Search results (34 results)

  • Subretinal PFO

    Jun 18 2025 by Korey Starkey

    86-year-old patient had history for retinal detachment surgery x2 and intraocular injections for AMD performed elsewhere. Left eye has PVR developing and subretinal PFO. Due to guarded vision, opting to defer any further treatment at this time.

    Photographer: Korey Starkey

    Imaging device: Heidelberg

    Condition/keywords: AMD, Heidelburg Spectralis, OCT, PFO, PVR, retinal detachment, silicone oil

  • Neovascularization of the Disc

    Jun 3 2025 by Scott D Walter, MD, MSc, FASRS

    Near-infrared (NIR) en face OCT image showing neovascularization of the disc (NVD) in a patient with type II diabetes mellitus, complicated by proliferative diabetic retinopathy (PDR).

    Imaging device: Heidelberg Spectralis

    Condition/keywords: Diabetes, Heidelburg Spectralis, microaneurysms, Neovascularisation at the Disc (NVD), NEOVASCULARISATION OF DISC, OCT EN FACE, proliferative diabetic retinopathy (PDR)

  • Elmiron Toxicity

    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

  • NVI

    Oct 24 2024 by Korey Starkey

    Iris FA of a 74 year old male with neovascularization of the iris. Noted mild activity of NVI at the superior pupillary margin, recommending observation at time of visit.

    Photographer: Korey Starkey

    Imaging device: Heidelberg Spectralis

    Condition/keywords: FA, Heidelburg Spectralis, Iris, iris fluorescein angiogram, neovascularization of iris (NVI), smokestack

  • Blue autofluroscence of Right eye optic nerve head showing auto fluorescence of the drusen

    Aug 5 2022 by Kavitha Duraipandi, MD DNB FICO FRCS

    A 20 year old patient referred to the clinic with blurred disc margins to rule out papilledema.

    Photographer: Natalie Fox- Bussell

    Condition/keywords: Blue autofluroscence, Heidelburg Spectralis

  • Blue autofluroscence of Left eye optic nerve head showing auto fluorescence of the drusen

    Aug 5 2022 by Kavitha Duraipandi, MD DNB FICO FRCS

    Blue autofluroscence of Right eye optic nerve head showing auto fluorescence of the drusen

    Photographer: Natalie Fox- Bussell

    Condition/keywords: Autoflourescence, Heidelburg Spectralis

  • Retinal Cavernous Hemangioma

    Oct 22 2020 by Olivia Rainey

    Widefield OCT of a 31-year-old male presenting with a retinal cavernous hemangioma affecting his left eye. Patient was 18-years-old when he was diagnosed with a retinal cavernous hemangioma. He has had a few episodes of vitreous hemorrhages since then. His vision was 20/20-1 in both eyes.

    Photographer: Becca Harris

    Imaging device: Heidelberg Spectralis

    Condition/keywords: 50 degrees, cavernous hemangioma of the retina, Heidelburg Spectralis, left eye, optical coherence tomography (OCT), wide angle imaging

  • Plateau Fovea with Inner Retinal Thinning

    May 27 2020 by Olivia Rainey

    Optical coherence tomography of the left eye of a 20-year-old male with Alport Syndrome. The patient did not present with any ocular or visual symptoms, yet the distinct "plateau contour" of his fovea was noted on OCT during his visit. The patient presented with 20/25 vision at the time of his visit. There was myelinated nerve fiber layer noted in both eyes, but these features had remained stable from his appointment three years prior. The physician noted that myelinated nerve fiber was a congenital change, and had not affected his vision or health of the eye, nor is a feature of Alport Syndrome.

    Photographer: Olivia Rainey, OCT-C, COA

    Imaging device: Heidelberg Spectralis

    Condition/keywords: Alports disease, Heidelburg Spectralis, inner retinal thinning, left eye, optical coherence tomography (OCT), plateau fovea

  • Acute Macular Neuroretinopathy

    Dec 11 2019 by Lauren Whaley

    34-year-old female patient presented with changes in vision after recent upper respiratory infection. Referring doctor originally thought it was a blood pressure issue. She noticed a "C" shape in her vision. Infrared image was captured showing exactly what patient was describing! Doctor confirmed with this image that it was AMN.

    Photographer: Lauren R. Whaley, COA

    Imaging device: Heidelberg Spectralis

    Condition/keywords: 30 degrees, acute macular neuroretinopathy, Heidelburg Spectralis, left eye, macula, near infrared autofluorescence (NIRAF)

  • Pigmentary Retinal Dystrophy

    Mar 29 2019 by Jessica Norkus

    Heidelberg Spectralis image of 41-year-old male patient with pigmentary retinal dystrophy. Atypical findings due to unilateral presentation. Patient has been experiencing symptoms for 15 years, notes significant nyctalopia.

