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

  • Macular Hole With Myelinated Fibers L CF OD January 31, 2014

    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

  • PRE CF OD June 5, 2013

    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

  • Post Choroidal Folds OD

    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

  • Montage OF a Combined Case of CRVO and CRAO

    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

  • Early Phase of FA in a Case of Combined CRAO and CRVO

    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

  • OCT OD

    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

  • FA 1 OD 015

    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

  • Combined CRAO and CRVO

    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

  • Giant Retinal Tear

    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

  • Retinal Detachment With PVR

    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

  • Superior Bullous Detachment With Horseshoe Tear

    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

  • Attached Retina With Lasered Retinectomy Status Post Multiple Surgeries for PVR With Presence of Silicon Oil and a PFCL Bubble

    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

  • Montage of the Fundus Depicting the IOFB in the Inferotemporal Region

    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

  • IOFB in the Inferotemporal Quadrant With Surrounding Scarring

    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

  • Post Removal of IOFB

    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

  • Central Photo of the Normal Macular Area

    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

  • Macroaneurysm

    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

  • Active CNVM

    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)

  • Active CNVM on Angio 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)

  • CNVM regressing on Angio 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)

  • Post Endophthalmitis Sub-Silicon Membranes

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

    Post endophthalmitis sub silicon membranes.

    Condition/keywords: endophthalmitis

  • Retinitis Pigmentosa With Hemangioma CF

    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

  • Retinitis Pigmentosa With Hemangioma

    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

  • Central Retinal Artery Occlusion (CRAO)

    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

  • VHL With Capillary Hemangioma Pre-Rx

    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

  • VHL With Capillary Hemangioma Post Cryo-Anti-VEGF

    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

  • Toxo Lesion

    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

  • Tractional and Rhegmatogenous Retinal Detachment

    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

  • Macular Pucker Status Post Vitrectomy for GRT

    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

  • Giant Retinal Tear

    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

  • Xenon Photocoagulation Marks in Vasculitis

    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

  • Juvenile Retinoschisis- OD

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

    Juvenile retinoschisis.

    Photographer: ashish jain

    Condition/keywords: juvenile retinoschisis

  • Juvenile Retinoschisis OS

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

    Juvenile retinoschisis.

    Photographer: Ashish Jain

    Condition/keywords: juvenile retinoschisis

  • Intraoperative Photo During Vitrectomy

    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

  • Intraoperative Photo Taken During Vitrectomy

    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

  • Macular Pseudohole

    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

  • 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

  • CRAO

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

    Acute CRAO.

    Photographer: Avijit Vishnoi

    Condition/keywords: central retinal artery occlusion (CRAO)

  • Globe Perforation With Retinal Detachment

    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

  • IOFB with BRAO

    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

  • Triamcinolone Stained Hyaloid

    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

  • Retinal Detachment

    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

  • IOFB Over Disc With Blood Stained Hyaloid and BRAO

    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

  • IOFB Over Disc BRAO Post Hyaloid Removal

    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

  • Post Operative Photo After Removal of Foreign Body Over Disc Causing BRAO

    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

  • Macroaneurysm With Sub ILM Hemorrhage

    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

  • Horizontal OCT Scan of Sub ILM Hemorrhage

    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

  • Vertical OCT Scan of Sub ILM Hemorrhage

    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

  • Fluorescein Angiography of a Combined CRAO AND CRVO

    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)

  • Large Retinal Tear

    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

  • Macroaneurysm

    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

  • Choroidal Granuloma

    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

  • Choroidal Granuloma

    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

  • BRVO With Ozurdex Implant in Vitreous

    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

  • IOL With BAG in Vitreous of Myopic Eye

    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

  • Ozurdex Sarcophagus in DME

    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

  • Ozurdex Sarcophagus in DME

    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

  • Ozurdex Sarcophagus in DME

    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

  • Subhyaloid Hemorrhage

    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

  • Serpiginous Choroiditis With Peripapillary SRNVM

    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

  • Macular Pucker in Silicon Filled Eye

    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

  • Macular Pucker Under Silicon 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

  • Multifocal CSR OD

    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

  • Multifocal CSR With Exudative RD

    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

  • Multifocal CSR FA & ICG

    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

  • Multifocal CSR OS FA and ICG

    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

  • ERM With Retinal Detachment

    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

  • Status Post ERM Removal

    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

  • Stained ILM Post ERM Removal-1-018

    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

  • Per Operative Photo Post ILM Removal

    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

  • Giant Retinal Tear

    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

  • 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

  • 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

  • Unfolding of 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

  • Unfolding of GRT flap

    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

  • RD With Large Tears

    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

  • Colour Photo of a Rare Case of Pigmented Paravenous Chorioretinal Atrophy (PPCRA)

    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

  • Colour Photo of a Case of Pigmented Paravenous Chorioretinal Atrophy (PPCRA)

