Search results (187 results)

Jun 17 2025 by Thirumalesh Mochi Basavaraj, MD

37 year old male with sudden onset diminution of visual acuity has a large retinochoridal granuloma along the superotemporal arcade and a few with satellite lesions more temporal to it, there was extensive Occlusoive vasculitis (both arterioles and veins )being involved with Vitrities.

Photographer: Vivekanand ,Narayana nethralaya

Imaging device: Daytona

Condition/keywords: acute toxoplasmosis, retinochoroiditis

May 11 2025 by Felipe Murati

Ultra-widefield fundus image from a 36-year-old woman with chronic VKH syndrome showing a pseudotumor-like subretinal fibrotic lesion in the right eye. The lesion developed after multiple relapses and remained stable over a 1-year follow-up with immunosuppressive treatment including prednisone, mycophenolate mofetil, and adalimumab. No active choroiditis or exudative detachment was observed. Multimodal imaging was essential for disease monitoring.

Photographer: Felipe A. Murati, MD, University of Arizona

Imaging device: Optos California ultra-widefield retinal imaging system, single-capture, color fundus modality.

Condition/keywords: adalimumab, chronic inflammation, granulomatous uveitis, OCT, Optos ultra-widefield imaging, pseudotumor, subretinal fibrosis, VKH, Vogt-Koyanagi-Harada

May 11 2025 by Felipe Murati

Fluorescein angiography image from a 36-year-old woman with chronic Vogt-Koyanagi-Harada (VKH) syndrome showing a pseudotumor-like lesion with late-phase staining and no active leakage. The image highlights subretinal fibrosis in the right eye, stable under long-term immunosuppressive therapy with mycophenolate mofetil and adalimumab. No signs of active choroiditis are present, confirming a quiescent phase.

Photographer: Felipe A. Murati, MD, University of Arizona

Imaging device: Optos California, fluorescein angiography modality

Condition/keywords: choroiditis, Fluorescein angiography, granulomatous uveitis, Optos FA, pseudotumor, subretinal fibrosis, VKH, Vogt-Koyanagi-Harada

May 7 2025 by Aayesha - Khanum, MBBS. D.N.B

A 45-year-old male presented with diminished vision for one month. His Mantoux test was negative, but as steroids worsened the condition, quantiferon TB was advised and it returned positive. He was started on anti-tuberculosis treatment (ATT). Oral steroids were reintroduced after one week of ATT. Optic disc granulomas can arise from direct invasion of the optic nerve or may represent hypersensitivity reaction to tuberculous antigens. The pathogenesis involves infiltration of immune cells, leading to formation of a granulomatous structure that disrupts normal architecture and function of the optic disc. Steroids with ATT facilitated regression of granulomatous lesion.

Photographer: Ms. Krishna Jeyanthi

Imaging device: Zeiss Clarus 500

Condition/keywords: Tuberculosis

Apr 18 2025 by Chellarani Kumarasamy, MD

10 year old girl referred for starbismus and red free image showed well demarcted inactive lesion.

Condition/keywords: toxocara granuloma

Apr 18 2025 by Chellarani Kumarasamy, MD

Fundus photo showed central posterior granuloma on the optic nerve

Condition/keywords: toxocara granuloma

Sep 23 2024 by DR Rohit Gupta

Fundus photograph of a 26 year old female suffering from pulmonary tuberculosis, on fundus examination a tuberculoma seen in her left eye.

Photographer: DR Rohit gupta

Imaging device: Samsung S21

Condition/keywords: tubercular choroidal granuloma

Jul 4 2024 by Brandon I Fram, MD, BS

4 yo with toxocariasis-related peripheral granuloma with adhesion to the macula and macular subretinal fibrosis. Positive Toxocara titers.

Condition/keywords: toxocara canis, toxocara granuloma, toxocariasis

Feb 7 2024 by Fawwaz F Al Mamoori, MD, Medical Retina Consultant

27-year-old male, medically free, presented with left unilateral optic disc swelling. BCVA=1.0(OU), color vision, and contrast sensitivity were normal (OU)with no RAPD in the left eye. Swept Source OCT: showed elevated left optic disc with hyporeflective mass (Fig-1 B). Enface OCT: Showed left peripapillary multiple ovoid mass lesions(drusen) (Fig-2 d, Fig3 F). FAF: of the left eye showed superonasal hyper autofluorescent drusenoid lesions)(Fig3 E). Orbital MRI with contrast was requested to exclude any compressive lesions like tumors(menigioma)or inflammatory lesions like granuloma(sarcoid granuloma). orbital MRI result was normal.

Photographer: Hana.S.Owais

Imaging device: TRITON(TOPCON,Swept Source OCT)

Condition/keywords: fundus autofluorescence (FAF), multimodal imaging, OCT EN FACE, optic disc drusen, optic disc edema, swept source

Feb 7 2024 by Fawwaz F Al Mamoori, MD, Medical Retina Consultant

A 27-year-old male patient, medically free, presented with unilateral left optic disc swelling. BCVA=1.0(OU), color vision, and contrast sensitivity were normal (OU) with no RAPD in the left eye. SS-OCT: showed left optic disc elevation with hyporeflective mass lesion (Fig-1 B). Enface OCT: showed left peripapillary hyperreflective ovoid mass lesions(Fig-2 D, Fig-3 F), FAF: showed left superonasal hyperautofluorescent drusenoid lesions. Orbital MRI with contrast was requested to exclude any optic nerve compressive lesions like (tumors: like mengioma or inflammatory lesions like granuloma (sarcoidosis). the result of orbital MRI was normal.

