Search results (169 results)

  • Berlin's Edema

    Jun 12 2025 by Shivankar Sen

    A 22 year old male came with history of sports injury to the right eye with the nose of shuttlecock while playing badminton. On examination, right eye anterior segment shows conjunctival congestion with brisk pupillary reaction and quiet anterior chamber. His best corrected visual acuity was 6/12; N6 in the right eye and 6/6; N6 in the left eye. Retinal examination revealed OD Berlin's Edema, OS within normal limits. Image Description (From Left to Right) Multicolor Reflectance (Blue-Green Enhanced) shows well defined yellowish discoloration Green reflectance and blue reflectance show corresponding whitish discoloration at the area of edema

    Photographer: Dr. Shivankar Sen

    Imaging device: Heidelberg Spectralis HRA+OCT

    Condition/keywords: Shuttlecock Injury

  • Commotio Retinae

    Jun 10 2025 by CUI YUELING

    The patient presented 2 hours after sustaining a left eye injury caused by a stick. Visual acuity in the left eye was 0.2 without improvement upon correction, and intraocular pressure measured 15 mmHg. Examination of the anterior segment revealed ciliary conjunctival injection accompanied by patchy subconjunctival hemorrhage. The corneal surface remained smooth, and the anterior chamber was deep with hyphema characterized by blood-tinged aqueous humor predominantly settled inferiorly. The pupil was slightly irregular, approximately 3 mm in diameter, with a superotemporal notch; pupillary light reflex was intact. The lens appeared clear. Fundus examination showed well-defined optic disc margins with normal coloration and a cup-to-disc ratio of 0.2. Retinal arteries and veins were normally distributed with an artery-to-vein ratio of 2:3. At the posterior pole, the foveal reflex exhibited concentric ripple-like changes centered on the fovea, accompanied by localized pigment attenuation and reduced reflex intensity. Irregular reflectivity was noted in the superotemporal and inferotemporal nerve fiber layers.

    Photographer: Yueling Cui

    Imaging device: Zeiss Clarus 500

    Condition/keywords: commotio retinae

  • Anterior Iris Claw Artisan Lens

    May 14 2025 by Moazzam Parvez

    Anterior segment image of a 40 year old gentleman with a anteriorly placed iris claw lens post retinal detachment surgery.

    Photographer: Dr Moazzam Parvez, Netralayam , Kolkata

    Imaging device: Topcon DC-4

    Condition/keywords: Anteriorly placed iris claw lens

  • Optic Nerve Melanocytoma

    May 4 2025 by KANWALJEET HARJOT MADAN, M.S. (Ophthalmology); FAICO (Vitreous - Retina)

    This is a fundus picture of a young 42-year male who visited for a routine eye exam. His BCVA was 20/20 in both eyes. Anterior segment examination was normal. His left eye showed grey-black pigmentation at the infero-nasal margin of the optic disc. Fundus of the right eye was normal. The patient was diagnosed to have optic disc melanocytoma on multimodal imaging and was advised regular follow-up. Optic nerve melanocytoma is typically a benign tumor made up of melanocytes and melanin. It can grow, but rarely transforms into a malignancy. Patients with Optic Nerve Melanocytoma should be periodically examined for evidence of growth, loss of visual field and optic nerve compression.

    Photographer: Dr. Kanwaljeet Harjot Madan, Thind Eye Hospital, Jalandhar City (Punjab) INDIA.

    Imaging device: Zeiss Fundus Camera

    Condition/keywords: melanocytoma, melanoma, optic nerve

  • Hourglass in an Eye

    Apr 22 2025 by KRISHNENDU NANDI, MS

    A twenty-five-year-young male presented with a decrease in vision in the right eye following a blunt trauma with a football. On examination the BCVA in the right eye was CFCF and the left eye was 6/6, N6. The anterior segment was within normal limits. AT was 12 and 10 mm of Hg in the right and left eyes, respectively. Fundus examination reveals subhyaloid haemorrhage in the right eye with an attached retina. The fundus of the left eye was within normal limits. YAG laser hyaloidotomy was done with an energy of 2 mJ in the right eye. After 3 weeks the BCVA in the right eye improved to 6/9, N6.

