Search results (314 results)

Apr 21 2025 by Hrishikesh Naik, MS

A 28 year old high myope with retinal detachment associated with a supero-temporal giant retinal tear in addition to multiple peripheral horseshoe tears and an additional supero-nasal retinal tear.

Photographer: Hrishikesh Naik

Imaging device: Optos Daytona

Condition/keywords: giant retinal tear, High Myopia, horseshoe tear, retinal break, retinal detachment

Apr 18 2025 by DR Rohit Gupta

The **myelinated nerve fibers of the optic disc** (also known as **medullated nerve fibers**) are retinal nerve fibers that retain their myelin sheath as they pass through the optic nerve head. Normally, retinal nerve fibers are unmyelinated to allow for light transparency, but in some cases, myelination extends anteriorly into the retina, appearing as a striking white, feathery patch on the optic disc or peripapillary retina. ### **Key Features:** 1. **Appearance:** - Dense, white, striated patches with feathery edges. - Typically located at the superior or inferior pole of the optic disc. - May obscure retinal vessels underneath. 2. **Clinical Significance:** - Usually **benign** and asymptomatic. - **Congenital** (present at birth or early childhood). - Rarely associated with **visual field defects** (e.g., scotomas corresponding to the area of myelination). - Occasionally linked with **high myopia** or **amblyopia** if extensive. 3. **Pathophysiology:** - Failure of oligodendrocytes or Schwann cells to stop myelination at the lamina cribrosa. - Normally, myelination stops at the optic nerve head, but in this condition, it extends into the retina. 4. **Diagnosis:** - **Fundoscopy:** Classic white, feathery appearance. - **Optical Coherence Tomography (OCT):** Shows thickened retinal nerve fiber layer (RNFL). - **Visual Field Testing:** May detect defects if large. 5. **Differential Diagnosis:** - Optic disc edema - Cotton wool spots - Retinoblastoma (rarely, but must be ruled out in children) 6. **Management:** - No treatment required if asymptomatic. - Monitor for amblyopia in children. - Rare cases with significant visual impairment may need further evaluation. ### **Fun Fact:** Myelinated nerve fibers are seen in **~0.5-1%** of the population and are usually an incidental finding.

Photographer: Dr Rohit gupta

Imaging device: Samsung S21

Condition/keywords: Medulated Nerve fibre, Medullated Nerve fibres, myelinated nerve fibers, Myelinated Nerve Fibres, optic disc drusen

Apr 9 2025 by Gustavo Uriel Fonseca Aguirre

B-mode axial ultrasound scan of a highly myopic eye shows a posterior staphyloma with an associated macular hole-induced retinal detachment.

Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

Condition/keywords: high myopia, posterior staphyloma, rhegmatogenous retinal detachment

Apr 9 2025 by Virginia Gebhart

35 year old female with stable sectoral RP and high myopia OU. RP has not progressed in either eye since initial visit in 2021. Will continue to observe. VA 20/20 OU

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: high myopia, retinitis pigmentosa

Feb 25 2025 by Virginia Gebhart

53 year old female with confirmed MIDD (genetic testing at Emory). Vision is stable with progressing GA but still central sparing OU. No evidence of choroidal neovascularization. Moderate myopia.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Topcon 50DX

Condition/keywords: geographic atrophy, Maternally inherited diabetes and deafness (MIDD), MIDD

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

Jan 7 2025 by Jordyn Beckman

Autofluorescence photograph of 36 year old woman with Dome Shaped Macula with hypoautofluorescence and hyperautofluorescence centrally.

Photographer: Jordyn Beckman

Imaging device: California Optos

Condition/keywords: autoflorescence, convex protrusion, dome shaped macula, high myopia, hyperautofluorescent centrally, hypoautofluorescence

Nov 4 2024 by Kimberly Wakester

Ultra-widefield Fundus photograph of an 18-year-old woman with a Retinal detachment with multiple breaks in the right eye. Patient has high Myopia in both eyes. Patient was treated with scleral buckle placement with cryo laser in the right eye and is doing we post operatively.

Photographer: Kimberly Wakester, COA

Imaging device: Optos

Sep 25 2024 by DR Rohit Gupta

Fundus photograph of a 28 year-old male having high myopia on fundus examination Degenerative changes are seen in retina suggestive of pathological myopia.

Photographer: Dr Rohit gupta

Imaging device: Samsung S21

Condition/keywords: choroidal degeneration, degeneration of optic disc, lacquer cracks, myopia, Myopia macular degeneration CNVM foster fuch spot, pathologic myopia, staphyloma

Aug 29 2024 by César Adrián Gómez Valdivia, MD

Fundus photograph of a 11 year-old female patient with unilateral myelinated retinal nerve fibers, axial myopia, amblyopia and strabismus.

