DR Rohit Gupta » Miscellaneous

Sep 23 2024 by DR Rohit Gupta

Fundus photograph of a 26 year old female suffering from pulmonary tuberculosis, on fundus examination a tuberculoma seen in her left eye.

Photographer: DR Rohit gupta

Imaging device: Samsung S21

Condition/keywords: tubercular choroidal granuloma

Sep 24 2024 by DR Rohit Gupta

Fundus photography of a 16 year old female suffering from severe thrombocytopenia. On fundus examination, multiple roth spots and subhyaloid hemorrhage were seen.

Photographer: Dr Rohit gupta

Imaging device: Samsung S21

Condition/keywords: ANEMIC RETINOPATHY, hemorrhage, leukemia, retinal hemorrhage, Roth spots, Sub hyaloid haemorrhage, thrombocytopenia

Sep 24 2024 by DR Rohit Gupta

Fundus photography of a 16 year-old girl suffering from severe thrombocytopenia, showing flame shaped hemorrhage.

Photographer: Dr Rohit gupta

Imaging device: Samsung S21

Condition/keywords: anaemic retinopathy, flame shaped retinal hemorrhage, Haemorrhage, Roth spots, white centered retinal hemorrhage (Roth Spot), white dot syndrome

Sep 24 2024 by DR Rohit Gupta

Slit lamp photograph of 32 year old male presented with herpetic corneal ulcer on staining with fluorescein dye under cobalt blue filted dendrits can be seen.

Photographer: Dr Rohit gupta

Imaging device: Samsung S21

Condition/keywords: corneal ulcer, dendritic keratitis, herpes dendrite, Herpes simplex infection, Herpes zoster, staining

Sep 25 2024 by DR Rohit Gupta

Fundus photograph of 16year old female patient with a fundal coloboma in left eye

Photographer: Dr Rohit gupta

Imaging device: Samsung S21

Condition/keywords: chorioretinal coloboma, coloboma of macula, coloboma of optic disc, congenital anomaly

Sep 25 2024 by DR Rohit Gupta

Fundus photograph of a 28 year-old male having high myopia on fundus examination Degenerative changes are seen in retina suggestive of pathological myopia.

Photographer: Dr Rohit gupta

Imaging device: Samsung S21

Condition/keywords: choroidal degeneration, degeneration of optic disc, lacquer cracks, myopia, Myopia macular degeneration CNVM foster fuch spot, pathologic myopia, staphyloma

Sep 25 2024 by DR Rohit Gupta

Slit lamp photograph of a 22 year-old female presenting with a swelling over cornea which on examination appears be to be Limbal dermoid.

Photographer: Dr Rohit gupta

Imaging device: Samsung S21

Condition/keywords: dermoid, limbus, lipodermoid

Sep 28 2024 by DR Rohit Gupta

A slit lamp photograph of 46 year-old female patient operated for high hypermetropia 10 years back . On slit lamp examination hexagonal pattern of radial incisions can be seen.

Photographer: Dr Rohit gupta

Condition/keywords: hypermetropia, hyperopia, Radial keratotomy, refractive surgery

Oct 5 2024 by DR Rohit Gupta

Slit lamp photograph of 12 year old male patient suffering from Wilson's disease. This patient presented in opd with extended phalanges, pain in abdomen and disoriented.

Photographer: Dr Rohit gupta

Imaging device: Samsung S21

Condition/keywords: Kayser-Fleischer ring, Kf ring

Jan 6 2025 by DR Rohit Gupta

60 year old male presented with diminution of vision . On fundus examination multiple crystals deposits seen in vitreous cavity.

Photographer: Dr Rohit gupta

Imaging device: Samsung S21

Condition/keywords: asteroid hyalosis, synchysis scintillans, vitreous cavity

Jan 22 2025 by DR Rohit Gupta

48 year old female presented with right eye diminution of vision, on fundus examination a large hemorrhage was seen in subhyaloid space with multiple retinal hemorrhages. Patients was known case of diabetes with uncontrolled blood sugar level.

Photographer: Dr Rohit gupta

Imaging device: Samsung S21

Condition/keywords: SUB ILM hemorrhage, subhyaloid blood, subhyaloid hemorrhage

Mar 31 2025 by DR Rohit Gupta

A pseudophakic patient visiting after 6 months of cataract surgery. On slit lamp examination a complete hazy white PCIOL was seen, which is a rare complication after cataract surgery.

Photographer: Dr Rohit gupta

Imaging device: Samsung S21

Condition/keywords: posterior chamber intraocular lens (PCIOL)

Apr 10 2025 by DR Rohit Gupta

52 year old male presented with the gradual. Painless, diminuition of vision. On slit lamp examination an onion peel appearance opacification of lens in central part was seen.

Photographer: Dr Rohit gupta

Condition/keywords: posterior capsule opacification, Posterior polar cataract

Apr 18 2025 by DR Rohit Gupta

The **myelinated nerve fibers of the optic disc** (also known as **medullated nerve fibers**) are retinal nerve fibers that retain their myelin sheath as they pass through the optic nerve head. Normally, retinal nerve fibers are unmyelinated to allow for light transparency, but in some cases, myelination extends anteriorly into the retina, appearing as a striking white, feathery patch on the optic disc or peripapillary retina. ### **Key Features:** 1. **Appearance:** - Dense, white, striated patches with feathery edges. - Typically located at the superior or inferior pole of the optic disc. - May obscure retinal vessels underneath. 2. **Clinical Significance:** - Usually **benign** and asymptomatic. - **Congenital** (present at birth or early childhood). - Rarely associated with **visual field defects** (e.g., scotomas corresponding to the area of myelination). - Occasionally linked with **high myopia** or **amblyopia** if extensive. 3. **Pathophysiology:** - Failure of oligodendrocytes or Schwann cells to stop myelination at the lamina cribrosa. - Normally, myelination stops at the optic nerve head, but in this condition, it extends into the retina. 4. **Diagnosis:** - **Fundoscopy:** Classic white, feathery appearance. - **Optical Coherence Tomography (OCT):** Shows thickened retinal nerve fiber layer (RNFL). - **Visual Field Testing:** May detect defects if large. 5. **Differential Diagnosis:** - Optic disc edema - Cotton wool spots - Retinoblastoma (rarely, but must be ruled out in children) 6. **Management:** - No treatment required if asymptomatic. - Monitor for amblyopia in children. - Rare cases with significant visual impairment may need further evaluation. ### **Fun Fact:** Myelinated nerve fibers are seen in **~0.5-1%** of the population and are usually an incidental finding.

Photographer: Dr Rohit gupta

Imaging device: Samsung S21

Condition/keywords: Medulated Nerve fibre, Medullated Nerve fibres, myelinated nerve fibers, Myelinated Nerve Fibres, optic disc drusen

Apr 18 2025 by DR Rohit Gupta

Slit lamp image on Retroillumination showing posterior subcapsular cataract of a female patient who was on long term corticosteroids inhaler medications.

Photographer: Dr Rohit gupta

Imaging device: Samsung S21

Condition/keywords: posterior capsule opacification, posterior subcapsular cataract, posterior subcapsular changes, posterior subcapsular polar senile cataract, steroids