Search results (46 results)

Apr 17 2025 by Gustavo Uriel Fonseca Aguirre

This B-mode transverse ultrasound scan reveals necrotizing scleritis with inferior perilimbal uveal tissue prolapse, demonstrating scleral thinning and irregular uveal protrusion. Vitreous cellularity and partial vitreous detachment are also observed, indicating associated intraocular inflammation. These findings collectively characterize this severe inflammatory condition.

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

Condition/keywords: necrotizing scleritis

Apr 17 2025 by Gustavo Uriel Fonseca Aguirre

The clinical photograph shows necrotizing scleritis with perilimbal involvement, featuring marked scleral thinning and violaceous episcleral injection in the inferior quadrant. Focal uveal prolapse is visible at the area of maximal scleral necrosis, accompanied by peripheral ulcerative keratitis. Fluorescein staining residue is observed on the ocular surface. Associated findings include mild conjunctival chemosis and dilated episcleral vessels.

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

Condition/keywords: necrotizing scleritis

Apr 10 2025 by Joshua Friedman

LCA Type 2 (RPE65) showing characteristic hypoautofluorescence and retinal thinning. 8F with best corrected visual acuity of 20/400 (OD) and 20/150 (OS). Small white intraretinal spots and RPE mottling are visible on color fundus photography. Blue light autofluorescence reveals near-complete loss of signal, while OCT demonstrates widespread outer retinal thinning.

Photographer: Stephen Tsang, MD, PhD

Condition/keywords: Leber Congenital Amaurosis

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

This is a 42 year old male with known history of diabetes mellitus for past 10 years. Patient presented with complains regarding presbyopia. On dilated fundoscopy, along with dot and blot hemorrhages, in the infero-temporal near-periphery outside the vascular arcade a hypopigmented torpedo-shaped lesion was noted. On OCT, outer retinal attenuation with sublesional choriocappilaris layer thinning was noted. The lesion is diagnosed as torpedo retinopathy. Torpedo maculopathy is rare in clinical practice and usually is found at the margin of temporal arcade over "Temporal Bulge". But this lesion is seen well away from the posterior pole. This case indicates the necessity of substituting the terminology "Torpedo Maculopathy" with "Torpedo Retinopathy" as mentioned earlier in ophthalmic literature.

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: torpedo maculopathy, torpedo Retinopathy

Jun 17 2024 by Akansha Sharma

Color fundus photograph of a 59 year old male with retinitis pigmentosa with retinal thinning.

Photographer: Dr. Akansha Sharma, Bharati Eye Hospital

Condition/keywords: retinitis pigmentosa, RP

May 3 2024 by Sonia Lee, MD

A 66 year old woman with high miopia with 20/60 vision in her left eye shows an OCT with dome-shaped macula and pachyvessels. A nasal focal thinning of the retina is seen.

Photographer: Sonia Lee, University of Sao Paulo, Brazil.

Imaging device: DRI OCT-1 Triton Topcon

Condition/keywords: dome shaped macula, pachyvessels

Apr 8 2024 by Akansha Sharma

Color fundus photograph of a 22 year old female with disc pallor with retinal atrophy status post ischaemic vascular event.

Photographer: Dr. Akansha Sharma, Bharati Eye Hospital

Condition/keywords: inner retinal thinning, optic disc pallor

Mar 26 2024 by Akansha Sharma

Autofluorescence photograph of a 68 year old female patient with retinitis pigmentosa with macular thinning.

Photographer: Dr. Akansha Sharma, Bharati Eye Hospital

Condition/keywords: Retinitis Pigmentosa, RP

Sep 21 2023 by Ben Serar

Fundus photograph showing increased cup-disc ratio with nasalisation of vessels , with thinning of Neuroretinal rim and bayonetting of vessels in a case of Glaucomatous Optic Atrophy (GOA) Fundus photograph of LE showing serous macular detachment in a case of Central Serous Chorioretinopathy (CSR).

Condition/keywords: Central Serous Chorioretinopathy (CSR)

Sep 21 2023 by Ben Serar

Fundus photograph showing increased cup-disc ratio with nasalisation of vessels , with thinning of Neuroretinal rim and bayonetting of vessels in a case of Glaucomatous Optic Atrophy (GOA).

Condition/keywords: Glaucomatous Optic Atrophy (GOA)

Sep 12 2023 by Ben Serar

Fundus photograph of RE showing Foveal thinning with scarring in a case of Heredomacular degeneration.

Condition/keywords: foveal scarring, foveal thinning, Heredomacular Degeneration (HMD)

May 26 2023 by Virginia Gebhart

35-year-old female with resolved syphilitic uveitis OU. Severe retinal thinning with chalky ON pallor and severe vessel attenuation associated with presumed post syphilitic neuritis vs bilateral CRAO's in both eyes. Pt reports acute bilateral vision loss after delivery of her child in 8/2021. Limited VA OU due to severe optic nerve and macula atrophy.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Topcon TRC 50DX

Condition/keywords: syphilis, uveitis

Oct 20 2022 by T. P . VIGNESH, MBBS,MS

SD- OCT image of a 45 year old man revealing severe foveal thinning and RPE atrophy post Chronic CSCR.

Photographer: Shivanath

Imaging device: Heidelberg Spectralis

Condition/keywords: chronic central serous chorioretinopathy (CSCR)

Aug 26 2022 by Maxwell J Wingelaar, MD

A patch of scleral thinning noted when isolated extraocular muscles for a potential placement of a scleral buckle. Buckle was not placed after this finding due to significant scleral thinning.

