Search results (27 results)

  • Retinal Arteriolar Variation

    Oct 31 2024 by AVIK DEY SARKAR, MS, FVRS, FAICO(VR)

    A 43-year-old hypertensive patient, diagnosed with Non-Ischemic Central retinal vein Occlusion in OS, presented with a striking anatomical variation in retinal vasculature. The inferior first-order retinal arteriole after initiating from the optic disc bifurcates, before reaching the fovea, and the superior branch after crossing the midline forms the superior arcade afterwards and produces dichotomous branching as usual. This defies basic anatomical considerations for retinal vasculature as they never cross the midline, also known as the watershed line for retinal vessels.1,2 References: 1. May CA, Rutkowski P. The Horizontal Raphe of the Human Retina and its Watershed Zones. Vision. 2019; 3(4):60. 2. May CA, Rutkowski P. Hypothesis: watershed zones in the human eye are a key for understanding glaucomatous retinal damage. Med Hypotheses. 2017;109:1-5.

    Photographer: Dr. Avik Dey Sarkar, MBBS, MS, FVRS, FAICO, Consultant, Department of Vitreoretinal Services, Aravind Eye Hospital, Madurai, India

    Imaging device: Wide angled Fundus imaging with Clarus 300

    Condition/keywords: background diabetic retinopathy (BDR), Diabetic Retinopathy, retina, vascular anomaly

  • Large Subretinal Bleed in Case of Wet ARMD

    Sep 28 2024 by Anjana Mirajkar, MS Ophthalmology

    An intra operative image showing large sub retinal hemorrhage involving the macular area and along the superior arcade with exudation at the macular area in case of wet ARMD.

    Photographer: Dr. Anjana Mirajkar -Retina Foundation, Ahmedabad

    Condition/keywords: polypoidal choroidal vasculopathy (PCV), subretinal hemorrhage, wet age-related macular degeneration (wet AMD)

  • Hemi Central Retinal Artery Occlusion

    Apr 17 2024 by Akansha Sharma

    Early phase fluorecein angiogram of a 30 year old female with perfusion lacking along the vessels of the superior arcade.

    Photographer: Dr. Akansha Sharma, Bharati Eye Hospital

    Condition/keywords: central retinal artery occlusion (CRAO), CRAO, Hemi-Central Retinal Artery Occlusion (CRAO)

  • Proliferative Diabetic Retinopathy (PDR)

    Sep 14 2023 by Ben Serar

    Fundus photograph of RE showing traction at the disc, pre retinal haemorrhages and exudates along the superior arcade, and fibrovascular proliferation along the inferior arcade in a case of Proliferative Diabetic Retinopathy (PDR).

    Condition/keywords: proliferative diabetic retinopathy (PDR)

  • Macular PVR. Before and After Scleral Buckle + Vitrectomy

    Apr 27 2023 by Jesus Lozano, MD

    64 year old woman. Presented to our clinic with PVR related retinal detachment in the left eye. Picture 1 - RRD with a posterior star fold present along the superior arcade. Picture 2 - Postoperative Posterior Scleral Buckle + PPV showing an attached retina with good scleral buckle indentation.

    Imaging device: Optos

  • Macular PVR. Before and After Scleral Buckle + Vitrectomy

    Apr 27 2023 by Jesus Lozano, MD

    64 year old woman. Presented to our clinic with PVR related retinal detachment in the left eye. Picture 1 - RRD with a posterior star fold present along the superior arcade. Picture 2 - Postoperative Posterior Scleral Buckle + PPV showing an attached retina with good scleral buckle indentation.

    Imaging device: Optos

  • OCT en face of a 360 retinotomy for closed funnel combined retinal detachment

    Jan 1 2023 by Malek Yassine, MD

    Swept source OCT en face at the silicon oil - Retina Interface shows droplets of SO emulsification around the fovea and at the superior arcade, with some inferior striae corresponding to ERM formation

    Imaging device: Topcon Triton DRI-OCT

    Condition/keywords: oct en face

  • Chronic Central serous chorioretinopathy

    Nov 10 2022 by T. P . VIGNESH, MBBS,MS

    SD-OCT of a 45 year old man , revealing multiple serous retinal pigment epithelial detachments (PED) just inferior to superior arcade .

