Search results (648 results)
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Posterior Vitreous Detachment at the Optic Nerve
Sep 3 2026 by Liran Tiosano, MD, MHA
An 82-year-old pseudophakic woman with vitreomacular traction in the right eye demonstrated partial posterior vitreous detachment with persistent attachment of the posterior hyaloid to the optic disc. On OCT, the elevated hyaloid forms a striking crown-like configuration surrounding the optic nerve head - an “optic nerve crown.” The fellow eye had an epiretinal membrane and a history of macular hole repair.
Imaging device: Heidelberg Spectralis
Condition/keywords: optic disc, optic nerve head, optical coherence tomography (OCT), posterior hyaloid, posterior vitreous detachment
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OCT MEWDS
Aug 20 2026 by Mauricio Bayram-Suverza, MD
Optical coherence tomography (OCT) showed selective disorganization of the outer retinal layers
Photographer: Mauricio Bayram-Suverza, Fundación Hospital Nuestra Señlora de la Luz. Mexico City
Imaging device: Spectralis
Condition/keywords: multiple evanescent white dot syndrome (MEWDS)
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AFF-MEWDS
Aug 20 2026 by Mauricio Bayram-Suverza, MD
Fundus autofluorescence (FAF) revealed hyperautofluorescent lesions.
Photographer: Mauricio Bayram-Suverza, Fundación Hospital Nuestra Señlora de la Luz. Mexico City
Imaging device: Spectralis, blue Fundus autofluorescence
Condition/keywords: multiple evanescent white dot syndrome (MEWDS)
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Plypoidal Choroidal Vasculopathy - FAF
Jun 29 2026 by César Adrián Gómez Valdivia, MD
Short-wavelength fundus autofluorescence image obtained with Heidelberg Spectralis showing a central area of marked hypoautofluorescence corresponding to the macular exudative lesion and probable pigment epithelial detachment. Surrounding irregular hyperautofluorescent and hypoautofluorescent changes are seen, reflecting retinal pigment epithelium disturbance and chronic exudative activity in polypoidal choroidal vasculopathy.
Photographer: César Adrián Gómez Valdivia
Imaging device: HE
Condition/keywords: Active Polypoidal Choroidal Neovascularization, idiopathic polypoidal choroidal vasculopathy
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Stargardt Disease - FAF (Short Wavelenght)
Jun 22 2026 by César Adrián Gómez Valdivia, MD
Short-wavelength fundus autofluorescence image obtained with Heidelberg Spectralis, demonstrating a dense central area of hypoautofluorescence at the macula consistent with retinal pigment epithelium atrophy. Multiple surrounding flecks show mixed autofluorescence, forming a perifoveal/perimacular pattern characteristic of Stargardt disease.
Photographer: Cesar Adrián Gómez Valdivia
Imaging device: Hedielberg E.
Condition/keywords: autofluorescence imaging
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Stargardt Disease - OCT
Jun 22 2026 by César Adrián Gómez Valdivia, MD
Spectral-domain OCT obtained with Heidelberg Spectralis demonstrating central outer retinal and retinal pigment epithelium disruption with increased choroidal signal transmission, corresponding to macular atrophy. Scattered hyperreflective deposits and irregularity at the RPE/outer retinal complex are seen adjacent to the atrophic area, consistent with flecks in Stargardt disease.
Photographer: Cesar Adrián Gómez Valdivia
Imaging device: Hedelberg E.
Condition/keywords: Stargardt Disease
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Indocyanine Green Signature of Serpiginous Like Choroiditis
Apr 10 2026 by SHRADDHA RAJ SHRIVASTAVA
Left eye late-phase Indocyanine Green Angiography in a case of presumed tubercular Serpiginous-Like-Choroiditis (SLC) showing large hypofluorescent areas of choriocapillaritis corresponding to active choroiditis lesions.
Photographer: Dr. Shraddha Raj Shrivastava
Imaging device: Heidelberg Spectralis
Condition/keywords: choriocapillaritis, indocyanine green (ICG) angiography, serpiginous choroiditis, serpiginous like choroiditis
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Dislocated Lens (IOL)
Apr 9 2026 by Daniel Davis, OCT-C
Left eye optical coherence tomography of a 85yo female with Dislocated IOL-bag complex and residual cortical material. Continue observation. Will do a refraction upon her return, if VA improves with refraction consider IOL exchange.
Photographer: Daniel Davis
Imaging device: Heidelberg Spectralis
Condition/keywords: dislocated intraocular lens (IOL), optical coherence tomography (OCT)
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Tortuosity
Mar 16 2026 by Stacie Hrvatin
52 year-old male with retinal vascular tortuosity
Photographer: Stacie A. Hrvatin, Veterans Affairs, Cleveland Ohio
Imaging device: Heidelberg Spectralis
Condition/keywords: retinal vascular tortuosity
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Hydroxychloroquine Toxicity
Mar 3 2026 by Gayathri M S
66 year old female on HCQ medication for SLE since 11 years. k/c/o HCQ maculopathy since 4 years. Vision OU 6/6,N6. Colour vision 21/21. FAF shows bulls eye maculopathy, OCT shows significant outer retinal segment loss with classic flying saucer sign.
