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  • Phoenix

    Feb 21 2024 by Sayena . Jabbehdari, MD, MPH, MBA candidate

    A 60-year-old Caucasian female presented with reduced night vision and constricted visual fields. The fundus exam revealed pigmentary changes in the peripheral retina. Fundus autofluorescence depicted the schematic appearance of a Phoenix , with the hypo-autofluorescence corresponding to the head and wings of the phoenix. Genetic testing was positive for a heterozygous RHO mutation

    Photographer: Sayena Jabbehdari MD MPH

    Condition/keywords: retinitis pigmentosa

  • Ocular Syphilis

    Feb 21 2024 by Nikhil K Bommakanti, MD

    A monocular man in his sixties presented with blurred vision in the right eye for two months. Optical coherence tomography demonstrated vitreous cells and characteristic inflammatory deposits of the outer retina and retinal pigment epithelium, and laboratory testing confirmed the diagnosis of syphilis. He was admitted for intravenous penicillin and consultation with a specialist in infectious diseases.

    Condition/keywords: syphilis

  • Anteriorly Dislocated Crystalline Lens

    Feb 21 2024 by Nikhil K Bommakanti, MD

    Anterior segment photograph depicting anterior dislocation of the crystalline lens after vigorous exercise.

    Condition/keywords: anterior dislocation of lens, dislocated crystalline lens

  • Optic Nerve Pit

    Feb 21 2024 by Virginia Gebhart

    65 year old female with optic nerve pit. Asymptomatic, continued observation.

    Photographer: Virginia Gebhart

    Imaging device: Topcon TRC 50DX

    Condition/keywords: congenital optic nerve pit, Optic nerve pit

  • Diffuse Chorioretinal Atrophy

    Feb 21 2024 by Virginia Gebhart

    61 year male with myopic degeneration and diffuse chorioretinal atrophy. BCVA 20/200.

    Photographer: Virginia Gebhart

    Imaging device: Topcon TRC 50DX

    Condition/keywords: chorioretinal atrophy, myopic degeneration

  • Traumatic Dislocation of the Crystalline Lens

    Feb 20 2024 by Nikhil K Bommakanti, MD

    A man in his sixties presented after sustaining trauma to the right eye from a rock several months prior. Examination demonstrated a freely mobile, hydrated crystalline lens in the vitreous. He was scheduled for pars plana vitrectomy and lensectomy as well as scleral-fixated secondary intraocular lens implanation. He was subsequently lost to follow up. He returned three months later with acutely worsened vision which occurred after he initiated an exercise regimen that involved dynamic standing forward folds repeated fifty times daily. Examination demonstrated anterior prolapse of the crystalline lens. The planned surgery was subsequently performed.

    Condition/keywords: lens dislocation

  • Fibrotic Vascular Tissue Proliferation

    Feb 20 2024 by BENITO VERGARA, MD

    Fundus image of a 63-year-old woman with fibrotic vascular tissue proliferation that starts at the optic nerve head through the inferior temporal arcade, with the formation of new vessels in both nasal arcades and obliteration of peripheral vessels.

    Photographer: Benito Vergara Flores, Asociación Para Evitar la Ceguera en México, I.A.P.

    Imaging device: Zeiss Clarus 700

    Condition/keywords: fibrotic neovascularization

  • Venous Loop

    Feb 20 2024 by Soobien Lee

    A 77-year-old male with a history of bilateral optic neuropathy from bilateral optic nerve sheath meningiomas S/P radiation/proton-beam therapies. Presented with radiation retinopathy OS and a known venous loop OS.

    Photographer: Gavin Bragdon, Elman Retina Group

    Imaging device: Optos Ultra-Widefield Fluorescein Angiography

    Condition/keywords: fluorescein angiogram (FA), Optos, radiation retinopathy, retinal vascular disease, venous loop

  • Venous Loop

    Feb 20 2024 by Soobien Lee

    A 77-year-old male with a history of bilateral optic neuropathy from bilateral optic nerve sheath meningiomas S/P radiation/proton-beam therapies. Presented with radiation retinopathy OS and a known venous loop OS.

    Photographer: Gavin Bragdon, Elman Retina Group

    Imaging device: Optos Ultra-Widefield Imaging

    Condition/keywords: Optos, OPTOS CALIFORNIA, radiation retinopathy, retinal vascular disease, venous loop

  • Acute Posterior Multifocal Placoid Pigment Epitheliopathy

    Feb 20 2024 by Soobien Lee

    12x12mm OCT Angiography of a 20-year-old caucasian female with viral prodrome and vision loss OS>OD secondary to Acute Posterior Multifocal Placoid Pigment Epitheliopathy (APPME). Imaging shows multifocal flow voids.