    Photographer: Priyanka

    Imaging device: Heidelberg Spectralis

    Condition/keywords: chronic central serous chorioretinopathy (CSCR)

  • Total retinal Detachment multiple holes

    Sep 26 2022 by Denica Rodriguez

    60 year old Male presented with two week old Macula off Retinal detachment with multiple tears.

    Photographer: Denica Rodriguez

    Imaging device: Optos California

    Condition/keywords: color fundus photograph, color photo, macula-off, optos, pseudocolor, Retinal detachment, retinal holes, retinal tear, Retinal tear with detachment, superior arcade, superior field, superior retina, total retinal detachment

  • Angiomatosis Retinae

    Jul 22 2020 by MOHIT GUPTA

    39-year-old female presented with retinal angiomas along superior arcade with macular exudation.

    Photographer: Dr Mohit Gupta, Prakash Netra Kendr, Lucknow, India

    Imaging device: Heidelberg spectralis Fundus camera

    Condition/keywords: angiomatosis retinae

  • Vogt-Koyanagi-Harada Syndrome

    Mar 27 2019 by Gary R. Cook, MD, FACS

    View along superior arcade of exudative retinal detachment secondary to Vogt-Koyanagi-Harada Syndrome OD.

    Condition/keywords: exudative detachment, panuveitis, Vogt-Koyanagi-Harada

  • BDUMP

    Dec 11 2018 by John S. King, MD

    67-year-old white female with normal vision four months ago, consulted for dry AMD. She reported that vision in the left eye had worsened over the last two months and had progressively gotten worse. Denied history of cancer, or her primary eye doctor ever mentioning choroidal nevi. Va cc was 20/30 OD and 20/100 OS. No RAPD. IOP 9-10 OU. Anterior segment had some stellate like pigmented dusting of the endothlium, a/c was quiet, 2+NSC OU. Vitreous quiet; multiple, flat, pigmented choroidal lesions varying in size was seen the in fundus. Area in the temporal macula extending up to the superior arcade in the left eye that was suspicious for a mass; it did have a "giraffe like" pattern on one of the early FA pics; the OCT in this area showed thickening of the choroid without a definite mass lesion, and overlying thickening of the RPE, or exudative like scar, with SRF directly above. Consulted with Dr. Matt Wilson, who confirmed diagnosis, and had patient evaluated by oncology, who diagnosed non-small cell lung cancer.

    Photographer: Stacey Coleman

    Imaging device: Topcon

    Condition/keywords: bilateral diffuse uveal melanocytic proliferation (BDUMP)

  • BDUMP

    Dec 11 2018 by John S. King, MD

    67-year-old white female with normal vision four months ago, consulted for dry AMD. She reported that vision in the left eye had worsened over the last two months and had progressively gotten worse. Denied history of cancer, or her primary eye doctor ever mentioning choroidal nevi. Va cc was 20/30 OD and 20/100 OS. No RAPD. IOP 9-10 OU. Anterior segment had some stellate like pigmented dusting of the endothlium, a/c was quiet, 2+NSC OU. Vitreous quiet; multiple, flat, pigmented choroidal lesions varying in size was seen the in fundus. Area in the temporal macula extending up to the superior arcade in the left eye that was suspicious for a mass; it did have a "giraffe like" pattern on one of the early FA pics; the OCT in this area showed thickening of the choroid without a definite mass lesion, and overlying thickening of the RPE, or exudative like scar, with SRF directly above. Sent patient to Dr. Matt Wilson, who confirmed BDUMP, and had patient sent to oncology to find a possible primary lesion. Mass seen on CT chest; biopsy revealed non-small cell lung cancer, and is getting chemo/radio treatment. Ocular findings have not progressed over the last few months.

