Virginia Gebhart » Miscellaneous

Apr 13 2023 by Virginia Gebhart

Right eye fundus photo of 65-year-old male with severe ERM with retinal striae s/p bilateral RD repair

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Topcon TRC 50DX

Condition/keywords: epiretinal membrane (ERM), retinal strial

Apr 13 2023 by Virginia Gebhart

68-year-old male with Central Retinal Vein Occlusion with Macular Edema. Pt presented with VA of count fingers @ 5 ft. Pt was treated with Avastin

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Topcon TRC 50DX

Condition/keywords: central retinal vein occlusion (CRVO)

May 5 2023 by Virginia Gebhart

51-year-old male with bilateral central retinal dystrophy consistent with Stargardt disease. No significant progression of central atrophy, and VA has remained stable at 20/150 since 2012

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Topcon TRC 50DX

Condition/keywords: Stargardt disease

May 26 2023 by Virginia Gebhart

35-year-old female with resolved syphilitic uveitis OU. Severe retinal thinning with chalky ON pallor and severe vessel attenuation associated with presumed post syphilitic neuritis vs bilateral CRAO's in both eyes. Pt reports acute bilateral vision loss after delivery of her child in 8/2021. Limited VA OU due to severe optic nerve and macula atrophy.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Topcon TRC 50DX

Condition/keywords: syphilis, uveitis

May 26 2023 by Virginia Gebhart

51-year-old female with dry AMD, advanced atrophic without subfoveal involvement OU. Genetic testing confirmed MIDD (maternal inherited diabetes and deafness) which is a mitochondrial inherited dystrophy. Unaware of any family hx of macular degeneration.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Topcon TRC 50DX

Condition/keywords: advanced geographic atrophy, geographic atrophy

May 30 2023 by Virginia Gebhart

Pattern dystrophy OU, possible Stargardt disease. Genetic testing done in office to confirm. Vision limited to 20/200 OU due to atrophy

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Topcon TRC 50DX

Condition/keywords: pattern dystrophy, Stargardt Disease

Jun 2 2023 by Virginia Gebhart

73-year-old female with Asteroid Hyalosis and a stable regressing tumor OD, five months s/p brachytherapy. There is still overlying fluid on exam which should continue to resolve. Vision is stable.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: asteroid hyalosis

Oct 12 2023 by Virginia Gebhart

Fundus Auto-Fluorescence photo of 73-year-old woman with Retinitis Pigmentosa, first diagnosed 23 years ago. Extensive outer retinal atrophy with minimal foveal sparing, bone spicule pigmentation and waxy pallor. Vision NLP

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos

Condition/keywords: retinitis pigmentosa, retinitis pigmentosa (RP) dystrophy

Oct 12 2023 by Virginia Gebhart

Fundus photo of an 83-year-old man with a 3 piece dislocated IOL. Surgery performed, PPV/removal of nonmagnetic FB/secondary Akreos. Eye is stable, vision limited due to grade 3 VH

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos

Condition/keywords: dislocated intraocular lens (IOL), dislocated lens

Oct 24 2023 by Virginia Gebhart

Fluorescein angiogram of left eye in 60-year-old male with severe non-proliferative diabetic retinopathy with extensive macular edema. Most recent A1c is 11. Vision 20/400. Injection of Eylea given

Photographer: Virginia Gebhart

Imaging device: Topcon

Condition/keywords: diabetic macular edema, Diabetic Retinopathy, fluorescein angiogram (FA), Fluorescein angiography

Oct 25 2023 by Virginia Gebhart

UBM of recurring idiopathic iris cyst in 72 year old female

Photographer: Virginia Gebhart

Imaging device: Ellex Eye Cubed

Condition/keywords: anterior chamber, cyst, immersion ultrasound, iris

Oct 26 2023 by Virginia Gebhart

74 year old male with mac-off retinal detachment with single break

Photographer: Virginia Gebhart

Imaging device: Optos

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

Oct 27 2023 by Virginia Gebhart

76 year old male with suspicious pigmented choroidal lesion with new collar button growth. Blocking defect and vascularity noted on FA

Photographer: Virginia Gebhart

Condition/keywords: FA late phase, fluorescein angiogram (FA), Fluorescein angiography, melanoma

Nov 1 2023 by Virginia Gebhart

Gore Tex suture of scleral fixated lens in 66 year-old male, 1 day post-op

Photographer: Virginia Gebhart

Imaging device: slit lamp camera

Condition/keywords: Gore Tex Suture, post-op, Scleral fixated IOL

Nov 1 2023 by Virginia Gebhart

29 year-old female with suspicious choroidal nevus adjacent to optic nerve and extending into fovea. Optic disc drusen OU. Pt is asymptomatic

Photographer: Virginia Gebhart

Imaging device: Topcon

Condition/keywords: choroidal nevus, disc drusen, drusen of optic disc, nevus

Nov 3 2023 by Virginia Gebhart

69 year-old female with pigmented lesion that covers the optic nerve. Patient has been aware for over 30 years. Remains stable and unchanged

Photographer: Virginia Gebhart

Imaging device: Topcon

Condition/keywords: benign melanocytoma, Melanocytoma, optic disc melanocytoma

Nov 14 2023 by Virginia Gebhart

Fluorescein angiogram of 69 year old male with small lesion consistent with choroidal melanoma. Small pigmented elevated choroidal lesion just below ON with drusen, RPE changes and trace questionable OP present in the left eye. Extensive imaging and ultrasound was performed for further evaluation and documentation.

Photographer: Virginia Gebhart

Imaging device: Optos

Condition/keywords: fluorescein angiogram (FA), Fluorescein angiography

Nov 14 2023 by Virginia Gebhart

85 year old female with acute endophthalmitis 14 days s/p IVEylea injection. 3+ injection and descemets folds, contracted fibron, 3mm Hypopyon, and 3+ cell. No view posteriorly, vision CF. Visual prognosis unknown at this time

Photographer: Virginia Gebhart

Condition/keywords: endophthalmitis

Nov 16 2023 by Virginia Gebhart

67 year old female with Neovascular AMD with inactive CNV. Extensive geographic atrophy with minimal foveal sparing. Extensive ectopic CNV just superiorly to ON remains inactive. Discussed with pt treating with Syfovre to slow down GA progression

Photographer: Virginia Gebhart

Imaging device: Optos

Condition/keywords: advanced geographic atrophy, age-related macular degeneration (AMD), dry age-related macular degeneration (dry AMD), geographic atrophy

Nov 16 2023 by Virginia Gebhart

13 year old male presented with new blind spot 6 weeks s/p RD repair with cryo/scleral buckle/prophylaxis laser with gas bubble. New RD involving the macula, posterior to scleral buckle, secondary to PVD. Small gas bubble remaining. Pt was brought back to OR for repeat PPV and silicone oil repair

Photographer: Virginia Gebhart

Imaging device: Optos

Condition/keywords: gas bubble, Retinal Detachment, retinal detachment of the macula, scleral buckle

Nov 29 2023 by Virginia Gebhart

74 year-old female with presumed fibrotic granuloma. Previously diagnosed as pseudoduplication of the optic disc by general ophthalmologist. OCT showed elevation in the RPE, more consistent with granuloma. Pt has been aware for many years, asymptomatic. Will observe.