    Photographer: Kim Seay, Elman Retina Group

    Imaging device: 12x12mm OCT-Angiography

    Condition/keywords: acute posterior multifocal placoid pigment epitheliopathy (APMPPE), bacillary layer detachment, OCT, OCT Angiography, Uveitis, white dot syndrome

  • Acute Posterior Multifocal Placoid Pigment Epitheliopathy

    Feb 20 2024 by Soobien Lee

    A 20-year-old caucasian female with viral prodrome and vision loss OS>OD secondary to Acute Posterior Multifocal Placoid Pigment Epitheliopathy (APPME). OCT of the left macula shows bacillary layer detachment.

    Photographer: Kim Seay, Elman Retina Group

    Condition/keywords: acute posterior multifocal placoid pigment epitheliopathy (APMPPE), bacilliary layer detachment, OCT, Uveitis, white dot syndrome

  • Acute Posterior Multifocal Placoid Pigment Epitheliopathy

    Feb 20 2024 by Soobien Lee

    Fluorescein angiogram of a 20-year-old caucasian female with viral prodrome and vision loss OS>OD secondary to Acute Posterior Multifocal Placoid Pigment Epitheliopathy (APPME). Early blockage with late hyperfluorescent leakage can be seen on fluorescein angiography of the left eye.

    Photographer: Ashley Metzger, Elman Retina Group

    Imaging device: Optos Ultra-Widefield Fluorescein Angiography

    Condition/keywords: acute posterior multifocal placoid pigment epitheliopathy (APMPPE), bacilliary layer detachment, FA, FA late phase, FA late phase leakage, fluorescein angiogram (FA), Optos, uveitis, white dot syndrome

  • Acute Posterior Multifocal Placoid Pigment Epitheliopathy

    Feb 20 2024 by Soobien Lee

    Fluorescein angiogram of a 20-year-old caucasian female with viral prodrome and vision loss OS>OD secondary to Acute Posterior Multifocal Placoid Pigment Epitheliopathy (APPME). Early blockage with late hyperfluorescent leakage can be seen on fluorescein angiography of the left eye.

    Photographer: Ashley Metzger, Elman Retina Group

    Imaging device: Optos Ultra-Widefield Fluorescein Angiography

    Condition/keywords: acute posterior multifocal placoid pigment epitheliopathy (APMPPE), bacilliary layer detachment, FA, FA early phase, fluorescein angiogram (FA), Optos, uveitis, white dot syndrome

  • Acute Posterior Multifocal Placoid Pigment Epitheliopathy

    Feb 20 2024 by Soobien Lee

    Optos fundus autofluorescence photograph of a 20-year-old caucasian female with viral prodrome and vision loss OS>OD secondary to Acute Posterior Multifocal Placoid Pigment Epitheliopathy (APPME). Imaging of her left eye shows hypoautofluorescent areas corresponding to multiple bilateral placoid lesions at the level of RPE and choroid throughout the posterior pole.

    Photographer: Ashley Metzger, Elman Retina Group

    Imaging device: Optos Ultra-Widefield Autoflurescence Imaging

    Condition/keywords: acute posterior multifocal placoid pigment epitheliopathy (APMPPE), autofluorescence imaging, bacilliary layer detachment, Optos, OPTOS CALIFORNIA, uveitis, white dot syndrome

  • Acute Posterior Multifocal Placoid Pigment Epitheliopathy

    Feb 20 2024 by Soobien Lee

    Optos color fundus photograph of a 20-year-old caucasian female with viral prodrome and vision loss OS>OD secondary to Acute Posterior Multifocal Placoid Pigment Epitheliopathy (APPME). Imaging of her left eye shows multiple bilateral creamy yellow-white placoid lesions at the level of RPE and choroid throughout the posterior pole.

    Photographer: Ashley Metzger, Elman Retina Group

    Imaging device: Optos Ultra-Widefield Imaging

    Condition/keywords: acute posterior multifocal placoid pigment epitheliopathy (APMPPE), bacilliary layer detachment, Optos, uveitis, white dot syndrome

  • Torpedo Maculopathy

    Feb 20 2024 by Soobien Lee

    Optos color fundus photograph of a 35-year-old asymptomatic female with no ocular or medical history with stable and chronic appearing torpedo-shaped macula lesion in the left eye.

