Search results (150 results)

Apr 1 2025 by Korey Starkey

4 year-old patient sent for genetic testing to rule out possibility of Waardenburg syndrome with Hirschsprung disease. Left eye iris has no discoloration present, vision in both eyes is 20/40.

Photographer: Korey Starkey

Imaging device: Topcon

Condition/keywords: external, external photography, iris, topcon

Apr 1 2025 by Korey Starkey

90-year-old patient with an Ozurdex implant that migrated into the AC and with the cornea decompensating. Patient recommended for urgent surgery to remove implant. Vision OD at this visit was CF @ 2ft, most recent visit vision is 20/400, PH 20/25.

Photographer: Korey Starkey

Imaging device: Topcon

Condition/keywords: anterior chamber, corneal decompensation, external, external photography, Ozurdex implant, Topcon

Mar 6 2025 by Gerardo - Montante Montelongo, MD

Fundus photograph of an 83-year-old male with a history of Diabetes, smoking, cataract surgery on the right eye in 2022, and open-angle glaucoma. Asymptomatic. Indirect ophthalmoscopy revealed 80% excavation, peripapillary atrophy, and a hyperpigmented perifoveal lesion with 35% atrophy, 10% drusen, and 5.1 mm diameter, corresponding to a CHRPE. At multimodal imaging, FFA shows hypoautofluorescence of the lesion, OCT shows preservation of internal retinal layers, atrophy of external retinal layer, with an RPE disruption, and posterior shadowing. USG shows a flat hyperechoic lesion 5.1 mm in diameter and 1.32 mm in thickness, solid and with high internal reflectance.

Photographer: Gerardo Montante-Montelongo, MD, Mexican Institute of Ophthalmology

Imaging device: Clarus 700

Condition/keywords: congenital hypertrophy of the retinal pigment epithelium (CHRPE), multimodal imaging

Sep 8 2024 by Maria Antonia Orrego

We present the case of a 33 year-old woman with visual loss of her left eye since childhood. Fundus examination revealed a retinal arteriovenous malformation with vessels originating from the optic nerve and extending to the fovea and equator, corresponding to a type 3 retinal racemose hemangioma (A). Infrared reflectance imaging confirmed findings described in funduscopy (B). Spectral domain optical coherence tomography shows dilated vessels in the internal and external retinal layers and adjacent intraretinal fluid (C).

Photographer: Dr. Maria Antonia Orrego V, Universidad CES, Clinica Clofán, Medellín, Colombia

Imaging device: Optovue Solix

Condition/keywords: arteriovenous malformation, multimodal imaging, racemose hemangioma, retinal arteriovenous malformations

Aug 22 2024 by Jordyn Beckman

61 year old male with Idiopathic Uveal Effusion Syndrome with starry night appearance on fluorescein. 3 weeks s/p single external drainage retinotomy and 9 weeks of oral pred with recurrent choroidal effusions. Has since returned to surgery for secondary drainage retinotomy; subretinal fluid remain persistent.

Photographer: Jordyn Beckman

Imaging device: Optos California

Condition/keywords: chorioretinitis, Choroidal, exudative detachment, window defect

May 15 2024 by Virginia Gebhart

74 year old female with choroidal folds s/p external beam radiation 11/2023. Choroidal infiltration and resolved SRF most likely secondary to Chronic Lymphocytic Leukemia. Pt remains asymptomatic.

Photographer: Virginia Gebhart

Imaging device: Topcon 50DX

Condition/keywords: after proton beam irradiation, choroidal folds

Mar 8 2024 by Ethan K Sobol, MD

The post operative week one appearance of a macula-on retinal detachment repaired with a 5mm strip encircling band, cryotherapy, and external drainage.

Photographer: Bryan Murphy, Senior Ophthalmic Photographer (Retina Group of Washington)

Imaging device: Optos California

Condition/keywords: scleral buckle

Dec 6 2023 by Virginia Gebhart

60 year old female with totally regressed tumor in temporal macula s/p external beam radiation and chemo. Pt diagnosed with stage IV metastatic lung cancer.

Photographer: Virginia Gebhart

Imaging device: Optos

Condition/keywords: choroidal metastasis, choroidal tumor

Nov 17 2023 by Zach Seim

Topcon photo of a 37 year old female with Sturge-Weber syndrome affecting OU. Patient presents with prominent episcleral vasculature and DCC 20/20 VA OU. Plan to monitor.

Photographer: Zach Seim

Imaging device: Topcon 50DX

Condition/keywords: bilateral, external, external photography, left eye, right eye, Sturge-Weber syndrome, Topcon

Feb 22 2023 by Zach Seim

An external image of a 25 year old male with Iris Coloboma, as well as Fundus Coloboma affecting both eyes. Patient's vision at the time of the image was 20/80. Discussed genetic testing as patient reports that he has a child with coloboma and patient agrees. There is a possibility of this finding being syndromic given cornea has small WTW and possibly microphthalmia. Recommended observation without treatment.

