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  • Vitreous Waltz vs Retinal Rigidity

    Apr 18 2025 by Gustavo Uriel Fonseca Aguirre

    B-mode dynamic ultrasound of an eye with vitreous hemorrhage shows hyaloid traction inducing retinal detachment in diabetic retinopathy. The video clearly delineates all anatomical compartments: vitreous, subhyaloid, and subretinal spaces. Characteristic movement patterns are observed - the vitreous demonstrates smooth, wide excursions while the detached retina shows shorter, stiffer motions -confirming tractional pathology.

    Condition/keywords: diabetic retinopathy, retinal detachment

  • Intraoperative Transillumination of Choroidal Melanoma

    Apr 18 2025 by Virginia Gebhart

    Intraoperative photo of transillumination of choroidal melanoma before plaque placement in 36 year old female.

    Photographer: Chris Bergstrom, MD, OD

    Imaging device: iphone

    Condition/keywords: choroidal melanoma, intraoperative, transillumination

  • Necrotizing Scleritis USG

    Apr 17 2025 by Gustavo Uriel Fonseca Aguirre

    This B-mode transverse ultrasound scan reveals necrotizing scleritis with inferior perilimbal uveal tissue prolapse, demonstrating scleral thinning and irregular uveal protrusion. Vitreous cellularity and partial vitreous detachment are also observed, indicating associated intraocular inflammation. These findings collectively characterize this severe inflammatory condition.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

    Condition/keywords: necrotizing scleritis

  • Necrotizing Scleritis

    Apr 17 2025 by Gustavo Uriel Fonseca Aguirre

    The clinical photograph shows necrotizing scleritis with perilimbal involvement, featuring marked scleral thinning and violaceous episcleral injection in the inferior quadrant. Focal uveal prolapse is visible at the area of maximal scleral necrosis, accompanied by peripheral ulcerative keratitis. Fluorescein staining residue is observed on the ocular surface. Associated findings include mild conjunctival chemosis and dilated episcleral vessels.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

    Condition/keywords: necrotizing scleritis

  • Proliferative Vitreoretinopathy

    Apr 17 2025 by Gustavo Uriel Fonseca Aguirre

    This B-mode transverse ultrasound scan depicts a post-vitrectomy eye with recurrent retinal detachment in a patient with diabetic retinopathy history. The image reveals fresh vitreous cavity hemorrhage and subretinal bleeding, along with subretinal proliferative bands (PVR strands). These findings indicate complicated tractional re-detachment with active hemorrhagic components.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

    Condition/keywords: proliferative vitreoretinopathy (PVR)

  • PCR

    Apr 17 2025 by Gustavo Uriel Fonseca Aguirre

    B-mode transverse ultrasound scan of an eye with recent posterior capsule rupture during phacoemulsification shows hyperechoic punctate echoes in the vitreous (consistent with residual viscoelastic material) along with lens fragments in the subhyaloid space.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

    Condition/keywords: Posterior capsule rupture (PCR)

  • Choroidal Osteoma

    Apr 17 2025 by Gustavo Uriel Fonseca Aguirre

    Scanning laser ophthalmoscopy reveals a well-circumscribed, yellowish-white choroidal osteoma overlying the macular region and extending into the inferior temporal vascular arcade. Retinal vessels course normally over the tumor surface, with no evidence of subretinal fluid or hemorrhage. The surrounding retina shows preserved architecture without secondary degenerative changes.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

    Condition/keywords: choroidal osteoma, macular choroidal osteoma

  • Choroidal Osteoma

    Apr 17 2025 by Gustavo Uriel Fonseca Aguirre

    Top (B-mode): The longitudinal scan reveals a hyperechoic, flat, and well-demarcated macular lesion with posterior acoustic shadowing, pathognomonic for choroidal osteoma. Bottom (A-mode): Standardized tracing shows a tall initial spike (100% reflectivity) at the tumor surface with rapid decay to acoustic silence, confirming sound absorption by calcified tissue. This pattern remains unchanged at variable gain settings.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

    Condition/keywords: choroidal osteoma, macular choroidal osteoma

  • Traumatic Hemorrhage

    Apr 17 2025 by Virginia Gebhart

    60 year old male with vitreous and sub hyaloid hemorrhage from being hit in the eye. No holes, tears, or detachment. Will observe closely, if no improvement will consider surgical repair. Treated melanoma s/p brachytherapy in 2008.

