Search results (97 results)

Feb 25 2025 by Prithvi Chandrakanth

A 61-year-old woman with a history of hypertension noticed a sudden painless blurring of vision in her left eye. Over the next few days, the blurriness persisted, and she experienced a mild central scotoma. On examination, Fundoscopic evaluation revealed dilated, tortuous retinal veins, retinal hemorrhages, and macular oedema.

Photographer: DR.PRITHVI CHANDRAKANTH, DR.CHANDRAKANTH NETHRALAYA, KOZHIKODE

Imaging device: EIDON

Condition/keywords: CRVO, CRVO WITH MACULA EDEMA, flame shaped retinal hemorrhage

Jan 31 2025 by Thirumalesh Mochi Basavaraj, MD

Widefield image of a 26 year-old male patient with pathologic myopia with history of central scotoma with a sub macular bleed.

Photographer: Puttaswamy N K

Imaging device: Optos Daytona

Condition/keywords: myopic choroidal neovascularization (CNV), Myopic CNVM, pathologic myopia

May 14 2024 by Eloy Mata-Cortes, MD

Color image capturing the left eye of a 32-year-old female. Despite a negative ophthalmological and medical history, she reported three days of blurred vision and a paracentral scotoma in her left eye, while maintaining central vision. The image reveals retinal whitening, extends from the parafoveal region to the inferotemporal arcade indicative of cilioretinal artery occlusion. Following this observation, the patient was referred for systemic assessment to explore the underlying etiology of the occlusion.

Photographer: Eloy Mata-Cortes, MD, Instituto Mexicano de Oftalmología, Querétaro, México

Imaging device: Nidek Mirante

Condition/keywords: cilioretinal artery occlusion, oclussion, retinal whitening

Apr 24 2024 by Marcelo Zas, MD PhD

Best vitelliform macular dystrophy (BVMD) or Best disease. Is the most common autosomal dominant macular dystrophy. It involves the retinal pigment epithelium (RPE), and leads to a characteristic bilateral yellow “egg-yolk” appearance of the macula as you can see in this image. Essentially, BVMD is considered to have 6 clinical stages: Previtelliform, Vitelliform, Pseudohypopyon, Vitelleruptive, Atrophic and Choroidal neovascularization. As the disease progresses, patients may experience a slow, bilateral decrease in visual acuity, central scotoma, or metamorphopsia. With secondary CNV, visual decline can be rapid, however.

Photographer: Luciano Scorsetti MD

Condition/keywords: Macular Dystrophy

Jan 17 2024 by Francisco Fraga Santini Canto

Microperimetry of a 63-year-old male with sequelae of ischemic stroke in the right parietal lobe years ago. In the right eye, the patient also had a central scotoma secondary to silicone oil toxicity.

Photographer: Leonardo Hideki Nomachi Naito

Imaging device: Navis-EX Microperimeter

Condition/keywords: ischemic stroke, microperimeter, neuro-ophtalmolgy, silicone oil toxicity, visual field defect

Oct 18 2023 by Heitor Nogueira

Fundus photograph of a 29-year-old woman with a 2-week history of low visual acuity associated with central scotoma. Ophthalmological history of axial myopia of -4,00D. She denied personal and family history.

Photographer: Heitor Nogueira, Instituto Penido Burnier, Campinas-SP, Brazil.

Imaging device: Eidon True Color

Condition/keywords: CNVM, multifocal chorioretinitis (MCP), punctate inner choroidopathy (PIC)

Oct 18 2023 by Heitor Nogueira

Fundus photograph of a 29-year-old woman with a 2-week history of low visual acuity associated with central scotoma. Ophthalmological history of axial myopia of -4,00D. She denied personal and family history.

Photographer: Heitor Nogueira, Instituto Penido Burnier, Campinas-SP, Brazil.

Imaging device: Eidon True Color

Condition/keywords: choroidal neovascularization (CNV), CNVM, multifocal chorioretinitis (MCP), punctate inner choroidopathy (PIC)

Apr 24 2022 by Aniruddha K Agarwal, MD

Green-light fundus autofluorescence (FAF) of the right eye from a 55-year-old man with risk factors for sexually trasnmitted diseases who presented to the retina clinic for a central scotoma. Funduscopy revealed a placoid lesion in the posterior pole. FAF highlights a hyperautofluorescent placoid lesion involving the macula with granular hyperfluorescence. The patient tested positive for syphilis and received intravenous penicillin treatment.