    Photographer: Peter Sotirakos, Elman Retina Group

    Imaging device: Optos Ultra-Widefield Imaging

    Condition/keywords: macula, Optos, torpedo maculopathy

  • Torpedo Maculopathy

    Feb 20 2024 by Soobien Lee

    Optos fundus autofluorescence photograph of a 35-year-old asymptomatic female with no ocular or medical history with stable and chronic appearing torpedo-shaped macula lesion in the left eye.

    Photographer: Peter Sotirakos, Elman Retina Group

    Imaging device: Optos Ultra-Widefield Autoflurescence Imaging

    Condition/keywords: autofluorescence imaging, genetics, macula, maculopathy, Optos, torpedo maculopathy

  • Giant Retinal Tear

    Feb 20 2024 by Soobien Lee

    Optos color fundus photograph of a 40-year-old caucasian male who is a UFC fighter with a total retinal detachment in his right eye secondary to a giant retinal tear from 10 o'clock to 2 o'clock.

    Photographer: Trinity Wolf, Elman Retina Group

    Imaging device: Optos Ultra-Widefield Imaging

    Condition/keywords: giant retinal tear, optos, Retinal Detachment, Retinal tear with detachment, trauma

  • Macular Hole-RRD

    Feb 19 2024 by Ogugua Ndubuisi Okonkwo, MD, FRCS (Edin), FASRS

    Fundus photograph of a 60-year-old male myope, who has multiple retina tears with rolled edges in the peripheral retina, associated with a macular hole and retinal detachment.

    Photographer: Zainab Ogunsanu, Eye Foundation Hospital & Eye Foundation Retina Institute, Lagos.

    Imaging device: ZEISS CLARUS 700

    Condition/keywords: Retinal detachment with macular hole

  • Chorio Retinal Scar

    Feb 19 2024 by Sanauddin Samejo , Diploma (Ophthalmic Technician Training Course)

    A patient came in to Clinic of Dr Madhav Rao (VR Surgeon)

    Photographer: Sanauddin Samejo, Burjeel Hospital, Abu Dhabi, UAE.

    Imaging device: Optos Silverstone

    Condition/keywords: chorioretinal scar

  • Chorioretinal Scar

    Feb 19 2024 by Sanauddin Samejo , Diploma (Ophthalmic Technician Training Course)

    A patient came in to the clinic of Dr Madhav Rao (VR Surgeon).

    Photographer: Sanauddin Samejo, Burjeel Hospital, Abu Dhabi, UAE.

    Imaging device: Optos Silverstone

    Condition/keywords: retinal scar

  • Choroidal Macrovessel

    Feb 18 2024 by Austin Pereira, MD

    Fundus photograph of a 60 year-old asymptomatic female with a choroidal macrovessel.

    Photographer: Austin Pereira, University of Toronto, Toronto, Ontario, Canada

    Condition/keywords: choroid

  • CMV Retinitis

    Feb 17 2024 by Eloy Mata-Cortes, MD

    Fundus photograph of left eye showing Cytomegalovirus retinitis of a 40-year-old male with positive HIV history. He presented with CD4 cell count of 50 cells/mm3 and decreased vision of left eye. In the photograph we can see the three typical patterns in this retinitis: a hemorrhagic appearance in superior temporal arcade and between nasal arcades, granular pattern in superior temporal retina, and a “frosted branch” angiitis surrounding the retinal vessels in nasal and superior retina.

    Photographer: Eloy Mata-Cortes, Instituto Mexicano de Oftalmologia, Queretaro, Mexico

    Imaging device: Clarus 700

    Condition/keywords: CMV retinitis, cytomegalovirus (CMV), frosted branch angiitis, Frosted Branch Angitis

  • Macula-Involving Rhegmatogenous Retinal Detachment

    Feb 17 2024 by Nikhil K Bommakanti, MD

    A middle-aged man with a history of rhegmatogenous retinal detachment repair in the fellow eye several years prior presented with reduced vision, which he had noticed two days before.

    Condition/keywords: retinal detachment of the macula, rhegmatogenous retinal detachment

  • The Bullet Ridden Retina

    Feb 17 2024 by SHISHIR VERGHESE, MS, FVRS, FAICO (Retina)

    Fundus image obtained of a case of lasered branch retinal vein occlusion (BRVO) with fibrovascular proliferation (FVP) where the laser marks have given way to multiple small retinal holes due to traction from the same.

    Photographer: DIVYA SHAJI

    Imaging device: NIDEK MIRANTE

    Condition/keywords: BRVO, chronic retinal detachment