Search results (28 results)

  • A Vein in Vain: Ischemic CRVO

    Dec 6 2024 by Jasmeet Kaur Chandi

    Fundus photo of a 55 year-old female with extensive flame-shaped and dot-blot hemorrhages in all four quadrants. Tortuous and dilated veins with cotton-wool spots. Optic disc swelling with hyperemia and macular edema.

    Photographer: Dr. Jasmeet Kaur Chandi

    Condition/keywords: Ischemic Central Retinal Vein Occlusion

  • Torpedo Retinopathy

    Oct 31 2024 by AVIK DEY SARKAR, MS, FVRS, FAICO(VR)

    This is a 42 year old male with known history of diabetes mellitus for past 10 years. Patient presented with complains regarding presbyopia. On dilated fundoscopy, along with dot and blot hemorrhages, in the infero-temporal near-periphery outside the vascular arcade a hypopigmented torpedo-shaped lesion was noted. On OCT, outer retinal attenuation with sublesional choriocappilaris layer thinning was noted. The lesion is diagnosed as torpedo retinopathy. Torpedo maculopathy is rare in clinical practice and usually is found at the margin of temporal arcade over "Temporal Bulge". But this lesion is seen well away from the posterior pole. This case indicates the necessity of substituting the terminology "Torpedo Maculopathy" with "Torpedo Retinopathy" as mentioned earlier in ophthalmic literature.

    Photographer: Dr. Avik Dey Sarkar, MBBS, MS, FVRS, FAICO, Consultant, Department of Vitreoretinal Services, Aravind Eye Hospital, Madurai, India

    Imaging device: Wide angled Fundus imaging with Clarus 300

    Condition/keywords: torpedo maculopathy, torpedo Retinopathy

  • Proliferative Diabetic Retinopathy

    May 24 2024 by Anjana Mirajkar, MS Ophthalmology

    A central photo of a 60 year old male of left eye case of neovascularization elsewhere with dot and blot hemorrhages in a case of proliferative diabetic retinopathy.

    Photographer: Dr. Anjana Mirajkar -Retina Foundation, Ahmedabad

    Imaging device: Mirante-Nidek

    Condition/keywords: NVE, pre-proliferative diabetic retinopathy

  • Proliferative Diabetic Retinopathy

    May 24 2024 by Anjana Mirajkar, MS Ophthalmology

    A central photo of a 50 year old male case of PDR showing a sub-hyaloid hemorrhage with cotton wool spots , hard exudates at the fovea with dot and blot hemorrhages.

    Photographer: Dr. Anjana Mirajkar -Retina Foundation, Ahmedabad

    Imaging device: Mirante-Nidek

    Condition/keywords: proliferative diabetic retinopathy (PDR), Sub hyaloid haemorrhage

  • Proliferative Diabetic Retinopathy

    Apr 20 2024 by Tejaswita Verma

    Widefield fundus photograph of the left eye of a 62 year old female with left eye lasered proliferative diabetic retinopathy showing neovascularisation elsewhere with few dot-blot hemorrhages.

    Photographer: DR. TEJASWITA VERMA

    Condition/keywords: Neovascularisation elsewhere (NVE), pan-retinal photocoagulation (PRP), proliferative diabetic retinopathy (PDR)

  • Central Retinal Vein Occlusion associated with disc edema

    Oct 19 2023 by Gabriel Costa Andrade, PhD

    53-year-old woman with an acute CRVO. The patient has a history of breast cancer undergoing treatment with systemic chemotherapy. Notice the peripapillary cotton wool spots, superficial flame shaped hemorrhages and deeper dot and blot hemorrhages in all 4 quadrants.

    Photographer: Gabriel Andrade

    Condition/keywords: central retinal vein occlusion (CRVO), macular edema, Retina

  • Branch retinal artery occlusion

    Jan 24 2023 by Rayna Marshall

    Widefield fundus image of a 54-year-old female with an asymptomatic chronic branch retinal artery occlusion in the left eye. Peripheral schisis-like changes with pigmentation and temporal dot-blot hemorrhages. Vision was 20/20.

