated the patient for vitrectomy and removed the IOFB along with laser barrage to the scarred area. The surgery and post operative recovery was uneventful.

Photographer: pooja barot, Optometrist, Retina Foundation, Ahmedabad

Condition/keywords: intraocular foreign body

Jun 30 2014 by Manish Nagpal, MD, FRCS (UK), FASRS

A patient came to us with raised intraocular pressure and normal visual acuity. He gave history of injury 2 years back with a iron particle while hammering a nail. On examination foreign body in the infero temporal region stuck in the retina with surrounding hypopigmented scarred area suggestive of resolved oedema and localised reaction. We operated the patient for vitrectomy and removed the IOFB along with laser barrage to the scarred area. The surgery and post operative recovery was uneventful.

Photographer: pooja barot, Optometrist, Retina Foundation, Ahmedabad

Condition/keywords: intraocular foreign body, scar

Jul 11 2016 by Manish Nagpal, MD, FRCS (UK), FASRS

Fundus photography of a 45 year old male who presented with a macroaneurysm in his right eye with a spill over de haemoglobinised sub hyaloid haemorrhage

Photographer: Pooja Barot

Condition/keywords: macroaneurysm, subhyaloid hemorrhage

Jul 11 2016 by Manish Nagpal, MD, FRCS (UK), FASRS

Colour photo showing an active CNVM.

Photographer: pooja barot

Condition/keywords: choroidal neovascular membrane (CNVM), optical coherence tomography (OCT)

Jul 11 2016 by Manish Nagpal, MD, FRCS (UK), FASRS

Angio OCT picture showing neovascularization corresponding to the area of CNVM.

Photographer: pooja barot

Condition/keywords: choroidal neovascular membrane (CNVM), optical coherence tomography (OCT)

Jul 11 2016 by Manish Nagpal, MD, FRCS (UK), FASRS

Angio OCT picture showing disappearing of the neovascularization 1 month after anti-vegf injection.

Photographer: Pooja Barot

Condition/keywords: choroidal neovascular membrane (CNVM), optical coherence tomography (OCT)

Jul 11 2016 by Manish Nagpal, MD, FRCS (UK), FASRS

Post endophthalmitis sub silicon membranes.

Condition/keywords: endophthalmitis

Dec 15 2016 by Manish Nagpal, MD, FRCS (UK), FASRS

Fluorescein angiography OS of a patient having retinitis pigmentosa with a hemangioma inferiorly.

Condition/keywords: hemangioma, retinitis pigmentosa

Dec 15 2016 by Manish Nagpal, MD, FRCS (UK), FASRS

Fluorescein angiography OS of a patient having retinitis pigmentosa with a hemangioma inferiorly.

Condition/keywords: hemangioma, retinitis pigmentosa

Dec 27 2016 by Manish Nagpal, MD, FRCS (UK), FASRS

Acute CRAO with hollenhorst plaque.

Photographer: hardik Jain

Condition/keywords: central retinal artery occlusion (CRAO), edema, hollenhorst plaque, retinal infarction

Dec 29 2016 by Manish Nagpal, MD, FRCS (UK), FASRS

VHL with hemangioma with feeder vessels.

Photographer: rakesh juneja

Condition/keywords: cryotherapy, hemangioma, laser, Von Hippel-Lindau

Dec 29 2016 by Manish Nagpal, MD, FRCS (UK), FASRS

VHL with Haemangioma status post treatment with cryo and laser.

Photographer: Rakesh Juneja

Condition/keywords: cryotherapy, hemangioma, Von Hippel-Lindau

Dec 29 2016 by Manish Nagpal, MD, FRCS (UK), FASRS

Healing toxo chorioretinitis lesion post a course of anti-toxo regime.

Photographer: Avijit Vishnoi

Condition/keywords: toxoplasmosis chorioretinitis

Dec 30 2016 by Manish Nagpal, MD, FRCS (UK), FASRS

Combined tractional and rhegmatogenous retinal detachment seen in a case of vasculitis. Two small breaks are noted in the extreme nasal area next to an area of proliferation.

Photographer: Avijit Vishnoi

Condition/keywords: tractional retinal detachment, vasculitis

Jan 4 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Macular pucker forming post 2 months of vitrectomy done for giant retinal tear.

Photographer: Pooja Barot

Condition/keywords: giant retinal tear, macular pucker, vitrectomy

Jan 8 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Fundus photo of a patient complaining of floaters and a curtain like field defect.

Photographer: pravin jain

Condition/keywords: giant retinal tear

Jan 10 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Patient gave history of being treated 25 years back with xenon photocoagulation for peripheral vasculitis.

Photographer: Pooja Barot

Condition/keywords: vasculitis, xenon photocoagulation

Jan 25 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Juvenile retinoschisis.

Photographer: ashish jain

Condition/keywords: juvenile retinoschisis

Jan 25 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Juvenile retinoschisis.

Photographer: Ashish Jain

Condition/keywords: juvenile retinoschisis

Jan 26 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo while doing vitectomy for peripheral base shaving near the canula port enhanced by peripheral scleral indentation while using chandelier light.

Photographer: Manish Nagpal

Imaging device: Still captured from a 3 chip HD camera on microscope

Condition/keywords: canula, indentation, scleral depression

Jan 26 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo while doing vitectomy near a horseshoe tear to clear the adherent vitreous enhanced by peripheral scleral indentation while using chandelier light.

Photographer: Manish Nagpal

Imaging device: Still captured from a 3 chip HD camera on microscope

Condition/keywords: cutter, horseshoe tear, scleral indentation, vitrectomy, vitreous

Feb 7 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

This OCT reveals the central break in the hyaloid which clinically mimics a macular hole.

Photographer: pooja barot

Condition/keywords: macular pseudohole

Feb 7 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Fundus appearance of a macular hole is basically a small central break in the hyaloid mimicking a macular hole. The OCT in the next picture depicts the break in the hyaloid.

Photographer: Pooja Barot

Condition/keywords: macular pseudohole

Feb 7 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Acute CRAO.

Photographer: Avijit Vishnoi

Condition/keywords: central retinal artery occlusion (CRAO)

Feb 7 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Patient presenting with globe perforation with a penetration seen at below the inferior arcade with some scattered hemorrhage and a retinal detachment.

Photographer: Rakesh Juneja

Condition/keywords: globe perforation, retinal detachment

Feb 9 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo of a IOFB impacting on the inferotemporal margin of disc leading to a BRAO. This picture is taken moments after dissecting the IOFB from the impact site and bringing it over the retinal surface for eventual removal.

Photographer: Manish Nagpal

Imaging device: Still captured from a 3 chip HD camera on microscope

Condition/keywords: branch retinal artery occlusion (BRAO), intraocular foreign body

Feb 11 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo of triamcinolone stained hyaloid showing the whitish haloes of its attachments on macula and disc.

Photographer: manish nagpal

Imaging device: Still captured from 3 Chip HD camera on microscope

Condition/keywords: hyaloid, triamcinolone

Feb 24 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Patient presenting with a fresh superior retinal detachment in a myopic eye.

Photographer: Pooja Barot

Condition/keywords: retinal detachment

Feb 25 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo of a foreign body piercing the inferotemporal margin of disc revealing a infero temporal BRAO immediately after hyaloid removal.

Photographer: MANISH NAGPAL

Imaging device: Still captured from a 3 chip HD camera attached to a microscope

Condition/keywords: branch retinal artery occlusion (BRAO), intraocular foreign body

Feb 25 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo of a foreign body piercing the inferotemporal margin of disc revealing a infero temporal BRAO immediately after hyaloid removal. The foreign boy has just been removed from the disc and is freely lying on the retina.

