Kimberly Wakester » Miscellaneous

Nov 4 2024 by Kimberly Wakester

Ultra-widefield Fundus photograph of an 18-year-old woman with a Retinal detachment with multiple breaks in the right eye. Patient has high Myopia in both eyes. Patient was treated with scleral buckle placement with cryo laser in the right eye and is doing we post operatively.

Photographer: Kimberly Wakester, COA

Imaging device: Optos

Nov 5 2024 by Kimberly Wakester

Anterior segment photograph of a 74-year-old woman with a Multifocal PC IOL in place in the left eye.

Photographer: Kimberly Wakester, COA

Imaging device: Topcon TRC-50DX

Condition/keywords: IOL, Multifocal

Nov 5 2024 by Kimberly Wakester

Anterior segment photograph of a 74-year-old woman with an ICC-8 pinhole IOL with stellate areas on the pinhole in the right eye.

Photographer: Kimberly Wakester, COA

Imaging device: Topcon TRC-50DX

Condition/keywords: Pinhole IOL

Dec 12 2024 by Kimberly Wakester

Ultra-wide field fundus photos of an 53-year-old man with a Subluxation of the Lens in the posterior vitreous cavity of the right eye after a trauma that happened many years ago. Patient remains stable with no adverse reaction to the lens at this time. No surgical intervention is recommended at this time. Patient also has myopic degeneration and lattice degeneration that will require patient to have follow up care.

Photographer: Kimberly Wakester, COA

Imaging device: Optos California

Condition/keywords: lattice degeneration, myopic degeneration, peripapillary atrophy, posterior staphyloma, Subluxation of the Lens

Dec 12 2024 by Kimberly Wakester

Ultra-wide field fundus photos of an 53-year-old man with a Subluxation of the Lens in the posterior vitreous cavity of the right eye after a trauma that happened many years ago. Patient remains stable with no adverse reaction to the lens at this time. No surgical intervention is recommended at this time. Patient also has myopic degeneration and lattice degeneration that will require patient to have follow up care.

Photographer: Kimberly Wakester, COA

Imaging device: Optos California

Condition/keywords: lattice degeneration, myopic degeneration, peripapillary atrophy, posterior staphyloma, Subluxation of the Lens

Dec 12 2024 by Kimberly Wakester

Ultra-wide field fundus photos of an 53-year-old man with a Subluxation of the Lens in the posterior vitreous cavity of the right eye after a trauma that happened many years ago. Patient remains stable with no adverse reaction to the lens at this time. No surgical intervention is recommended at this time. Patient also has myopic degeneration and lattice degeneration that will require patient to have follow up care.

Photographer: Kimberly Wakester, COA

Imaging device: Optos California

Condition/keywords: lattice degeneration, myopic degeneration, peripapillary atrophy, posterior staphyloma, Subluxation of the Lens

Jan 14 2025 by Kimberly Wakester

Fundus photograph of an 86-year-old woman with the end stage of Age-related Macular Degeneration in the left eye. Patient went unseen for 3-4 years prior to establishing care at our practice. Due to the significant amount of subretinal fibrosis, treatment was not recommended due to limited visual recovery. Patient was advised of monocular vision and the importance of follow up care.

Photographer: Kimberly Wakester, COA

Imaging device: Optos California

Condition/keywords: AMD, subretinal fibrosis

Jan 14 2025 by Kimberly Wakester

Fundus photographs of an 7-year-old boy with Coat's Disease in the right eye. There is subfoveal lipid end scarring in the macula and "light bulb" type telangiectasias temporally noted on exam and shown in Optos color photos. FA findings show anastomoses, capillary dropout, and "light bulb" type telangiectasias temporally with mild late leakage. Patient will be monitored at this time and have repeat imaging in 4 months.

Photographer: Kimberly Wakester, COA

Imaging device: Optos California

Condition/keywords: Coat's disease

Jan 14 2025 by Kimberly Wakester

Fundus photographs of an 7-year-old boy with Coat's Disease in the right eye. There is subfoveal lipid end scarring in the macula and "light bulb" type telangiectasias temporally noted on exam and shown in Optos color photos. FA findings show anastomoses, capillary dropout, and "light bulb" type telangiectasias temporally with mild late leakage. Patient will be monitored at this time and have repeat imaging in 4 months.