    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

  • OCT OD of a Case of Pigmented Paravenous Chorioretinal Atrophy (PPCRA)

    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

  • OCT OS of a Case of Pigmented Paravenous Chorioretinal Atrophy (PPCRA)

    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

  • Retinal Detachment With PVR and Macular Hole

    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

  • Retinal Detachment With a Large Inferior Tear

    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

  • Recurrent PVR With Subretinal Oil

    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)

  • Macular Hole With Trapped Gas Bubble

    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

  • Blunt Trauma in Angioid Streaks

    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

  • Blunt Trauma in Angioid Streaks

    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

  • Von Hippel Lindau

    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

  • Dislocated IOL in Vitreous in a Eye With Choroidal Coloboma

    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)

  • Subclinical RD with a Superior Tear

    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

  • Buckle intrusion with 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

  • Peripapillary SRNVM Secondary to Posterior Uveitis

    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

  • PDR with TRD ,NVF

    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

  • Buckled Silicon oil Filled eye

    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

  • Toxo Lesion on Macula

    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

  • Albinotic fundus

    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

  • Buckled Retinal Detachment

    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

  • Classic Subretinal Neovascular Membrane

    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)

  • Wide Field Fundus Montage of a Retinoblastoma Treated Earlier with Cryo and Laser

    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

  • Central Serous Retinopathy

    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)

  • Central Serous Retinopathy

    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)

  • OCTA in SRNVM

    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)

  • OCTA in SRNVM

    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)

  • OCTA in a Branch Retinal Vein Occlusion

    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)

  • OCTA in 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)

  • OCTA in Vasculitis

    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

  • OCTA Image of a Case of Multifocal Choroiditis

    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

  • Choroidal Coloboma With Retinal Detachment Status Post Surgery

    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

  • Choroidal Coloboma With 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

  • Retinal Detachment with Giant Retinal Tear with Choroidal Coloboma

    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

  • Retinal Detachment with Giant Retinal Tear with Choroidal Coloboma Status Post Vitrectomy with Silicone Oil

    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

  • Confluent Drusens in ARMD

    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

  • Scarred SRNVM

    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)

  • Dry ARMD

    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

  • SRNVM

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

    SRNVM

    Photographer: gayathri mohan

    Imaging device: Nidek Mirante SLO

    Condition/keywords: subretinal neovascularization (SRNV)

  • BRVO

    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)

  • Choroidal Folds with Preseptal Cellulitis

    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

  • Choroidal Hemangioma

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

    Choroidal hemangioma.

    Photographer: gayathri mohan

    Imaging device: Nidek Mirante SLO

    Condition/keywords: choroidal hemangioma

  • Choroidal Osteoma

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

    Choroidal osteoma.

    Photographer: gayathri mohan

    Imaging device: Nidek Mirante SLO

    Condition/keywords: choroidal osteoma

  • 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

  • Post Traumatic Berlin's Edema

    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

  • Classic SRNVM

    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)

  • Peripapillary SRNVM

    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)

  • SRNVM

    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

  • Choroidal Coloboma

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

    Choroidal coloboma

    Photographer: gayathri mohan

    Imaging device: nidek slo mirante

    Condition/keywords: choroidal coloboma

  • CRAO

    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)

  • CRVO

    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)

  • Dengue Maculopathy Acute Phase

    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

  • Dengue Maculopathy Resolving

    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

  • Lasered Diabetic Retinopathy with ERM

    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)

  • Subhyaloid Hemorrhage in PDR

    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

  • TRD in PDR

    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

  • Fluorescein Angiography Revealing Neovascularization in Lasered PDR

    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)

  • Lasered 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)

  • Neovascularization in 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)

  • TRD in 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

  • Epiretinal Membrane with Macular Hole

    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

  • Epiretinal Membrane

    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

  • Macular dystrophy

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

    Macular dystrophy.

    Photographer: gayathri mohan

    Imaging device: nidek slo mirante

    Condition/keywords: macular dystrophy

  • Autoflluorescence in 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

  • Disciform Scar

    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

  • Idiopathic Polypoidal Choroidal Vasculopathy

    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

  • Lattice Degeneration

    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

  • Lattice Degeneration

    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

  • Peripapillary Hemorrhage

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

    Peripapillary hemorrrhage.

    Photographer: gayathri mohan

    Imaging device: nidek slo mirante

    Condition/keywords: hemorrhage

  • Retinal Angiomatos Proliferans

    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

  • Subretinal Band Passing Above the Fovea

    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

  • Retinal Detachment Involving Macula

    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

  • 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

  • Recurrent Retinal Detachment with PVR

    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

  • Tractional retinal detachment

    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

  • Tractional Retinal Detachment in PDR

    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

  • Retinal Detachment with Horseshoe Tear

    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

  • Retinal Detachment with Vitreous Hemorrhage

    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

  • Secondary CNVM Developing Besides Old Choroiditis Lesions

    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)

  • Vasculitis

    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

  • Vogt-Koyanagi-Harada

    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

  • TRD in Lasered PDR

    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

  • Macular Dystrophy

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

    Macular dystrophy.

