Search results (503 results)

Jul 16 2025 by Shivankar Sen, MS, FVRS

15-year-old female with complaints of defective vision for 6 years with best corrected visual acuity of 6/60; N36 in both eyes was found to have dystrophic macula with extensive spread out pigmentary bony spicules; On Confocal blue autofluorescence shows central hypo-autofluorescence and a heterogenous pisciform background with OCT showing extensive outer retinal layer disruption with genetic report confirming ABCA4 mutation and giving us definite diagnosis of Stargardt's Disease.

Photographer: Dr. N. Haindavi

Imaging device: Heidelberg Spectralis HRA+OCT

Condition/keywords: Blue autofluroscence, Stargardts Disease

Jul 7 2025 by Moazzam Parvez

Fundus fluorescein image of a 62 year old gentleman in the early phase showing diffuse RPE mottling in the temporal aspect of the arcade.

Photographer: Moazzam Parvez

Imaging device: Heidelberg Spectralis

Condition/keywords: FA early phase, FFA, RPE mottling

Jun 30 2025 by Shivankar Sen, MS, FVRS

Posterior Pole and Ultra-wide field Fluorescein angiogram of a 79 yr. old one eyed male revealing arterial occlusion, grossly non-perfused peripheral retina with neovascularisation elsewhere and significant tractions at the posterior pole.

Photographer: Gayathri M S, Dr. Shivankar Sen MD

Imaging device: Heidelberg Spectralis HRA+OCT

Condition/keywords: arterial occlusion, Traction retinal detachment, Vein Occlusion

Jun 27 2025 by Gayathri M S

Case of impending Macular BRVO. 52 year old female on medication for Hypertension and Diabetes Mellitus since 2 years. BCVA 6/18,N6. IOP 16 mmHg. Multicolor Reflectance and Fundus Fluorescein Angiography picture shows mild dilated tortuous inferior vessels, small areas of capillary non perfusion and few microanurysms.

Photographer: Gayathri MS

Imaging device: Heidelberg spectralis

Condition/keywords: fluorescein angiogram (FA), macular branch retinal vein occlusion (BRVO), multicolor

Jun 25 2025 by Shivankar Sen, MS, FVRS

A 41 year old male came with complaints of Right eye blurring of vision since a day associated with watering and redness. He had no systemic illness, though gave a history of fall from bike 1 month back at the time of which he had blunt force trauma to the right side of the face. BCVA was 3/60, less than N36 in the right eye and 6/6, N6 in the left eye. Right eye had Marcus Gunn Pupil with clear lens, Left eye was within normal limits. IOP was normal; 16 in OD and 18 in OS. Retina evaluation revealed CRAO in the right eye with cilio-retinal artery sparing. Left eye was unremarkable Image Details Left to Right (Top 2 rows) Multicolor Reflectance Image (Blue-green enhanced 55 degree) revealing cilioretinal spared retinal stroma and a characteristic Cherry Red Spot; Green Reflectance showing corresopnding dark gray area with spared perfusion and black spot consistent with Cherry Red Spot on multicolor 2nd Row - 35 degree image (Multicolor Standard Reflectance and Green Reflectance) 3rd Row - SD-OCT revealing acute moderate CRAO findings with Middle retinal layer opacification and prominent middle limiting membrane (p-MLM) sign; Inner retinal layer opacification and prominent retinal pigment epithelium at the fovea with Diminished inner retinal layer stratification

Photographer: Gayathri M S

Imaging device: Heidelberg Spectralis HRA+OCT

Condition/keywords: CRAO with cilioretinal sparing, multicolor, multimodal imaging, OCT biomarkers, reflectance

Jun 25 2025 by Shivankar Sen, MS, FVRS

A 22 year old female came with history of injury to her left eye with a badminton racquet butt cap an hour before presentation On examination, she was found to have right eye 6/6;N6 vision and within normal limits, left eye 6/9;N6 vision, cells1+ in the anterior chamber, brisk pupillary response, no vitreous reaction and sub-clinical berlin's edema at the posterior pole. Multimodal imaging revealed frank boundaries of Berlin's edema more pronounced in the nasal parafoveal region. Figure details Top (Left to Right) Multicolor Reflectance showing bright yellow ring surrounding the perifovea; Blue Reflectance (Black on white contrast) showing corresponding black ring; Green Reflectance showing a characteristic white ring (all pronounced nasally); Bottom (Left-Right) Transverse structural OCT enface image showing white ring consistent with edema OCTA inner layer segmentation from ILM to GCL Transverse corresponding OCTA revealing faint hypo ring within perifoveal capillary bed

Photographer: Gayathri M S

Imaging device: Heidelberg Spectralis HRA+OCT

Condition/keywords: blue reflectance, En Face OCTA, enface imaging, multicolor, oct, reflectance