Photographer: MANISH NAGPAL

Imaging device: STILL CAPTURED FROM A 3CHIP HD camera attached to microscope

Condition/keywords: intraocular foreign body

Feb 25 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

IOFB was removed from the optic disc margin. BRAO was seen on table and this is a 15 day post op photo of the same case

Photographer: Pooja Barot

Condition/keywords: branch retinal artery occlusion (BRAO), intraocular foreign body

Mar 8 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Patient with a macroaneurysm leading to a sub ILM hemorrhage near fovea.

Photographer: Pranita Chaudhary

Condition/keywords: hemorrhage, macroaneurysm

Mar 8 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Patient with a macroaneurysm leading to a sub ILM hemorrhage near fovea showing an interesting horizontal scan passing through the central area.

Photographer: pranita chaudhary

Condition/keywords: hemorrhage, macroaneurysm

Mar 8 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Patient with a macroaneurysm leading to a sub ILM hemorrhage near fovea showing an interesting vertical scan passing through the central area.

Photographer: pranita chaudhary

Condition/keywords: hemorrhage, macroaneurysm

Mar 24 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Young girl 22-year-old came with sudden decreased vision and had a combined CRAO and CRVO whose FA revealed extensive ischemia and delayed filling.

Photographer: pranita chaudhary

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

Mar 24 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo of a large retinal tear with everted edges.

Photographer: manish nagpal

Imaging device: Still captured from 3 Chip HD camera on microscope

Condition/keywords: retinal tear

Apr 1 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Case of a ruptured macroaneurysm with subhyaloid and subretinal blood.

Photographer: Avijit Vishnoi

Condition/keywords: macroaneurysm, ruptured macroaneurysm

Apr 7 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Colour photo of a case of peripapillary choroidal granuloma presenting with exudation and hemorrhages.

Photographer: pooja barot

Condition/keywords: choroid, granuloma, inflammation

Apr 7 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Fluorescein angiography of a case of peripapillary choroidal granuloma presenting with exudation and hemorrhages.

Photographer: Pooja Barot

Condition/keywords: choroid, granuloma, inflammation

Apr 12 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

A case of BRVO has been injected with Ozurdex implant and photographed at one month follow up.

Photographer: Pooja Barot

Condition/keywords: branch retinal vein occlusion (BRVO), cystoid macular edema (CME), Ozurdex implant

Apr 14 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

50-year-old male having myopia presented with a IOL in vitreous within its bag.

Photographer: Pooja Barot

Condition/keywords: intraocular lens (IOL), intraocular lense in vitreous, intraocular lense with bag, myopia

Apr 17 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

50-year-old male treated with Ozurdex implant for DME came for a follow up after 4 months and we could see the sarcophagus of the implant dangling in vitreous in front of the macula.

Photographer: POOJA BAROT

Condition/keywords: diabetic macular edema, Ozurdex implant, sarcophagus

Apr 17 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

50-year-old male treated with Ozurdex implant for DME came for a follow up after 4 months and we could see the sarcophagus of the implant dangling in vitreous in front of the macula.

Photographer: POOJA BAROT

Condition/keywords: diabetic macular edema, Ozurdex implant, sarcophagus

Apr 17 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

50-year-old male treated with Ozurdex implant for DME came for a follow up after 4 months and we could see the sarcophagus of the implant dangling in vitreous in front of the macula in this montage view.

Photographer: pooja barot

Condition/keywords: diabetic macular edema, Ozurdex implant, sarcophagus

Apr 17 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

A patient with proliferative diabetic retinopathy came with sudden decreased vision and the fundus revealed a recent subhyaloid haemorrhage blocking the macula.

Photographer: pooja barot

Condition/keywords: diabetic mellitus, proliferative diabetic retinopathy (PDR), subhyaloid hemorrhage

Apr 17 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

patient having serpiginous choroiditis came with recent drop of central vision. Fundus revealed a streak of blood lining a membrane in the peripapillary lesion suggestive of a SRNVM.

Photographer: pooja barot

Condition/keywords: choroiditis, serpiginous choroiditis, subretinal neovascular membrane

May 3 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Patient operated for retinal detachment with giant retinal tear with silicon oil a month back had come for a follow up.. his retina was well attached but he had developed a macular pucker under silicon oil.

Photographer: pooja barot

Condition/keywords: macular pucker, proliferative vitreoretinopathy (PVR), retinal detachment, silicone oil

May 3 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

At one month follow up of a patient operated on for retinal detachment with PVR. A macular pucker was developing under the silicon oil.

Photographer: Pooja Bbarot

Condition/keywords: macular pucker, proliferative vitreoretinopathy (PVR), retinal detachment, silicone oil

May 19 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

A 30-year-old male diagnosed elsewhere as VKH was started on heavy steroids and he developed multiple serous elevations and OS developed a exudative RD.

Photographer: POOJA BAROT

Condition/keywords: central serous retinopathy (CSR), multifocal central serous chorioretinopathy (CSCR), Vogt-Koyanagi-Harada

May 19 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

A 30-year-old male diagnosed elsewhere as VKH was started on heavy steroids and he developed multiple serous elevations and OS developed a exudative RD.

Photographer: POOJA BAROT

Condition/keywords: central serous retinopathy (CSR), multifocal central serous chorioretinopathy (CSCR), Vogt-Koyanagi-Harada

May 19 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

A 30-year-old male diagnosed elsewhere as VKH was started on heavy steroids and he developed multiple serous elevations and OS developed a exudative RD. We immediately asked the patient to stop steroids and when he followed up after a month lesions had flattened and he had recovered to 20/40 in both eyes.. he is still undergoing further follow up at this stage...

Photographer: pooja barot

Imaging device: heidelberg

Condition/keywords: central serous retinopathy (CSR), multifocal central serous chorioretinopathy (CSCR), Vogt-Koyanagi-Harada

May 19 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

A 30-year-old male diagnosed elsewhere as VKH was started on heavy steroids and he developed multiple serous elevations and OS developed a exudative RD.

Photographer: pooja barot

Condition/keywords: central serous retinopathy (CSR), Vogt-Koyanagi-Harada

May 25 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Per operative photo prior to ERM removal in a case of retinal detachment with ERM.

Photographer: MANISH NAGPAL

Imaging device: SONY 3 CHIP HD CAMERA

Condition/keywords: epiretinal membrane (ERM), internal limiting membrane (ILM) peeling, retinal detachment

May 25 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Per operative photo of ERM removal in a case of retinal detachment with ERM.

Photographer: MANISH NAGPAL

Imaging device: SONY 3 CHIP HD CAMERA

Condition/keywords: epiretinal membrane (ERM), internal limiting membrane (ILM) peeling, retinal detachment

May 25 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Per operative photo of stained ILM status post ERM removal in a case of RD with ERM.

Photographer: MANISH NAGPAL

Imaging device: SONY 3 CHIP HD CAMERA

Condition/keywords: epiretinal membrane (ERM), internal limiting membrane (ILM) peeling, retinal detachment, staining

May 25 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Per operative photo immediately following ILM removal.

Photographer: manish nagpal

Imaging device: SONY HD SURGICAL MICROSCOPE CAMERA

Condition/keywords: dye, epiretinal membrane (ERM), internal limiting membrane (ILM) peeling, staining

May 31 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Giant retinal tear with averted flap and edges.

Photographer: pooja barot

Condition/keywords: giant retinal tear

May 31 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo of a giant retinal tear.

Photographer: MANISH NAGPAL

Imaging device: 3chip HD camera

Condition/keywords: giant retinal tear

May 31 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo of a folded flap of giant retinal tear.