    Photographer: Drew H. Scoles, MD, PhD, University of Pennsylvania

    Condition/keywords: branch retinal artery occlusion (BRAO), BRAO, embolus

  • Macular Pucker

    Jan 7 2020 by RAFAEL REIS PEREIRA, MD

    A clinical grading system was proposed by Gass in 1987 describe the different stages of the epiretinal membrane. Grade 2 Macular pucker consists of a thick fibroglial membrane that contracts and produces obscuration of underlying vessels and marked full-thickness retinal distortion. Sometimes associated with cotton-wool spots, exudates, blot hemorrhages, microaneurysms, and cystoid macular edema.

    Photographer: Rafael Reis, Retina Clinic - Brazil

    Condition/keywords: macular pucker

  • Multiple Myeloma

    Apr 1 2019 by Gary R. Cook, MD, FACS

    62-year-old white female with multiple cotton wool spots and intraretinal hemorrhages OD secondary to multiple myeloma; V.A. = 20/60+1.

    Imaging device: Topcon VT-50

    Condition/keywords: blot hemorrhages, cotton wool spots, myeloma, retinal hemorrhage, retinopathy

  • Combined CRVO and BRAO

    Mar 27 2019 by Gary R. Cook, MD, FACS

    Right eye of a 56-year-old white male with a combined perfused CRVO (venous dilation and dot & blot hemorrhages in all 4 quadrants) and a superotemporal BRAO with peripapillary hemorrhages and cotton wool spots, and an area of retinal whitening inside of the ST arcade. V.A.= 20/70.

    Imaging device: Topcon VT-50

    Condition/keywords: branch retinal artery occlusion (BRAO), central retinal vein occlusion (CRVO)

  • Multiple Myeloma

    Mar 26 2019 by Gary R. Cook, MD, FACS

    62-year-old white female with multiple CWS and intraretinal hemorrhages OS secondary to multiple myeloma; VA= 20/20-2.

    Imaging device: Topcon VT-50

    Condition/keywords: blot hemorrhages, cotton wool spots, myeloma, retinal hemorrhage

  • Anemia

    Mar 26 2019 by Gary R. Cook, MD, FACS

    Retinal hemorrhages OS in a 45 year old female secondary to iron deficiency anemia; VA= 20/20.

    Imaging device: Topcon VT-50

    Condition/keywords: anemia, blot hemorrhages, hemorrhage, white centered retinal hemorrhage (Roth Spot)

  • Ocular Ischemic Syndrome

    Jun 20 2018 by Andreas Ebneter, MD, PhD, FASRS

    Ocular ischemic syndrome can present with a wide variety of ocular findings in both the anterior and posterior segments. The color fundus image of this 77-year-old male shows scattered blot hemorrhages in the deep retinal layers of the posterior pole that are only occasionally confluent. Commonly, these typical hemorrhages are predominantly found in the mid-periphery. Fluorescein angiography helps in confirming the diagnosis. Choroidal filling time is frequently somewhat delayed and patchy. Arteriovenous transit time is clearly prolonged. Staining of both veins and arteries in late images (top right) reflects diffuse endothelial cell damage with compromise of the blood-retina barrier. The peripheral retina is affected by extensive non-perfusion.

    Photographer: Eva Steffen, Bern University Hospital, Switzerland

    Imaging device: Optos 200Tx and Heidelberg Spectralis OCT

    Condition/keywords: ocular ischemic syndrome

  • Lupus Hemorrhagic Occlusive Vasculitis

    Apr 23 2018 by Frank Chin

    Fundus photograph of the right eye of a 24-year-old woman with history of systemic lupus erythematosus who presented with decreased visual acuity for 2-3 days found to have lupus hemorrhagic occlusive vasculitis with mild disc elevation, diffuse punctate cotton wool spots and dot blot hemorrhages, and a hemorrhage occlusive vasculitis along the superior branch of the superotemporal arcade involving the artery and vein.