Photographer: Esther CIANCAS, MD, PhD, Gema CRESPO-RODRÍGUEZ, RN

Imaging device: Zeiss Clarus fundus camera

Condition/keywords: chorioretinitis, IUSG, syphilis, uveitis

May 21 2021 by Anmol Naik

A 36-year-old male complained of central scotoma in the right eye after observing intense laser lights at a local festival celebration. His BCVA was 6/60. On examination, he had a sub-internal limiting membrane (ILM) hemorrhage, which was treated with focal frequency-doubled Nd:YAG laser. Two weeks later, the hemorrhage resolved completely with BCVA of 6/6.

Photographer: Anmol Naik, MS, Insight Institute of Ophthalmology, Pune, India.

Imaging device: Topcon 3D Maestro 1, integrated Fundus camera and OCT

Condition/keywords: focal laser, laser photocoagulation, sub-inner limiting membrane hemorrhage

Apr 15 2021 by Rui Zhang, BA

A 14-year-old boy receiving induction chemotherapy for acute lymphocytic leukemia (ALL) complained of floaters and central scotoma in his left eye. (A) Fundus photography showed sub-macular choroidal abscess with intraretinal hemorrhage and edema. (B) OCT confirmed that the abscess had not penetrated the retinal pigment epithelium (RPE). Due to systemic septic signs (fever, tachycardia, tachypnea, new-onset papules), blood cultures were drawn and they came back positive for methicillin-resistant staphylococcus aureus (MRSA). Patient was promptly treated with both IV and intravitreal antibiotics. This is a case of sub-macular choroidal MRSA abscess in the setting of systemic bacteremia in an immunocompromised host.

Photographer: Raymond Mok, CRA COMT (Dartmouth-Hitchcock Medical Center)

Imaging device: Optical coherence tomography

Condition/keywords: abscess, acute leukemia, MRSA sepsis

Apr 12 2021 by Iuri Golubev, MD

46-year-old female with sudden onset paracentral scotoma below the central point of fixation in her left eye. Enface image shows a wedge shaped lesion pointing towards the fovea (top left). The lesion was spanning outer retinal layers from OPL to RPE (top left insert). One month later, the lesion has diminished in size, and was only involving retinal layers from ellipsoid zone to RPE(top right). At 4 months since presentation, the patient did not have any signs of AMN identifiable on enface or b-scan images (bottom center). Patient's symptoms has slowly improved and eventually resolved over the course of the next 4 years.

Imaging device: Zeiss Cirrus 5000

Condition/keywords: acute macular neuroretinopathy, acute macular outer retinopathy

Nov 26 2020 by Priya Rasipuram Chandrasekaran, MBBS, DO, DNB, FRCS

A 26-year-old male with no h/o trauma or underlying systemic disease presented with the complaint of central scotoma in the right eye since 1 month and fundus examination showed preretinal hemorrhage in the supero-temporal quadrant extending into the macular area and OCT macula showing premacular hemorrhage.

Condition/keywords: premacular hemorrhage

Nov 26 2020 by Priya Rasipuram Chandrasekaran, MBBS, DO, DNB, FRCS

A 26-year-old male with no h/o trauma or underlying systemic disease presented with the complaint of central scotoma in the right eye since 1 month and fundus examination showed preretinal hemorrhage in the supero-temporal quadrant extending into the macular area and OCT macula showing premacular hemorrhage.

Condition/keywords: preretinal hemorrhage

May 5 2020 by John S. King, MD

A 43-year-old white male who was injured while racing his side by side 4 wheel off-road vehicle (this is a video he showed me on his phone). He presented about three weeks after the injury. He was being seen by his local eye doctor who wanted an evaluation for the retinal heme and scotoma. His main complaint was a central/parcentral scotoma described as a greyish area in vision. Va 20/50 OD, nomotensive, no APD (by technician), anterior segment u/r; see {https://imagebank.asrs.org/file/53828/sxs-crash-during-a-race-causing-valsalva-retinopathy-od} for the fundus exam - of note there are superficial/preretinal heme, with layering of the heme superiorly; in the parafoveal region nasally there is some mottling of the RPE that may indicate an area of prior commotio retinae (also possible to have TON), which may account for his scotoma. Really bad accident, and amazingly, he had no LOC or injuries other than the right retina. Helmet and racing harness seat belt were used.