Photographer: Hana.S.Owais

Imaging device: TRITON(TOPCON,Swept Source OCT)

Condition/keywords: fundus autofluorescence (FAF), multimodal imaging, OCT EN FACE, optic disc drusen, optic disc edema

Nov 29 2023 by Virginia Gebhart

74 year-old female with presumed fibrotic granuloma. Previously diagnosed as pseudoduplication of the optic disc by general ophthalmologist. OCT showed elevation in the RPE, more consistent with granuloma. Pt has been aware for many years, asymptomatic. Will observe.

Photographer: Virginia Gebhart

Imaging device: Topcon 50DX

Condition/keywords: fibrotic scar, granuloma, Pseudoduplication of optic disc

Aug 6 2023 by AMIT NENE

Fundus photograph of 27 year old female with choroidal granuloma and disc edema treated with IVMP and oral steroids resulting in complete melt of granuloma at follow-up

Photographer: Gaurav Kamble, Isha Netralaya, Thane

Imaging device: Optos imaging

Condition/keywords: choroidal granuloma, optic disc edema

Jul 30 2023 by Dr.Sheetal Divate

A 23 year old female came with chief complaints of blurring of vision in left eye since 20 days. Fundus examination disc odema with choroidal granuloma.

Photographer: Dr.Sheetal Divate

Imaging device: Optos Advance

Condition/keywords: choroidal granuloma, Choroidal Lesion

Jul 17 2023 by Thirumalesh Mochi Basavaraj, MD

Composite Optos+SSOCT image Tubercular granuloma

Photographer: Puttaswamy N K ,Narayana Nethralaya, Bangalore

Condition/keywords: composite image OCT and widefiled image, tubercular choroidal granuloma

Jul 17 2023 by Thirumalesh Mochi Basavaraj, MD

Wide filed image of a tubercular choroidal granuloma

Photographer: Puttaswamy N K , Narayana Nethralaya, Bangalore

Condition/keywords: choroidal tuberculoma, tubercular choroidal granuloma

Mar 27 2023 by Joshua Friedman

Fundus photograph of a 70-year-old woman with presumed sarcoidosis and sarcoid-associated choroidal granuloma.

Photographer: Christopher D Conrady, MD, PhD

Condition/keywords: sarcoid granuloma

Apr 14 2022 by Divya Jain

Slit Lamp photograph of a 33 year old woman with first episode of acute granulomatous anterior uveitis showing mutton fat KP'S and Koeppe's nodules.

Photographer: Divya Jain

Condition/keywords: acute anterior uveitis

Apr 14 2022 by Divya Jain

Anterior Segment Slit Lamp photograph of a 33 year old woman with first episode of acute granulomatous anterior uveitis showing circumcorneal congestion, mutton fat KP'S, 3+ cells, 2+ flare and Koeppe's nodules at pupillary margin.

Photographer: Divya Jain

Condition/keywords: acute anterior uveitis

Nov 14 2021 by Maxwell J Wingelaar, MD

A tubercular choroidal granuloma in a patient with 4-drug resistant TB.

Condition/keywords: tubercular choroidal granuloma

Jul 6 2021 by Lucas Zago Ribeiro, MD

15-year-old male patient with vision loss for the last 4 years, presenting peripheral toxocariasis granuloma, and macular traction.

Photographer: Lucas Zago Ribeiro, Federal University of São Paulo (UNIFESP)

Imaging device: Zeiss Visucam 524

Condition/keywords: granuloma, toxocariasis

Apr 24 2021 by Alexandre Grandinetti, MD, PhD

8-year-old boy with a retinal fold secondary to peripheral toxocara canis granuloma localized on the superior retina.

Photographer: Corina Skrzek

Imaging device: Optos California

Condition/keywords: toxocariasis

Sep 26 2020 by Swati Agarwal-Sinha, MD, FASRS

Color fundus photo of the left eye two months post-treatment showing resolved exudative detachment, fibrosed granuloma at the optic disc, tractional detachment at the posterior pole and extensive diffuse subretinal exudates extending all around up to the retinal periphery. No retinal vascular changes are noted.

Photographer: Harry Rosa, University of Florida

Condition/keywords: Bartonella bacteria, exudative detachment

Sep 26 2020 by Swati Agarwal-Sinha, MD, FASRS

Color fundus photo of right eye showing normal optic disc, vessels, macula. Left eye two days after presentation with diffuse exudative retinal detachment with a large inflammatory retinal granuloma obscuring the optic disc.

Photographer: Harry Rosa, University of Florida

Condition/keywords: Bartonella bacteria, childhood, exudative detachment

May 18 2020 by McGill University Health Centre

Ocular tuberculosis refers to necrotizing granulomatous uveitis caused by Mycobacterium tuberculosis infection. The mechanism of infection of ocular structures is via hematogenous dissemination of the bacteria during the primary infection. In this enucleation specimen, the anterior chamber and vitreous cavity are filled by caseous exudate. The iris is also replaced by a whitish material, and the retina is completely detached. Note the whitish thickening of the posterior choroid (arrow).

Condition/keywords: caseous exudate, enucleation, ocular tuberculosis, uveitis

May 18 2020 by McGill University Health Centre

VKH disease is an autoimmune condition that causes bilateral chronic granulomatous panuveitis, and extraocular manifestations in the central nervous system, auditory system, and integument. VKH disease is twice as prevalent in women than men, and is believed to be associated with specific human leukocyte antigen (HLA) types, suggesting a possible hereditary component. The exact cause of VKH disease, however, remains unclear. Image (B) shows several aggregate RPE cells and histiocytes, called Dalen–Fuchs nodules (arrows)

Condition/keywords: Dalen-Fuchs nodules, enucleation, Vogt-Koyanagi-Harada