Photographer: Gayathri MS
Imaging device: Heidelberg Spectralis
Condition/keywords: pericentral HCQ (hydroxychloroquine) toxicity
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Proliferative Diabetic Retinopathy
Jan 26 2026 by Daniel Davis, OCT-C
Multimodal-pseudocolor image of an 55-year-old male with OCT and OCTA overlay demonstrating neovascularization, the lower OCT shows subyaloid hemorrhage.
Photographer: Daniel Davis, The Retina Institute, St. Louis
Imaging device: Optos California - Fundus, Heidelberg Spectralis - OCT/A
Condition/keywords: multimodal imaging, NVE, OCT, OCT Angiography, PDR, proliferative diabetic retinopathy (PDR), SUBHYALOID HEMORRHAGE
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Subretinal PFCL
Jan 25 2026 by Greeshma M G
Subretinal PFCL in the papillomacular bundle with outerretinal damage.
Photographer: Zehar
Imaging device: Centervue Eidon,Heidelberg Spectralis OCT
Condition/keywords: Outer retinal damage, Papillomacular bundle, Subretinal PFCL
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Branch Retinal Artery Occlusion
Dec 19 2025 by Gayathri M S
Multicolor Reflectance and Blue Reflectance of a 55 yr male patient with blurring since 1 month shows classical sectoral retinal whitening.
Photographer: Gayathri MS
Imaging device: Heidelberg Spectralis
Condition/keywords: blue reflectance, branch retinal artery occlusion (BRAO), multicolor
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Retinal Plumage
Nov 18 2025 by DR APOORVA JADHAV, MBBS , DNB
A 35 year-old male came in with diminished vision in right eye. On multicolor we can appreciate large pigmented choroidal mass lesion with surrounding srf which is reaching fovea. Diagnosed to be Choroidal Melanoma.
Photographer: Dr Apoorva Jadhav
Imaging device: Heidelberg Spectralis
Condition/keywords: choroidal melanoma, srf
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MEWDS
Oct 17 2025 by Jason Gayoski
32 year old female presenting to clinic with four day history of sudden onset unilateral left eye vision decrease with central scotoma upon awakening. VA OS 20/200 upon initial evaluation with wreath-like pattern of white dots surrounding macula OS. OD unaffected and asymptomatic.
Photographer: Jason Gayoski COA, Geisinger Ophthalmology
Imaging device: Heidelberg Spectralis
Condition/keywords: multiple evanescent white dot syndrome (MEWDS)
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MEWDS
Oct 17 2025 by Jason Gayoski
32 year old female presenting to clinic with four day history of sudden onset unilateral left eye vision decrease with central scotoma upon awakening. VA OS 20/200 upon initial evaluation with wreath-like pattern of white dots surrounding macula OS. OD unaffected and asymptomatic.
Photographer: Jason Gayoski COA, Geisinger Ophthalmology
Imaging device: Heidelberg Spectralis
Condition/keywords: multiple evanescent white dot syndrome (MEWDS)
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MEWDS
Oct 17 2025 by Jason Gayoski
32 year old female presenting to clinic with four day history of sudden onset unilateral left eye vision decrease with central scotoma upon awakening. VA OS 20/200 upon initial evaluation with wreath-like pattern of white dots surrounding macula OS. OD unaffected and asymptomatic.
Photographer: Jason Gayoski COA, Geisinger Ophthalmology
Imaging device: Heidelberg Spectralis
Condition/keywords: multiple evanescent white dot syndrome (MEWDS)
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Idiopathic CNVM
Sep 30 2025 by T. P . VIGNESH, MBBS,MS
SD-OCT of the left eye of 45 year old man with idiopathic CNVM.
Photographer: Sivanath
Imaging device: Heidelberg Spectralis
Condition/keywords: Idiopathic CNVM
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Large Sub-retinal Band
Aug 15 2025 by Caleb Westhouse
OCT and Optos imaging of a 58-year-old male with a macula-off retinal detachment, demonstrating a large subretinal band extending across the posterior pole. The OCT single-line scan provides a cross-sectional view of the subretinal band.
