Search results (181 results)

Apr 10 2025 by Joshua Friedman

LCA Type 2 (RPE65) showing characteristic hypoautofluorescence and retinal thinning. 8F with best corrected visual acuity of 20/400 (OD) and 20/150 (OS). Small white intraretinal spots and RPE mottling are visible on color fundus photography. Blue light autofluorescence reveals near-complete loss of signal, while OCT demonstrates widespread outer retinal thinning.

Photographer: Stephen Tsang, MD, PhD

Condition/keywords: Leber Congenital Amaurosis

Apr 3 2025 by Andrew A. Moshfeghi, MD, MBA, FASRS

This is an 87 year- old male with 3.5 year history of retained silicone oil following treatment of late-onset recurrent retinal detachment 18 years following prior primary scleral buckle repair. Robust emulsified silicone oil aggregates are appreciated. Visual acuity is 20/400.

Photographer: Tammy Schoenholz, University of Southern California.

Imaging device: Zeiss Clarus

Condition/keywords: emulsified silicone oil

Apr 1 2025 by Korey Starkey

90-year-old patient with an Ozurdex implant that migrated into the AC and with the cornea decompensating. Patient recommended for urgent surgery to remove implant. Vision OD at this visit was CF @ 2ft, most recent visit vision is 20/400, PH 20/25.

Photographer: Korey Starkey

Imaging device: Topcon

Condition/keywords: anterior chamber, corneal decompensation, external, external photography, Ozurdex implant, Topcon

Jan 16 2025 by Virginia Gebhart

RGB/FA/ICG of 76 year old female with a new choroidal melanoma. Pt scheduled for plaque radiation. BCVA 20/400

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: fluorescein angiogram (FA), indocyanine green (ICG) angiography, OPTOS CALIFORNIA RGB

Oct 24 2023 by Virginia Gebhart

Fluorescein angiogram of left eye in 60-year-old male with severe non-proliferative diabetic retinopathy with extensive macular edema. Most recent A1c is 11. Vision 20/400. Injection of Eylea given

Photographer: Virginia Gebhart

Imaging device: Topcon

Condition/keywords: diabetic macular edema, Diabetic Retinopathy, fluorescein angiogram (FA), Fluorescein angiography

Sep 21 2022 by Zach Seim

Ultra-widefield fundus photograph of an 81 year old female with a Methotrexate bubble following an Intravitreal Injection for Proliferative Vitreoretinopathy. Patient has been presenting to the office for two week interval Methotrexate injections in her left eye. The image was taken prior to her eighth injection which revealed a residual Methotrexate bubble in her inferior retinal image. This patient was seeing "lots" of floaters, as well as having visual acuity of cc20/400 cc20/200 PH.

Photographer: Zach Seim

Imaging device: OPTOS California

Condition/keywords: bubble, fundus photograph, fundus photography, intravitreal injection, left eye, methotrexate, nasal retina, Optos, proliferative vitreoretinopathy (PVR), pseudocolor, ultra-wide field imaging

Jan 21 2022 by Somnath Chakraborty, MD

Right eye of a 62-year-old lady with Inferotemporal Branch Retinal Vein Occlusion, treated with single dose of "off-label" brolucizumab. She developed Occlusive Vasculitis 9 weeks post injection. This is her Fundus Photo Montage at that time, showing evidence of Occlusive Vasculitis with moderate grade vitritis. BCVA OD 20/400.

Photographer: Pulak Roy

Condition/keywords: branch retinal vein occlusion (BRVO), Brolucizumab, occlusive vasculitis, vitritis

Aug 14 2021 by Narciso F. Atienza, MD, MBA, FASRS, FPCS, FPAO.

19 year old male patient seen on routine examination for refraction. Had blurring of vision on the right eye since childhood. Was initially seen by a general ophthalmologist who diagnosed the patient with glaucoma. Present vision is CF at 3 feet uncorrected, and 20/400 with a refraction of -8.00 -1.50 X 180.