Jun 25 2025 by Shivankar Sen, MS, FVRS

A 22 year old female came with history of injury to her left eye with a badminton racquet butt cap an hour before presentation On examination, she was found to have right eye 6/6;N6 vision and within normal limits, left eye 6/9;N6 vision, cells1+ in the anterior chamber, brisk pupillary response, no vitreous reaction and sub-clinical berlin's edema at the posterior pole. Multimodal imaging revealed frank boundaries of Berlin's edema more pronounced in the nasal parafoveal region. Figure details Top (Left to Right) Multicolor Reflectance showing bright yellow ring surrounding the perifovea; Blue Reflectance (Black on white contrast) showing corresponding black ring; Green Reflectance showing a characteristic white ring (all pronounced nasally); Bottom (Left-Right) Transverse structural OCT enface image showing white ring consistent with edema OCTA inner layer segmentation from ILM to GCL

Photographer: Gayathri M S

Imaging device: Heidelberg Spectralis HRA+OCT

Condition/keywords: blue reflectance, En Face OCTA, multicolor

Jun 21 2025 by Moazzam Parvez

Auto fluorescence image of a 28 year old gentleman with active multifocal choroiditis in his left eye and healed choroiditic patches in the right eye.

Photographer: Moazzam Parvez , Netralayam , Kolkata

Imaging device: Heidelberg Spectralis

Condition/keywords: active, multifocal choroiditis

Jun 18 2025 by Moazzam Parvez

An OCT image of a 42 year old man presenting with a vision of 20/80 and complaining of distortion. OCT reveals serous retinal detachment with RPE alteration and disruption of outer retinal layers.

Photographer: Moazzam Parvez , Netralayam , Kolkata

Imaging device: Heidelberg Spectralis

Condition/keywords: Choroidal Hemangioma, Sub retinal fluid, tumor

Jun 18 2025 by Moazzam Parvez

Multicolor and infrared reflectance image of a 42 year old gentleman with a Choroidal hemangioma lesion temporal to the fovea complaining of distortion in his right eye . Fundus imaging revealed a well-circumscribed ,elevated, reddish orange lesion within the choroid involving the posterior pole temporally .

Photographer: Moazzam Parvez, Netralayam , Kolkata

Imaging device: Heidelberg Spectralis

Condition/keywords: Choroidal Hemangioma, tumor

Jun 12 2025 by Shivankar Sen, MS, FVRS

A 22 year old male came with history of sports injury to the right eye with the nose of shuttlecock while playing badminton. On examination, right eye anterior segment shows conjunctival congestion with brisk pupillary reaction and quiet anterior chamber. His best corrected visual acuity was 6/12; N6 in the right eye and 6/6; N6 in the left eye. Retinal examination revealed OD Berlin's Edema, OS within normal limits. Image Description (From Left to Right) Multicolor Reflectance (Blue-Green Enhanced) shows well defined yellowish discoloration Green reflectance and blue reflectance show corresponding whitish discoloration at the area of edema

Photographer: Dr. Shivankar Sen

Imaging device: Heidelberg Spectralis HRA+OCT

Condition/keywords: Shuttlecock Injury

Jun 3 2025 by Scott D Walter, MD, MSc, FASRS

Near-infrared (NIR) en face OCT image showing neovascularization of the disc (NVD) in a patient with type II diabetes mellitus, complicated by proliferative diabetic retinopathy (PDR).

Imaging device: Heidelberg Spectralis

Condition/keywords: Diabetes, Heidelburg Spectralis, microaneurysms, Neovascularisation at the Disc (NVD), NEOVASCULARISATION OF DISC, OCT EN FACE, proliferative diabetic retinopathy (PDR)

May 31 2025 by Moazzam Parvez

OCT image of a 26 year old gentleman of right eye macula with a central foveolar cotton ball like lesion . Inward traction by Müller cells over CB causes upward displacement of foveal cones without major disturbance of ellipsoid zone (EZ) and ELM . Cotton ball sign is characterized by small, fuzzy subfoveal hyperreflective area between the inner segment ellipsoid zone (EZ) and the interdigitation zone (IZ) .

