Toolie Winters » Miscellaneous

Nov 19 2024 by Toolie Winters

Ultra-wide field fundus photograph of an 85-year-old woman with Peripheral Exudative Hemorrhagic Chorioretinopathy (PECHR) affecting the right eye. Patient presented with a blind spot centrally in the right eye which she first noticed 4 months prior to this image being taken. The patient states that in the month prior to this image, she began noticing bright lights flash across her vision 4-5x/day which last about 15 seconds. The flashes are either black with a blue ring around them or yellow, and their frequency has increased over time. The patient's vision at the time of this appointment was Dcc20/100+1 PHNI. This photo also shows diffuse hemorrhage, lipid, and an eccentric disciform lesion.

Photographer: Toolie Winters

Imaging device: Optos California

Condition/keywords: fundus photography, neovascular age-related macular degeneration (AMD), Optos, OPTOS CALIFORNIA, peripheral exudative hemorrhagic chorioretinopathy (PEHCR), pseudocolor, ultra-wide field imaging, wet age-related macular degeneration (wet AMD)

Mar 25 2025 by Toolie Winters

Fundus autofluorescence image of a 69-year-old woman with toxic maculopathy OU due to Elmiron usage. Patient stopped using Elmiron in the late 2010s after having been on it for 17 years. The patient has areas of outer retinal and RPE atrophy temporal to fovea that have expanded compared to photos from two years ago. At the time of this appointment, her VA OD was sc20/40-1+2 PH20/30 and VA OS was scCF @ 1 foot.

Photographer: Toolie Winters

Imaging device: Heidelberg Spectralis

Condition/keywords: Elmiron Toxicity, FAF, fundus autofluorescence (FAF), Heidelburg Spectralis, Pentosan Toxicity, Toxic Maculopathy

Mar 25 2025 by Toolie Winters

Ultra-wide field fundus photograph of a 78-year-old woman with extensive CHRPE lesions OS. Continued observation has been recommended at this time.

Photographer: Toolie Winters

Imaging device: Optos California

Condition/keywords: CHRPE, congenital hypertrophy of the retinal pigment epithelium (CHRPE), fundus photography, Optos, Optos California, pseudocolor, ultra-wide field imaging