Photographer: MANISH NAGPAL

Imaging device: 3 chip hd camera

Condition/keywords: giant retinal tear

May 31 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo of unfolding of flap of GRT with PFCL injection.

Photographer: MANISH NAGPAL

Imaging device: 3 chip hd camera

Condition/keywords: giant retinal tear, perfluorocarbon fluid

May 31 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo of unfolding of flap of giant retinal tear.

Photographer: MANISH NAGPAL

Imaging device: SONY 3 CHIP HD CAMERA

Condition/keywords: giant retinal tear, perfluorocarbon fluid

Jun 26 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

Temporal retinal detachment with large tears with everted edges.

Photographer: pooja barot

Condition/keywords: everted flaps, giant retinal tear, retinal detachment

Jun 30 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

A rare case of PPCRA

Photographer: RAKESH JUNEJA

Condition/keywords: pigmented paravenous chorioretinal atrophy (PPCRA), rare

Jun 30 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

This is a rare presentation of a case of PPCRA

Photographer: RAKESH JUNEJA

Condition/keywords: pigmented paravenous chorioretinal atrophy (PPCRA), rare

Jun 30 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

This is the OCT of a rare case of PPCRA

Photographer: RAKESH JUNEJA

Condition/keywords: pigmented paravenous chorioretinal atrophy (PPCRA), rare

Jun 30 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

This is the OCT of a rare case of PPCRA.

Photographer: Rakesh Junena

Condition/keywords: pigmented paravenous chorioretinal atrophy (PPCRA), rare

Aug 1 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

65 year old woman had come to us post macular hole surgery with further drop in vision due to the onset of a retinal detachment leading to PVR and enlargement of the macular hole

Photographer: pooja barot

Condition/keywords: macular hole, membranes, proliferative vitreoretinopathy (PVR), retinal detachment, star folds

Jan 5 2018 by Manish Nagpal, MD, FRCS (UK), FASRS

Fundus photo of a patient having a retinal detachment with a large inferior tear with everted edges.

Photographer: Mehul Prajapati

Condition/keywords: horseshoe tear, retinal detachment

Jan 5 2018 by Manish Nagpal, MD, FRCS (UK), FASRS

Fundus photo pf a patient operated twice before for retinal detachment with PVR and now developed recurrent PVR with contraction and inferior tears with sub retinal silicon oil.

Photographer: Mehul Prajapati

Condition/keywords: proliferative vitreoretinopathy (PVR)

Jan 5 2018 by Manish Nagpal, MD, FRCS (UK), FASRS

Fundus photo of a patient who was operated for macular hole surgery had come for a follow up after one month and revealed a persisting macular hole with a small trapped gas bubble within the hole.

Photographer: rakesh juneja

Condition/keywords: gas bubble, macular hole

Jan 5 2018 by Manish Nagpal, MD, FRCS (UK), FASRS

This a Fundus photo of a patient who had come with blunt trauma and on examination had multiple haemorrhages around pre existing angioid streaks.

Photographer: Pooja Barot

Condition/keywords: angioid streaks, trauma

Jan 5 2018 by Manish Nagpal, MD, FRCS (UK), FASRS

This a fluorescein angiography of a patient who had come with blunt trauma and on examination had multiple haemorrhages around pre existing angioid streaks.

Photographer: Pooja Barot

Condition/keywords: angioid streaks, trauma

Jan 5 2018 by Manish Nagpal, MD, FRCS (UK), FASRS

Fundus photo of a patient having Von Hippel Lindau disease with a haemangioma supriorly with large feeding feeder and drainage vessels.

Photographer: Rakesh Juneja

Condition/keywords: Von Hippel-Lindau

Jan 24 2018 by Manish Nagpal, MD, FRCS (UK), FASRS

60-year-old male patient had come with sudden decrease in vision post trauma with hand and on examination the IOL had dislocated in the vitreous alongside a choroidal coloboma.

Photographer: Mehul Prajapati

Condition/keywords: coloboma of choroid, dislocated posterior chamber intraocular lens (PCIOL)

Feb 7 2018 by Manish Nagpal, MD, FRCS (UK), FASRS

Patient having 6/6 vision complaining of recent floaters and inferior field defect had a superior tear with surrounding retinal detachment.

Photographer: Mehul Prajapati

Condition/keywords: horseshoe tear, retinal detachment

Feb 8 2018 by Manish Nagpal, MD, FRCS (UK), FASRS

Patient operated on 10 years back for a scleral buckling surgery presented with decreased vision and had a superonasal retinal detachment along with intrusion of the scleral buckle.

Photographer: Mehul Prajapati

Condition/keywords: acute retinal detachment, retinal break, scleral buckle

Feb 9 2018 by Manish Nagpal, MD, FRCS (UK), FASRS

A young lady, 28 years of age complained of decreased vision and presented with a peripapillary srnvm and some lightly pigmented lesions around the fundus suggestive of a episode of posterior uveitis.

Photographer: Mehul Prajapati

Condition/keywords: secondary membrane, subretinal neovascularization (SRNV), uveitis

Jul 25 2019 by Manish Nagpal, MD, FRCS (UK), FASRS

Wide field view of PDR with TRD

Photographer: Gayathri Mohan, Retina Foundation

Imaging device: Nidek Mirante SLO

Condition/keywords: neovascularization of the disc (NVD), proliferative diabetic retinopathy (PDR), tractional retinal detachment

Jul 25 2019 by Manish Nagpal, MD, FRCS (UK), FASRS

Wide field view of a buckled eye along with silicon oil reflex.

Photographer: Gayathri Mohan, Retina Foundation

Imaging device: Nidek Mirante SLO

Condition/keywords: retinal detachment, scleral buckle, silicone oil

Jul 25 2019 by Manish Nagpal, MD, FRCS (UK), FASRS

Fundus photo of old toxo lesion on macula.

Photographer: Gayathri Mohan, Retina Foundation

Imaging device: Nidek Mirante SLO

Condition/keywords: toxoplasmosis, toxoplasmosis chorioretinitis

Aug 10 2019 by Manish Nagpal, MD, FRCS (UK), FASRS

Albinotic fundus

Photographer: Gayathri Mohan, Retina Foundation

Imaging device: Nidek Mirante SLO

Condition/keywords: albinism

Aug 10 2019 by Manish Nagpal, MD, FRCS (UK), FASRS

Follow up of a patient who underwent cryo and buckling using chandelier based viewing systems.

Photographer: Gayathri Mohan, Retina Foundation

Condition/keywords: retinal detachment, scleral buckle

Aug 10 2019 by Manish Nagpal, MD, FRCS (UK), FASRS

Fresh bleed in a classic srnvm along with peripapillary myelinated nerve fibers.

Photographer: Gayathri Mohan, Retina Foundation

Condition/keywords: choroidal neovascularization (CNV), subretinal neovascularization (SRNV)

Aug 10 2019 by Manish Nagpal, MD, FRCS (UK), FASRS

Wide field fundus montage of a Retinoblastoma treated earlier with cryo and laser. The lesion is stable for the last five years.

Photographer: Gayathri Mohan, Retina Foundation

Imaging device: Nidek Mirante SLO

Condition/keywords: cryotherapy, laser, laser photocoagulation, retinoblastoma

Sep 3 2019 by Manish Nagpal, MD, FRCS (UK), FASRS

Patient having CSR with a classic smokestack leak and sensory elevation seen on the OCT along with a small PED and OCTA images.