    Photographer: Frank Chin, MD, George Washington University

    Imaging device: Optos 200Tx

    Condition/keywords: blot hemorrhages, cotton wool spots, occlusive vasculitis, systemic lupus erythematosus (SLE) vasculitis

  • White Without Pressure

    Jan 31 2018 by Olivia Rainey

    Ultra-wide field pseudocolor photograph of a 57-year-old female with white without pressure affecting her left eye. Patient will be having bloodwork done to rule out possible sarcoidosis or sickle cell.

    Photographer: Olivia Rainey

    Imaging device: Optos

    Condition/keywords: blot hemorrhages, color fundus photograph, left eye, Optos, ultra-wide field imaging, white without pressure

  • White Without Pressure/Dot Blot Hemorrhages

    Jan 31 2018 by Olivia Rainey

    Ultra-wide field pseudocolor photograph of a 57-year-old female with white without pressure affecting her right eye. Patient will be having bloodwork done to rule out possible sarcoidosis or sickle cell.

    Photographer: Olivia Rainey

    Imaging device: Optos

    Condition/keywords: blot hemorrhages, Optos, ultra-wide field imaging

  • Multiple Blot Hemorrhages and Roth Spots

    Jan 24 2018 by Gabriel Costa Andrade, PhD

    Multiple blot hemorrhages and Roth spots in a patient with acute leukemia.

    Photographer: Gabriel Andrade, MD

    Condition/keywords: leukemia, Roth spots

  • Proliferative Diabetic Retinopathy

    Mar 3 2017 by Nichole Lewis

    61-year-old female with proliferative diabetic retinopathy, neovascularization, microaneurysms, dot blot hemorrhages and capillary nonperfusion.

    Photographer: Nichole Lewis

    Condition/keywords: microaneurysms, neovascularization elsewhere (NVE), proliferative diabetic retinopathy (PDR)

  • CRVO

    Sep 7 2015 by Andrea Arriola-Lopez, MD MSc

    Color fundus photography of right eye with central retinal vein occlusion; BCVA 20/25; IOP 16mmHg. No macular edema or neovascularization.

    Photographer: Andrea Elizabeth Arriola López, MD, MSc

    Imaging device: OPTOS Dakota

    Condition/keywords: blot hemorrhages, central retinal vein occlusion (CRVO), venous tortuosity

  • Terson's Syndrome

    Jan 7 2015 by H. Michael Lambert, MD

    Color photograph- flame and blot hemorrhages

    Condition/keywords: Terson's Syndrome

  • Terson's Syndrome

    Jan 7 2015 by H. Michael Lambert, MD

    Color photograph- premacular and blot hemorrhages

    Condition/keywords: Terson's Syndrome

  • Leukemia

    Mar 29 2013 by Henry J. Kaplan, MD

    Multiple blot hemorrhages in a patient with leukemia #1.

    Condition/keywords: leukemia

  • SLE Retinopathy

    Feb 26 2013 by Henry J. Kaplan, MD

    SLE retinopathy,l eft eye: multiple cotton wool spots and blot hemorrhages. #2

    Condition/keywords: blot hemorrhages, cotton wool spots, systemic lupus erythematosus (SLE) retinopathy

  • Central Retinal Vein Occlusion

    Oct 30 2012 by Lihteh Wu, MD

    35-year-old hypertensive man with an acute CRVO. Notice the peripapillary cotton wool spots, superficial flame shaped hemorrhages and deeper dot and blot hemorrhages in all 4 quadrants. This is the typical blood and thunder appearance of a CRVO.

    Condition/keywords: central retinal vein occlusion (CRVO), cotton wool spots

  • Central Retinal Vein Occlusion

    Oct 30 2012 by Lihteh Wu, MD

    35-year-old hypertensive man with an acute CRVO. Notice the peripapillary cotton wool spots, superficial flame shaped hemorrhages and deeper dot and blot hemorrhages in all 4 quadrants. This is the typical blood and thunder appearance of a CRVO.

    Condition/keywords: central retinal vein occlusion (CRVO), cotton wool spots