Photographer: @eyemissu2

Imaging device: California ICG OPTOS

Condition/keywords: Straatsma Syndrome

May 22 2024 by Tejaswita Verma

Fundus photograph of the right eye of a 6 year old male with subclinical retinal detachment with macula off in case of retinitis pigmentosa with high myopia.

Photographer: DR. TEJASWITA VERMA

Imaging device: MIRANTE

Condition/keywords: high myopia, retinitis pigmentosa, subclinical detachment

May 22 2024 by Tejaswita Verma

Fundus photograph of the left eye of a 6 year old male with subclinical retinal detachment with macula off in a case of retinitis pigmentosa with high myopia.

Photographer: DR. TEJASWITA VERMA

Imaging device: MIRANTE

Condition/keywords: high myopia, retinitis pigmentosa, subclinical detachment

May 6 2024 by Anupama Janardhanan

Fundus photograph of a 24 year old male patient with Anisometropia and Right Eye High Myopia associated with Diffuse circumpapillary myelinated Nerve Fibre and Left Eye normal fundus.

Photographer: Dr. Anupama Janardhanan, Aravind Eye hospital, Tirunelveli, India

Imaging device: Heidelberg Spectralis

Condition/keywords: anisometropia, myelinated nerve fibers, myopic degeneration

May 2 2024 by Matias Iglicki, MD

Extreme myopic stage

Photographer: Matias Iglicki

Imaging device: DAYTONA

Condition/keywords: myopia

Apr 21 2024 by César Adrián Gómez Valdivia, MD

Degenerative Myopia

Photographer: Erika Paulina Ornelas Cazares

Imaging device: Topcon TRC-50 DX

Condition/keywords: degenerative myopia, myopia

Apr 9 2024 by Akansha Sharma

Color fundus photograph of a 23 year old female with subretinal bleed in a case of high myopia.

Photographer: Dr. Akansha Sharma, Bharati Eye Hospital

Condition/keywords: myopic choroidal neovascularization (CNV), SRNVM, subretinal hemorrhage

Feb 6 2024 by Thirumalesh Mochi Basavaraj, MD

25 year old myopic patient with extensive lattice degeneration with multiple atrophic holes.

Photographer: Puttaswamy

Condition/keywords: atrophic hole, High myopia, lattice degeneration

Feb 6 2024 by Thirumalesh Mochi Basavaraj, MD

25 year old myopic patient with extensive lattice degeneration with multiple atrophic holes.

Photographer: Puttaswamy

Condition/keywords: atrophic retinal hole, High Myopia, peripheral lattice degeneration

Dec 22 2023 by Virginia Gebhart

35 year old female with myopic degeneration (-18.00 OU). BCVA 20/100 OU. RPE atrophy present in both eyes, but no significant chorioretinal atrophy. OCT not consistent with degenerative myopia due to dome shape appearance rather than posterior bowing. Possible macular dystrophy over degeneration. Will observe

Photographer: Virginia Gebhart

Imaging device: Topcon

Condition/keywords: Macular Dystrophy, myopic degeneration

Dec 21 2023 by Vishal Agrawal, MD, FRCS,FACS,FASRS

10-year male with high myopia on examination revealed diffuse flecks distributed all over fundus in both eyes sparing macula. Inferior lattice with WWOP areas were also noted in right eye.

Photographer: Dr Ayushi

Imaging device: Clarus 700

Condition/keywords: fleck retinopathy, myopia

Dec 20 2023 by Roger A. Goldberg, MD, MBA

Fundus photo of an 85-year-old woman with degenerative myopia and a large posterior staphyloma

Photographer: Mohan Zhou, Bay Area Retina Associates, Walnut Creek, CA

Imaging device: Optos

Condition/keywords: degenerative myopia, high myopia, posterior staphyloma

Nov 7 2023 by Harsh Vardhan Singh, MS

27-year old with both eyes high myopia & posterior staphyloma with left eye peripheral lattice degeneration & white without pressure

Photographer: Harsh Vardhan Singh

Imaging device: Clarus 700

Condition/keywords: lattice degeneration, myopia, peripheral lattice degeneration, posterior staphylomaloma, white without pressure

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)

Oct 18 2023 by Anand Temkar

LE widefield CF montage of a 24 year old male with pathological myopia showing multiple lattice degenerations in periphery along with holes.

Photographer: Dr.Anand Temkar- Retina Foundation, Ahmedabad

Imaging device: Mirante

Condition/keywords: holes, lattice degeneration, myopic degeneration, myopic eye