Photographer: Akshar Soni

Condition/keywords: central serous retinopathy (CSR)

Sep 3 2019 by Manish Nagpal, MD, FRCS (UK), FASRS

Patient having CSR with a classic inkblot leak and sensory elevation seen on the OCT.

Photographer: Akshar Soni

Condition/keywords: central serous retinopathy (CSR)

Sep 3 2019 by Manish Nagpal, MD, FRCS (UK), FASRS

OCTA image in a case of SRNV revealing a network of new vessels in the deep capillary plexus section.

Photographer: Gayathri Mohan

Condition/keywords: optical coherence tomography (OCT), subretinal neovascularization (SRNV)

Sep 3 2019 by Manish Nagpal, MD, FRCS (UK), FASRS

OCTA in a case of active srnvm showing two networks of activity in the deep capillary plexus.

Photographer: Gaythri Mohan

Condition/keywords: subretinal neovascularization (SRNV)

Sep 3 2019 by Manish Nagpal, MD, FRCS (UK), FASRS

Panoramic OCTA image of a case of BRVO revealing non perfusion areas.

Photographer: gayathri mohan

Condition/keywords: branch retinal vein occlusion (BRVO)

Sep 3 2019 by Manish Nagpal, MD, FRCS (UK), FASRS

OCTA image in a case of BRVO highlighting the capillary non perfusion areas related to the superior branch retinal vein occlusion.

Photographer: gayathri mohan

Condition/keywords: branch retinal vein occlusion (BRVO)

Sep 3 2019 by Manish Nagpal, MD, FRCS (UK), FASRS

OCTA in a case of vasculitis highlighting the capillary non perfusion areas closing in on macula.

Photographer: Gayathri Mohan

Condition/keywords: capillary nonperfusion, vasculitis

Sep 3 2019 by Manish Nagpal, MD, FRCS (UK), FASRS

OCTA image suggestive of dark areas corresponding to active areas of inflammation.

Photographer: Gayathri Mohan, Retina Foundation

Condition/keywords: multifocal choroiditis

Jun 5 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

This is a post operative photo of a patient operated for a retinal detachment with choroidal coloboma and now has a attached retina

Photographer: manish nagpal

Condition/keywords: choroidal coloboma, retinal detachment

Jun 5 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Pre operative photo of a choroidal coloboma with retinal detachment.

Photographer: manish nagpal

Condition/keywords: choroidal coloboma, retinal detachment

Jun 5 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Fundus photo of a eye having retinal detachment with a giant retinal tear in a eye with choroidal coloboma.

Photographer: manish nagpal

Condition/keywords: choroidal coloboma, giant retinal tear, retinal detachment

Jun 5 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

This is a post operative photo of a silicone oil filled eye having underwent surgery for giant retinal tear with retinal detachment in a eye having choroidal coloboma.

Photographer: manish nagpal

Condition/keywords: choroidal coloboma, giant retinal tear, retinal detachment, silicone oil

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Confluent drusens in ARMD.

Photographer: gayathri mohan

Imaging device: Nidek Mirante SLO

Condition/keywords: age-related macular degeneration (AMD), drusen

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Scarred SRNVM.

Photographer: gayathri mohan

Imaging device: Nidek Mirante SLO

Condition/keywords: age-related macular degeneration (AMD), subretinal neovascularization (SRNV)

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Drusens in a patient having dry ARMD.

Photographer: gayathri mohan

Imaging device: Nidek Mirante SLO

Condition/keywords: age-related macular degeneration (AMD), drusen

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

SRNVM

Photographer: gayathri mohan

Imaging device: Nidek Mirante SLO

Condition/keywords: subretinal neovascularization (SRNV)

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

BRVO

Photographer: gayathri mohan

Imaging device: Nidek Mirante SLO

Condition/keywords: branch retinal vein occlusion (BRVO)

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Choroidal folds with preseptal cellulitis.

Photographer: gayathri mohan

Imaging device: Nidek Mirante SLO

Condition/keywords: choroidal folds, preseptal cellulitis

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Choroidal hemangioma.

Photographer: gayathri mohan

Imaging device: Nidek Mirante SLO

Condition/keywords: choroidal hemangioma

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Choroidal osteoma.

Photographer: gayathri mohan

Imaging device: Nidek Mirante SLO

Condition/keywords: choroidal osteoma

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Retromode imaging of a patient having choroidal osteoma.

Photographer: Gayathri Mohan, Retina Foundation

Imaging device: Mirante

Condition/keywords: choroidal osteoma

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Berlin's edema status post blunt trauma.

Photographer: gayathri mohan

Imaging device: nidek slo mirante

Condition/keywords: Berlin's edema, blunt, trauma

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Classic SRNVM.

Photographer: gaythri mohan

Imaging device: nidek slo mirante

Condition/keywords: subretinal neovascularization (SRNV)

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Peripapillary CNVM.

Photographer: gayathri mohan

Imaging device: nidek slo mirante

Condition/keywords: peripapillary choroidal neovascularization (PPCNVM)

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Active SRNVM on the temporal edge of drusens.

Photographer: gayathri mohan

Imaging device: nidek slo mirante

Condition/keywords: age-related macular degeneration (AMD), subretinal neovascular membrane

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Choroidal coloboma

Photographer: gayathri mohan

Imaging device: nidek slo mirante

Condition/keywords: choroidal coloboma

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

CRAO

Photographer: Gayathri Mohan, Retina Foundation

Imaging device: NIDEK SLO MIRANTE

Condition/keywords: central retinal artery occlusion (CRAO)

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

CRVO

Photographer: Gayathri Mohan, Retina Foundation

Imaging device: NIDEK SLO MIRANTE

Condition/keywords: central retinal vein occlusion (CRVO)

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Acute phase of dengue maculopathy.

Photographer: gayathri mohan

Imaging device: nidek slo mirante

Condition/keywords: Dengue maculopathy

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Dengue maculopathy healing phase.

Photographer: Gayathri Mohan, Retina Foundation

Imaging device: NIDEK SLO MIRANTE

Condition/keywords: Dengue maculopathy

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Extensively lasered diabetic retinopathy with epiretinal membrane formation over macula.

Photographer: gayathri mohan

Imaging device: nidek slo mirante

Condition/keywords: epiretinal membrane (ERM), laser, pan-retinal photocoagulation (PRP)

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Large subhyaloid hemorrhage in PDR.

Photographer: gayathri mohan

Imaging device: nidek slo mirante

Condition/keywords: proliferative diabetic retinopathy (PDR), subhyaloid hemorrhage

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Traction in diabetic retinopathy.

Photographer: Gayathri Mohan, Retina Foundation

Imaging device: NIDEK SLO MIRANTE

Condition/keywords: proliferative diabetic retinopathy (PDR), total retinal detachment

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Fluorescein angiography revealing neovascularization in lasered PDR.

Photographer: gayathri mohan

Imaging device: nidek slo mirante

Condition/keywords: fundus photograph, neovascularization (NV), proliferative diabetic retinopathy (PDR)

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Stabilized PDR status post laser PRP.

Photographer: gayathri mohan

Imaging device: nidek slo mirante

Condition/keywords: laser, pan-retinal photocoagulation (PRP), proliferative diabetic retinopathy (PDR)

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Neovascular fronds in PDR

Photographer: Gayathri Mohan, Retina Foundation

Imaging device: NIDEK SLO MIRANTE

Condition/keywords: neovascularization (NV), proliferative diabetic retinopathy (PDR)

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

TRD in PDR.

Photographer: gayathri mohan

Imaging device: nidek slo mirante

Condition/keywords: proliferative diabetic retinopathy (PDR), total retinal detachment

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Epiretinal membrane with macular hole.

