Virginia Gebhart » Miscellaneous

  • ERM with Retinal Striae

    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

  • Central Retinal Vein Occlusion

    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)

  • Stargardt's Disease

    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

  • Syphilitic Uveitis

    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

  • MIDD

    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

  • Stargardt Disease

    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

  • Regressing Choroidal Melanoma with Asteroid Hyalosis

    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, choroidal melanoma

  • Retinitis Pigmentosa

    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

  • Dislocated IOL

    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

  • Severe NPDR

    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

  • Idiopathic Iris Cyst

    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

  • Retinal Detachment

    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

  • Choroidal Melanoma

    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: choroidal melanoma, FA late phase, fluorescein angiogram (FA), Fluorescein angiography, melanoma

  • Gore Tex Suture

    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

  • Suspicious Choroidal Nevus / Optic Disc Drusen

    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

  • Melanocytoma of Optic Disc

    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

  • Choroidal Melanoma FA

    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: choroidal melanoma, fluorescein angiogram (FA), Fluorescein angiography

  • Acute Endophthalmitis

    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

  • Geographic Atrophy

    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

  • New Retinal Detachment 6w s/p RD repair

    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

  • Fibrotic granuloma vs. Pseudoduplication of the Optic Disc

    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

  • Layer Cake; Sub-retinal, Pre-retinal, Vitreous Hemorrhages

    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

  • Mac off Retinal Detachment with Horseshoe Tear

    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: horseshoe tear, Retinal Detachment, retinal detachment of the macula, Retinal Detachment with multiple breaks

  • Familial Dominant Drusen

    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

  • Regressed Choroidal Metastasis

    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

  • Suspicious Choroidal Nevus

    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

  • New Choroidal Melanoma vs Metastasis

    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, choroidal melanoma, melanoma, metastatic lesion

  • Benign Nevus

    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

  • Suspicious Choroidal 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

  • Choroidal Metastasis

    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

  • Tilted IOL

    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

  • The Nightmare Before Christmas

    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

  • Macular Dystrophy vs Myopic Degeneration

    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

  • PEHCR

    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)

  • New Choroidal Melanoma

    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: choroidal melanoma, ciliary body melanoma, exudative retinal detachment

  • Idiopathic Peripapillary CNV

    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)

  • Choroidal Melanoma

    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: choroidal melanoma, FA, FA early phase, fluorescein angiogram (FA), Fluorescein angiography

  • Preretinal Fibrosis

    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)

  • Retinitis Pigmentosa

    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

  • Hemorrhagic Pigment Epithelial Detachment

    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)

  • Dry AMD

    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

  • Retinal Detachment with PVR

    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

  • RPE Rip

    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)

  • Persistent TRD with Sub-hyaloid Hemorrhage

    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

  • Iris Melanoma

    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

  • Melanocytosis

    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

  • Diabetic Macular Edema

    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

  • Treated Choroidal Melanoma

    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: choroidal melanoma, melanoma, radiation retinopathy

  • Suspicious Nevus

    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

  • Diffuse Chorioretinal Atrophy

    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

  • Optic Nerve Pit

    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

  • Hidden Mickey / Toxo Scar

    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

  • Choroidal Melanoma

    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

  • PDR

    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)

  • Retinal Detachment

    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

  • Benign Lobular Inner Nuclear Layer Proliferations (BLIP)

    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)

  • Generalized Gyrate Atrophy, CME

    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

  • Sturge-Weber Syndrome

    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

  • Suspicious Choroidal Nevus

    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

  • Choroidal Folds s/p External Beam Radiation

    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