    Photographer: Dr. Krishnendu Nandi

    Imaging device: Topcon

    Condition/keywords: Trauma, YAG HYALOIDOTOMY, Young Male

  • Ozurdex

    Mar 20 2025 by T. P . VIGNESH, MBBS,MS

    Photo of the anterior segment of left eye of a 50 year old woman with intravitreal Ozurdex implant seen attached to the posterior capsule.

    Photographer: T.P. VIGNESH

    Condition/keywords: ozurdex, Ozurdex implant

  • Retinal Fold in Posterior Microphthalmos

    Mar 1 2025 by Hemanth Murthy, MBBS, MD, FASRS

    Swept source OCT image of left eye of 34 year male patient with high hypermetropia(+14). BCVA 20/20 in right eye and 20/60 in left eye. Anterior segment was normal. There is loss of foveal pit with omega shaped elevation of inner retinal layers.

    Photographer: Mr Veda Vyas

    Condition/keywords: posterior microphthalmos

  • Retinal Fold in Posterior Microphthalmos

    Mar 1 2025 by Hemanth Murthy, MBBS, MD, FASRS

    Fundus photo of left eye of 34 year male patient with high hypermetropia(+14). BCVA 20/20 in right eye and 20/60 in left eye. Anterior segment was normal. There is loss of foveal pit with omega shaped elevation of inner retinal layers.

    Photographer: Mr Veda Vyas

    Condition/keywords: posterior microphthalmos

  • Retinal Fold in Posterior Microphthalmos

    Mar 1 2025 by Hemanth Murthy, MBBS, MD, FASRS

    Fundus photo of Right eye of 34 year male patient with high hypermetropia(+14). BCVA 20/20 in right eye and 20/60 in left eye. Anterior segment was normal. There is loss of foveal pit with omega shaped elevation of inner retinal layers.

    Photographer: Mr Veda Vyas

    Condition/keywords: posterior microphthalmos

  • Retinal Fold in Posterior Microphthalmos

    Mar 1 2025 by Hemanth Murthy, MBBS, MD, FASRS

    Swept source OCT image of Right eye of 34 year male patient with high hypermetropia(+14). BCVA 20/20 in right eye and 20/60 in left eye. Anterior segment was normal. There is loss of foveal pit with omega shaped elevation of inner retinal layers.

    Photographer: Mr Veda Vyas

    Condition/keywords: posterior microphthalmos

  • Vortex-pattern Exudative Retinal Detachment

    Feb 22 2025 by CUI YUELING

    Patient: Male, 40 years old. Chief Complaint: Blurred vision and metamorphopsia in the left eye for more than 10 days. Past Medical History Hypertension for 4 years, with a highest recorded blood pressure of 160/80 mmHg. Currently controlled with oral "Nifedipine Sustained-Release Tablets, 2 tablets daily." Long-term history of heavy alcohol consumption and smoking. Ophthalmic Examination: Visual Acuity: Right eye (OD): 0.4 (uncorrected, no improvement with correction). Left eye (OS): 0.5 (-1.5DS = 1.0). Intraocular Pressure (IOP): OD: 15 mmHg. OS: 17 mmHg. Anterior Segment:Unremarkable. Fundus Examination: Right eye: Optic disc margins are clear, with a slightly reddish hue. Cup-to-disc ratio (C/D) = 0.2. A scalloped, orange-red elevated lesion is observed superior to the optic disc, with anterior displacement of the focal point. This is accompanied by a secondary, turbine-like exudative retinal detachment centered around the optic disc, involving the macula. The macular region shows scattered punctate yellow-white exudates. Diagnosis: Choroidal hemangioma with secondary exudative retinal detachment(OD).