Photographer: Zach Seim

Imaging device: Topcon 50DX

Condition/keywords: coloboma, iris, left eye, Topcon

Aug 7 2022 by Muhammad Amer Awan, MD, FRCSEd, FRCOphth, FRCS Glasgow, FACS, FASRS

Fundus photography of a 6 months old baby boy who presented with unilateral leucoria. There was right exudate retinal detachment with extensive hard exudates and tortuous retinal vessels. Diagnosis of Coats' disease was made that was externally drained and intravitreal rhanibizumab was given.

Photographer: Muhammad Amer Awan, Shifa Taamer e Millat University

Condition/keywords: Coats' disease, exudative retinal detachment, exudative retinopathy, unilateral exudative retinal detachment

May 19 2022 by ALLAN GOMES DA SILVA

External view of vitrectomy under direct macular lens.

Photographer: Allan Gomes da Silva

Imaging device: Wide-angle camera - 26mm; f1.5; ISO 64; 208mm; 1/120 sec

Condition/keywords: retina surgery, vitreomacular surgery

Dec 23 2021 by Jessica Norkus

89-year-old female with extra-scleral extension of choroidal metastatic melanoma. Patient hadn't been seen by any eye doctor in 3 years prior to this visit. Noticed scleral darkening about 6 months ago, with vision loss noted for about 4-5 months. Presented with LP vision. Emergent MRI of brain/orbit showed no extension beyond what is seen at slit lamp. CT C/A/P w/ contrast ordered and found 2 hepatic lesions, concerning for potential mets. Patient referred to medical oncology.

Photographer: Jessica Norkus, COA, OSC

Imaging device: Topcon TRC 50DX

Condition/keywords: external photography, extrascleral extension, metastatic cancer, metastatic lesion

Dec 23 2021 by Jessica Norkus

89-year-old female with extra-scleral extension of choroidal metastatic melanoma. Patient hadn't been seen by any eye doctor in 3 years prior to this visit. Noticed scleral darkening about 6 months ago, with vision loss noted for about 4-5 months. Presented with LP vision. Emergent MRI of brain/orbit showed no extension beyond what is seen at slit lamp. CT C/A/P w/ contrast ordered and found 2 hepatic lesions, concerning for potential mets. Patient referred to medical oncology.

Photographer: Jessica Norkus, COA, OSC

Imaging device: Topcon TRC 50DX

Condition/keywords: external photography, extrascleral extension, metastatic cancer, metastatic lesion

Dec 23 2021 by Jessica Norkus

89-yea- old female with extra-scleral extension of choroidal metastatic melanoma. Patient hadn't been seen by any eye doctor in 3 years prior to this visit. Noticed sclera darkening about 6 months ago, with vision loss noted for about 4-5 months. Presented with LP vision. Emergent MRI of brain/orbit showed no extension beyond what is seen at slit lamp. CT C/A/P w/ contrast ordered and found 2 hepatic lesions, concerning for potential mets. Patient referred to medical oncology.

Photographer: Jessica Norkus, COA, OSC

Imaging device: Topcon TRC 50DX

Condition/keywords: external photography, extrascleral extension, metastatic cancer, metastatic lesion

Jun 1 2021 by Kushal S Delhiwala, MBBS, MS, FMRF,FICO, FAICO

Ultra-widefield fundus photograph of left eye of a 29-year-old male who underwent scleral buckling surgery for retinal detachment.279 silicone tire and 240 band was used. Fundus shows reattached retina with adequate buckle indentation and subretinal fluid blebs along inferior arcade and nasal to disc.

Photographer: Kushal Delhiwala, Netralaya superspeciality eye hospital, Ahmedabad, Gujarat,India

Imaging device: Optos Daytona

Condition/keywords: cryotherapy, external drainage, scleral band, scleral buckle, silicone band, silicone tire

May 4 2021 by Priya Rasipuram Chandrasekaran, MBBS, DO, DNB, FRCS

Fundus photo of a 34-year-old male showing bilaterally symmetrical atrophy of retinal pigment epithelium (RPE) and choriocapillaris involving the fovea and highlighting the underlying large choroidal vessels. OCT macula shows atrophy of the outer retinal layers up to the external limiting membrane along with thinning of RPE and Bruch's membrane complex. Rosette - like hyperreflective structures causing retinal elevation at the border of atrophic area (yellow arrows) are seen categorizing this into stage 4 disease.

Condition/keywords: central areolar choroidal dystrophy (CACD)

Apr 27 2021 by Priya Rasipuram Chandrasekaran, MBBS, DO, DNB, FRCS

Fundus photo of both eyes showing absent foveal reflex and orange red discolouration surrounded by a pigmentary halo. The corresponding OCT image of the macula shows outer retinal hole extending from the inner layer of retinal pigment epithelium to the external limiting membrane which inturn corresponds to IS/OS junction.

