Search results (165 results)

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Nov 4 2024 by Tejaswita Verma

Fundus photograph of the left eye of a 20 year old male with 6/12 vision showing a posterior pole fluffy yellowish white lesion along superotemporal arcade with full thickness involvement of retinal layers on OCT suggestive of toxoplasma retinitis .He was started on Tab. Bactrim-DS followed by oral steroids after 4 days .There was anterior segment involvement with few Keratic precipitates , IOP was 47mm Hg, therefore patient was misdiagnosed as viral trabeculitis elsewhere. IOP was managed medically.

Photographer: DR. TEJASWITA VERMA

Imaging device: MIRANTE

Condition/keywords: toxoplasmosis retinitis

Sep 29 2024 by Tejaswita Verma

Fundus photograph of a 35 year-old female with 6/6 vision in RE , unremarkable anterior segment and family history of angioid streaks and pseudoxanthoma elasticum in sister. Fundus examination revealed angioid streaks radiating from disc , sparing the fovea .Her Sister had received multiple anti VEGF injections for angioid streaks with CNVM.

Photographer: DR. TEJASWITA VERMA

Imaging device: MIRANTE

Condition/keywords: angioid streaks

Sep 24 2024 by Christian A Leal, MD

Anterior segment photo during exam under anesthesia in a child with spontaneous lens subluxation and history of ectopia lentis et pupillae. The pupil shown here has been pharmacologically dilated.

Photographer: Baker Hubbard, MD; Emory Eye Center

Condition/keywords: spontaneous lens dislocation

Sep 24 2024 by Christian A Leal, MD

Anterior segment photo during exam under anesthesia in a child with spontaneous lens dislocation and history of ectopia lentis et pupillae. The lens is not visible. The pupil shown here has been pharmacologically dilated.

Photographer: Baker Hubbard, MD; Emory Eye Center

Condition/keywords: spontaneous lens dislocation