Search results (578 results)

  • Radiation Retinopathy with BRVO

    May 28 2025 by Virginia Gebhart

    46 year old male with regressing choroidal melanoma. Stable pigment dispersion over biopsy site, BRVO secondary to radiation retinopathy. BCVA CF, will continue to observe.

    Photographer: Virginia Gebhart, Retina Consultants of Carolina

    Imaging device: Optos California

    Condition/keywords: brachytherapy, branch retinal vein occlusion (BRVO), BRVO, Choroidal melanoma, melanoma, radiation retinopathy

  • Optic Nerve Melanocytoma

    May 4 2025 by KANWALJEET HARJOT MADAN, M.S. (Ophthalmology); FAICO (Vitreous - Retina)

    This is a fundus picture of a young 42-year male who visited for a routine eye exam. His BCVA was 20/20 in both eyes. Anterior segment examination was normal. His left eye showed grey-black pigmentation at the infero-nasal margin of the optic disc. Fundus of the right eye was normal. The patient was diagnosed to have optic disc melanocytoma on multimodal imaging and was advised regular follow-up. Optic nerve melanocytoma is typically a benign tumor made up of melanocytes and melanin. It can grow, but rarely transforms into a malignancy. Patients with Optic Nerve Melanocytoma should be periodically examined for evidence of growth, loss of visual field and optic nerve compression.

    Photographer: Dr. Kanwaljeet Harjot Madan, Thind Eye Hospital, Jalandhar City (Punjab) INDIA.

    Imaging device: Zeiss Fundus Camera

    Condition/keywords: melanocytoma, melanoma, optic nerve

  • Uveal Melanoma

    Apr 26 2025 by Vishal Agrawal, MD, FRCS,FACS,FASRS

    A 32 year-old male presented with complaints of perceiving a shadow in OS for 15-20 days. His BCVA was 20/20 OU. On Fundus examination, a large, elevated, well-defined, pigmented choroidal mass with few hemorrhages over the lesion was seen and a provisional diagnosis of uveal melanoma was made. urgent oncological consultation was recommended for further treatment.

    Photographer: Dr Ayushi Gupta

    Imaging device: Clarus 700

    Condition/keywords: melanoma

  • Intraoperative Transillumination of Choroidal Melanoma

    Apr 18 2025 by Virginia Gebhart

    Intraoperative photo of transillumination of choroidal melanoma before plaque placement in 36 year old female.

    Photographer: Chris Bergstrom, MD, OD

    Imaging device: iphone

    Condition/keywords: choroidal melanoma, intraoperative, transillumination

  • Traumatic Hemorrhage

    Apr 17 2025 by Virginia Gebhart

    60 year old male with vitreous and sub hyaloid hemorrhage from being hit in the eye. No holes, tears, or detachment. Will observe closely, if no improvement will consider surgical repair. Treated melanoma s/p brachytherapy in 2008.

    Photographer: Virginia Gebhart, Retina Consultants of Carolina

    Imaging device: Optos California

    Condition/keywords: blunt trauma, sub hyaloid hemorrhage, vitreous hemorrhage

  • Pseudomelanoma (PEHCR)

    Apr 15 2025 by Virginia Gebhart

    67 year old male referred for peripheral choroidal lesion. Clinical exam and Bscan findings consistent with a subRPE hemorrhage secondary to peripheral exudative hemorrhagic chorioretinopathy. No vascularity on ultrasound. OD has small subRPE hemorrhage as well. Pt is on Eliquis. Will monitor with serial exams. Sponsored by the number 2

    Photographer: Virginia Gebhart, Retina Consultants of Carolina

    Imaging device: Optos California

    Condition/keywords: peripheral exudative hemorrhagic chorioretinopathy (PEHCR)

  • Treated Melanoma with Iluvien Implant

    Apr 9 2025 by Virginia Gebhart

    62 year old female 4 mo s/p brachytherapy for amelanotic choroidal melanoma. Iluvien implant given 4 wks s/p plaque removal, lesion is stable with resolved exudative detachment and subretinal fluid

    Photographer: Virginia Gebhart, Retina Consultants of Carolina

    Imaging device: Optos California

    Condition/keywords: amelanotic melanoma, brachytherapy, choroidal melanoma, Iluvien, melanoma

  • Choroidal Melanoma with Exudative Detachment

    Apr 7 2025 by Virginia Gebhart

    Autofluorescence image of 36 year old female showing demarcation line of fluid/detachment from new choroidal melanoma. Pt will be scheduled for brachytherapy pending CT scan results.