Condition/keywords: Welder's maculopathy

Nov 25 2020 by Nichole Lewis

External image of a surgically implanted investigational drug delivery system.

Photographer: Nichole Lewis

Condition/keywords: investigational drug delivery system

Sep 24 2020 by Anthony Maida

45-year-old female who received external beam radiation as treatment for a nasopharyngeal tumor.

Photographer: Anthony C. Maida, Hospital Central Militar, Ciudad de México.

Imaging device: Topcon TRC-NW8

Condition/keywords: after proton beam irradiation, radiation retinopathy

Sep 3 2020 by Ankur S. Gupta, MD, MS

40-year-old male who presented with blurry vision and hand lesions. Hyperreflective nodularity of the retinal pigment epithelium overlying loss of the normal photoreceptor architecture. Disruption of the external limiting membrane. Loss of the photoreceptor inner segment/outer segment band. Punctate hyperfluorescence in the choroid. Transient subretinal fluid.

Photographer: Kenneth Lam; Geisinger Eye Institute

Condition/keywords: neurosyphilis, uveitis

Jul 3 2020 by Dhaivat Shah

A 30-year-old young male presented with drop in vision in right eye since 1 year (6/60). Fundus examination revealed choroidal hemangioma superotemporal to macula. Choroidal hemangioma is an unusual benign vascular tumor of the choroid. It can be circumscribed solitary or diffuse tumor with the later having other systemic associations. Circumscribed choroidal hemangiomas (CCHs) are usually unilateral, unifocal hamartomatous vascular tumor affecting people in second to fourth decade. It appers as round to oval, orangish-red mass in posterior pole with smooth homogenous surface mostly present in macular and peripapillary area. Hyperopic shift is seen in sub-foveal tumors in contrast to para-foveal ones which are usually asymptomatic or present with metamorphopsia or photopsia and diminished vision secondary to exudative retinal detachment. B-scan shows highly reflective tumor without any shadowing or acoustic solidity with high anterior A scan spike. EDI-OCT here depicts a smooth gently sloping choridal mass with compressed choriocapillaries and enlarged medium and large choroidal vessels. Over a period of time structural abnormalities of the outer retina can be visualised. Ancillary testing using Fluorescein Angiography shows lacy hyper-fluorescence during early arterial phase followed by increased hyper-fluorescence due to progressive profuse leakage from pin point foci during arterial and venous phase. Indocyanine green angiography shows lacy diffuse fluorescent tumor in early phase followed by hypo-fluorescent tumor due to dye wash out in late phase. Intrinsic auto-fluorescence is also seen in CCHs from lipofuscin and fresh sub-retinal fluid. Tumor is relatively hyper-intense with respect to vitreous in T1-weighted images in iso-intense in T2-weighted images of MRI. Asymptomatic cases need no treatment, while patients showing vision loss with presence or absence of exudative retinal detachment can be treated with photodynamic therapy which is preferred treatment due to site specific action. Selective occlusion of choroidal neovascularization can be achieved while the neurosensory retinal layers and Bruch membrane are almost unaffected, leaving retinal function intact. Green or rarely red wavelength laser photocoagulation is used to create a chorioretinal adhesion and resolve the SRF. Other treatment modalities include Transpupilary thermotherapy, external beam irradiation, proton beam therapy, brachytherapy and gamma knife.

Photographer: Miss Deepika Nagle

Imaging device: Zeiss

Condition/keywords: B scan ultrasound, choroidal hemangioma, fundus photograph, optical coherence tomography (OCT), photodynamic therapy

Apr 30 2020 by Giselle DeOliveira

External / Gonio Photograph of 13-month old male infant with retinopathy of prematurity, retinal detachment and Cohen syndrome.

Photographer: Giselle DeOliveira, University of Miami, Bascom Palmer Eye Institute

Imaging device: Retcam III

Jan 30 2020 by James B. Soque, CRA, OCT-C, COA, FOPS

44-year-old white female with type 1 diabetes, and phthisical OD, fluorescein angiogram of heavily vascularized corneal surface at 35 deg, flash at 100 watts, on anterior external settings.

Photographer: James B Soque, CRA, OCT-C, COA, FOPS

Imaging device: TRC 50 DX, with MERGE FC software

Condition/keywords: cornea, corneal vascularization, diabetes, fluorescein angiogram (FA), phthisical cornea

Nov 14 2019 by Deepak Bhojwani, MS

Intraoperative Image of a spontaneous dislocation of lens in a Marfanoid patient.

Photographer: Dr Deepak Bhojwani

Imaging device: Sony External Video Recording Camera

Condition/keywords: dislocated crystalline lens, Marfan's syndrome