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Bear Track Lesions in a Case of Congenital Hypertrophy of RPE
Sep 6 2024 by Giriraj Vibhute
Fundus photo and autofluorescence image in a 58-year-old woman A&B: Right and left eye ultrawidefield pseudocolor imaging in case of congenital hypertrophy of RPE. C&D: Fundus autofluorescence of right and left eye of the same patient. The patient/ family members did not have any history of colon cancer. Patient was advised colonoscopy and family members were screened.
Photographer: Giriraj Vibhute, dept of retina, M M Joshi eye institute, Hubli. India
Imaging device: Optos daytona
Condition/keywords: bear tracks, congenital hypertrophy of the retinal pigment epithelium (CHRPE)
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The Retinal Tempest: Toxocara's Trail
Aug 31 2025 by Giriraj Vibhute
In this striking image, a central white granuloma spirals outward from the optic disc, surrounded by fibrous traction bands and scarring—the telltale markings of intraocular toxocara lesion. The retina is ravaged with proliferative vitreoretinal membranes and peripheral pigmentary changes, starkly illustrating the chronic inflammation and vision-threatening complications caused by Toxocara canis.
Photographer: Dr Giriraj Vibhute, MM Joshi eye institute, Hubli, India.
Condition/keywords: dragged disc, fibrous proliferation, Toxocara, toxocara canis
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YAG Laser Hyaloidotomy
Aug 31 2025 by Giriraj Vibhute
A 24-year-old young man presented with sudden loss of vision in left eye following history of rigorous coughing. Visual acuity in RE was 6/6, LE was 6/60p. Fundoscopy showed bilateral multiple small intraretinal hemorrhages with LE large premacular subhyaloid hemorrhage just covering the fovea suggestive of bilateral valsalva retinopathy changes. Nd:YAG laser hyaloidotomy was performed to left eye the same day (A250; 2mJ;6 SHOTS). Visual acuity improved to 6/9 immediately following the procedure. After 1 week, the subhyaloid hemorrhage had completely cleared with dispersed intragel hemorrhage in the inferior vitreous cavity with visual acuity of 6/6 in left eye
Photographer: Dr Vani S. MM Joshi eye institute, Hubli
Condition/keywords: valsalva retinopathy, YAG HYALOIDOTOMY