    Photographer: gaythri mohan

    Imaging device: nidek slo mirante

    Condition/keywords: macular dystrophy

  • Macular Dystrophy Autofluorescence

    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

  • Retinitis Pigmentosa

    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

  • Subhyaloid Hemorrhage

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

    Subhyaloid hemorrhage over macula.

    Photographer: gayathri mohan

    Condition/keywords: subhyaloid hemorrhage

  • 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

  • Proliferative Diabetic Retinopathy, Choroidal Effusion Status Post Laser PRP

    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)

  • Traumatic Lens Drop in Vitreous

    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

  • Unfolding a Giant Retinal Tear

    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

  • PVD Induction in Progress

    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

  • Intraoperative Triamcinolone Staining to Visualize Hyaloid

    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

  • Internal Limiting Membrane Peeling

    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

  • Retinal Detachment with Tear

    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

  • Giant Retinal 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

  • Retinal Detachment with a Posterior Tear

    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

  • Dislocated IOL and Lens Matter

    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)

  • Impacted IOFB over the Disc with Blood Stained Hyaloid

    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

  • Dislocated IOL Over Macula

    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)

  • Sub ILM Hemorrhage

    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

  • Retinal Detachment

    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

  • Large Retinal Tear

    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

  • Dropped Nucleus in Vitreous

    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

  • Intraocular Foreign Body with BRAO

    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

  • 360 Endolaser Barrage

    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

  • Retinal Detachment and Retinal Tear Treated with Laser

    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

  • PVD Induction

    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

  • 360 Degree Retinectomy

    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

  • Giant Retinal tear, Veiled Macula

    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

  • Epiretinal Membrane

    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

  • Recurrent Retinal Detachment with PVR with Subretinal Oil after Retinal Detachment with Silicone Oil

    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

  • Stained ILM with a Flap

    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

  • Internal Limiting Membrane 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

  • Retinal Detachment with a Large Superior Tear

    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

  • Retinal Detachment with Early PVR Changes Including Star Folds

    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

  • Brilliant Blue Dye Injected in a Case of Macular Hole to Stain the ILM

    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

  • ILM Peeling in Progress

    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

  • Pinching a Stained ILM

    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

  • Retinal Detachment with a Superonasal Tear

    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

  • Brilliant blue dye injection to stain ILM in a macular hole with retinal detachment

    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

  • Brilliant Blue Dye Injection to Stain ILM in a Macular Hole with 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

  • 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

  • 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

  • Vitrectomy for retinal detachment with multiple large tears

    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

  • Epiretinal membrane and ILM peeling

    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

  • Epiretinal membrane removal

    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

  • Flattening a bullous retinal detachment

    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

  • Surgery for Giant retinal tear

    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

  • Flattening of Giant retinal tear

    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

  • Surgery for optic nerve pit

    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

  • Cutter based dissection in PDR

    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

  • PVD induction in a retinal detachment

    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

  • Surgery for retinal detachment with multiple tears

    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

  • Surgery for retinal detachment with starfolds

    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

  • Surgery for retinal detachment with superior tear with lattice

    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

  • Vitrectomy for Lens matter removal

    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

  • Ocular Myiasis

    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

  • Macular hole in myopic patient

    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

  • Vitrectomy for subhyaloid blood over macula

    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

  • Vitrectomy for Subhyaloid blood over macula in Diabetic retinopathy

    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

  • Vitrectomy nucleus and lens matter fragments in vitreous

    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

  • Vitrectomy for epiretinal membrane removal

    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

  • Vitrectomy for IOL Drop

    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

  • Vitrectomy for IOL with bag in vitreous

    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

  • Vitrectomy for PDR in TRD

    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

  • Vitrectomy TRD in Proliferative diabetic retinopathy

    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

  • Vitrectomy for retinal detachment with superior holes

    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

  • Vitrectomy for Sub ILM blood over macula

    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

  • Vitrectomy for bullous retinal detachment with superior tear

    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

  • Vitrectomy for Sub ILM blood over macula

    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

  • Vitrectomy for Myopic Retinal Detachment with multiple tears

    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

  • Vitrectomy for Myopic Retinal Detachment with multiple tears status post prophylaxis

    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

  • Vitrectomy for PDR for TRD and Subhyaloid Haemorrhage

    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

  • Vitrectomy for PDR in TRD with Vit haemorrhage

    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

  • Vitrectomy for Subsilicon ERM removal

    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

  • Vitrectomy for Macular Hole

    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