    Photographer: Cui yueling The First People's Hospital of Zunyi, Guizhou, Zunyi, China

    Imaging device: Zeiss Clarus 500

    Condition/keywords: choroidal hemangioma, exudative retinal detachment

  • A Classic Case of Retinal Ora Serrata Imaging

    Jan 16 2025 by yuan duo

    A 5-year-old girl, born full-term with no history of systemic disease, presented with poor vision since early childhood and underwent fundus examination. Anterior segments of both eyes showed no significant abnormalities. Fundus examination revealed retinal folds extending from the optic disc to the temporal peripheral retina, with blood vessels coursing through the folds (A, B). Avascular zones were observed in the peripheral retina, and the ora serrata’s boundaries were clearly visible, displaying dentate processes and bays (C, D). Retinal pigmentation was evident. Genetic testing confirmed the final diagnosis of bilateral Familial Exudative Vitreoretinopathy (FEVR).

    Condition/keywords: Retinal Ora Serrata

  • Familial Exudative Vitreoretinopathy

    Jan 16 2025 by yuan duo

    A 5-year-old girl, born full-term with no history of systemic disease, presented with poor vision since early childhood and underwent fundus examination. Anterior segments of both eyes showed no significant abnormalities. Fundus examination revealed retinal folds extending from the optic disc to the temporal peripheral retina, with blood vessels coursing through the folds (A, B). Avascular zones were observed in the peripheral retina, and the ora serrata’s boundaries were clearly visible, displaying dentate processes and bays (C, D). Retinal pigmentation was evident. Genetic testing confirmed the final diagnosis of bilateral Familial Exudative Vitreoretinopathy (FEVR).

    Condition/keywords: Retinal Ora Serrata

  • Familial Exudative Vitreoretinopathy

    Jan 16 2025 by yuan duo

    A 5-year-old girl, born full-term with no history of systemic disease, presented with poor vision since early childhood and underwent fundus examination. Anterior segments of both eyes showed no significant abnormalities. Fundus examination revealed retinal folds extending from the optic disc to the temporal peripheral retina, with blood vessels coursing through the folds (A, B). Avascular zones were observed in the peripheral retina, and the ora serrata’s boundaries were clearly visible, displaying dentate processes and bays (C, D). Retinal pigmentation was evident. Genetic testing confirmed the final diagnosis of bilateral Familial Exudative Vitreoretinopathy (FEVR).

    Condition/keywords: Retinal Ora Serrata

  • Familial Exudative Vitreoretinopathy

    Jan 16 2025 by yuan duo

    A 5-year-old girl, born full-term with no history of systemic disease, presented with poor vision since early childhood and underwent fundus examination. Anterior segments of both eyes showed no significant abnormalities. Fundus examination revealed retinal folds extending from the optic disc to the temporal peripheral retina, with blood vessels coursing through the folds (A, B). Avascular zones were observed in the peripheral retina, and the ora serrata’s boundaries were clearly visible, displaying dentate processes and bays (C, D). Retinal pigmentation was evident. Genetic testing confirmed the final diagnosis of bilateral Familial Exudative Vitreoretinopathy (FEVR).

    Condition/keywords: Retinal Ora Serrata

  • MIDD (Maternally Inherited Diabetes and Deafness) - Left AF

    Nov 30 2024 by John S. King, MD

    Both right and left eyes have symmetrical ring of mottled hypo/hyper AF around the fovea and disc. The HyperAF areas correspond to RPE deposits on OCT as well as areas of blockage on FA, and drusenoid deposits seen on fundus photos 57 yo WF referred for AMD vs Pattern Dystrophy that was diagnosed 10 years ago. Reported some slow progressive vision loss in both eyes for distance and near. Denies nyctalopia or hemeralopia. Background medical history includes HTN, CVD, and DM. No family history of eye problems. Denied pentosan use. Anterior segment showed moderate cataracts (OD>OS). Posterior segment exam showed macular changes and mild NPDR. The macular appearance showed a symmetrical, paramacular ring of fleck-like drusenoid material with some faint focal areas of RPE hyperplasia. Fundus Photos, AF, OCT were performed as well as a gene test. Further questioning showed revealed that her mother and maternal grandmother had both diabetes mellitus and sensorineural hearing loss. The patient developed diabetes in her teens, and some high frequency hearing loss in her early twenties. She had not had a previous genetic test or diagnosis of MIDD. Gene testing is pending for the mitochondrial component. Invitae's retinal panel, which does not include mitochondrial disorders, only showed a variant of uncertain significance, HMCN1. I discussed this case with Dr. Freund, and it is similar to a the case report : Inoue M, Kiss S, Freund KB. MACULAR PIGMENT RINGS AS THE PRESENTING FINDING OF MITOCHONDRIAL MYOPATHY, ENCEPHALOPATHY, LACTIC ACIDOSIS, AND STROKELIKE EPISODES. Retin Cases Brief Rep. 2015 Fall;9(4):260-4. doi: 10.1097/ICB.0000000000000182. PMID: 26200388.