Photographer: Virginia Gebhart

Imaging device: Topcon 50DX

Condition/keywords: fibrotic scar, granuloma, Pseudoduplication of optic disc

Dec 5 2023 by Virginia Gebhart

73 year old female with sub-retinal, pre-retinal, and vitreous hemorrhages all in OD. Will consider sx if blood does not clear on its own. Vision 20/40

Photographer: Virginia Gebhart

Imaging device: Topcon

Condition/keywords: pre-retinal hemorrhage, retinal macroaneurysm, subretinal hemorrhage, subretinal blood, vitreous hemorrhage

Dec 5 2023 by Virginia Gebhart

68 year old male presented with HM vision in OD. Near total detachment with multiple breaks. Scheduled PPV with GFE. Visual prognosis guarded

Photographer: Virginia Gebhart

Imaging device: Topcon

Condition/keywords: Retinal Detachment, retinal detachment of the macula, Retinal Detachment with multiple breaks

Dec 5 2023 by Virginia Gebhart

50 year old female with presumed Familial Dominant Drusen OU. Asymptomatic, will observe

Photographer: Virginia Gebhart

Imaging device: Topcon

Condition/keywords: Drusen, FAMILIAL DOMINANT DRUSEN, macular drusen

Dec 6 2023 by Virginia Gebhart

60 year old female with regressing metastasis along STA. Tumor has continued to regress s/p radiation in Feb 2023 and Tagrisso. VA 20/20. No elevation or SRF on most recent ultrasound

Photographer: Virginia Gebhart

Imaging device: Topcon

Condition/keywords: choroidal metastasis, choroidal tumor

Dec 6 2023 by Virginia Gebhart

82 year old male with suspicious choroidal nevus and ERM. Remains unchanged since first visit 6 mos ago.

Photographer: Virginia Gebhart

Imaging device: Topcon

Condition/keywords: choroidal nevus

Dec 6 2023 by Virginia Gebhart

72 year old male with possible new choroidal melanoma vs metastatic melanoma. Dome-shaped amelanotic lesion involving the fovea. Lesion was discovered during a problem visit due to sudden decreased VA (20/150). Most recent CT scan shows concern for primary lung cancer

Photographer: Virginia Gebhart

Imaging device: Topcon

Condition/keywords: amelanotic melanoma, melanoma, metastatic lesion

Dec 6 2023 by Virginia Gebhart

71 year old female with benign choroidal nevus with fibrotic PED

Photographer: Virginia Gebhart

Imaging device: Topcon

Condition/keywords: choroidal nevus, fibrotic neovascularization, nevus

Dec 6 2023 by Virginia Gebhart

55 year old female with suspicious pigmented choroidal nevus. 3 high risk features present. Ultrasound shows SRF and high internal reflectivity. Will observe closely

Photographer: Virginia Gebhart

Imaging device: Topcon

Condition/keywords: choroidal nevus, orange pigment

Dec 6 2023 by Virginia Gebhart

60 year old female with totally regressed tumor in temporal macula s/p external beam radiation and chemo. Pt diagnosed with stage IV metastatic lung cancer.

Photographer: Virginia Gebhart

Imaging device: Optos

Condition/keywords: choroidal metastasis, choroidal tumor

Dec 7 2023 by Virginia Gebhart

61 year old female with inferiorly tilted IOL. UBM shows haptic rubbing against the iris causing transillumination defect from 5 to 6 o'clock.

Photographer: Virginia Gebhart

Condition/keywords: lens dislocation, transillumination

Dec 12 2023 by Virginia Gebhart

78 year old female with intermediate stage dry AMD. Large soft drusen in macula as well as drusenoid pigment epithelial detachment.

Photographer: Virginia Gebhart

Imaging device: Optos

Condition/keywords: drusenoid PED, macular drusen

Dec 22 2023 by Virginia Gebhart

35 year old female with myopic degeneration (-18.00 OU). BCVA 20/100 OU. RPE atrophy present in both eyes, but no significant chorioretinal atrophy. OCT not consistent with degenerative myopia due to dome shape appearance rather than posterior bowing. Possible macular dystrophy over degeneration. Will observe

Photographer: Virginia Gebhart

Imaging device: Topcon

Condition/keywords: Macular Dystrophy, myopic degeneration

Jan 4 2024 by Virginia Gebhart

86 year old male with partially oxidized choroidal hemorrhage and CME. Previous FA shows blocking defect temporally, most likely a choroidal hemorrhage with SRH and late leakage. Continued improvement with 8 week intervals of Eylea. VA 20/60 Previous RD repair with scleral buckle and cryo in 1980's

Photographer: Virginia Gebhart

Imaging device: Optos California

Condition/keywords: chorioretinopathy, choroidal hemorrhage, cystoid macular edema (CME), peripheral exudative hemorrhagic chorioretinopathy (PEHCR)

Jan 4 2024 by Virginia Gebhart

77 year old male with a bilobed pigmented mass with exudative RD, and trace inflammation present in AV consistent with choroidal melanoma. Mass extends into ciliary body. Pt scheduled for MRI prior to plaque radiation to rule out metastasis.

Photographer: Virginia Gebhart

Imaging device: Optos California

Condition/keywords: ciliary body melanoma, exudative retinal detachment

Jan 4 2024 by Virginia Gebhart

13 year old female with inactive CNV. Increased pigment 360 at 1 year follow up. No inflammation or SRF, pt remains asymptomatic

Photographer: Virginia Gebhart

Imaging device: Optos California

Condition/keywords: choroidal neovascularization (CNV), peripapillary choroidal neovascularization (PPCNVM)

Jan 4 2024 by Virginia Gebhart

57 year old female with new choroidal melanoma. Early hyperfluorescence with vascularity and minimal late leakage on FA.