Photographer: Kimberly Wakester, COA

Imaging device: Optos California

Condition/keywords: Coat's disease

Jan 14 2025 by Kimberly Wakester

Fundus photographs of an 7-year-old boy with Coat's Disease in the right eye. There is subfoveal lipid end scarring in the macula and "light bulb" type telangiectasias temporally noted on exam and shown in Optos color photos. FA findings show anastomoses, capillary dropout, and "light bulb" type telangiectasias temporally with mild late leakage. Patient will be monitored at this time and have repeat imaging in 4 months.

Photographer: Kimberly Wakester, COA

Imaging device: Optos California

Condition/keywords: Coat's disease

Jan 21 2025 by Kimberly Wakester

Fundus photographs of a 70-year-old woman with a PVD with Weiss ring present in the left eye. Doing sweeps of the left eye shows how changing the patient's gaze can reposition the Weiss ring in the patient's eye.

Photographer: Kimberly Wakester, COA

Imaging device: Optos California

Condition/keywords: PVD, Weiss ring

Jan 29 2025 by Kimberly Wakester

Fundus photographs of an 13-year-old boy with Systemic Lupus Erythematosus (SLE) Vasculitis in both eyes s/p PRP laser. Patient is doing well s/p PRP Laser OU and with continued use of oral medications. Patient will be monitored with follow up exams to check for recurring vasculitis or recurring/worsening NVE/NVD. Patient is to continue ongoing management with Rheumatologist.

Photographer: Kimberly Wakester, COA

Imaging device: Optos California

Condition/keywords: NVD, NVE, occlusive vasculitis, pan-retinal photocoagulation (PRP), Systemic Lupus Erythematosus (SLE) Vasculitis

Jan 29 2025 by Kimberly Wakester

Fundus photographs of an 13-year-old boy with Systemic Lupus Erythematosus (SLE) Vasculitis in both eyes s/p PRP laser. Patient is doing well s/p PRP Laser OU and with continued use of oral medications. Patient will be monitored with follow up exams to check for recurring vasculitis or recurring/worsening NVE/NVD. Patient is to continue ongoing management with Rheumatologist.

Photographer: Kimberly Wakester, COA

Imaging device: Optos California

Condition/keywords: NVD, NVE, occlusive vasculitis, pan-retinal photocoagulation (PRP), Systemic Lupus Erythematosus (SLE) Vasculitis

Jan 29 2025 by Kimberly Wakester

Fundus photograph of a 62-year-old man with central retinal vein occlusion with macular edema and a new PVD with an operculated retinal tear in the left eye. Laser to retinal tear was completed. Patient will return in 2-3 weeks for follow up exam with possible intravitreal injection for the CRVO with edema and to follow up on the operculated retinal tear s/p retinal tear laser.

Photographer: Kimberly Wakester, COA

Imaging device: Optos California

Condition/keywords: central retinal vein occlusion (CRVO), operculated tear, PVD

Jan 30 2025 by Kimberly Wakester

Ultra-wide field montage fundus photograph of a 56-year-old woman with lattice degeneration with atrophic holes statues post laser. Patient also has a small CHRPE temporal to macula and trace ERM that is not visually significant. Will continue follow up care to monitor and treat as needed.

Photographer: Kimberly Wakester, COA

Imaging device: Optos California

Condition/keywords: atrophic retinal hole, CHRPE, epiretinal membrane (ERM), lattice degeneration, montage photo

Jan 30 2025 by Kimberly Wakester

Fundus photograph of a 37-year-old man with an anteriorly dislocated lens in the left eye. The natural lens has displaced anteriorly in the AC secondary to trauma to the eye. There is also a Macular hole present with vitreous hemorrhage. Patient was recommended to proceed with lensectomy, iris repair and MH repair in the left eye.

Photographer: Kimberly Wakester, COA

Imaging device: Optos California

Condition/keywords: dislocated lens, macular hole, vitreous hemorrhage

Jan 30 2025 by Kimberly Wakester

Fundus photograph of a 37-year-old man with an anteriorly dislocated lens in the left eye. The natural lens has displaced anteriorly in the AC secondary to trauma to the eye. There is also a Macular hole present with vitreous hemorrhage. Patient was recommended to proceed with lensectomy, iris repair and MH repair in the left eye.