Photographer: Narciso F Atienza, Jr. MD MBA, FASRS, FPCS, FPAO. Legazpi Eye Center

Imaging device: Topcon TRC

Condition/keywords: optic nerve coloboma

Aug 14 2021 by Narciso F. Atienza, MD, MBA, FASRS, FPCS, FPAO.

19 year old male patient seen on routine examination for refraction. Had blurring of vision on the right eye since childhood. Was initially seen by a general ophthalmologist who diagnosed the patient with glaucoma. Present vision is CF at 3 feet uncorrected, and 20/400 with a refraction of -8.00 -1.50 X 180.

Photographer: Narciso F Atienza, Jr. MD MBA, FASRS, FPCS, FPAO. Legazpi Eye Center

Imaging device: Topcon TRC

Condition/keywords: optic nerve coloboma

Aug 14 2021 by Narciso F. Atienza, MD, MBA, FASRS, FPCS, FPAO.

19 year old male patient seen on routine examination for refraction. Had blurring of vision on the right eye since childhood. Was initially seen by a general ophthalmologist who diagnosed the patient with glaucoma. Present vision is CF at 3 feet uncorrected, and 20/400 with a refraction of -8.00 -1.50 X 180.

Photographer: Narciso F Atienza, Jr. MD MBA, FASRS, FPCS, FPAO. Legazpi Eye Center

Imaging device: Topcon TRC

Condition/keywords: optic nerve coloboma

Aug 14 2021 by Narciso F. Atienza, MD, MBA, FASRS, FPCS, FPAO.

19 year old male patient seen on routine examination for refraction. Had blurring of vision on the right eye since childhood. Was initially seen by a general ophthalmologist who diagnosed the patient with glaucoma. Present vision is CF at 3 feet uncorrected, and 20/400 with a refraction of -8.00 -1.50 X 180.

Photographer: Narciso F Atienza, Jr. MD MBA, FASRS, FPCS, FPAO. Legazpi Eye Center

Imaging device: Topcon TRC

Condition/keywords: optic nerve coloboma

Aug 14 2021 by Narciso F. Atienza, MD, MBA, FASRS, FPCS, FPAO.

19 year old male patient seen on routine examination for refraction. Had blurring of vision on the right eye since childhood. Was initially seen by a general ophthalmologist who diagnosed the patient with glaucoma. Present vision is CF at 3 feet uncorrected, and 20/400 with a refraction of -8.00 -1.50 X 180.

Photographer: Narciso F Atienza, Jr. MD MBA, FASRS, FPCS, FPAO. Legazpi Eye Center

Imaging device: Topcon TRC

Condition/keywords: optic nerve coloboma

Dec 10 2020 by McGill University Health Centre

47-year-old female with cough and fever. Imaging showed a right pulmonary infiltrate. Transbronchial needle biopsy revealed lymphangitic spread of papillary adenocarcinoma with psammoma bodies. MRI of thyroid, CT of abdomen and pelvis were negative. gynecologic evaluation negative at that time. The patient had bilateral floaters, VA: 20/40 OD and 20/20 OS. Fundus examination showed retinal arteriolar sheathing and a flat choroidal lesion OS and vitritis OD. Fluorescein angiogram showed staining of left superior temporal retinal arterioles and bilateral midperipheral patchy hyperfluorescence at RPE The patient vision in the OD deteriorated to 20/400, and in the OS 20/50. Four months later a new choroidal lesion was diagnosed OS. An abdominal mass consistent with a cystadenoma of the ovary was diagnosed. After a year patient developed systemic metastasis. Autopsy: Metastatic adenocarcinoma to the lung, both adrenals, para-aortic lymph nodes, left hip, right breast, occipital skin, serosal surface of liver, pituitary. In almost all metastatic lesions psammoma bodies were found. Presumptive diagnosis is a primary tumor of the ovary.