Photographer: Virginia Gebhart

Imaging device: Optos California

Condition/keywords: FA, FA early phase, fluorescein angiogram (FA), Fluorescein angiography

Jan 12 2024 by Virginia Gebhart

53 year old diabetic male with significant persistent ERM due to fibrotic NV superiorly. Possibly developing a tractional MH. Vitreous Hemorrhage secondary to traction on the fibrosis

Photographer: Virginia Gebhart

Imaging device: Topcon 50DX

Condition/keywords: epiretinal membrane, ERM, fibrosis, macular pseudohole, neovascularization (NV)

Jan 25 2024 by Virginia Gebhart

58 year old female diagnosed at age 13. Vision 20/100

Photographer: Virginia Gebhart

Imaging device: Topcon

Condition/keywords: retinitis pigmentosa, retinitis pigmentosa (RP) dystrophy

Jan 25 2024 by Virginia Gebhart

64 year old male with persistent hemorrhagic PED with oxidized SRH involving the central macula. Continued improvement with 12 week intervals of Eylea. BCVA 20/80

Photographer: Virginia Gebhart

Imaging device: Topcon

Condition/keywords: neovascular age-related macular degeneration (AMD), pigment epithelial detachment (PED)

Jan 25 2024 by Virginia Gebhart

79 year old female with intermediate dry AMD. Small area of geographic atrophy superior, large drusen and stippled RPE changes. BCVA 20/40

Photographer: Virginia Gebhart

Imaging device: Topcon

Condition/keywords: age-related macular degeneration (AMD), dry age-related macular degeneration (dry AMD), geographic atrophy

Jan 25 2024 by Virginia Gebhart

62 year old female with history of RD repair with scleral buckle 30 years ago. Low scleral buckle with cryo scar, attached anteriorly. New RD repaired with gas bubble

Photographer: Virginia Gebhart

Imaging device: Topcon

Condition/keywords: proliferative vitreoretinopathy (PVR), Retinal Detachment

Jan 25 2024 by Virginia Gebhart

69 year old female with Neovascular AMD. New RPE rip and increased IRF on OCT 10 weeks s/p Eylea injection. Switched to Vabysmo to extend intervals

Photographer: Virginia Gebhart

Imaging device: Topcon

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

Jan 25 2024 by Virginia Gebhart

Progression of TRD in 46 year old male from March 2023 to now. Pt complains of worsening vision over past 3 weeks. Surgery recommended to remove scar tissue.

Condition/keywords: Diabetic Tractional Retinal Detachment involving the Macula, Proliferative Diabetic retinopathy, Sub-Hyaloid Hemorrhage, tractional retinal detachment, vitreous hemorrhage

Feb 1 2024 by Virginia Gebhart

90 year old female with elevated pigmented lesion, amelanotic portion extending toward the angle, questionable vascularity on UBM.

Photographer: Virginia Gebhart

Imaging device: Samsung Galaxy Z Flip

Condition/keywords: iris lesion, iris melanoma

Feb 6 2024 by Virginia Gebhart

64 year old male with benign appearing choroidal pigmentation consistent with melanocytosis.

Photographer: Virginia Gebhart

Imaging device: Topcon TRC 50DX

Condition/keywords: choroidal melanocytosis

Feb 7 2024 by Virginia Gebhart

FA of 70 year old male with diabetic macular edema. FA shows early hyper-fluorescence with late leakage and capillary dropout in the temporal macula. Focal laser performed.

Photographer: Virginia Gebhart

Imaging device: Optos California

Condition/keywords: capillary dropouts, fluorescein angiogram (FA), macular edema

Feb 7 2024 by Virginia Gebhart

40 year old male with a stable, flat, treated tumor s/p brachytherapy in 2018. Persistent CME secondary to radiation retinopathy.

Photographer: Virginia Gebhart

Imaging device: Optos California

Condition/keywords: melanoma, radiation retinopathy

Feb 14 2024 by Virginia Gebhart

61 year old female with a suspicious choroidal nevus involving the optic nerve head. Patient asymptomatic, will continue to observe.

Photographer: Virginia Gebhart

Imaging device: Topcon TRC 50DX

Condition/keywords: choroidal nevus, nevus

Feb 21 2024 by Virginia Gebhart

61 year male with myopic degeneration and diffuse chorioretinal atrophy. BCVA 20/200.

Photographer: Virginia Gebhart

Imaging device: Topcon TRC 50DX

Condition/keywords: chorioretinal atrophy, myopic degeneration

Feb 21 2024 by Virginia Gebhart

65 year old female with optic nerve pit. Asymptomatic, continued observation.

Photographer: Virginia Gebhart

Imaging device: Topcon TRC 50DX

Condition/keywords: congenital optic nerve pit, Optic nerve pit

Feb 29 2024 by Virginia Gebhart

87 year old female with inactive toxoplasmosis chorioretinitis inferior. Stable regressed malignant neoplasm of choroid superior (s/p brachytherapy 2011).

Photographer: Virginia Gebhart

Imaging device: Optos California

Condition/keywords: inactive toxoplasmosis, toxo chorioretinitis, toxoplasmosis chorioretinitis

Mar 1 2024 by Virginia Gebhart

52 year old female at first visit July 2023 vs 7 months s/p brachytherapy. SRF in macula has resolved, trace fluid on posterior edge of collapsing collar button.

Photographer: Virginia Gebhart

Imaging device: Optos California

Condition/keywords: brachytherapy, Choroidal melanoma, collar button

Mar 15 2024 by Virginia Gebhart

FA of 59 year old female with proliferative diabetic retinopathy.

Photographer: Virginia Gebhart

Imaging device: Optos California

Condition/keywords: Diabetic Retinopathy, neovascularization of the disc (NVD), NVE, proliferative diabetic retinopathy (PDR)

Mar 28 2024 by Virginia Gebhart

68 year male with chronic appearing retinal detachment with subretinal bands and subretinal fibrosis. Demarcation line present, SRF splits the fovea on OCT.