    Photographer: Jessica Norkus

    Imaging device: Heidelberg Spectralis

    Condition/keywords: bone spicule, Heidelburg Spectralis, optical coherence tomography (OCT), pigment changes, unilateral blindness

  • Pigmentary Retinal Dystrophy

    Mar 29 2019 by Jessica Norkus

    Heidelberg Spectralis image of 41-year-old male patient with pigmentary retinal dystrophy. Atypical findings due to unilateral presentation. Patient has been experiencing symptoms for 15 years, notes significant nyctalopia.

    Photographer: Jessica Norkus

    Imaging device: Heidelberg Spectralis

    Condition/keywords: bone spicule, Heidelburg Spectralis, optical coherence tomography (OCT), pigment changes, unilateral blindness

  • Serpiginous Choroidal Atrophy

    Mar 29 2019 by Jessica Norkus

    50 degree Auto fluorescent image of 20-year-old female presenting with serpiginous choroidal atrophy. Patient was unaware of vision loss OD, until accidentally covering OS and noticing the change. Acuity of 20/200 OD and 20/15 OS at time of imaging.

    Photographer: Jessica Norkus

    Imaging device: Heidelberg Spectralis

    Condition/keywords: Heidelburg Spectralis, macula lesion, macula serpiginous choroidopathy, optical coherence tomography (OCT), wide angle imaging

  • Serpiginous Choroidal Atrophy

    Mar 29 2019 by Jessica Norkus

    Heidelberg single vertical scan image of 20-year-old female presenting with serpiginous choroidal atrophy. Patient was unaware of vision loss OD, until accidentally covering OS and noticing the change. Acuity of 20/200 OD and 20/15 OS at time of imaging.

    Photographer: Jessica Norkus

    Imaging device: Heidelberg Spectralis

    Condition/keywords: Heidelburg Spectralis, macula lesion, macula serpiginous choroidopathy, optical coherence tomography (OCT)

  • Serpiginous Choroidal Atrophy

    Mar 29 2019 by Jessica Norkus

    Heidelberg single horizontal scan image of 20-year-old female presenting with serpiginous choroidal atrophy. Patient was unaware of vision loss OD, until accidentally covering OS and noticing the change. Acuity of 20/200 OD and 20/15 OS at time of imaging.

    Photographer: Jessica Norkus

    Imaging device: Heidelberg Spectralis

    Condition/keywords: Heidelburg Spectralis, macula lesion, macula serpiginous choroidopathy, optical coherence tomography (OCT)

  • Dry AMD (Intermediate Stage)

    Mar 26 2019 by Carolyn Daley

    Fundus auto florescence photograph of the right eye of a 61-year-old woman with intermediate dry AMD. Patient also shows collapsing vitelliform lesions and may have a differential diagnosis of pattern dystrophy.

    Photographer: Carolyn Daley, COA, Retina Specialists of Michigan

    Imaging device: Heidelberg Spectralis

    Condition/keywords: dry age-related macular degeneration (dry AMD), Heidelburg Spectralis, pattern dystrophy, vitelliform lesion

  • Mild Nonproliferative Diabetic Retinopathy

    Jan 16 2019 by Carolyn Daley

    Fluorescence angiogram 50 degree imaging of a 38-year-old woman with mild nonproliferative diabetic retinopathy in the left eye. Patient also presented with a paracentral scotoma which etiologies could include vascular occlusion vs JFRT.

    Photographer: Carolyn Daley, Retina Specialists of Michigan

    Imaging device: Heidelberg Spectralis

    Condition/keywords: diabetes, Heidelburg Spectralis, juxtafoveal telangiectasis, nonproliferative diabetic retinopathy, retinopathy, vascular occlusions

  • Epiretinal Membrane With Traction

    Jan 15 2019 by Olivia Rainey

    Red-free image of a 72-year-old female with an epiretinal membrane with inferior traction affecting her left eye. Patient had seen distortion for one month prior to her appointment and stated that the change happened suddenly. Patient deferred surgery.

    Photographer: Olivia Rainey

    Imaging device: Heidelberg Spectralis

    Condition/keywords: 30 degrees, epiretinal membrane (ERM), Heidelburg Spectralis, left eye, macular traction, red-free

  • Weiss Ring

    Jan 15 2019 by Olivia Rainey

    Fluorescein angiogram of a 55-year-old female with a Weiss ring affecting her right eye. Patient was diagnosed with sarcoidosis. She has cystoid macular edema secondary to panuveitis.