Condition/keywords: bilateral, calcification, metastatic adenocarcinoma, retinal arteriolar occlusion

Dec 10 2020 by McGill University Health Centre

47-year-old female with cough and fever. Imaging showed a right pulmonary infiltrate. Transbronchial needle biopsy revealed lymphangitic spread of papillary adenocarcinoma with psammoma bodies (MRI of thyroid, CT of abdomen and pelvis were negative) gynecologic evaluation negative at that time. The patient had bilateral floaters, VA: 20/40 OD and 20/20 OS. Fundus examination showed retinal arteriolar sheathing and a flat choroidal lesion OS and vitritis OD. Fluorescein angiogram showed staining of left superior temporal retinal arterioles and bilateral midperipheral patchy hyperfluorescence at RPE. The patient vision in the OD deteriorated to 20/400, and in the OS 20/50. Four months later a new choroidal lesion was diagnosed OS. An abdominal mass consistent with a cystadenoma of the ovary was diagnosed. After a year patient developed systemic metastasis. Autopsy: Metastatic adenocarcinoma to the lung, both adrenals, para-aortic lymph nodes, left hip, right breast, occipital skin, serosal surface of liver, pituitary. In almost all metastatic lesions psammoma bodies were found. Presumptive diagnosis is a primary tumor of the ovary.

Imaging device: Fluoroscein angiogram

Condition/keywords: bilateral, calcification, metastatic adenocarcinoma, retinal arteriolar occlusion

Dec 10 2020 by McGill University Health Centre

47-year-old female with cough and fever. Imaging showed a right pulmonary infiltrate. Transbronchial needle biopsy revealed lymphangitic spread of papillary adenocarcinoma with psammoma bodies (MRI of thyroid, CT of abdomen and pelvis were negative) gynecologic evaluation negative at that time. The patient had bilateral floaters, VA: 20/40 OD and 20/20 OS. Fundus examination showed retinal arteriolar sheathing and a flat choroidal lesion OS and vitritis OD. Fluorescein angiogram showed staining of left superior temporal retinal arterioles and bilateral midperipheral patchy hyperfluorescence at RPE The patient vision in the OD deteriorated to 20/400, and in the OS 20/50. Four months later a new choroidal lesion was diagnosed OS. An abdominal mass consistent with a cystadenoma of the ovary was diagnosed. After a year patient developed systemic metastasis. Autopsy: Metastatic adenocarcinoma to the lung, both adrenals, para-aortic lymph nodes, left hip, right breast, occipital skin, serosal surface of liver, pituitary. In almost all metastatic lesions psammoma bodies were found. Presumptive diagnosis is a primary tumor of the ovary. Histopathologic examination of both eyes disclosed : Bilateral metastatic adenocarcinoma to the vitreous with partially calcified proliferation along internal limiting membrane, OS. Metastatic adenocarcinoma to choroid, OS. Bilateral optic atrophy secondary to retinal arteriolar occlusion with calcification.

Condition/keywords: bilateral, calcification, histopathology, metastatic adenocarcinoma, pathology, retinal arteriolar occlusion

Dec 10 2020 by McGill University Health Centre

47-year-old female with cough and fever. Imaging showed a right pulmonary infiltrate. Transbronchial needle biopsy revealed lymphangitic spread of papillary adenocarcinoma with psammoma bodies (MRI of thyroid, CT of abdomen and pelvis were negative) gynecologic evaluation negative at that timePatient had bilateral floaters, VA: 20/40 OD and 20/20 OS. Fundus examination showed retinal arteriolar sheathing and a flat choroidal lesion OS and vitritis OD. Fluorescein angiogram showed staining of left superior temporal retinal arterioles and bilateral midperipheral patchy hyperfluorescence at RPE The patient vision in the OD deteriorated to 20/400, and in the OS 20/50. Four months later a new choroidal lesion was diagnosed OS. An abdominal mass consistent with a cystadenoma of the ovary was diagnosed. After a year patient developed systemic metastasis. Autopsy: Metastatic adenocarcinoma to the lung, both adrenals, para-aortic lymph nodes, left hip, right breast, occipital skin, serosal surface of liver, pituitary. In almost all metastatic lesions psammoma bodies were found. Presumptive diagnosis is a primary tumor of the ovary. Histopathologic examination of both eyes disclosed : Bilateral metastatic adenocarcinoma to the vitreous with partially calcified proliferation along internal limiting membrane, OS. Metastatic adenocarcinoma to choroid, OS. Bilateral optic atrophy secondary to retinal arteriolar occlusion with calcification.