    Photographer: Grace Melton and Carley Gunn

    Imaging device: Clarus

    Condition/keywords: Macular Dystrophy, Maternally Inherited Diabetes and Deafness, MIDD, Mitochondrial Disorder

  • MIDD (Maternally Inherited Diabetes and Deafness) - Right AF

    Nov 30 2024 by John S. King, MD

    Both right and left eyes have symmetrical ring of mottled hypo/hyper AF around the fovea and disc. The HyperAF areas correspond to RPE deposits on OCT as well as areas of blockage on FA, and drusenoid deposits seen on fundus photos. Disc drusen in right eye present as HyperAF spot 57 yo WF referred for AMD vs Pattern Dystrophy that was diagnosed 10 years ago. Reported some slow progressive vision loss in both eyes for distance and near. Denies nyctalopia or hemeralopia. Background medical history includes HTN, CVD, and DM. No family history of eye problems. Denied pentosan use. Anterior segment showed moderate cataracts (OD>OS). Posterior segment exam showed macular changes and mild NPDR. The macular appearance showed a symmetrical, paramacular ring of fleck-like drusenoid material with some faint focal areas of RPE hyperplasia. Fundus Photos, AF, OCT were performed as well as a gene test. Further questioning showed revealed that her mother and maternal grandmother had both diabetes mellitus and sensorineural hearing loss. The patient developed diabetes in her teens, and some high frequency hearing loss in her early twenties. She had not had a previous genetic test or diagnosis of MIDD. Gene testing is pending for the mitochondrial component. Invitae's retinal panel, which does not include mitochondrial disorders, only showed a variant of uncertain significance, HMCN1. I discussed this case with Dr. Freund, and it is similar to a the case report : Inoue M, Kiss S, Freund KB. MACULAR PIGMENT RINGS AS THE PRESENTING FINDING OF MITOCHONDRIAL MYOPATHY, ENCEPHALOPATHY, LACTIC ACIDOSIS, AND STROKELIKE EPISODES. Retin Cases Brief Rep. 2015 Fall;9(4):260-4. doi: 10.1097/ICB.0000000000000182. PMID: 26200388.

    Photographer: Grace Melton and Carley Gunn

    Imaging device: Clarus

    Condition/keywords: Macular Dystrophy, Maternally Inherited Diabetes and Deafness, MIDD, Mitochondrial Disorder

  • MIDD (Maternally Inherited Diabetes and Deafness) - Left FP

    Nov 30 2024 by John S. King, MD

    Both the right and left Eye have fairly symmetrical, extrafoveal drusenoid-like flecks and focal and faint areas of RPE hyperplasia (in addition to mild NPDR and PPA) 57 yo WF referred for AMD vs Pattern Dystrophy that was diagnosed 10 years ago. Reported some slow progressive vision loss in both eyes for distance and near. Denies nyctalopia or hemeralopia. Background medical history includes HTN, CVD, and DM. No family history of eye problems. Denied pentosan use. Anterior segment showed moderate cataracts (OD>OS). Posterior segment exam showed macular changes and mild NPDR. The macular appearance showed a symmetrical, paramacular ring of fleck-like drusenoid material with some faint focal areas of RPE hyperplasia. Fundus Photos, AF, OCT were performed as well as a gene test. Further questioning showed revealed that her mother and maternal grandmother had both diabetes mellitus and sensorineural hearing loss. The patient developed diabetes in her teens, and some high frequency hearing loss in her early twenties. She had not had a previous genetic test or diagnosis of MIDD. Gene testing is pending for the mitochondrial component. Invitae's retinal panel, which does not include mitochondrial disorders, only showed a variant of uncertain significance, HMCN1. I discussed this case with Dr. Freund, and it is similar to a the case report : Inoue M, Kiss S, Freund KB. MACULAR PIGMENT RINGS AS THE PRESENTING FINDING OF MITOCHONDRIAL MYOPATHY, ENCEPHALOPATHY, LACTIC ACIDOSIS, AND STROKELIKE EPISODES. Retin Cases Brief Rep. 2015 Fall;9(4):260-4. doi: 10.1097/ICB.0000000000000182. PMID: 26200388.