Photographer: gayathri mohan

Imaging device: nidek slo mirante

Condition/keywords: epiretinal membrane (ERM), epiretinal membrane formation, macular hole

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Epiretinal membrane.

Photographer: Gayathri Mohan, Retina Foundation

Imaging device: NIDEK SLO MIRANTE

Condition/keywords: epiretinal membrane formation

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Macular dystrophy.

Photographer: gayathri mohan

Imaging device: nidek slo mirante

Condition/keywords: macular dystrophy

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Autofluorescence in a case of macular dystrophy.

Photographer: Gayathri Mohan, Retina Foundation

Imaging device: NIDEK SLO MIRANTE

Condition/keywords: macular dystrophy

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Disciform scar from wet ARMD.

Photographer: gayathri mohan

Imaging device: nidek slo mirante

Condition/keywords: age-related macular degeneration (AMD), disciform scar

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Serosanguinous collection over macular area typical of IPCV.

Photographer: gaythri mohan

Imaging device: nidek slo mirante

Condition/keywords: idiopathic polypoidal choroidal vasculopathy

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Wide field image of lattice degeneration.

Photographer: gayathri mohan

Imaging device: nidek slo mirante

Condition/keywords: lattice degeneration, wide angle imaging

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Wide field image depicting lattice degeneration.

Photographer: gayathri mohan

Imaging device: nidek slo mirante

Condition/keywords: lattice degeneration

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Peripapillary hemorrrhage.

Photographer: gayathri mohan

Imaging device: nidek slo mirante

Condition/keywords: hemorrhage

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

RAP lesion

Photographer: Gayathri Mohan, Retina Foundation

Imaging device: NIDEK SLO MIRANTE

Condition/keywords: RAP lesion

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Subretinal band passing above the fovea in retinal detachment.

Photographer: gayathri mohan, retina foundation

Imaging device: nidek slo mirante

Condition/keywords: subretinal bands

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Retinal detachment involving macula.

Photographer: gayathri mohan, retina foundation

Imaging device: nidek slo mirante

Condition/keywords: macula, retinal detachment

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Retinal detachment.

Photographer: gayathri mohan

Imaging device: nidek slo mirante

Condition/keywords: retinal detachment

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Recurrent retinal detachment with PVR in a silicone oil filled eye previous having underwent a buckle and vitrectomy with oil.

Photographer: gaythri mohan

Imaging device: nidek slo mirante

Condition/keywords: buckle, proliferative vitreoretinopathy (PVR), retinal detachment, silicone oil

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

TRD in PDR

Photographer: gayathri mohan

Imaging device: nidek slo mirante

Condition/keywords: proliferative diabetic retinopathy (PDR), total retinal detachment, tractional retinal detachment

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Tractional and rhegmatogenous retinal detachment in PDR.

Photographer: gayathri mohan

Imaging device: nidek slo mirante

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

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Localized superior retinal detachment with horseshoe tear and minimal fluid.

Photographer: gayathri mohan

Imaging device: nidek slo mirante

Condition/keywords: horseshoe tear, retinal detachment

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Retinal detachment with folds and minimal vitreous hemorrhage.

Photographer: Gayathri Mohan, Retina Foundation

Imaging device: NIDEK SLO MIRANTE

Condition/keywords: retinal detachment, vitreous hemorrhage

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Secondary CNVM developing besides old choroidits lesions and treated successfully with anti-VEGF injections.

Photographer: gayathri mohan, retina foundation

Imaging device: nidek slo mirante

Condition/keywords: choroidal neovascular membrane (CNVM)

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Temporal vasculitis lesion.

Photographer: gayathri mohan, retina foundation

Imaging device: nidek slo mirante

Condition/keywords: vasculitis

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Mulitiple serous peds in VKH.

Photographer: gayathri mohan, retina foundation

Imaging device: nidek slo mirante

Condition/keywords: Vogt-Koyanagi-Harada

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

TRD in lasered PDR.

Photographer: gayathri mohan

Imaging device: nidek slo mirante

Condition/keywords: proliferative diabetic retinopathy (PDR), total retinal detachment

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Macular dystrophy.

Photographer: gaythri mohan

Imaging device: nidek slo mirante

Condition/keywords: macular dystrophy

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Autofluorescence image of macular dystrophy.

Photographer: gayathri mohan

Imaging device: nidek slo mirante

Condition/keywords: macular dystrophy

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Classic bony corpuscle appearance of retinitis pigmentosa.

Photographer: gayathri mohan

Imaging device: nidek slo mirante

Condition/keywords: retinitis pigmentosa

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Subhyaloid hemorrhage over macula.

Photographer: gayathri mohan

Condition/keywords: subhyaloid hemorrhage

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Subhyaloid hemorrhage over macula.

Photographer: Gayathri Mohan, Retina Foundation

Imaging device: NIDEK SLO MIRANTE

Condition/keywords: subhyaloid hemorrhage

Dec 15 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

A 17-year-old juvenile diabetic patient came to us with extensive neovascular proliferations and PRP done a week back and had developed 360 degree choroidal effusion as seen in this wide field fluorescein angiography showing active leaking fronds and capillary non perfusion areas temporal to macula and choroidal effusion all around.

Photographer: Sham Talati, Retina Fellow , Retina Foundation, Ahmedabad, India

Imaging device: Mirante CSLO

Condition/keywords: choroidal effusion, proliferative diabetic retinopathy (PDR)

Dec 15 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

Patient had come to us status post blunt trauma with the lens dislocated in inferior vitreous.

Photographer: Gayathri Mohan, Retina Fellow, Retina Foundation, Ahmedabad, India

Imaging device: Mirante CSLO

Condition/keywords: dropped nucleus, lens dislocation, traumatic cataract

Jan 10 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative image of a case of giant retinal tear when its unfolding with the injection of PFCL heavy liquid.

Photographer: Manish Nagpal

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: giant retinal tear, PFCL liquid

Jan 10 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative image of PVD induction with triamcinolone staining clearly showing the Weiss ring, which is being lifted with suction from the cutter.

Photographer: Manish Nagpal, Retina Foundation, Ahmedabad, india

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: PVD induction, triamcinolone, Weiss ring

Jan 10 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative image of triamcinolone being injected in order to stain the hyaloid for facilitating PVD induction.

Photographer: Manish Nagpal, Retina Foundation, Ahmedabad, India

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: hyaloid, PVD induction, triamcinolone

Jan 10 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative image of internal limiting membrane being peeled using a 25 gauge ILM forceps. Brilliant blue dye has been used to stain the ILM.

Photographer: Manish Nagpal, Director, Retina Foundation, Ahmedabad

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: internal limiting membrane (ILM) peeling

Jan 11 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo of a retinal detachment with a posterior tear with everted edges.

Photographer: Manish Nagpal, Retinal Foundation, Ahmedabad, India

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: retinal detachment of the macula, retinal detachment with retinal defect, retinal detachment with tear

Jan 11 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo a temporal giant retinal tear with everted flap and some laser marks noted on the bare choroid from previous barrage attempt elsewhere.

Photographer: Manish Nagpal, Retina Foundation, Ahmedabad, India

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: giant retinal tear, retinal detachment

Jan 11 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo of a retinal detachment with a posterior tear with everted edges.

Photographer: Manish Nagpal, Retina Foundation, Ahmedabad, Gujarat

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: horseshoe tear, retinal detachment, tear

Jan 11 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo of dislocated IOL and lens matter in the vitreous.