    Photographer: Olivia Rainey

    Imaging device: Heidelberg Spectralis

    Condition/keywords: 30 degrees, cystoid macular edema (CME), fluorescein angiogram (FA), fluorescein leakage, Heidelburg Spectralis, optic nerve, sarcoidosis, uveitis, Weiss ring

  • Cystoid Macular Edema Secondary to Panuveitis

    Jan 15 2019 by Olivia Rainey

    Fluorescein angiogram of a 55-year-old female with cystoid macular edema secondary to uveitis affecting her right eye. Patient was diagnosed with sarcoidosis.

    Photographer: Olivia Rainey

    Imaging device: Heidelberg Spectralis

    Condition/keywords: 30 degrees, cystoid macular edema (CME), fluorescein angiogram (FA), fluorescein leakage, Heidelburg Spectralis, sarcoidosis, uveitis

  • Multicolor Imaging in Diabetic Retinopathy

    Sep 25 2018 by samarth mishra

    A 60-year-old male presented with a history of blurring of vision since many months. He had a history of diabetes since last 8 years. On routine examination proliferative diabetic retinopathy with diabetic macular edema was noted. Fundus fluorescein angiography showed neovascularization elsewhere. Hard exudates can be seen as greenish yellow dots all over the posterior pole in multicolor imaging. Retinal hemorrhage can be seen as dark red.

    Photographer: Aditya Birla Sankara Nethralaya, Kolkata, West Bengal , India

    Condition/keywords: diabetic retinopathy, Heidelburg Spectralis, multicolor, optical coherence tomography (OCT)

  • Multicolor Imaging of Bilateral Branch Retinal Vein Occlusion

    Sep 25 2018 by samarth mishra

    A 40-year-old female presented with complains of blurring of vision since past 1 week. Patient had a history of hypertension. On routine examination bilateral branch retinal vein occlusion was noted. Visual acuity at presentation was 6/9 and 6/15 in the right and left eye respectively. Multicolor composite imaging shows the hemorrhage as red and the retinal thickening as greenish hue. She was managed with anti vascular endothelial growth factor in both eyes.

    Photographer: Aditya Birla Sankara Nethralaya, Kolkata, West Bengal , India

    Condition/keywords: branch retinal vein occlusion (BRVO), Heidelburg Spectralis, multicolor, optical coherence tomography (OCT)

  • Coats' Disease

    Aug 24 2018 by Kim Barrett

    Montage fluorescein angiography of 14-year-old male with Coats' Disease of the left eye. Multiple focal laser treatments. Current uncorrected visual acuity is 20/15-1 OU.

    Photographer: Kim Barrett, C.O.A. Retina Specialist of Michigan

    Imaging device: Heidelberg Spectralis

    Condition/keywords: adolescent, Coats' disease, fluorescein angiogram (FA), Heidelburg Spectralis, laser photocoagulation, left eye, macroaneurysm, montage

  • Multiple Astrocytic Hamartomas

    Jul 26 2018 by Olivia Rainey

    Optical coherence tomography of a 7-year-old female with multiple astrocytic harmartomas as a retinal manifestation of tuberous sclerosis. Patient came to our office to rule out possible drug toxicity from Sabril, a an anticonvulsant. There were no signs of retinal toxicity by extended ophthalmoscopy or imaging, yet she will be monitored every 6 months.

    Photographer: Olivia Rainey

    Imaging device: Heidelberg Spectralis

    Condition/keywords: astrocytic hamartoma, Heidelburg Spectralis, infrared image, left eye, optical coherence tomography (OCT), tuberous sclerosis

  • Peripheral Retinoschisis

    Jul 26 2018 by Olivia Rainey

    Optical coherence tomography of a 49-year-old male with non-progressive peripheral retinoschisis of his left eye. Patient was asymptomatic and had no prior trauma or surgery to his eye. Recommended observation at this time.

    Photographer: Olivia Rainey

    Imaging device: Heidelberg Spectralis

    Condition/keywords: Heidelburg Spectralis, left eye, optical coherence tomography (OCT), retinoschisis

  • Peripheral Retinoschisis

    Jul 26 2018 by Olivia Rainey

    Optical coherence tomography of a 49-year-old male with non-progressive peripheral retinoschisis of his left eye. Patient was asymptomatic and had no prior trauma or surgery to his eye. Recommended observation at this time.

    Photographer: Olivia Rainey

    Imaging device: Heidelberg Spectralis

    Condition/keywords: Heidelburg Spectralis, left eye, optical coherence tomography (OCT), retinoschisis