    Photographer: Grace Melton and Carley Gunn

    Imaging device: Clarus

    Condition/keywords: Macular Dystrophy, Maternally Inherited Diabetes and Deafness, MIDD, Mitochondrial Disorder

  • MIDD (Maternally Inherited Diabetes and Deafness) - Right FP

    Nov 30 2024 by John S. King, MD

    Both the right and left Eye have fairly symmetrical, extrafoveal drusenoid-like flecks and focal and faint areas of RPE hyperplasia (in addition to mild NPDR and PPA) 57 yo WF referred for AMD vs Pattern Dystrophy that was diagnosed 10 years ago. Reported some slow progressive vision loss in both eyes for distance and near. Denies nyctalopia or hemeralopia. Background medical history includes HTN, CVD, and DM. No family history of eye problems. Denied pentosan use. Anterior segment showed moderate cataracts (OD>OS). Posterior segment exam showed macular changes and mild NPDR. The macular appearance showed a symmetrical, paramacular ring of fleck-like drusenoid material with some faint focal areas of RPE hyperplasia. Fundus Photos, AF, OCT were performed as well as a gene test. Further questioning showed revealed that her mother and maternal grandmother had both diabetes mellitus and sensorineural hearing loss. The patient developed diabetes in her teens, and some high frequency hearing loss in her early twenties. She had not had a previous genetic test or diagnosis of MIDD. Gene testing is pending for the mitochondrial component. Invitae's retinal panel, which does not include mitochondrial disorders, only showed a variant of uncertain significance, HMCN1. I discussed this case with Dr. Freund, and it is similar to a the case report : Inoue M, Kiss S, Freund KB. MACULAR PIGMENT RINGS AS THE PRESENTING FINDING OF MITOCHONDRIAL MYOPATHY, ENCEPHALOPATHY, LACTIC ACIDOSIS, AND STROKELIKE EPISODES. Retin Cases Brief Rep. 2015 Fall;9(4):260-4. doi: 10.1097/ICB.0000000000000182. PMID: 26200388.

    Photographer: Grace Melton and Carley Gunn

    Imaging device: Clarus

    Condition/keywords: Macular Dystrophy, Maternally Inherited Diabetes and Deafness, MIDD, Mitochondrial Disorder

  • MIDD (Maternally Inherited Diabetes and Deafness) - OCT OD

    Nov 30 2024 by John S. King, MD

    OCT shows mild RPE deposit inferiorly (corresponds to area of FA blockage and HyperAF) and a focal area of iRORA with loss of EZ more superiorly (possibly due to regression of RPE deposit). No choroidal thickening (like in pachychoroid pigment epitheliopathy or cscr) 57 yo WF referred for AMD vs Pattern Dystrophy that was diagnosed 10 years ago. Reported some slow progressive vision loss in both eyes for distance and near. Denies nyctalopia or hemeralopia. Background medical history includes HTN, CVD, and DM. No family history of eye problems. Denied pentosan use. Anterior segment showed moderate cataracts (OD>OS). Posterior segment exam showed macular changes and mild NPDR. The macular appearance showed a symmetrical, paramacular ring of fleck-like drusenoid material with some faint focal areas of RPE hyperplasia. Fundus Photos, AF, OCT were performed as well as a gene test. Further questioning showed revealed that her mother and maternal grandmother had both diabetes mellitus and sensorineural hearing loss. The patient developed diabetes in her teens, and some high frequency hearing loss in her early twenties. She had not had a previous genetic test or diagnosis of MIDD. Gene testing is pending for the mitochondrial component. Invitae's retinal panel, which does not include mitochondrial disorders, only showed a variant of uncertain significance, HMCN1. I discussed this case with Dr. Freund, and it is similar to a the case report : Inoue M, Kiss S, Freund KB. MACULAR PIGMENT RINGS AS THE PRESENTING FINDING OF MITOCHONDRIAL MYOPATHY, ENCEPHALOPATHY, LACTIC ACIDOSIS, AND STROKELIKE EPISODES. Retin Cases Brief Rep. 2015 Fall;9(4):260-4. doi: 10.1097/ICB.0000000000000182. PMID: 26200388.