    Photographer: Virginia Gebhart, Retina Consultants of Carolina

    Imaging device: Optos California

    Condition/keywords: blunt trauma, sub hyaloid hemorrhage, vitreous hemorrhage

  • Retinitis Pigmentosa

    Apr 17 2025 by Virginia Gebhart

    Fundus autofluorescence of 75 year old female with Retinitis Pigmentosa. Pt diagnosed at age 53. Diffuse RPE atrophy with minimal central sparing present in both eyes. Stable and unchanged compared to previous exams. BCVA 20/200 OD, NLP OS

    Photographer: Virginia Gebhart, Retina Consultants of Carolina

    Imaging device: Optos California

    Condition/keywords: autofluorescence imaging, bone spicule, retinitis pigmentosa, RP

  • Sub-Internal Limiting Membrane Hemorrhage

    Apr 17 2025 by Malvika Singh

    OCT of a 41 year-old, male, with a central retinal vein occlusion and a foveal sub-internal limiting membrane hemorrhage.

    Photographer: Dr Malvika Singh, Retina Foundation, Ahmedabad, India

    Imaging device: Mirante SLO/OCT

    Condition/keywords: optical coherence tomography (OCT), SUB ILM hemorrhage

  • Ultra-Wide Field Image of Central Retinal Vein Occlusion with Foveal Hemorrhage

    Apr 17 2025 by Malvika Singh

    Ultra- wide field fundus photograph of a 41 year-old male, with a central retinal vein occlusion and a foveal sub-internal limiting membrane hemorrhage.

    Photographer: Dr Malvika Singh, Retina Foundation, Ahmedabad, India

    Imaging device: Mirante SLO/OCT

    Condition/keywords: central retinal vein occlusion (CRVO), macular hemorrhage, Ultra-wide field retinal imaging

  • Central Retinal Vein Occlusion with Foveal Hemorrhage

    Apr 17 2025 by Malvika Singh

    Fundus photograph of a 41 year-old, male, with a central retinal vein occlusion and a foveal sub-internal limiting membrane hemorrhage.

    Photographer: Dr Malvika Singh, Retina Foundation, Ahmedabad, India

    Imaging device: Mirante SLO/OCT

    Condition/keywords: central retinal vein occlusion (CRVO), macular hemorrhage

  • Possible Meduloepithelioma

    Apr 15 2025 by Jeffrey Barker

    8 year old female with possible meduloepithelioma.

    Photographer: Jeffrey P. Barker, B.S. Retina Vitreous Surgeons of CNY

    Condition/keywords: possible meduloepithelioma

  • Pseudomelanoma (PEHCR)

    Apr 15 2025 by Virginia Gebhart

    67 year old male referred for peripheral choroidal lesion. Clinical exam and Bscan findings consistent with a subRPE hemorrhage secondary to peripheral exudative hemorrhagic chorioretinopathy. No vascularity on ultrasound. OD has small subRPE hemorrhage as well. Pt is on Eliquis. Will monitor with serial exams. Sponsored by the number 2

    Photographer: Virginia Gebhart, Retina Consultants of Carolina

    Imaging device: Optos California

    Condition/keywords: peripheral exudative hemorrhagic chorioretinopathy (PEHCR)

  • Central Serous Chorioretinopathy

    Apr 15 2025 by Filip Kecer

    FA&ICG late phase of a young woman with CSCR

    Photographer: Filip Kecer, Oftalmocentrum Betliarska, Bratislava, Slovakia

    Imaging device: Spectralis, Heidelberg Engineering

    Condition/keywords: central serous chorioretinopathy (CSCR), Central Serous Chorioretinopathy (CSR), FA late phase, indocyanine green (ICG) angiography

  • Hemorrhagic Choroidal Detachment

    Apr 14 2025 by Gustavo Uriel Fonseca Aguirre

    This B-mode transverse ultrasound scan demonstrates a hemorrhagic choroidal detachment with a characteristic wreath-like configuration, accompanied by concurrent retinal detachment. The choroidal lesion shows dome-shaped elevation with heterogeneous internal reflectivity, while the detached retina appears as a hyperechoic, undulating membrane.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

    Condition/keywords: hemorrhagic choroidal detachment

  • Ciliary Body Detachment in Uveal Effusion Syndrome

    Apr 11 2025 by Siri Uppuluri

    Ultrasound biomicroscopy of a phakic left eye in an 82-year-old man demonstrating ciliary body detachment in the setting of uveal effusion syndrome. Patient also presented with 360 choroidal effusions and underwent sclerectomy and drainage of choroidal effusions with resolution after surgical intervention.