Photographer: Dr Moazzam Parvez , Netralayam , Kolkata

Imaging device: Heidelberg Spectralis

Condition/keywords: Central bouquet haemorrhage, macula, myopia

May 30 2025 by Shivankar Sen, MS, FVRS

Multimodal Imaging of a case of Polypoidal Choroidal Vasculopathy Multicolor Reflectance showing multiple green-hyper-fringent lesions in the macular region (Up Left) Infra-red Autofluorescence and Blue Autofluorescence showing hypo-autofluorescent areas correspondingly revealing the exact extent of the sub-RPE Lesion (Down left and right respectively) Optical Coherence Tomography - Enhanced Depth Imaging showing Thumb-shaped Pigment Epithelial Detachment with presence of Sub-retinal fluid and Hyper-reflective foci (Top Right)

Photographer: Dr. Shivankar Sen

Imaging device: Heidelberg Spectralis HRA+OCT

Condition/keywords: Blue autofluroscence, CNVM, multicolor, near infrared autofluorescence (NIRAF), PCV, reflectance

May 26 2025 by Moazzam Parvez

Auto fluorescence photograph of an 43 year old man with active choroiditic lesion present in the left eye with recurrence

Photographer: Dr Moazzam Parvez , Netralayam , Kolkata

Imaging device: Heidelberg Spectralis

Condition/keywords: active choroididtis, choroiditi

May 13 2025 by Moazzam Parvez

Auto fluorescence image of the right eye with a bulls eye maculopathy depicting central auto hypo fluorescence surrounding a relatively normal fovea.

Photographer: Dr Moazzam Parvez , Netralayam, Kolkata

Imaging device: Heidelberg Spectralis

Condition/keywords: bulls eye maculopathy

Apr 22 2025 by Maxwell J Wingelaar, MD

Fundus autofluorescence of extensive chorioretinal scarring in the left eye.

Photographer: Killian Roberts

Imaging device: Heidelberg Spectralis AF

Condition/keywords: chorioretinal atrophy, chorioretinal inflammations

Apr 22 2025 by Maxwell J Wingelaar, MD

A multicolor photo showing chorioretinal scarring with partial macular sparing in the left eye.

Photographer: Killian Roberts

Imaging device: Heidelberg Spectralis Multicolor Photo

Condition/keywords: chorioretinal atrophy, chorioretinal inflammations

Apr 22 2025 by Maxwell J Wingelaar, MD

Fundus autofluorescence of Extensive chorioretinal scarring in the right eye.

Photographer: Killian Roberts

Imaging device: Heidelberg Spectralis AF

Condition/keywords: chorioretinal atrophy, chorioretinal inflammations

Apr 22 2025 by Maxwell J Wingelaar, MD

A multicolor photo showing chorioretinal scarring with macular involvement in the right eye

Photographer: Killian Roberts

Imaging device: Heidelberg Spectralis Multicolor Photo

Condition/keywords: chorioretinal atrophy, chorioretinal inflammations

Apr 10 2025 by Rinat Sutiushev

Fluorescein angiography of a 77-year-old woman with ischemic occlusion of the superior temporal branch of the central retinal vein with non-proliferative diabetic retinopathy.

Photographer: Rinat Sutiushev, Ophthalmological center “Vision”, Saint Petersburg

Imaging device: Heidelberg Spectralis

Condition/keywords: branch retinal vein occlusion (BRVO), nonproliferative diabetic retinopathy

Apr 7 2025 by Ramses Rosales-Diaz

Autofluorescence image of a 39-year-old female patient who sustained blunt ocular trauma resulting in three choroidal ruptures.

Photographer: Ramses Rosales-Diaz, Asociación Para Evitar la Ceguera en México I.A.P., Mexico City

Imaging device: Heidelberg Spectralis

Condition/keywords: blunt trauma, Choroidal Rupture

Apr 1 2025 by Isaac Agranoff

OCT scan of 18-year-old male presenting with 20/40 BCVA OU and bilateral focal outer retinal subfoveal defects. Patient reported long-term history of frequent sungazing, has stopped within past 6-9 months.

Photographer: Isaac Agranoff

Imaging device: Heidelberg Spectralis

Condition/keywords: solar retinopathy

Mar 25 2025 by Toolie Winters

Fundus autofluorescence image of a 69-year-old woman with toxic maculopathy OU due to Elmiron usage. Patient stopped using Elmiron in the late 2010s after having been on it for 17 years. The patient has areas of outer retinal and RPE atrophy temporal to fovea that have expanded compared to photos from two years ago. At the time of this appointment, her VA OD was sc20/40-1+2 PH20/30 and VA OS was scCF @ 1 foot.

Photographer: Toolie Winters

Imaging device: Heidelberg Spectralis

Condition/keywords: Elmiron Toxicity, FAF, fundus autofluorescence (FAF), Heidelburg Spectralis, Pentosan Toxicity, Toxic Maculopathy

Mar 9 2025 by Oscar Francisco Miranda, MD

A 36-year-old male with bilateral visual loss of 3 months' duration, with no relevant medical history on inquiry. A round-shaped lesion with well-defined borders and a yellowish-white color is observed in the macula of both eyes, accompanied by vitreous cellularity. The macular OCT shows a dentate RPE. The VDRL, FTA-ABS, and HIV tests were positive.

Photographer: Oscar Francisco Miranda-Gómez

Imaging device: Heidelberg Spectralis

Condition/keywords: acute syphilitic posterior placoid chorioretinitis, OCT, Ocular syphilis