    Photographer: Grace Melton and Carley Gunn

    Imaging device: Zeiss Cirrus

    Condition/keywords: Macular Dystrophy, Maternally Inherited Diabetes and Deafness, MIDD, Mitochondrial Disorder

  • MIDD (Maternally Inherited Diabetes and Deafness) - OCT OS

    Nov 30 2024 by John S. King, MD

    Magnified section of radial scan through the left eye showing a focal nodular RPE deposit that corresponds to a focal drusenoid deposit in temporal macula, that HypoFLs and HyperAFs. Choroid not significantly thickened or thinned, and the nodular thickening may be just above a large outer choroid vessel?) 57 yo WF referred for AMD vs Pattern Dystrophy that was diagnosed 10 years ago. Reported some slow progressive vision loss in both eyes for distance and near. Denies nyctalopia or hemeralopia. Background medical history includes HTN, CVD, and DM. No family history of eye problems. Denied pentosan use. Anterior segment showed moderate cataracts (OD>OS). Posterior segment exam showed macular changes and mild NPDR. The macular appearance showed a symmetrical, paramacular ring of fleck-like drusenoid material with some faint focal areas of RPE hyperplasia. Fundus Photos, AF, OCT were performed as well as a gene test. Further questioning showed revealed that her mother and maternal grandmother had both diabetes mellitus and sensorineural hearing loss. The patient developed diabetes in her teens, and some high frequency hearing loss in her early twenties. She had not had a previous genetic test or diagnosis of MIDD. Gene testing is pending for the mitochondrial component. Invitae's retinal panel, which does not include mitochondrial disorders, only showed a variant of uncertain significance, HMCN1. I discussed this case with Dr. Freund, and it is similar to a the case report : Inoue M, Kiss S, Freund KB. MACULAR PIGMENT RINGS AS THE PRESENTING FINDING OF MITOCHONDRIAL MYOPATHY, ENCEPHALOPATHY, LACTIC ACIDOSIS, AND STROKELIKE EPISODES. Retin Cases Brief Rep. 2015 Fall;9(4):260-4. doi: 10.1097/ICB.0000000000000182. PMID: 26200388.

    Photographer: Grace Melton and Carley Gunn

    Imaging device: Zeiss Cirrus

    Condition/keywords: Macular Dystrophy, Maternally Inherited Diabetes and Deafness, MIDD, Mitochondrial Disorder

  • MIDD (Maternally Inherited Diabetes and Deafness) - Right FA (4 min)