Photographer: Kimberly Wakester, COA

Imaging device: Topcon TRC-50DX

Condition/keywords: dislocated lens, iridodialysis

Feb 3 2025 by Kimberly Wakester

Fundus photograph of a 67-year-old man with a retinal detachment with multiple breaks in the right eye. Patient is doing well s/p PPV and will continued to be observed during PO period.

Photographer: Kimberly Wakester, COA

Imaging device: Optos California

Condition/keywords: horseshoe tear, multiple retinal tears, retinal detachment

Feb 5 2025 by Kimberly Wakester

Optomap RGB and AF photograph of an 37-year-old woman with multifocal pattern dystrophy in both eyes. Previously believed to be Stargardts, but genetic testing returned positive for PRPH2 mutation. Likely Multifocal Pattern Dystrophy given phenotypical appearance of SGD. There is stable NVE in the left eye. Will continue to monitor both eyes and consider treatment with PRP laser if needed for NVE in the left eye.

Photographer: Kimberly Wakester, COA

Imaging device: Optos California

Condition/keywords: multifocal pattern dystrophy, NVE, PRPH2 Positive

Feb 5 2025 by Kimberly Wakester

Optomap RGB and AF photograph of an 37-year-old woman with multifocal pattern dystrophy in both eyes. Previously believed to be Stargardts, but genetic testing returned positive for PRPH2 mutation. Likely Multifocal Pattern Dystrophy given phenotypical appearance of SGD. There is stable NVE in the left eye. Will continue to monitor both eyes and consider treatment with PRP laser if needed for NVE in the left eye.

Photographer: Kimberly Wakester, COA

Imaging device: Optos California

Condition/keywords: multifocal pattern dystrophy, NVE, PRPH2 Positive

Feb 5 2025 by Kimberly Wakester

Optomap RGB and AF photograph of an 37-year-old woman with multifocal pattern dystrophy in both eyes. Previously believed to be Stargardts, but genetic testing returned positive for PRPH2 mutation. Likely Multifocal Pattern Dystrophy given phenotypical appearance of SGD. There is stable NVE in the left eye. Will continue to monitor both eyes and consider treatment with PRP laser if needed for NVE in the left eye.

Photographer: Kimberly Wakester, COA

Imaging device: Optos California

Condition/keywords: multifocal pattern dystrophy, NVE, PRPH2 Positive

Feb 11 2025 by Kimberly Wakester

Optomap RGB image of an 61-year-old man with a central retinal vein occlusion with macular edema in the left eye. Will continue monthly follow up care with repeat OCT and treatment with intravitreal anti-VEGF injections as needed.

Photographer: Kimberly Wakester, COA

Imaging device: Optos California

Condition/keywords: CRVO with macular edema, DBH

Feb 12 2025 by Kimberly Wakester

Horizontal OCT scan of a 63-year-old woman with diabetic macular edema in the right eye. When reviewing the scan, one of the intraretinal cyst (IRC) appears heart shaped. A fun scan to see just a few day's before Valentine's day.

Photographer: Kimberly Wakester, COA

Imaging device: Heidelberg

Condition/keywords: diabetic macular edema, intraretinal cyst

Feb 17 2025 by Kimberly Wakester

Optomap RGB image of a 62-year-old woman with a retinal detachment with a horseshoe retinal tear in the left eye. Patient had emergent surgery same day. She is doing well post operatively. Will continue follow up care as directed.

Photographer: Kimberly Wakester, COA

Imaging device: Optos California

Condition/keywords: horseshoe tear, retinal detachment

Feb 24 2025 by Kimberly Wakester

Optomap RGB image of an 24-year-old woman with sickle cell retinopathy in both eyes. There is overall progression of the ischemic vessels and vascular drops out compared to previous images completed in 2021. Oral FA was completed and shows possible progression of peripheral non-perfusion but difficult to determine due to drinking FA dye and images not being as bright. On Clinical exam there is no evidence of NV, RD, or RT in either eye. Patient understands the need for continued follow up care and the likely need for PRP laser in both eyes.

Photographer: Kimberly Wakester, COA

Imaging device: Optos California

Condition/keywords: sickle cell retinopathy

Feb 24 2025 by Kimberly Wakester

Optomap RGB image of an 24-year-old woman with sickle cell retinopathy in both eyes. There is overall progression of the ischemic vessels and vascular drops out compared to previous images completed in 2021. Oral FA was completed and shows possible progression of peripheral non-perfusion but difficult to determine due to drinking FA dye and images not being as bright. On Clinical exam there is no evidence of NV, RD, or RT in either eye. Patient understands the need for continued follow up care and the likely need for PRP laser in both eyes.