Photographer: Caleb Westhouse
Imaging device: Heidelberg Spectralis
Condition/keywords: Heidelburg Spectralis, OCT, Optos, Retinal detatatchment, Sub-retinal band
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Stargardt's Disease (Extensive)
Jul 16 2025 by Shivankar Sen, MS, FVRS
15-year-old female with complaints of defective vision for 6 years with best corrected visual acuity of 6/60; N36 in both eyes was found to have dystrophic macula with extensive spread out pigmentary bony spicules; On Confocal blue autofluorescence shows central hypo-autofluorescence and a heterogenous pisciform background with OCT showing extensive outer retinal layer disruption with genetic report confirming ABCA4 mutation and giving us definite diagnosis of Stargardt's Disease.
Photographer: Dr. N. Haindavi
Imaging device: Heidelberg Spectralis HRA+OCT
Condition/keywords: Blue autofluroscence, Stargardts Disease
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RPE Mottling
Jul 7 2025 by Moazzam Parvez
Fundus fluorescein image of a 62 year old gentleman in the early phase showing diffuse RPE mottling in the temporal aspect of the arcade.
Photographer: Moazzam Parvez
Imaging device: Heidelberg Spectralis
Condition/keywords: FA early phase, FFA, RPE mottling
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Combined Occlusion with TRD
Jun 30 2025 by Shivankar Sen, MS, FVRS
Posterior Pole and Ultra-wide field Fluorescein angiogram of a 79 yr. old one eyed male revealing arterial occlusion, grossly non-perfused peripheral retina with neovascularisation elsewhere and significant tractions at the posterior pole.
Photographer: Gayathri M S, Dr. Shivankar Sen MD
Imaging device: Heidelberg Spectralis HRA+OCT
Condition/keywords: arterial occlusion, Traction retinal detachment, Vein Occlusion
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BRVO-MCR-FFA
Jun 27 2025 by Gayathri M S
Case of impending Macular BRVO. 52 year old female on medication for Hypertension and Diabetes Mellitus since 2 years. BCVA 6/18,N6. IOP 16 mmHg. Multicolor Reflectance and Fundus Fluorescein Angiography picture shows mild dilated tortuous inferior vessels, small areas of capillary non perfusion and few microanurysms.
Photographer: Gayathri MS
Imaging device: Heidelberg spectralis
Condition/keywords: macular branch retinal vein occlusion (BRVO), multicolor
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CRAO With Cilio-retinal Sparing-MMI
Jun 25 2025 by Shivankar Sen, MS, FVRS
A 41 year old male came with complaints of Right eye blurring of vision since a day associated with watering and redness. He had no systemic illness, though gave a history of fall from bike 1 month back at the time of which he had blunt force trauma to the right side of the face. BCVA was 3/60, less than N36 in the right eye and 6/6, N6 in the left eye. Right eye had Marcus Gunn Pupil with clear lens, Left eye was within normal limits. IOP was normal; 16 in OD and 18 in OS. Retina evaluation revealed CRAO in the right eye with cilio-retinal artery sparing. Left eye was unremarkable Image Details Left to Right (Top 2 rows) Multicolor Reflectance Image (Blue-green enhanced 55 degree) revealing cilioretinal spared retinal stroma and a characteristic Cherry Red Spot; Green Reflectance showing corresopnding dark gray area with spared perfusion and black spot consistent with Cherry Red Spot on multicolor 2nd Row - 35 degree image (Multicolor Standard Reflectance and Green Reflectance) 3rd Row - SD-OCT revealing acute moderate CRAO findings with Middle retinal layer opacification and prominent middle limiting membrane (p-MLM) sign; Inner retinal layer opacification and prominent retinal pigment epithelium at the fovea with Diminished inner retinal layer stratification
Photographer: Gayathri M S
Imaging device: Heidelberg Spectralis HRA+OCT
Condition/keywords: CRAO with cilioretinal sparing, multicolor, multimodal imaging, OCT biomarkers, reflectance
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Berlins Edema - Multimodal Imaging
Jun 25 2025 by Shivankar Sen, MS, FVRS
A 22 year old female came with history of injury to her left eye with a badminton racquet butt cap an hour before presentation On examination, she was found to have right eye 6/6;N6 vision and within normal limits, left eye 6/9;N6 vision, cells1+ in the anterior chamber, brisk pupillary response, no vitreous reaction and sub-clinical berlin's edema at the posterior pole. Multimodal imaging revealed frank boundaries of Berlin's edema more pronounced in the nasal parafoveal region. Figure details Top (Left to Right) Multicolor Reflectance showing bright yellow ring surrounding the perifovea; Blue Reflectance (Black on white contrast) showing corresponding black ring; Green Reflectance showing a characteristic white ring (all pronounced nasally); Bottom (Left-Right) Transverse structural OCT enface image showing white ring consistent with edema OCTA inner layer segmentation from ILM to GCL Transverse corresponding OCTA revealing faint hypo ring within perifoveal capillary bed
Photographer: Gayathri M S
Imaging device: Heidelberg Spectralis HRA+OCT
Condition/keywords: blue reflectance, En Face OCTA, enface imaging, multicolor, oct, reflectance

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