    Photographer: Virginia Gebhart, Retina Consultants of Carolina

    Imaging device: Optos California

    Condition/keywords: Autoflourescence, autofluorescence imaging, choroidal melanoma, melanoma, retinal detachment

  • New Choroidal Melanoma with Exudative Detachment

    Apr 7 2025 by Virginia Gebhart

    36 year old female referred for pigmented mass. Pt complains of flashes of light since last fall. Clinical exam and ultrasound findings consistent with choroidal melanoma with exudative detachment inferior. Pt will be scheduled for brachytherapy and possible tumor biopsy pending CT scan results.

    Photographer: Virginia Gebhart, Retina Consultants of Carolina

    Imaging device: Optos California

    Condition/keywords: Choroidal melanoma, exudative detachment, melanoma, retinal detachment

  • Collar Button Melanoma

    Mar 27 2025 by Virginia Gebhart

    62 year old male with large pigmented lesion with collar button. Pt states he was never aware of any lesion/nevus in the past. Fluid and orange pigment present, appears to be chronic. Pt will be scheduled for brachytherapy pending CT scan results.

    Photographer: Virginia Gebhart, Retina Consultants of Carolina

    Imaging device: Optos California

    Condition/keywords: choroidal melanoma, collar button

  • Choroidal Melanoma

    Mar 27 2025 by Virginia Gebhart

    91 year old female with resolved choroidal melanoma. Pathology report confirms dispersed melanoma in the vitreous and on the entire retina surface. Pt is going well 1 month s/p enucleation, once healed she will be referred to an ocularist. No evidence of metastatic disease.

    Condition/keywords: biopsy, choroidal melanoma

  • Regressing Choroidal Melanoma

    Mar 10 2025 by Virginia Gebhart

    56 year old male 4 months s/p plaque brachytherapy for choroidal melanoma. Tumor is regressing, there is an exudative detachment with worsening SRF. Treated with Avastin to promote hopeful improvement of the SRF

    Photographer: Virginia Gebhart, Retina Consultants of Carolina

    Imaging device: Optos California

    Condition/keywords: brachytherapy, Choroidal melanoma, exudative detachment, melanoma

  • FA/ICG Choroidal Melanoma

    Mar 10 2025 by Virginia Gebhart

    Side by Side comparison of late FA/ICG on choroidal melanoma. FA showed early lacy hyperfluorescence with late leakage, ICG showed late Hypocyanescence.

    Photographer: Virginia Gebhart, Retina Consultants of Carolina

    Imaging device: Optos California

    Condition/keywords: FA, Fluorescein angiography, fluorescein leakage, indocyanine green (ICG) angiography

  • Choroidal Melanoma

    Mar 10 2025 by Virginia Gebhart

    56 year old female with new choroidal melanoma. Pt states they have a "freckle" that had been monitored for 26 years, last CEE was over 2 years ago. Clinical exam and ancillary testing consistent with uveal melanoma. Pt scheduled for plaque brachytherapy with transretinal biopsy of the tumor for genetic testing. Pt also scheduled for CT scan of chest/abdomen to rule out metastatic disease.

    Photographer: Virginia Gebhart, Retina Consultants of Carolina

    Imaging device: Optos California

  • Choroidal Melanoma Masquerading as PEHCR

    Mar 3 2025 by Tejaswita Verma

    A 65 year old diabetic male presented with large nasal retinal mass giving the appearance of organized dehaemoglobinized subretinal hemorrhage with breakthrough vitreous hemorrhage , with 6/6P vision. Enucleation specimen showed histopathology confirmed choroidal melanoma.

    Photographer: DR. TEJASWITA VERMA

    Imaging device: MIRANTE

    Condition/keywords: vitreous hemorrhage

  • Ciliary Body Melanoma

    Feb 12 2025 by Virginia Gebhart

    91 year old female with large collar button tumor emanating from the ciliary body with resolving vitreous hemorrhage. Melanoma cells in the AV as well as studded on the entire retina surface. Pt scheduled for enucleation. CT scans of chest and abdomen showed no evidence of metastatic disease.

    Photographer: Virginia Gebhart, Retina Consultants of Carolina

    Imaging device: Optos California

    Condition/keywords: asteroid hyalosis, ciliary body mass, ciliary body melanoma, vitreous hemorrhage

  • Melanoma Multimodal Evaluation

    Feb 10 2025 by Gustavo M. Hüning, MD, MBA, FASRS

    UWF multimodal imaging of an 37-year-old woman with a choroidal melanoma. The mosaic shows a colored retinography; a FAF with regions of previous serous detachments; an early stage of angiography and a later time.