    Nov 30 2024 by John S. King, MD

    Both eyes had similar FA findings. There was no dark choroid or signs of leakage. Granular staining around the fovea and disc were present, and the HypoAF areas corresponded to the drusenoid deposits that showed HyperAF. Mild MAs present due to NPDR 57 yo WF referred for AMD vs Pattern Dystrophy that was diagnosed 10 years ago. Reported some slow progressive vision loss in both eyes for distance and near. Denies nyctalopia or hemeralopia. Background medical history includes HTN, CVD, and DM. No family history of eye problems. Denied pentosan use. Anterior segment showed moderate cataracts (OD>OS). Posterior segment exam showed macular changes and mild NPDR. The macular appearance showed a symmetrical, paramacular ring of fleck-like drusenoid material with some faint focal areas of RPE hyperplasia. Fundus Photos, AF, OCT were performed as well as a gene test. Further questioning showed revealed that her mother and maternal grandmother had boith diabetes mellitus and sensorineural hearing loss. The patient developed diabetes in her teens, and some high frequency hearing loss in her early twenties. She had not had a previous genetic test or diagnosis of MIDD. Gene testing is pending for the mitochondrial component. Invitae's retinal panel, which does not include mitochondrial disorders, only showed a variant of uncertain significance, HMCN1. I discussed this case with Dr. Freund, and it is similar to a the case report : Inoue M, Kiss S, Freund KB. MACULAR PIGMENT RINGS AS THE PRESENTING FINDING OF MITOCHONDRIAL MYOPATHY, ENCEPHALOPATHY, LACTIC ACIDOSIS, AND STROKELIKE EPISODES. Retin Cases Brief Rep. 2015 Fall;9(4):260-4. doi: 10.1097/ICB.0000000000000182. PMID: 26200388.

    Photographer: Grace Melton and Carley Gunn

    Imaging device: Clarus

    Condition/keywords: Macular Dystrophy, Maternally Inherited Diabetes and Deafness, MIDD, Mitochondrial Disorder

  • MIDD (Maternally Inherited Diabetes and Deafness) - Left FA (7 min)

    Nov 30 2024 by John S. King, MD

    Both eyes had similar FA findings. There was no dark choroid or signs of leakage. Granular staining around the fovea and disc were present, and the HypoAF areas corresponded to the drusenoid deposits that showed HyperAF. Mild MAs present due to NPDR 57 yo WF referred for AMD vs Pattern Dystrophy that was diagnosed 10 years ago. Reported some slow progressive vision loss in both eyes for distance and near. Denies nyctalopia or hemeralopia. Background medical history includes HTN, CVD, and DM. No family history of eye problems. Denied pentosan use. Anterior segment showed moderate cataracts (OD>OS). Posterior segment exam showed macular changes and mild NPDR. The macular appearance showed a symmetrical, paramacular ring of fleck-like drusenoid material with some faint focal areas of RPE hyperplasia. Fundus Photos, AF, OCT were performed as well as a gene test. Further questioning showed revealed that her mother and maternal grandmother had boith diabetes mellitus and sensorineural hearing loss. The patient developed diabetes in her teens, and some high frequency hearing loss in her early twenties. She had not had a previous genetic test or diagnosis of MIDD. Gene testing is pending for the mitochondrial component. Invitae's retinal panel, which does not include mitochondrial disorders, only showed a variant of uncertain significance, HMCN1. I discussed this case with Dr. Freund, and it is similar to a the case report : Inoue M, Kiss S, Freund KB. MACULAR PIGMENT RINGS AS THE PRESENTING FINDING OF MITOCHONDRIAL MYOPATHY, ENCEPHALOPATHY, LACTIC ACIDOSIS, AND STROKELIKE EPISODES. Retin Cases Brief Rep. 2015 Fall;9(4):260-4. doi: 10.1097/ICB.0000000000000182. PMID: 26200388.

    Photographer: Grace Melton and Carley Gunn

    Imaging device: Clarus

    Condition/keywords: Macular Dystrophy, Maternally Inherited Diabetes and Deafness, MIDD, Mitochondrial Disorder

  • ICC-8 Pinhole IOL

    Nov 5 2024 by Kimberly Wakester

    Anterior segment photograph of a 74-year-old woman with an ICC-8 pinhole IOL with stellate areas on the pinhole in the right eye.

    Photographer: Kimberly Wakester, COA

    Imaging device: Topcon TRC-50DX

    Condition/keywords: Pinhole IOL

  • Multifocal PC IOL

    Nov 5 2024 by Kimberly Wakester

    Anterior segment photograph of a 74-year-old woman with a Multifocal PC IOL in place in the left eye.

    Photographer: Kimberly Wakester, COA

    Imaging device: Topcon TRC-50DX

    Condition/keywords: IOL, Multifocal