Photographer: Virginia Gebhart

Imaging device: Optos California

Condition/keywords: chronic retinal detachment, Retinal Detachment

Apr 15 2024 by Virginia Gebhart

29 year old male with multiple flat CHRPE lesions, genetic testing negative for ACP genes associated with Gardner syndrome. Multiple intraretinal amelanotic lesions consistent with Benign Lobular Inner Nuclear Layer Proliferations (BLIP) of the retina

Photographer: Virginia Gebhart

Imaging device: Topcon

Condition/keywords: BLIP Benign Lobular Inner Nuclear Layer Proliferations, CHRPE, congenital hypertrophy of the retinal pigment epithelium (CHRPE)

Apr 17 2024 by Virginia Gebhart

92 year old female with bilateral patchy, sharply demarcated circular areas of chorioretinal atrophy with hyperpigmented margins in the mid to far periphery suggestive of gyrate atrophy. Also intermediate uveitis and CMD/CME. FTA-ABS, Quant gold, and HLA-A29 labs all negative.

Photographer: Virginia Gebhart

Imaging device: Optos California

Condition/keywords: cystoid macular degeneration, cystoid macular edema (CME), FA, Fluorescein angiography, gyrate atrophy

May 8 2024 by Virginia Gebhart

13 year old female with diffuse hemangioma consistent with Sturge-Weber Syndrome. Hx of POAG

Photographer: Virginia Gebhart

Imaging device: Optos California

Condition/keywords: diffuse choroidal hemangioma, Hemangioma, Sturge-Weber syndrome

May 8 2024 by Virginia Gebhart

13 year old female with suspicious appearing choroidal nevus. High risk features present, adjacent to optic nerve, questionable orange pigment, SRF. No significant elevation on ultrasound. Will follow up with serial exams.

Photographer: Virginia Gebhart

Imaging device: Optos California

Condition/keywords: choroidal nevus, nevus

May 15 2024 by Virginia Gebhart

74 year old female with choroidal folds s/p external beam radiation 11/2023. Choroidal infiltration and resolved SRF most likely secondary to Chronic Lymphocytic Leukemia. Pt remains asymptomatic.

Photographer: Virginia Gebhart

Imaging device: Topcon 50DX

Condition/keywords: after proton beam irradiation, choroidal folds

May 30 2024 by Virginia Gebhart

33 year old female with regressed osteoma OS s/p focal laser, TTT and PDT (first treatment in 2013). Vision 20/20, pt remains asymptomatic.

Photographer: Virginia Gebhart

Imaging device: Topcon 50DX

Condition/keywords: choroidal osteoma

May 30 2024 by Virginia Gebhart

73 year old female with new mac-off retinal detachment with single horseshoe tear. Vision CF@3ft. Repaired in OR with gas bubble and laser. Guarded prognosis

Photographer: Virginia Gebhart

Imaging device: Optos California

Condition/keywords: retinal detachment of the macula

Jun 13 2024 by Virginia Gebhart

20 year old female with choroidal osteoma. Stable s/p PDT x3 and focal laser x 2, no obvious progression on last exam. Monitoring closely. Vision 20/30.

Photographer: Virginia Gebhart

Imaging device: Topcon 50 DX

Condition/keywords: barrier laser, choroidal osteoma, PDT

Jun 25 2024 by Virginia Gebhart

75 year female with complaint of shadow in the bottom of her vision for many years. Hollenhorst plaque on superior pole of the disc and sclerotic superotemporal arteriole. Also DBHs superiorly most likely due to combined BRAO/BRVO.

Photographer: Virginia Gebhart

Imaging device: Topcon 50DX

Condition/keywords: branch retinal artery occlusion (BRAO), branch retinal vein occlusion (BRVO), hollenhorst plaque, sclerotic arteriole

Jul 11 2024 by Virginia Gebhart

67 year old female with punched-out CR scars. Hx of laser 3x for apparent peripapillary CNV. ESR, CRP, toxo, IgG/IgM all "normal." Bartonella, quant gold, and FTA-ABS ordered given possibility of neuroretinitis. Vision CF

Photographer: Virginia Gebhart

Imaging device: Optos California

Condition/keywords: FA, fluorescein angiogram (FA), FLUORESCEIN ANGIOGRAPHY, focal chorioretinitis, optic neuritis

Aug 5 2024 by Virginia Gebhart

65 year old male with mac-off retinal detachment with 360 folds and horseshoe tear.

Photographer: Virginia Gebhart

Imaging device: Optos California

Condition/keywords: macula off retinal detachment, RD, Retinal Detachment

Aug 8 2024 by Virginia Gebhart

88 year old male with new bilobed choroidal melanoma. Pt scheduled for brachytherapy

Photographer: Virginia Gebhart

Imaging device: Optos California

Condition/keywords: melanoma

Aug 8 2024 by Virginia Gebhart

ICG angiogram of 45 year old male with Birdshot Retinochoroiditis. Has been improving on Humira and Methotrexate.

Photographer: Virginia Gebhart

Imaging device: Optos California

Condition/keywords: birdshot, indocyanine green (ICG) angiography

Aug 8 2024 by Virginia Gebhart

Fluorescein angiogram of 54 year old male with a suspicious appearing choroidal nevus and central serous retinopathy. Will monitor closely and follow up with serial exams.

Photographer: Virginia Gebhart

Imaging device: Optos California

Condition/keywords: central serous retinopathy (CSR), choroidal nevus, fluorescein angiogram (FA), FLUORESCEIN ANGIOGRAPHY, nevus

Aug 12 2024 by Virginia Gebhart

77 year old female with symmetrical retinal flecks consistent with hereditary dystrophy. Unable to complete genetic testing today, will consider in the future. Pt Asymptomatic, Dcc 20/20 OU

Photographer: Virginia Gebhart

Imaging device: Optos California

Condition/keywords: fundus flavimaculatus

Aug 14 2024 by Virginia Gebhart

21 year old male 1 week s/p PPV/laser/STR/SO. Eye is stable, PRHs inferior and superior, possible traction from PRH/membrane. Will observe and let clot liquify, will consider scleral buckle if no improvement

Photographer: Virginia Gebhart

Imaging device: Optos California

Condition/keywords: Diabetic Tractional Detachment, retinal detachment of the macula, silicone oil

Aug 22 2024 by Virginia Gebhart

Fluorescein angiogram of branch retinal vein occlusion in 75 year old female. Scattered microaneurysms with late CME and persistent SRF. Pt will consider laser treatment but is hesitant for injections at this time due to possible side effects.

Photographer: Virginia Gebhart

Imaging device: Optos California

Condition/keywords: branch retinal vein occlusion (BRVO), BRVO, cystoid macular edema (CME), FA, FA late phase, fluorescein angiogram (FA), macular edema, microaneurysms, retinal microaneurysms

Aug 22 2024 by Virginia Gebhart

51 year old female with moderate proliferative diabetic retinopathy, DME, as well as pre-retinal hemorrhage and likely NVE. Pt given Avastin in office and will return for PRP.