Condition/keywords: bilateral, calcification, histopathology, metastatic adenocarcinoma, pathology, retinal arteriolar occlusion

Dec 10 2020 by McGill University Health Centre

47-year-old female with cough and fever. Imaging showed a right pulmonary infiltrate. Transbronchial needle biopsy revealed lymphangitic spread of papillary adenocarcinoma with psammoma bodies (MRI of thyroid, CT of abdomen and pelvis were negative) gynecologic evaluation negative at that time. The patient had bilateral floaters, VA: 20/40 OD and 20/20 OS. Fundus examination showed retinal arteriolar sheathing and a flat choroidal lesion OS and vitritis OD. Fluorescein angiogram showed staining of left superior temporal retinal arterioles and bilateral midperipheral patchy hyperfluorescence at RPE. The patient vision in the OD deteriorated to 20/400, and in the OS 20/50. Four months later a new choroidal lesion was diagnosed OS. An abdominal mass consistent with a cystadenoma of the ovary was diagnosed. After a year patient developed systemic metastasis. Autopsy: Metastatic adenocarcinoma to the lung, both adrenals, para-aortic lymph nodes, left hip, right breast, occipital skin, serosal surface of liver, pituitary. In almost all metastatic lesions psammoma bodies were found. Presumptive diagnosis is a primary tumor of the ovary. Histopathologic examination of both eyes disclosed : Bilateral metastatic adenocarcinoma to the vitreous with partially calcified proliferation along internal limiting membrane, OS. Metastatic adenocarcinoma to choroid, OS. Bilateral optic atrophy secondary to retinal arteriolar occlusion with calcification.

Condition/keywords: bilateral, calcification, histopathology, metastatic adenocarcinoma, pathology, retinal arteriolar occlusion

Dec 10 2020 by McGill University Health Centre

47-year-old female with cough and fever. Imaging showed a right pulmonary infiltrate. Transbronchial needle biopsy revealed lymphangitic spread of papillary adenocarcinoma with psammoma bodies (MRI of thyroid, CT of abdomen and pelvis were negative) gynecologic evaluation negative at that time. The patient had bilateral floaters, VA: 20/40 OD and 20/20 OS. Fundus examination showed retinal arteriolar sheathing and a flat choroidal lesion OS and vitritis OD. Fluorescein angiogram showed staining of left superior temporal retinal arterioles and bilateral midperipheral patchy hyperfluorescence at RPE The patient vision in the OD deteriorated to 20/400, and in the OS 20/50. Four months later a new choroidal lesion was diagnosed OS. An abdominal mass consistent with a cystadenoma of the ovary was diagnosed. After a year patient developed systemic metastasis. Autopsy: Metastatic adenocarcinoma to the lung, both adrenals, para-aortic lymph nodes, left hip, right breast, occipital skin, serosal surface of liver, pituitary. In almost all metastatic lesions psammoma bodies were found. Presumptive diagnosis is a primary tumor of the ovary. Histopathologic examination of both eyes disclosed : Bilateral metastatic adenocarcinoma to the vitreous with partially calcified proliferation along internal limiting membrane, OS. Metastatic adenocarcinoma to choroid, OS. Bilateral optic atrophy secondary to retinal arteriolar occlusion with calcification.