Condition/keywords: motor vehicle accident, trauma, valsalva retinopathy

Apr 29 2020 by John S. King, MD

43-year-old white male who was injured while racing a side by side 4-wheel off-road vehicle (see Video: https://imagebank.asrs.org/file/53854/sxs-crash-during-a-race-causing-valsalva-retinopathy-od). He presented about three weeks after the injury. He was being seen by his local eye doctor who wanted an evaluation for the retinal heme and scotoma. His main complaint was a central/parcentral scotoma described as a greyish area in vision. Va 20/50 OD, nomotensive, no APD (by technician), anterior segment u/r; see picture for the fundus exam - of note there are superficial/preretinal heme, with layering of the heme superiorly, and small superficial heme at nasal edge of the optic disc; in the parafoveal region nasally there is some mottling of the RPE that may indicate an area of prior commotio retinae (also possible to have TON), which may account for his scotoma. Really bad accident (video), and amazingly, he had no LOC or injuries other than the right retina. Helmet and racing harness seat belt were used.

Photographer: Asli Ahmed

Imaging device: Topcon 50

Condition/keywords: valsalva retinopathy

Jun 1 2019 by John S. King, MD

39-year-old African American female with central scotoma two days since blunt head injury in MVA, sent for evaluation of macular hole. 20/150 OS with IOP 12 and no RAPD. No macular hole present. Macular findings include commotio retinae and subfoveal hemorrhage.

Photographer: Stacey Coleman

Imaging device: Topcon

Condition/keywords: blunt trauma, commotio retinae, macular pseudohole, subretinal hemorrhage

May 14 2019 by Paola Brito, MD

OCT image of a 52-year-old male, no systemic disease. Left eye with central scotoma and VA 20/25. Hyperreflective lesion in the inner nuclear layer. OCT-A decreased capilar density in superficial and deep capilar plexus. Irregular FAZ.

Photographer: Paola Brito Sandoval, Fundación Hospital Nuestra Señora de la Luz

Imaging device: Angioplex

Condition/keywords: paracentral acute middle maculopathy

Apr 28 2019 by Bastián Schmidt Arias

Optical coherence tomography of a 13-year-old adolescent with a laser pointer maculopathy, 20/20 visual acuity with paracentral scotoma.

Photographer: Bastian Schmidt

Imaging device: Topcon 3D OCT-2000

Condition/keywords: laser pointer maculopathy, maculopathy, optical coherence tomography (OCT)

Apr 28 2019 by Niloofar Piri, MD

HD-OCT image of 53-year-old man who presented with a superior small paracentral scotoma for 1 month. He had very small hypopigmented area inferior to the fovea and hyporeflectivity on NIR image ( #1). OCT demonstrated a vertical hyper-reflective band extending from OPL to RPE. This form is type 2 AMN which is due to occlusion of deep capillary plexus. #2

Condition/keywords: acute macular neuroretinitis, acute macular neuroretinopathy

Apr 28 2019 by Niloofar Piri, MD

HD-OCT image of 53-year-old man who presented with a superior small paracentral scotoma for 1 month. He had very small hypopigmented area inferior to the fovea and hyporeflectivity on NIR image ( #1). OCT demonstrated a vertical hyper-reflective band extending from OPL to RPE. This form is type 2 AMN which is due to occlusion of deep capillary plexus.

Photographer: Niloofar Piri,MD

Condition/keywords: acute macular neuroretinitis, acute macular neuroretinopathy

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

Mar 30 2018 by Ritu Shah

Fundus photograph of a 32-year-old male who presented with a complaint of a central scotoma since 3-4 days in left eye only. He was diagnosed with serpingious choroiditis.

Photographer: Miss. Ashwini Borde

Condition/keywords: choroiditis

Jan 31 2018 by John S. King, MD

73-year-old with well controlled diabetes and hypertension presented with a month onset of acute central scotoma; CF 5'; SUB-ILM vs subyaloid elevation

Photographer: Stacey

Imaging device: Cirrus

Condition/keywords: ruptured macroaneurysm, sub-inner limiting membrane hemorrhage

Jan 31 2018 by John S. King, MD

73 -year-old with well controlled diabetes and hypertension presented with a month onset of acute central scotoma; CF 5'; FA shows pooling in the aneurysm, blockage by dehemoglobinized heme, some diabetic changes and some IRMAs likely from old vein occlusion (s)

Photographer: Stacey

Imaging device: Cirrus

Condition/keywords: ruptured macroaneurysm, sub-inner limiting membrane hemorrhage

Jan 31 2018 by John S. King, MD

73-year-old with well controlled diabetes and hypertension presented with a month onset of acute central scotoma; CF 5'

Photographer: Stacey

Imaging device: Cirrus

Condition/keywords: ruptured macroaneurysm, sub-inner limiting membrane hemorrhage