    Photographer: Gustavo M. Hüning, HÜNING Clínica do Olhar, Santa Maria - Brazil

    Imaging device: Optos California

    Condition/keywords: Autofluorescence, Choroidal, Fluorescein angiography, melanoma, multimodal imaging, ultra-wide field imaging

  • Choroidal Melanoma

    Feb 6 2025 by Virginia Gebhart

    81 year old female with large pigmented collar button ciliochoroidal mass extending into the mid-vitreous cavity. Clinical exam and ultrasound finding consistent with melanoma. Due to size of tumor, pt scheduled for enucleation. CT scan of abdomen showed no evidence of metastatic disease.

    Photographer: Virginia Gebhart, Retina Consultants of Carolina

    Imaging device: Optos California

    Condition/keywords: ciliochoroidal melanoma, collar button, melanoma

  • Iris Melanoma

    Jan 28 2025 by Korey Starkey

    Slit-lamp image of 90-year-old patient with iris melanoma and new hemorrhage affecting the right eye. Patient re-presented after nearly 1 year, now seeking treatment. Given iris location of tumor, multiple clock hours of iris involved, and increase in size of the known malignant transformation; safest approach was enucleation.

    Photographer: Korey Starkey

    Imaging device: Slit lamp camera

    Condition/keywords: anterior chamber, hemorrhage, iris melanoma, slit lamp photo

  • Ocular Melanocytosis w/Treated Melanoma

    Jan 27 2025 by Virginia Gebhart

    74 year female with ocular melanocytosis. Stable, regressed treated tumor s/p brachytherapy (2020) and deeply pigmented fundus OS. Limited VA due to radiation neuropathy. BCVA 20/150 (ecc)

    Photographer: Virginia Gebhart, Retina Consultants of Carolina

    Imaging device: Optos California

    Condition/keywords: brachytherapy, melanoma, melanosis, ocular melanocytosis

  • Choroidal Melanoma Masquerading as Subretinal Hemorrhage With Breakthrough VH

    Jan 23 2025 by Tejaswita Verma

    A 65 year old diabetic male presented with large nasal retinal mass giving the appearance of organized dehaemoglobinized subretinal hemorrhage with breakthrough vitreous hemorrhage , with 6/6P vision. Enucleation specimen showed histopathology confirmed choroidal melanoma.

    Photographer: DR. TEJASWITA VERMA

    Imaging device: MIRANTE

  • Choroidal Melanoma 3 Ways

    Jan 16 2025 by Virginia Gebhart

    RGB/FA/ICG of 76 year old female with a new choroidal melanoma. Pt scheduled for plaque radiation. BCVA 20/400

    Photographer: Virginia Gebhart, Retina Consultants of Carolina

    Imaging device: Optos California

    Condition/keywords: fluorescein angiogram (FA), indocyanine green (ICG) angiography, OPTOS CALIFORNIA RGB

  • New Choroidal Melanoma

    Jan 3 2025 by Virginia Gebhart

    22 year old male referred for 2nd opinion on large choroidal mass with subretinal fluid. Clinical exam and ultrasound consistent with choroidal melanoma. CT scan of orbits showed possible inflammation involving orbital fat. Pt has been on oral prednisone for 1 week, inflammation has not responded. Referred to Emory for 2nd opinion on treatment

    Photographer: Virginia Gebhart

    Imaging device: Optos California

    Condition/keywords: melanoma

  • Choroidal Melanoma with Serous Retinal Detachment

    Dec 20 2024 by Daniel Davis, OCT-C

    67 year old male presenting with large pigmented choroidal mass with serous retinal detachment.

    Photographer: Daniel Davis, OCT-C, The Retina Institute

    Imaging device: Optos California

    Condition/keywords: Retina detachment

  • Guardian Angel

    Dec 11 2024 by Virginia Gebhart

    48 year old female 3 months s/p brachytherapy for choroidal melanoma. Persistent subretinal and increased subfoveal fluid. Will observe for now, will consider Ozurdex if no improvement. BCVA 20/80

    Photographer: Virginia Gebhart, Retina Consultants of Carolina

    Imaging device: Optos California

    Condition/keywords: brachytherapy, demarcation line, fundus autofluorescence (FAF), serous detachment, subretinal fluid