Photographer: Kimberly Wakester, COA

Imaging device: Optos California

Condition/keywords: sickle cell retinopathy

Feb 24 2025 by Kimberly Wakester

Optomap RGB of an 48-year-old man with a retinal detachment with PVR. Patient is 6 weeks s/p RD repair with giant HSRT. Patient has new PVR noted on post op exam causing the retina to re-detach. Patient is having to have a 2nd surgery to remove the scar tissue and have silicone oil placement. Will continue close follow up care.

Photographer: Kimberly Wakester, COA

Imaging device: Optos California

Condition/keywords: gas bubble, PVR, retinal detachment

Feb 26 2025 by Kimberly Wakester

Optomap RGB of a 56-year-old woman with bullous retinoschisis in the right eye. The patient remains stable with very mild progression. Patient is to continue follow up care at 6 month intervals to monitor for worsening progression.

Photographer: Kimberly Wakester, COA

Imaging device: Optos California

Condition/keywords: bullous retinoschisis

Feb 27 2025 by Kimberly Wakester

Optomap RGB image of a 7-year-old girl with Hereditary retinal dystrophy. Biological mother is a CHM gene carrier and biological father is diagnosed with RP. Patient had genetic testing and was also confirmed to be a CHM gene carrier and also has the TTC21B gene. There is linear pigmentary changes on clinical exam and fundus photos. Atypical appearance of Retinitis Pigmentosa. Patient will continue follow up care with repeat imaging.

Photographer: Kimberly Wakester, COA

Imaging device: Optos California

Condition/keywords: CHM gene, hereditary retinal dystrophy, linear pigmentary changes

Feb 27 2025 by Kimberly Wakester

Optomap RGB image of a 34-year-old woman with central retinal vein occlusion with macular edema in the left eye. Patient has had a fairly acute onset central retinal vein occlusion in her left eye with dense superior IRH and macular edema. Modest ischemic changes are seen on exam and fundus photos. Patient was educated on the etiology of CRVOs and the relationship to systemic risk factors. Recommended hypercoagulable work-up with her PCP and bloodwork was ordered. Treatment with intravitreal injections was recommended to reduce the macular edema. Patient is to continue monthly follow ups with repeat OCT.

Photographer: Kimberly Wakester, COA

Imaging device: Optos California

Condition/keywords: CRVO with macular edema

Mar 5 2025 by Kimberly Wakester

Optomap RGB image of an 9-year-old boy with a retinal detachment with retinal break at 9:00 in the right eye. Surgery was recommended. Patient is to continue follow up care post operatively.

Photographer: Kimberly Wakester, COA

Imaging device: Optos California

Condition/keywords: myopic eye, Retinal Detachment, retinal tear

Mar 5 2025 by Kimberly Wakester

Optomap RGB image of an 44-year-old man with a retinal detachment with a complex lattice break in the right eye. Surgery was recommended. Patient is to continue follow up care post operatively.

Photographer: Kimberly Wakester, COA

Imaging device: Optos California

Condition/keywords: Retinal Detachment, retinal tear

Mar 25 2025 by Kimberly Wakester

Optomap RGB of a 79-year-old-woman with a repaired retinal detachment with PVR in the right eye. Patient is doing well over 7 months s/p vitrectomy with silicone oil and scleral buckle placement. Retina remains attached on the buckle under oil. Patient is to return in 6 months for follow up exam with repeat imaging.

Photographer: Kimberly Wakester, COA, OCT-C

Imaging device: Optos California

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

Mar 25 2025 by Kimberly Wakester

Optomap RGB montage of an 64-year-old woman with a repaired retinal detachment with scleral buckle in the right eye. There is nasal and inferior pre-retinal membranes with traction. PPV was recommended but patient defers to proceed with sx at this time. Will continue to follow patient closely for worsening traction. Patient was educated on how to monitor their peripheral vision and was advised to report any changes immediately.

Photographer: Kimberly Wakester, COA, OCT-C

Imaging device: Optos California

Condition/keywords: pre-retinal membrane with traction, repaired RD, scleral buckle