Photographer: Manish Nagpal, Retina Foundation, Ahmedabad, india

Imaging device: Sony PMW -10 MD surgical camera

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

Jan 11 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo of a foreign body impacted on the edge of disc leading to a BRAO and blood staining of the hyaloid is noted.

Photographer: Manish Nagpal, Retina Foundation, Ahmedabad, India

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: branch retinal artery occlusion (BRAO), intraocular foreign body

Jan 11 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo of a dislocated IOL sitting over the macular area.

Photographer: Manish Nagpal, Director, Retina Foundation, Ahmedabad

Imaging device: Sony PMW -10 MD surgical camera

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

Jan 12 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative view of a non clearing sub ILM hemorrhage over the macula with partly de-hemoglobinized blood.

Photographer: Manish Nagpal, Retinal Foundation, Ahmedabad, India

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: sub internal limiting membrane haemorrhage, subILM hemorrhage

Jan 12 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo of a rhegmatogenous retinal detachment.

Photographer: Manish Nagpal, Retina Foundation, Ahmedabad, India

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: retinal detachment, retinal detachment of the macula

Jan 12 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo of a large posterior tear with everted edges and a surrounding retinal detachment.

Photographer: Manish Nagpal, Retina Foundation, Ahmedabad, Gujarat

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: posterior retinal tear, retinal tear, retinal tear with detachment

Jan 12 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo of a nucleus floating over the macula just prior to fragging it.

Photographer: Manish Nagpal, Retina Foundation, Ahmedabad, india

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: dislocated crystalline lens, dropped nucleus

Jan 12 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo of a foreign body which was impacted on the edge of the disc leading to a BRAO. On table, the IOFB was loosened from the impact site and this photo was taken just prior to removal of the same using a magnet.

Photographer: Manish Nagpal, Director, Retina Foundation, Ahmedabad

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: branch retinal artery occlusion (BRAO), BRAO, intraocular foreign body

Feb 2 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo of a 360 laser barrage done for a case of retinal detachment with a large superior tear.

Photographer: Manish Nagpal, Retina Foundation, Ahmedabad, India

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: laser, laser photocoagulation, retinal detachment, tear

Feb 2 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo of a lasered tear noted in a case of retinal detachment with large superior tear.

Photographer: Manish Nagpal, Retina Foundation, Ahmedabad, India

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: laser, retinal detachment, tear

Feb 2 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo of PVD induction being carried out. Hyaloid has been stained using triamcinolone dye and PVD induction is carried out using high suction on the cutter and engaging the stained hyaloid.

Photographer: Manish Nagpal, Retina Foundation, Ahmedabad, India

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: Hyaloid staining, PVD induction, triamcinolone

Feb 2 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo of a case of retinal detachment with extensive PVR, which underwent 360 degree relaxing retinectomy followed by 360 laser barrage just prior to silicone oil injection.

Photographer: Manish Nagpal, Retina Foundation, Ahmedabad, India

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: laser, laser photocoagulation, proliferative vitreoretinopathy (PVR), relaxing retinectomy, retinectomy, silicone oil

Feb 2 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo of a 360 degree giant retinal tear folded onto itself as if veiling the macula.

Photographer: Manish Nagpal, Retinal Foundation, Ahmedabad, India

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: giant retinal tear, retinal detachment

Feb 2 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo of a epiretinal membrane, glistening reflex noted. Prior to this capture, PVD induction has been done, which has left a small splinter hemorrhage around the disc attachment of hyaloid.

Photographer: Manish Nagpal, Retina Foundation, Ahmedabad, India

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: epiretinal membrane formation, ERM, ILM flap, PVD induction

Feb 2 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo of inferior retinal contraction due to PVR and presence of subretinal silicone oil globule noted.

Photographer: Manish Nagpal, Retina Foundation, Ahmedabad, Gujarat

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: proliferative vitreoretinopathy (PVR), retina, retina surgery, retina surgery complications, silicone oil, subretinal

Feb 2 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo of an ILM peeling. A flap initiation has been achieved with a pinch and peel technique using forceps and after this the ILM is peeled.

Photographer: Manish Nagpal, Retina Foundation, Ahmedabad, india

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: brilliant blue, ILM flap, ILM staining, internal limiting membrane (ILM) peeling

Feb 2 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo of an ILM peeling being done after brilliant blue staining with 25 gauge forceps.

Photographer: Manish Nagpal, Retina Foundation, Ahmedabad, India

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: ILM flap, ILM staining, internal limiting membrane (ILM) peeling

Feb 2 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo of a retinal detachment with a large superior retinal tear.

Photographer: Manish Nagpal, Director, Retina Foundation, Ahmedabad

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: retina, retinal detachment, tear

Feb 4 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative still photo of a retinal detachment and PVR with star folds undergoing vitrectomy.

Photographer: Manish Nagpal, Director, Retina Foundation, Ahmedabad

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: proliferative vitreoretinopathy (PVR), retina, retina surgery, Retinal Detachment, star folds

Feb 4 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative still of a brilliant blue dye being injected to stain the ILM.

Photographer: Manish Nagpal, Director, Retina Foundation, Ahmedabad

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: brilliant blue, ILM flap, ILM staining, macular hole, retina, retina surgery

Feb 4 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative shot of ILM peeling in progress using forceps.

Photographer: Manish Nagpal, Director, Retina Foundation, Ahmedabad

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: ILM flap, ILM staining, internal limiting membrane (ILM) peeling, macular hole, retina, retina surgery

Feb 4 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

ILM peeling initiated by carefully pinching the surface of retina around the macular hole revealing radiating striae confirming the right plane.

Photographer: Manish Nagpal, Director, Retina Foundation, Ahmedabad

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: ILM flap, ILM staining, internal limiting membrane (ILM) peeling, macular hole, retinal striae

Feb 4 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative photo of a retinal detachment with a large supero nasal tear.

Photographer: Manish Nagpal, Director, Retina Foundation, Ahmedabad

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: retinal detachment, tear

Feb 4 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative still of brilliant blue dye injection in process to initiate ILM peel in a patient who has a retinal detachment with a macular hole

Photographer: Manish Nagpal, Director, Retina Foundation, Ahmedabad

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: brilliant blue, ILM flap, macular hole, retinal detachment

Feb 4 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative still of a Brilliant blue dye injection being done to stain the ILM.

Photographer: Manish Nagpal, Director, Retina Foundation, Ahmedabad

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: full thickness macular hole, macula, retina, retinal detachment

Feb 4 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative still of a retinal detachment with macula involvement.

Photographer: Manish Nagpal, Director, Retina Foundation, Ahmedabad

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: retina, retina surgery, retinal detachment

Feb 4 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Intraoperative still of a retinal detachment undergoing vitrectomy.

Photographer: Manish Nagpal, Director, Retina Foundation, Ahmedabad

Imaging device: Sony PMW -10 MD surgical camera

Condition/keywords: retina, retina surgery, Retinal Detachment

Oct 20 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Vitrectomy for retinal detachment with multiple large tears

Condition/keywords: retinal detachment, tear, video, vitrectomy

Oct 24 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

This video shows the technique of peeling a epiretinal membrane after triamcinilone staining followed by ILM removal.