Condition/keywords: bilateral, calcification, histopathology, metastatic adenocarcinoma, pathology, retinal arteriolar occlusion

Dec 10 2020 by McGill University Health Centre

47-year-old female with cough and fever. Imaging showed a right pulmonary infiltrate. Transbronchial needle biopsy revealed lymphangitic spread of papillary adenocarcinoma with psammoma bodies (MRI of thyroid, CT of abdomen and pelvis were negative) gynecologic evaluation negative at that time. The patient had bilateral floaters, VA: 20/40 OD and 20/20 OS. Fundus examination showed retinal arteriolar sheathing and a flat choroidal lesion OS and vitritis OD. Fluorescein angiogram showed staining of left superior temporal retinal arterioles and bilateral midperipheral patchy hyperfluorescence at RPE. The patient vision in the OD deteriorated to 20/400, and in the OS 20/50. Four months later a new choroidal lesion was diagnosed OS. An abdominal mass consistent with a cystadenoma of the ovary was diagnosed. After a year patient developed systemic metastasis. Autopsy: Metastatic adenocarcinoma to the lung, both adrenals, para-aortic lymph nodes, left hip, right breast, occipital skin, serosal surface of liver, pituitary. In almost all metastatic lesions psammoma bodies were found. Presumptive diagnosis is a primary tumor of the ovary. Histopathologic examination of both eyes disclosed : Bilateral metastatic adenocarcinoma to the vitreous with partially calcified proliferation along internal limiting membrane, OS. Metastatic adenocarcinoma to choroid, OS. Bilateral optic atrophy secondary to retinal arteriolar occlusion with calcification.

Condition/keywords: bilateral, calcification, histopathology, metastatic adenocarcinoma, pathology, retinal arteriolar occlusion

Dec 18 2019 by Yoshihiro Yonekawa, MD, FASRS

Widefield fundus image of a teenage girl's right eye with an inactive congenital toxoplasmosis macular lesion. Her vision is 20/400 in this eye.

Photographer: Netanya Lerner, COA, Wills Eye Hospital/Mid Atlantic Retina

Imaging device: Optos California

Condition/keywords: congenital toxoplasmosis, pediatric retina

Nov 5 2019 by Nichole Lewis

69-year-old female with a tractional retinal detachment, mutiple tears and epiretinal membrane. VA 20/400

Photographer: Nichole Lewis

Imaging device: Optos

Condition/keywords: epiretinal membrane (ERM), retinal tear, tractional retinal detachment

Aug 26 2019 by Narciso F. Atienza, MD, MBA, FASRS, FPCS, FPAO.

47-year-old female who came in with blurring of vision of the right eye of 2 weeks duration. She is hypertensive with poor control, taking Amlodipine irregularly. Denies any cardiac problem non-diabetic. Vision upon presentation was 20/400 (OD), 20/20 (OS) . Early arterial phase shows beginning asymmetrical perfusion of the supero-temporal arcade supplying the macula. Infero-temporal arcade shows no perfusion.

Photographer: Narciso F Atienza, Jr. MD, MBA

Imaging device: Topcon TRC

Condition/keywords: asymmetrical perfusion, inferotemporal arcade, superotemporal arcade

Aug 26 2019 by Narciso F. Atienza, MD, MBA, FASRS, FPCS, FPAO.

47-year-old female who came in with blurring of vision of the right eye of 2 weeks duration. She is hypertensive with poor control, taking Amlodipine irregularly. Denies any cardiac problem non-diabetic. Vision upon presentation was 20/400 (OD), 20/20 (OS) colored fundus photo of the right eye showing areas of retinal ischemia, edema and hemorrhages on the infero-temporal macula extending to the arcade.

Photographer: Narciso F Atienza, Jr. MD, MBA

Imaging device: Topcon TRC

Condition/keywords: edema, hemorrhage, inferotemporal arcade, retinal ischemia

Jun 27 2019 by Nichole Lewis

69-year-old female with an epiretinal membrane and tractional retinal detachment. VA 20/400.

Photographer: Nichole Lewis

Imaging device: Optos

Condition/keywords: epiretinal membrane (ERM), fibrosis, retinoschisis, tractional retinal detachment

May 22 2019 by Nichole Lewis

FA of a 91-year-old woman with a ruptured macroaneurysm, intraretinal hemorrhage and subretinal hemorrhage. VA 20/400.

Photographer: Nichole Lewis

Condition/keywords: intraretinal hemorrhage, ruptured macroaneurysm, subretinal hemorrhage