Photographer: Virginia Gebhart

Imaging device: Optos California

Condition/keywords: diabetic macular edema, macular edema, PDR with NVE (periphery), pre-retinal hemorrhage, proliferative diabetic retinopathy (PDR)

Aug 26 2024 by Virginia Gebhart

59 year old male with superior, bullous, mac off RD with multiple breaks. Pt scheduled for PPV, laser, GFE.

Photographer: Virginia Gebhart

Imaging device: Optos California

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

Aug 26 2024 by Virginia Gebhart

13 year old male 2 weeks s/p silicone oil placement and lensectomy. (Previous scleral buckle placement in 2023). Retina remains attached on the buckle under oil.

Photographer: Virginia Gebhart

Imaging device: Optos California

Condition/keywords: RD, Retina detachment, Retinal detachment under Silicon Oil, scleral buckle

Sep 4 2024 by Virginia Gebhart

13 year old female with hemangioma of the retina and history of Sturge-Weber syndrome. Slightly larger compared to photos and ultrasound from 4 months ago. SRF inferior on ultrasound and clinical exam. Pt and mom will consider brachytherapy.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: diffuse choroidal hemangioma, Hemangioma, Sturge-Weber syndrome

Sep 5 2024 by Virginia Gebhart

63 year old female with new choroidal melanoma. Pt scheduled for brachytherapy.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Sep 19 2024 by Virginia Gebhart

New horseshoe tear without detachment in 64 year old male. Vitreous hemorrhage secondary to HST. Prophylactic laser performed to seal tear

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: retinal tear, vitreous hemorrhage

Sep 19 2024 by Virginia Gebhart

61 year old female with idiopathic uveal effusion syndrome. 360 degrees of choroidal thickening, especially anterior with exudative fluid inferior. Mild vitritis present. Unable to gain venous access for FA, ultrasound and UBM performed which confirm choroidal and ciliary body thickening. Pt sent for inflammatory work up including MRI of brain and orbits. Treatment pending results.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: idiopathic uveal effusion syndrome, uveal effusion

Sep 19 2024 by Virginia Gebhart

46 year old female with h/o Histoplasmosis. Multiple punched out chorioretinal scars with Schlaegel lines. No evidence of CNV or active inflammation. VA 20/20

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: chorioretinal scar, histoplasmosis, presumed ocular histoplasmosis syndrome (POHS), Schlaegel

Sep 20 2024 by Virginia Gebhart

FA of 65 year old male with exudative AMD superior to a chorioretinal defect in the nasal macula. FA shows classic CNV with late leakage. Treated with IVA, will consider PDT if no improvement.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: choroidal neovascularization (CNV), exudative age-related macular degeneration, FA early phase

Oct 10 2024 by Virginia Gebhart

56 year old male with new amelanotic melanoma emanating from the ciliary body through the posterior iris epithelium. CT scan showed no evidence of metastatic disease. Pt scheduled for radioactive plaque and tumor biopsy

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Samsung Galaxy

Condition/keywords: amelanotic melanoma, iris melanoma

Oct 11 2024 by Virginia Gebhart

55 year old male s/p RD repair with SB and SO in Mexico June 2023. Questionable foreign body inferior vitreous base. Pt asymptomatic, had no previous knowledge of IOFB.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: intraocular foreign body, IOFB, scleral buckle

Oct 15 2024 by Virginia Gebhart

85 year old female with small pigmented lesion present s/p sectoral iridectomy in 2006. Lesion is suspicious for recurrence of melanoma after 18 years. Stable compared to previous exam in March 2024, unclear if this is a new lesion or has been present for an extended time. Will monitor closely.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Samsung Galaxy

Condition/keywords: iris melanoma, melanoma

Oct 16 2024 by Virginia Gebhart

74 year old female with bone spicule pigmentation associated with Retinitis Pigmentosa. Pt diagnosed at age 53, relatively asymptomatic prior to diagnosis. Pt reports gradual vision loss over 10+ years. BCVA 20/40

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: bone spicule, retinitis pigmentosa, retinitis pigmentosa (RP) dystrophy

Oct 16 2024 by Virginia Gebhart

56 year old male with a large pigmented tumor with an exudative detachment inferior and shallow fluid through the macula. Pt states they have been having symptoms for over a year. Scheduled for brachytherapy.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: Choroidal melanoma, exudative detachment, melanoma

Oct 23 2024 by Virginia Gebhart

62 year old female with bullseye RPE changes and flecks, mottled FAF, and silent choroid on FA consistent with late onset Stargardt's Disease. Pt is asymptomatic with 20/20 vision OU at this time

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: Stargardt disease, Stargardts Disease

Nov 2 2024 by Virginia Gebhart

53 year old male with a large mass behind the lens as well as prominent scleral vessels. Clinical exam and ultrasound findings consistent with melanoma. Pt will be scheduled for enucleation pending CT scan results. Edit: Sadly patient has canceled all appointments and has requested no further contact

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: ciliary body mass, ciliary body melanoma, ciliary body tumor

Nov 2 2024 by Virginia Gebhart

84 year old male with recurrent detachment s/p PPV/RD repair 2 weeks ago. Retinotomy is opened and appears to be the source of the fluid. Pt scheduled for emergency repair with scleral buckle.

Photographer: Virginia Gebhart

Imaging device: Optos California

Nov 7 2024 by Virginia Gebhart

83 year old female with new choroidal melanoma. Diffuse, flat tumor with orange pigment, SRF and located adjacent to ON. Pt sleeps on left side causing fluid to pool in/around the macula. Pt scheduled for brachytherapy pending CT scan results.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Nov 7 2024 by Virginia Gebhart

Fluorescein angiogram of 49 year female with Best Disease. Genetic testing done in 2000 confirms Best Disease and also possible Stargardts mutation. Characteristic bullseye maculopathy with surrounding yellowish flecks are present in both eyes.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: Best disease, fluorescein angiogram (FA)

Nov 13 2024 by Virginia Gebhart

42 year old female with telangiectatic vessels and vascular sheathing. FA showed mild leakage with areas of peripheral non-perfusion. Pt is asymptomatic without inflammation in the vitreous. No history of systemic inflammatory disease. Will observe.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: retinal telangiectasia, telangiectatic vessels, vascular sheathing of retina

Nov 20 2024 by Virginia Gebhart

76 year old male with new proliferative diabetic retinopathy. NVD and VH on exam. Pt treated with IVEylea, will consider PRP in the near future.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

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

Nov 27 2024 by Virginia Gebhart

77 year old female with advanced geographic atrophy after years of Elmiron use (stopped in 2018). Serial exams show continued progression of GA. Central vision limited, vision remains stable and patient does not report noticing any changes.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: geographic atrophy, secondary pigmentary degeneration, toxic maculopathy

Dec 4 2024 by Virginia Gebhart

72 year old female with temporal limbal lesion that extends onto the cornea from 10:00 - 8:00 encroaching on visual axis. Possible lymphomatous process. Will refer to Emory.