Photographer: Manish Nagpal

Condition/keywords: epiretinal membrane (ERM), ILM, macular pucker, staining, video, vitrectomy

Oct 24 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

This video highlights the surgical technique of tangentially removing the epiretinal membrane using a forceps

Photographer: Manish Nagpal

Condition/keywords: epiretinal membrane, ERM, macular pucker, staining, video, vitrectomy

Oct 24 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

This surgical clip shows the way a bullous retinal detachment reattaches at the time of endodrainage

Photographer: Manish Nagpal

Condition/keywords: bullous detachment, endodrainage, retinal detachment, tear, video, vitrectomy

Oct 24 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

This video showcases the sequential steps of settling a giant retinal tear involving removing the peripheral vitreous and role of PFCL to flatten the retina and evert the flap, followed by endolaser and a air pfcl exchange

Photographer: Manish Nagpal

Condition/keywords: flap, giant retinal tear, GRT, PFCL, retinal detachment, video, vitrectomy

Oct 24 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

This video highlights the step of eversion of the giant retinal tear flap and flattening of retina using heavy PFCL liquid

Photographer: Manish Nagpal

Condition/keywords: flap, giant retinal tear, GRT, PFCL, retinal detachment, video, vitrectomy

Oct 24 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

This video showcases the steps of surgery for optic nerve pit associated with sensory fluid under fovea, fovea sparing ilm peel is carried out followed by endolaser to the temporal edges of the disc margins followed by air fluid exchange and gas.

Photographer: Manish Nagpal

Condition/keywords: endolaser, ONP, optic nerve pit, video, vitrectomy

Oct 24 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

This video highlights the ability of cutters to clear up the hemorrhage and remove attachments of proliferations flush on the retinal surface.

Photographer: Manish Nagpal

Condition/keywords: cutter, diabetic retinopathy, PDR, video, vitrectomy

Oct 24 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

This video highlights the PVD induction technique in a case of retinal detachment with mobile retina, triamcinolone staining allows ease of visualizing the pvd attachment which is gradually removed from the retinal attachment using suction.

Photographer: Manish Nagpal

Condition/keywords: posterior hyaloid, PVD, retinal detachment, triamcinolone, video, vitrectomy

Oct 24 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

This video shows the steps of repairing a retinal detachment with multiple tears. vitreous is removed followed by air fluid exchange and then endo drainage to flatten the retina and followed by endolaser.

Photographer: Manish Nagpal

Condition/keywords: endodrainage, endolaser, RD, retinal detachment, tears, video, vitrectomy

Oct 24 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

This video show s vitrectomy being done for retinal detachment with starfolds, membranes are removed following which the sequential steps of settling a retinal detachment are carried out

Photographer: Manish Nagpal

Condition/keywords: PVR, RD, retinal detachment, starfolds, tears, video, vitrectomy

Oct 24 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

This video shows the steps of surgery for retinal detachment with a superior lattice with tear, vitrectomy followed up air fluid exchange and endo drainage is carried out. after this endolaser retinopexy is done.

Photographer: Manish Nagpal

Condition/keywords: lattice degeneration, RD, retinal detachment, tears, video, vitrectomy

Nov 2 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

25 gauge vitrectomy being done for residual lens matter in vitreous. Once the lens matter is removed the periphery is checked by indentation for a any iatrogenic breaks.

Photographer: Manish Nagpal

Condition/keywords: 25 gauge, lens drop, lens matter, video, vitrectomy

Nov 4 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Elderly patient with social vulnerability presenting orbital involvement by myiasis.

Photographer: Paulo Fontana, Federal University of Bahia, Brazil

Condition/keywords: ocular myiasis, video

Nov 4 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

This is a case earlier operated three times for myopic retinal detachment. Buckling was done followed by vilion oil injection and then silicon oil removal, now the patient developed a macular hole. Staining with brilliant blue followed by ILM peeling with a longer length forceps was carried out. Air fluid exchange with drainage over the hole and gas injection was done

Condition/keywords: brilliant blue staining, ILM peeling, myopia, myopic macular hole, retinal detachment, video, vitrectomy

Nov 28 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Subhyaloid blood over macula. This is a case of non resolving subhyaloid haemorrhage over macula. Vitrectomy is carried out and then using the cutter a opening is made in the hyaloid to give a oulet to the blood. Typically the blood in the subhyaloid plane does not clot and easily aspirate out.

Photographer: Manish Nagpal

Condition/keywords: SHH, subhyaloid blood, subhyaloid haemorrhage, video, vitrectomy

Nov 29 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Subhyaloid blood over macula in diabetic retinopathy| This is a case of non resolving subhyaloid haemorrhage over macula in a case of diabetic retinopathy.. Vitrectomy is carried out and then using the cutter a opening is made in the hyaloid to give a oulet to the blood. Typically the blood in the subhyaloid plane does not clot and easily aspirates out|. After this endolaser PRP is carried out to achieve good regression of the retinopathy. Air fluid exchange is carried out.

Photographer: Manish Nagpal

Condition/keywords: diabetic macular oedema, diabetic retinopathy, endolaser, PRP, SHH, subhyaloid blood, subhyaloid haemorrhage, video, vitrectomy

Nov 30 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Vitrectomy is carried out to clear retained lens matter and nucleus fragments status post cataract surgery. After clearing the surrounding vitreous a fragmatome is introduced to aspirate the nucleus fragment from the vitreous. The residual lens matter is cleared using the cutter. Overall screening of peripheral retina is done before closing the case.

Photographer: Manish Nagpal

Condition/keywords: fragmatome, lens matter in vitreous, nucleus drop, nucleus in vitreous, video, vitrectomy

Nov 30 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

Vitrectomy is carried out for epiretinal membrane removal. After doing core vitrectomy and pvd induction a 25 gauge forceps is used to pinch and peel the macular pucker. After finding a edge the forceps is gradually moved tangentially over the retinal surface to remove the membrane.

Photographer: Manish Nagpal

Condition/keywords: epiretinal membrane, forceps, macular pucker, peeling, video, vitrectomy

Dec 13 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

This is a case of IOL in vitreous for which we carried out 25 gauge vitrectomy. 25 gauge vitrectomy was carried out and IOL was retrieved using a forceps and removed via a limbal tunnel incision.

Condition/keywords: dropped IOL, intraocular lens (IOL), intraocular lens in vitreous, video, vitrectomy

Dec 13 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

This is a case of IOL in bag which had fallen in vitreous for which we carried out 25 gauge vitrectomy. 25 gauge vitrectomy was carried out and IOL with the bag was retrieved using a forceps and removed via a limbal tunnel incision.

Condition/keywords: dropped IOL, intraocular lens (IOL), intraocular lens in vitreous, IOL in bag, video, vitrectomy

Dec 16 2022 by Manish Nagpal, MD, FRCS (UK), FASRS

This is a case of subhyaloid haemorrhage and Tractional retinal detachment in a diabetic patient. The subhyaloid haemorrhage is aspirated using the cutter . 25 gauge bevelled cutter is used to dissect all the epiretinal proliferations and tractional components. The ports of these cutters can reach very close to the retinal surface and cut flush without causing any iatrogenic damage to the retinal surface. Bleeders are stopped raising pressure and applying diathermy. Once the retina is flattened endolaser is done 360 degree to achieve long term regression.

Condition/keywords: cutter, proliferative diabetic retinopathy (PDR), video, vitrectomy

Jan 2 2023 by Manish Nagpal, MD, FRCS (UK), FASRS

Vitrectomy for PDR and TRD using Cutter based dissection| This is a case of subhyaloid hemorrhage and Tractional retinal detachment in a diabetic patient. The subhyaloid hemorrhage is aspirated using the cutter . 25 gauge bevelled cutter is used to dissect all the epiretinal proliferations and tractional components. The ports of these cutters can reach very close to the retinal surface and cut flush without causing any iatrogenic damage to the retinal surface. Forceps are used to peel adherent membranes Bleeders are stopped raising pressure and applying diathermy. Once the retina is flattened endolaser is done 360 degree to achieve long term regression.