    Photographer: Stacey Coleman

    Imaging device: Topcon 50

    Condition/keywords: bilateral diffuse uveal melanocytic proliferation (BDUMP)

  • Macula sparing Superior Rhegmatogenous retinal detachment

    Feb 15 2018 by Kushal S Delhiwala, MBBS, MS, FMRF,FICO, FAICO

    60- year-old phakic female presenting with sudden onset floaters and curtain like shadow in inferior field of vision in right eye, having undergone scleral buckling surgery in left eye before 2 years. Color fundus photograph montage of right eye showing fresh superior rhegmatogenous retinal detachmnent sparing macula and well above superior arcade.

    Photographer: Dr Kushal Delhiwala, Netralaya superspeciality eye hospital ,Ahmedabad

    Imaging device: Zeiss Visucam 500

    Condition/keywords: macula sparring

  • Hemi Vein Occlusion, Fluorescein Angiogram, Montage

    Dec 17 2015 by James B. Soque, CRA, OCT-C, COA, FOPS

    74-year-old woman, with recurrent superior hemi vein occlusion, montage image of fluorescein angiogram left eye. Currently receiving Lucentis injections OS.

    Photographer: James Soque, CRA COA

    Imaging device: Topcon RC 50 DX Fundus Camera with MERGE Winstation Software for Fluorescen Angiography

    Condition/keywords: montage, occlusion of retinal vein, superior arcade

  • Myelinated Nerve Fiber Layer

    Jan 30 2015 by H. Michael Lambert, MD

    Embryonic myelin on superior arcade retina.

    Condition/keywords: myelinated nerve fiber layer

  • Myelinated Nerve Fiber Layer

    Jan 30 2015 by H. Michael Lambert, MD

    Embryonic myelin on superior arcade retina.

    Condition/keywords: myelinated nerve fiber layer

  • AIDS - Toxoplasmosis

    Jun 4 2014 by Henry J. Kaplan, MD

    Fundus photograph of a patient with AIDS who has developed toxoplasma retinochoroiditis; large yellow patch of retinitis along the superior arcade fading the vasculature with feathery edges. #1

    Condition/keywords: AIDS, toxoplasmosis

  • Proliferative Diabetic Retinopathy - Neovascularization Elsewhere

    Nov 11 2013 by Gerardo Garcia-Aguirre, MD

    Fluorescein angiogram showing leakage secondary to neovascularization in the superior arcades.

    Condition/keywords: neovascularization (NV)

  • Proliferative Diabetic Retinopathy - Neovascularization Elsewhere

    Nov 11 2013 by Gerardo Garcia-Aguirre, MD

    Fluorescein angiogram showing leakage secondary to neovascularization in the superior arcades.

    Condition/keywords: neovascularization (NV)

  • Proliferative Diabetic Retinopathy - Neovascularization Elsewhere

    Nov 11 2013 by Gerardo Garcia-Aguirre, MD

    Fluorescein angiogram showing leakage secondary to neovascularization in the superior arcades.

    Condition/keywords: neovascularization (NV)

  • Subretinal Hemorrhage Secondary to Macroaneurysm

    Jul 24 2013 by Gabriela Lopezcarasa Hernandez, MD

    65-year-old female patient with sudden scotoma in right eye who was previously diagnosed with macroaneurysm in temporal superior arcade.

    Photographer: Araceli Rojas Arriaga, Hospital Angeles Lomas, Mexico

    Imaging device: ZEISS FF4

    Condition/keywords: macroaneurysm, subretinal hemorrhage

  • Subretinal Hemorrhage Secondary to Macroaneurysm

    Jul 24 2013 by Gabriela Lopezcarasa Hernandez, MD

    65-year-old female patient with sudden scotoma in right eye who was previously diagnosed with macro aneurysm in temporal superior arcade.

    Photographer: Araceli Rojas Arriaga, Hospital Angeles Lomas, Mexico

    Imaging device: ZEISS FF4

    Condition/keywords: macroaneurysm, subretinal hemorrhage

  • Light Toxicity

    Mar 29 2013 by Henry J. Kaplan, MD

    Microscope light toxicity in superior arcade.

    Condition/keywords: light toxicity

  • Combined Hamartoma of Retina and RPE

    Mar 29 2013 by Henry J. Kaplan, MD

    Hamartoma visible as a grreen lesion on superior arcade with ERM formation and dragging of the macula.

    Condition/keywords: combined hamartoma