Photographer: Dr Chris Bergstrom MD, OD

Condition/keywords: corneal scars and opacities, Rosai-Dorfman Disease, Subconjunctival mass

Dec 6 2024 by Virginia Gebhart

27 year old female self-referred for continued follow-up care of hemangioma of retina. Previous genetic testing negative for Von Hippel-Lindau. Pt recently diagnosed with Ehlers-Danlos Arthroclasia, most likely reactive retinal astrocytic tumor. Tumor is stable and surrounded by good laser barricade, will continue to observe.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: feeder vessel, hemangioma, RRAT

Dec 9 2024 by Virginia Gebhart

FAF in 25 year old female of repaired retinal detachment 1.5 year s/p scleral buckle/cryo. Pt had been having symptoms for over a year, inferior demarcation line from retinal fluid that was present. Retina remains flat and attached under buckle. Treated lattice inferiorly, no new holes or tears. VA 20/20

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: autofluorescence imaging, cryotherapy, demarcation line, lattice degeneration, scleral buckle

Dec 9 2024 by Virginia Gebhart

67 year old female with myopic degeneration. Posterior staphylomas are stable. VA limited by extensive chorioretinal atrophy. BCVA 20/160 (ecc)

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: chorioretinal atrophy, myopic degeneration, staphyloma

Dec 11 2024 by Virginia Gebhart

28 year old female with new Multiple Evanescent White Dot Syndrome. Patient reports gray spot in vision, OCT shows RPE disruption centrally but no edema. FA shows early hyperfluorescent punctate spots throughout the posterior pole, but no leakage. Normal findings OD. Will observe for now

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: FA, fluorescein angiogram (FA), multiple evanescent white dot syndrome (MEWDS)

Dec 11 2024 by Virginia Gebhart

30 year old female with chorioretinal and macula scars. Appears post-infectious, most likely toxoplasmic. No active inflammatory changes or choroidal neovascularization. Will continue to monitor. Central vision limited by macula scar, BCVA 20/100

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: chorioretinal scar, inactive toxoplasmosis

Dec 11 2024 by Virginia Gebhart

48 year old female 3 months s/p brachytherapy for choroidal melanoma. Persistent subretinal and increased subfoveal fluid. Will observe for now, will consider Ozurdex if no improvement. BCVA 20/80

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: brachytherapy, demarcation line, fundus autofluorescence (FAF), serous detachment, subretinal fluid

Dec 12 2024 by Virginia Gebhart

25 year old female with intermediate uveitis. Improved inflammation after 40mg prednisone taper. Pt has multiple autoimmune diseases, will order MRI to r/o demyelinating disease.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: intermediate uveitis, snowballs, snowbank, uveitis

Dec 20 2024 by Virginia Gebhart

59 year old female with choroidal coloboma extending into iris. Pt had PC IOL placed in 2016, removed in Aug due to suspected UGH syndrome. Lens haptics were oriented vertically causing haptic to chafe iris superiorly. Most likely etiology was loss of inferior zonules from coloboma. Pt remains aphakic.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: choroidal coloboma, coloboma

Dec 23 2024 by Virginia Gebhart

61 year old male 1 day s/p retinectomy/SO exchange. Retina is attached under SO with good laser to retinectomy edge.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: gas bubble, proliferative vitreoretinopathy (PVR), retinectomy, silicone oil, total retinal detachment

Jan 3 2025 by Virginia Gebhart

67 year old male with mac-on RD with giant tear. Pt scheduled for sx

Photographer: Virginia Gebhart

Imaging device: Optos California

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

Jan 3 2025 by Virginia Gebhart

22 year old male referred for 2nd opinion on large choroidal mass with subretinal fluid. Clinical exam and ultrasound consistent with choroidal melanoma. CT scan of orbits showed possible inflammation involving orbital fat. Pt has been on oral prednisone for 1 week, inflammation has not responded. Referred to Emory for 2nd opinion on treatment

Photographer: Virginia Gebhart

Imaging device: Optos California

Condition/keywords: melanoma

Jan 13 2025 by Virginia Gebhart

25 year-old female referred for melanocytoma of optic disc. Lesion is benign, no treatment necessary. Pt asymptomatic.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Topcon 50DX

Condition/keywords: benign melanocytoma, melanocytoma, optic disc melanocytoma

Jan 15 2025 by Virginia Gebhart

14 year female with suspicious nevus located adjacent to the optic nerve. Questionable orange pigment present and worsening SRF compared to previous photos/OCT. RPE atrophy also present from previous fluid. No elevation. Will continue observation. BCVA 20/25

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Topcon 50DX

Condition/keywords: choroidal nevus, nevus

Jan 15 2025 by Virginia Gebhart

54 year old female with pigmentary degeneration secondary to Elmiron. Stippled RPE maculopathy has lightly progressed with stable vision compared to previous visits. BCVA 20/200 OU. Pt reports taking Elmiron from 2010 to 2019.