Condition/keywords: cutter, diabetic retinopathy, endolaser, forceps, PDR, peeling, proliferative diabetic retinopathy (PDR), PRP, tractional retinal detachment, TRD, video, vitrectomy

Jan 2 2023 by Manish Nagpal, MD, FRCS (UK), FASRS

Vitrectomy for Retinal detachment with multiple holes superiorly | In this case vitrectomy is being done for a retinal detachment with superior holes. Once the vitreous is removed, air fluid exchange is carried out. This is followed by endo drainage from the superior break. Once the retina flattened endolaser was carried out.

Condition/keywords: air fluid exchange, bullous retinal detachment, endo drainage, endolaser, holes, Prophylaxis, RD, reattachment of retinal detachment, retinal detachment, video, vitrectomy

Jan 2 2023 by Manish Nagpal, MD, FRCS (UK), FASRS

This is a case of non resolving ILM haemorrhage over macula. Vitrectomy is carried out and hyaloid is removed. Cutter is used to try to aspirate the blood from the surface of macula. But due to its location in the sub ILM space i use a forceps to make a opening in the ILM. Through the opening the blood aspirates easily.

Condition/keywords: hyaloid, internal limiting membrane, macula, retina, sub ILM blood, sub ILM hemorrhage, video, vitrectomy

Jan 2 2023 by Manish Nagpal, MD, FRCS (UK), FASRS

Vitrectomy for bullous Retinal detachment with superior tear| In this case vitrectomy is being done for a retinal detachment with superior tear. Once the vitreous is removed, air fluid exchange is carried out. Perfluorocarbon heavy liquid is injected to flatten the posterior pole and push the fluid to the periphery for endo drainage. This is followed by endo drainage from the superior break. Once the retina flattened endolaser was carried out.

Condition/keywords: air fluid exchange, bullous retinal detachment, endo drainage, endolaser, holes, Prophylaxis, RD, reattachment of retinal detachment, retinal detachment, tear, video, vitrectomy

Jan 2 2023 by Manish Nagpal, MD, FRCS (UK), FASRS

This is a case of non resolving ILM hemorrhage over macula. Vitrectomy is carried out and hyaloid is removed after traimcinolone staining. After this brilliant blue dye is injected to stain the ILM. Internal limiting membrane is then removed with a forceps. Once the sub ilm blood is exposed , it easily aspirates with the cutter. The origin is probably from a macroaneurysm and there is a small component of subretinal residual blood noted at the end of the surgery.

Condition/keywords: brilliant blue, hyaloid, internal limiting membrane, macula, microaneurysm, retina, sub ILM blood, sub ILM hemorrhage, triamcinolone, video, vitrectomy

Jan 2 2023 by Manish Nagpal, MD, FRCS (UK), FASRS

Vitrectomy for Myopic Retinal detachment with multiple tears and lattice degenerations | Vitrectomy is carried out and triamcinolone staining is used to stain the hyaloid attachment. The hyaloid attachment is extremely adherent. With high vacuum the cutter engages the stained hyaloid and gradually peels it off the mobile retina. After this Perfluorocarbon heavy liquid is injected to flatten the posterior pole and push the fluid to the periphery till the edge of the tear. This is followed by endo drainage from the tear. Once the retina flattened endolaser was carried out.

Condition/keywords: air fluid exchange, endo drainage, endolaser, holes, lattice degeneration, myopia, myopic retinal retachment, RD, reattachment of retinal detachment, retinal detachment, tear, video, vitrectomy

Jan 3 2023 by Manish Nagpal, MD, FRCS (UK), FASRS

Vitrectomy for Myopic Retinal detachment with multiple tears and lattice degenerations status post prophylaxis laser done | Vitrectomy is carried out. Once the vitreous is removed the retina is freely mobile. After this Perfluorocarbon heavy liquid is injected to flatten the posterior pole and push the fluid to the periphery till the edges of the tear. This is followed by endo drainage from infero nasal tear. Scars of laser marks are seen around it. Once the retina flattened endolaser is carried out.

Condition/keywords: air fluid exchange, endo drainage, endolaser, holes, lattice degeneration, myopia, myopic retinal detachment, prophylaxis, RD, reattachment of retinal detachment, retinal detachment, tear, video, vitrectomy

Jan 4 2023 by Manish Nagpal, MD, FRCS (UK), FASRS

Vitrectomy for PDR and TRD and subhyaloid haemorrhage using Cutter based dissection along with the use of a forceps. The subhyaloid haemorrhage is cleared first using aspiration of the cutter after making a opening in the hyaloid. A 25 gauge bevelled cutter is used to dissect all the epiretinal proliferations and tractional components. The ports of these cutters can reach very close to the retinal surface and cut flush without causing any iatrogenic damage to the retinal surface. Forceps is also used to gently peel off a adherent proliferation. Bleeders are stopped raising pressure and applying diathermy. Once the retina is flattened endolaser is done 360 degree to achieve long term regression.

Condition/keywords: diabetic retinopathy, diathermy, endolaser, forceps, peeling, retinal detachment, TRD, video, vitrectomy

Jan 5 2023 by Manish Nagpal, MD, FRCS (UK), FASRS

Vitrectomy for PDR and TRD and Vitreous haemorrhage using Cutter based dissection. The Vitreous haemorrhage is cleared first. A 25 gauge bevelled cutter is used to dissect all the epiretinal proliferations and tractional components. The ports of these cutters can reach very close to the retinal surface and cut flush without causing any iatrogenic damage to the retinal surface. Forceps is also used to gently peel off a adherent proliferation. Bleeders are stopped raising pressure and applying diathermy. Air fluid exchange is done and viscous subretinal fluid drained from a hole adjacent to diathermy superiorly. Once the retina is flattened endolaser is done 360 degree to achieve long term regression.

Condition/keywords: diabetic retinopathy, diathermy, endolaser, forceps, PDR, peeling, retinal detachment, TRD, video, vitrectomy

Jan 6 2023 by Manish Nagpal, MD, FRCS (UK), FASRS

Vitrectomy for Subsilicon ERM removal. This is a case of Retinal detachment with PVR which had earlier underwent Vitrectomy with silicon oil. Now the patient was posted for Silicon oil removal and there was a macular pucker/epiretinal membrane which required removal. I prefer to remove the membrane with the oil in situ in such cases. There retinas can redetach easily if one peels the membrane directly under fluid and hence its safer to do it under oil. Here I use a 25-gauge forceps to carefully peel it tangentially. It is quite adherent but peels of leaving a few haemorrhages and folds on posterior pole. I also inject PFCL after removal of membrane to iron the posterior pole. After that Silicon oil removal is done normally as planned.

Condition/keywords: forceps, macular pucker, peeling, retinal detachment, silicon oil, subsilicon ERM, vitrectomy

Jan 13 2023 by Manish Nagpal, MD, FRCS (UK), FASRS

This is a case of Macular hole for which vitrectomy is being done. After doing core vitrectomy triamcinolone dye is injected to stain the hyaloid. High aspiration is used on cutter to engage the hyaloid and gradually pull it anteriorly. PVD induction is carried out. After this brilliant blue dye is injected to stain the internal limiting membrane. ILM is peeled using a 25 gauge forceps in a tangential manner. After this i use a instrument called the massager which we have developed to gently and atraumatically massage concentrically the edges of the hole. This releases the subtle contaction on the edges of the hole and relaxes the margins. After this air fluid exchange is carried out followed by low vacuum aspiration over the hole. The hole approximates itself gradually as the aspiration dries up the edges.

Condition/keywords: forceps, hyaloid, ILM, macular hole, peeling, staining, video, vitrectomy