    Photographer: Siri Uppuluri, MD; Rutgers New Jersey Medical School

    Condition/keywords: uveal effusion syndrome

  • 360 Choroidal Detachment in Uveal Effusion Syndrome

    Apr 11 2025 by Siri Uppuluri

    Fundus photograph of a phakic left eye in an 82-year-old man demonstrating 360 choroidal detachment secondary to uveal effusion syndrome. He underwent sclerectomy and drainage of the choroidal effusions with resolution after surgical intervention.

    Photographer: Siri Uppuluri, MD; Rutgers New Jersey Medical School

    Condition/keywords: choroidal detachment

  • Open Funnel (Transversal)

    Apr 10 2025 by Gustavo Uriel Fonseca Aguirre

    This B-mode transverse ultrasound scan reveals a chronic rhegmatogenous retinal detachment, demonstrating a funnel-shaped configuration with a narrow intraluminal space. Two hyperechoic choroidal calcifications are present, indicative of chronicity.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

    Condition/keywords: open funnel RD, Retina detachment

  • Open Funnel

    Apr 10 2025 by Gustavo Uriel Fonseca Aguirre

    This B-mode longitudinal ultrasound scan demonstrates a long-standing rhegmatogenous retinal detachment, showing a characteristic open funnel configuration. The findings are consistent with chronic retinal detachment.

    Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

    Imaging device: Funnel

    Condition/keywords: open funnel RD, Retina detachment

  • Branch Retinal Vein Occlusion

    Apr 10 2025 by Rinat Sutiushev

    Fluorescein angiography of a 77-year-old woman with ischemic occlusion of the superior temporal branch of the central retinal vein with non-proliferative diabetic retinopathy.

    Photographer: Rinat Sutiushev, Ophthalmological center “Vision”, Saint Petersburg

    Imaging device: Heidelberg Spectralis

    Condition/keywords: branch retinal vein occlusion (BRVO), nonproliferative diabetic retinopathy

  • Branch Retinal Vein Occlusion

    Apr 10 2025 by Rinat Sutiushev

    Ultra-Widefield OCT Angiography of a 77-year-old woman with ischemic occlusion of the superior temporal branch of the central retinal vein with non-proliferative diabetic retinopathy.

    Photographer: Rinat Sutiushev, Ophthalmological center “Vision”, Saint Petersburg

    Imaging device: TOWARDPI BMIZAR – 400KHZ FULL RANGE SS-OCTA

    Condition/keywords: branch retinal vein occlusion (BRVO), nonproliferative diabetic retinopathy, retina

  • Branch Retinal Vein Occlusion

    Apr 10 2025 by Rinat Sutiushev

    Ultra-Widefield OCT Angiography of a 77-year-old woman with ischemic occlusion of the superior temporal branch of the central retinal vein with non-proliferative diabetic retinopathy.

    Photographer: Rinat Sutiushev, Ophthalmological center “Vision”, Saint Petersburg

    Imaging device: TOWARDPI BMIZAR – 400KHZ FULL RANGE SS-OCTA

    Condition/keywords: branch retinal vein occlusion (BRVO), nonproliferative diabetic retinopathy, retina

  • Blister Retinal Detachment Superotemporal with a Flap Tear

    Apr 10 2025 by Daniela Bogenschutz

    Autofluorescence of a 70-year-old male with a superotemporal retinal detachment prior to having an OCT with unusual findings. Patient states symptoms were "starburst" in his vision in the location of the retinal detachment with the retinal tear. Surgery was scheduled immediately to avoid further progression.

    Photographer: Daniela Bogenschutz, OSC; Retina Consultants of the Carolinas, PA

    Condition/keywords: Retinal Detachment, retinal detachment with single break