Photographer: Virginia Gebhart

Imaging device: Optos California

Condition/keywords: autofluorescence imaging, Maculopathy, secondary pigmentary degeneration

Jan 15 2025 by Virginia Gebhart

52 year old male with advanced RP OU. BCVA HM OD, LP OS. Referred to genetic specialist per pt request to discuss gene therapy.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: bone spicule, retinitis pigmentosa, retinitis pigmentosa (RP) dystrophy

Jan 15 2025 by Virginia Gebhart

65 year old male with new central retinal vein occlusion with macular edema. Carotid ultrasound showed less than 50% stenosis bilateral. Dilated and tortuous vessels as well as cystoid macular edema and flame-shaped hemes in all 4 quadrants. Treated with IVA

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

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

Jan 16 2025 by Virginia Gebhart

RGB/FA/ICG of 76 year old female with a new choroidal melanoma. Pt scheduled for plaque radiation. BCVA 20/400

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: fluorescein angiogram (FA), indocyanine green (ICG) angiography, OPTOS CALIFORNIA RGB

Jan 17 2025 by Virginia Gebhart

67 year old female with congenital sectoral ocular melanocytosis. Pigmentation on nasal sclera and nasal iris of right eye, as well as deep pigmentation nasally of fundus. Will continue close observation

Photographer: Virginia Gebhart

Imaging device: Topcon 50DX/Samsung Galaxy

Condition/keywords: choroidal melanocytosis, heterochromia, ocular melanocytosis, Oculodermal Melanocytosis

Jan 22 2025 by Virginia Gebhart

19 year old female with confirmed Stargardt Disease. Central RP atrophy with pigment clumping and "beaten metal" appearance. BCVA 20/125

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Topcon 50DX

Condition/keywords: pigment clumps, RP atrophy, Stargardt disease

Jan 22 2025 by Virginia Gebhart

Fluorescein angiogram of 19 year old female with confirmed Stargardt Disease. Hyperfluorescence in the macula with staining defect and silent choroid.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: fluorescein angiogram (FA), Silent Choroid, Stargardt disease

Jan 22 2025 by Virginia Gebhart

Fluorescein angiogram of 54 year old female with non-diabetic proliferative retinopathy. Recent labs confirm sickle-cell disease. FA shows temporal peripheral non perfusion with NV. S/p PRP with retrobulbar block

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: FA, Fluorescein angiography, Neovascularisation elsewhere (NVE), non-perfusion, Nose, pan-retinal photocoagulation (PRP), PRP, sickle cell retinopathy

Jan 23 2025 by Virginia Gebhart

25 year-old female with vascular sheathing and traction, concern for possible tattoo-associated uveitis. Pt confirms ringing in ears and occasional rash on tattoos. Most recent lab workup revealed elevated ANA. Referred to rheumatologist, treatment pending. Recommended pt abstain from further tattoos.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: retinal vasculitis

Jan 27 2025 by Virginia Gebhart

61 year-old with proliferative sickle cell retinopathy s/p cryotherapy to peripheral fibrotic NV. Eye is stable with resolving exudates and maturing cryo scar. BCVA 20/40

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: cryotherapy, fibrotic neovascularization, sickle cell retinopathy

Jan 27 2025 by Virginia Gebhart

74 year female with ocular melanocytosis. Stable, regressed treated tumor s/p brachytherapy (2020) and deeply pigmented fundus OS. Limited VA due to radiation neuropathy. BCVA 20/150 (ecc)

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: brachytherapy, melanoma, melanosis, ocular melanocytosis

Feb 5 2025 by Virginia Gebhart

61 year old male with mac-off retinal detachment with single horseshoe tear. Macula has been off for several days and has developed associated cystic edema. Visual prognosis guarded. Pt schedule for PPV/Laser/GFE

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: horseshoe tear, PVD, retinal detachment

Feb 6 2025 by Virginia Gebhart

FAF of 46 year old male with a mac-on retinal detachment from 1:00 to 6:00 with a single break at 3:00. Pt scheduled for emergent PPV/Laser/GFE

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: autofluorescence imaging, retinal detachment

Feb 6 2025 by Virginia Gebhart

81 year old female with large pigmented collar button ciliochoroidal mass extending into the mid-vitreous cavity. Clinical exam and ultrasound finding consistent with melanoma. Due to size of tumor, pt scheduled for enucleation. CT scan of abdomen showed no evidence of metastatic disease.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: ciliochoroidal melanoma, collar button, melanoma

Feb 10 2025 by Virginia Gebhart

10 year old female referred for amelanotic lesion in the inferior macula. Clinical exam and ultrasound consistent with choroidal osteoma. Pt is asymptomatic, will observe.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Topcon 50DX

Condition/keywords: choroidal osteoma

Feb 12 2025 by Virginia Gebhart

91 year old female with large collar button tumor emanating from the ciliary body with resolving vitreous hemorrhage. Melanoma cells in the AV as well as studded on the entire retina surface. Pt scheduled for enucleation. CT scans of chest and abdomen showed no evidence of metastatic disease.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: asteroid hyalosis, ciliary body mass, ciliary body melanoma, vitreous hemorrhage

Feb 13 2025 by Virginia Gebhart

44 year old male presented New Year's Day for trauma after fireworks injury. Choroidal rupture temporal macula, inferior vitreous hemorrhage, and extensive RPE changes in the macula. Significant improvement since initial presentation. Limited central vision, guarded prognosis due to extensive blunt trauma.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: blunt trauma, choroidal rupture, commotio retinae, firework injury, secondary glaucoma, subretinal hemorrhage, VH, vitreous hemorrhage

Feb 20 2025 by Virginia Gebhart

63 year old male with a mac-off retinal detachment from 4:00 to 1:30 with a single break at 10:00. Pt schedule for PPV/GFE. Guarded prognosis for visual recovery.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

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

Feb 25 2025 by Virginia Gebhart

53 year old female with confirmed MIDD (genetic testing at Emory). Vision is stable with progressing GA but still central sparing OU. No evidence of choroidal neovascularization. Moderate myopia.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Topcon 50DX

Condition/keywords: geographic atrophy, Maternally inherited diabetes and deafness (MIDD), MIDD

Feb 26 2025 by Virginia Gebhart

39 year old female with choroidal hemangioma with capillary hemangioblastomas. Positive genetic testing for Von Hippel-Lindau Syndrome. Hemangioblastomas are stable compared to initial imaging in 2021. Pt started Welireg in Dec 2024, CNS tumors have started shrinking. No lesions in OD

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: retinal capillary hemangioblastoma, Von Hippel-Lindau

Mar 5 2025 by Virginia Gebhart

64 year old male with choroidal hemangioma in the macula and STA. Persistent IRF and new cuff of SRF compared to previous photos. BCVA CF@face. Pt has had PDT in the past with no significant improvement. Will observe closely

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: hemangioma, inferior subretinal fluid

Mar 5 2025 by Virginia Gebhart

Fundus autofluorescence of 64 year old male with choroidal hemangioma in the macula and STA. Persistent IRF and new cuff of SRF compared to previous photos. BCVA CF@face. Pt has had PDT in the past with no significant improvement. Will observe closely

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: autofluorescence imaging, hemangioma, inferior subretinal fluid

