James P Dossett, MD » Miscellaneous

Mar 2 2024 by James P Dossett, MD

Pseudocolor fundus photograph of the right eye of a 34-year-old man with retinitis along the inferotemporal arcade with associated subretinal fluid and overlying vitritis. Aqueous paracentesis was performed and PCR was positive for Toxoplasma gondii. He was administered intravitreal clindamycin.

Imaging device: Optos

Condition/keywords: posterior uveitis, toxoplasmosis chorioretinitis

Mar 5 2024 by James P Dossett, MD

Pseudocolor fundus photograph of the right eye of a 56-year-old man who presented for evaluation of floaters noted to have bilateral Roth spots on dilated fundus exam. WBC count was obtained and was >300k. Bone marrow biopsy was performed and was consistent with chronic myelogenous leukemia. He was started on dasatinib and hydroxycarbamide. 1 month later the hemorrhages had improved significantly.

Imaging device: Optos

Condition/keywords: Roth spots

Mar 6 2024 by James P Dossett, MD

Pseudocolor fundus photograph of a 68-year-old man who presented with a macula-on rhegmatogenous retinal detachment with a single horseshoe tear at 12 o'clock. Pneumatic retinopexy was performed with cryopexy to the retinal break. He returned to clinic three days later and the entire SF6 gas bubble was noted to have migrated to the subretinal space through the retinal break. Pars plana vitrectomy was performed that day with retinal reattachment and improvement in vision to 20/40 now 6 months postoperatively.

Imaging device: Optos

Condition/keywords: pneumatic retinopexy, subretinal gas bubble

Aug 1 2024 by James P Dossett, MD

Pseudocolor fundus photograph of the left eye of a 54-year-old diabetic man presenting with bilateral vision loss. Examination revealed 20/200 vision OS with extensive preretinal and vitreous hemorrhage, marked diffuse neovascularization, macular edema and hard exudates.

Photographer: Beth Smith, West Virginia University Eye Institute

Condition/keywords: proliferative diabetic retinopathy (PDR)