Mar 10 2025 by Virginia Gebhart

56 year old female with new choroidal melanoma. Pt states they have a "freckle" that had been monitored for 26 years, last CEE was over 2 years ago. Clinical exam and ancillary testing consistent with uveal melanoma. Pt scheduled for plaque brachytherapy with transretinal biopsy of the tumor for genetic testing. Pt also scheduled for CT scan of chest/abdomen to rule out metastatic disease.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Mar 10 2025 by Virginia Gebhart

Side by Side comparison of late FA/ICG on choroidal melanoma. FA showed early lacy hyperfluorescence with late leakage, ICG showed late Hypocyanescence.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: FA, Fluorescein angiography, fluorescein leakage, indocyanine green (ICG) angiography

Mar 10 2025 by Virginia Gebhart

56 year old male 4 months s/p plaque brachytherapy for choroidal melanoma. Tumor is regressing, there is an exudative detachment with worsening SRF. Treated with Avastin to promote hopeful improvement of the SRF

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: brachytherapy, Choroidal melanoma, exudative detachment, melanoma

Mar 12 2025 by Virginia Gebhart

65 year old female 4 weeks s/p intravitreal Ozurdex implant for diabetic macular edema. Significant improvement of edema and SRF

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: diabetic macular edema, DME, intravitreal implant, intravitreal injection, ozurdex, Ozurdex implant

Mar 13 2025 by Virginia Gebhart

64 year old male referred for lesion in the STA with worsening SRF. Pt had been receiving injections for wetAMD q4weeks for 7 months. Reddish, elevated choroidal lesion, chronic SRF and pigment clumping consistent with hemangioma. FA/ICG/Bscan ultrasound also performed to confirm. Pt scheduled for PDT

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: choroidal hemangioma, hemangioma, subretinal fluid

Mar 13 2025 by Virginia Gebhart

Color fundus, FAF, late FA, late ICG of 64 year old male with choroidal hemangioma. Early hyperfluorescence with late leakage on FA, early hypercyanescence with late washout (25 min) on ICG.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: autofluorescence imaging, choroidal hemangioma, FA late phase, Fluorescein angiography, hemangioma, indocyanine green (ICG) angiography

Mar 20 2025 by Virginia Gebhart

71 year old male with new branch retinal vein occlusion with macular edema. Mild central SRF, extensive superior CME and flame hemorrhages. Recommended series of anti-VEGF injections, completed first IVA

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

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

Mar 26 2025 by Virginia Gebhart

54 year old female referred for iris mass. UBM shows large solid mass originating in the ciliary body and eroding into the anterior chamber under the iris epithelium. Recent CT scans revealed multiple bilateral pulmonary and hepatic nodules. Pt has been scheduled for PET scan and liver biopsy by radiation oncologist.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Samsung Galaxy

Condition/keywords: choroidal metastasis, ciliary body mass, metastatic cancer

Mar 27 2025 by Virginia Gebhart

91 year old female with resolved choroidal melanoma. Pathology report confirms dispersed melanoma in the vitreous and on the entire retina surface. Pt is going well 1 month s/p enucleation, once healed she will be referred to an ocularist. No evidence of metastatic disease.

Condition/keywords: biopsy, choroidal melanoma

Mar 27 2025 by Virginia Gebhart

62 year old male with large pigmented lesion with collar button. Pt states he was never aware of any lesion/nevus in the past. Fluid and orange pigment present, appears to be chronic. Pt will be scheduled for brachytherapy pending CT scan results.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: choroidal melanoma, collar button

Apr 7 2025 by Virginia Gebhart

36 year old female referred for pigmented mass. Pt complains of flashes of light since last fall. Clinical exam and ultrasound findings consistent with choroidal melanoma with exudative detachment inferior. Pt will be scheduled for brachytherapy and possible tumor biopsy pending CT scan results.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: Choroidal melanoma, exudative detachment, melanoma, retinal detachment

Apr 7 2025 by Virginia Gebhart

Autofluorescence image of 36 year old female showing demarcation line of fluid/detachment from new choroidal melanoma. Pt will be scheduled for brachytherapy pending CT scan results.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: Autoflourescence, autofluorescence imaging, choroidal melanoma, melanoma, retinal detachment

Apr 9 2025 by Virginia Gebhart

62 year old female 4 mo s/p brachytherapy for amelanotic choroidal melanoma. Iluvien implant given 4 wks s/p plaque removal, lesion is stable with resolved exudative detachment and subretinal fluid

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: amelanotic melanoma, brachytherapy, choroidal melanoma, Iluvien, melanoma

Apr 9 2025 by Virginia Gebhart

35 year old female with stable sectoral RP and high myopia OU. RP has not progressed in either eye since initial visit in 2021. Will continue to observe. VA 20/20 OU

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: high myopia, retinitis pigmentosa

Apr 9 2025 by Virginia Gebhart

79 year old male with toxic maculopathy from long term use of Elmiron (15+ yrs.) On exam there is stippled RPE changes, pigment clumping, and subretinal deposits. BCVA 20/100 | 20/40.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: autofluorescence imaging, cystoid macular degeneration, Elmiron Toxicity, Toxic Maculopathy

Apr 15 2025 by Virginia Gebhart

67 year old male referred for peripheral choroidal lesion. Clinical exam and Bscan findings consistent with a subRPE hemorrhage secondary to peripheral exudative hemorrhagic chorioretinopathy. No vascularity on ultrasound. OD has small subRPE hemorrhage as well. Pt is on Eliquis. Will monitor with serial exams. Sponsored by the number 2

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: peripheral exudative hemorrhagic chorioretinopathy (PEHCR)

Apr 17 2025 by Virginia Gebhart

Fundus autofluorescence of 75 year old female with Retinitis Pigmentosa. Pt diagnosed at age 53. Diffuse RPE atrophy with minimal central sparing present in both eyes. Stable and unchanged compared to previous exams. BCVA 20/200 OD, NLP OS

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: autofluorescence imaging, bone spicule, retinitis pigmentosa, RP

Apr 17 2025 by Virginia Gebhart

60 year old male with vitreous and sub hyaloid hemorrhage from being hit in the eye. No holes, tears, or detachment. Will observe closely, if no improvement will consider surgical repair. Treated melanoma s/p brachytherapy in 2008.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: blunt trauma, sub hyaloid hemorrhage, vitreous hemorrhage

Apr 18 2025 by Virginia Gebhart

Intraoperative photo of transillumination of choroidal melanoma before plaque placement in 36 year old female.

Photographer: Chris Bergstrom, MD, OD

Imaging device: iphone

Condition/keywords: choroidal melanoma, intraoperative, transillumination