Condition/keywords: scleral buckle, scleral ectasia

Sep 22 2021 by Luiz Guilherme Freitas, MD, MsC, PhD

Fundus photograph of a 30-year-old male patient with blunt injury to the globe. Commotio retinae is retinal whitening/opacification that results from a blunt injury. The ocular findings will often resolve in a matter of days to weeks. Vision loss can result from commotio involving the posterior pole (historically referred to as Berlin’s edema). Clinical findings of commotio include the characteristic retinal whitening. Commotio may result in significant vision loss that can be transient. Healing can result in pigmentary changes and retinal thinning which may be associated with poor visual recovery if the area of involvement is macular.

Photographer: Diogo Melo, Santa Luzia Eye Hospital Recife - PE – Brazil

Condition/keywords: Berlin's edema, blunt trauma, commotio retinae, retinal whitening

May 4 2021 by Priya Rasipuram Chandrasekaran, MBBS, DO, DNB, FRCS

Fundus photo of a 34-year-old male showing bilaterally symmetrical atrophy of retinal pigment epithelium (RPE) and choriocapillaris involving the fovea and highlighting the underlying large choroidal vessels. OCT macula shows atrophy of the outer retinal layers up to the external limiting membrane along with thinning of RPE and Bruch's membrane complex. Rosette - like hyperreflective structures causing retinal elevation at the border of atrophic area (yellow arrows) are seen categorizing this into stage 4 disease.

Condition/keywords: central areolar choroidal dystrophy (CACD)

Dec 10 2020 by Cláudia Farinha

71-year-old male presented with progressive vision loss OD, now reduced to CF, without nyctalopia. The SD-OCT scans are one year apart and show extensive and progressive macular atrophy with marked disruption of the outer retinal layers and slightly larger vertical diameter, plus choroidal thinning. Reticular pseudodrusen-like deposits are heavily present in the posterior pole and are better depicted in the infra-red. The widefield imaging shows extensive paving stone peripheral degeneration. The patient denies any systemic medication or known disease. No family history of similar findings.

Photographer: Claudia Farinha

Imaging device: Heidelberg Spectralis SD-OCT

Condition/keywords: macular atrophy

Dec 10 2020 by Cláudia Farinha

71-year-old male presented with progressive vision loss OD, now reduced to CF, without nyctalopia. The SD-OCT scans are one year apart and show extensive and progressive macular atrophy with marked disruption of the outer retinal layers and slightly larger vertical diameter, plus choroidal thinning. Reticular pseudodrusen-like deposits are heavily present in the posterior pole and are better depicted in the infra-red. The widefield imaging shows extensive paving stone peripheral degeneration. The patient denies any systemic medication or known disease. No family history of similar findings.

Photographer: Claudia Farinha

Imaging device: Optomap ultra-widefield imaging, Optos

Condition/keywords: macular atrophy

Aug 5 2020 by Dhaivat Shah

A 54-year-old healthy male presented to us with a decreased vision in right eye since past 8 years. The patient gave a history of bleed in right eye before 8 years for which some intravitreal injection was given; post which there no major visual improvement. No details or documentation was available regarding the same. His BCVA in the right eye was 5/60. Fundus examination revealed a sharply demarcated hypopigmented patch over the macula with mild posterior excavation suggestive of macular scar. OCT image shows foveal thinning with loss of Retinal pigment epithelium and outer retinal layers (RORA). There are 2 types of RORAs, complete and incomplete. Complete RORA and incomplete RORA are entities defined by various imaging modalities describing atrophy of the retinal pigment epithelial and the outer retinal layers. OCT imaging defines incomplete RORA (iRORA) as a region of signal hyper transmission into the choroid and a corresponding zone of attenuation ordisruption of the RPE (<250um) and evidence of overlying photoreceptor degeneration (<250um). There should not be any RPE tear associated with it. OCT imaging describes complete RORA (cRORA) based on 4 inclusion criteria. These include, area of hypertransmission of more than 250um, zone of attenuation or disruption of the RPE of more than 250um in diameter, evidence of overlying photoreceptor degeneration and absence of scrolled RPE or other signs of an RPE tear. Other modalities used to define these include fundus autoflourescence(FAF), near infrared reflectance(NIR) and color fundus photograph(CFP). On CFP, it shows a sharply demarcated hypopigmented of >250um size with better visibility of choroidal vessels. FAF shows a hypo autoflourescent patch with sharply demarcated borders of size >250um, the colour of which is similar to that of the optic nerve head or retinal blood vessels excluding any pigmentation or artefact. On NIR, it shows a hyperreflective area with sharply demarcated borders of >250um size excluding any artefact. RORA can be seen in conditions like geographical atrophy in ARMD, central areolar choroidal dystrophy, atrophy secondary to anti-VEGF treatment. References: 1. Sadda SR, Guymer R, Holz FG, et al. Consensus Definition for Atrophy Associated with Age-Related Macular Degeneration on OCT: Classification of Atrophy Report 3 [published correction appears in Ophthalmology. 2019 Jan;126(1):177]. Ophthalmology. 2018;125(4):537-548. 2. Guymer RH, Rosenfeld PJ, Curcio CA, et al. Incomplete Retinal Pigment Epithelial and Outer Retinal Atrophy in Age-Related Macular Degeneration: Classification of Atrophy Meeting Report 4. Ophthalmology. 2020;127(3):394-409. 3. Eng VA, Rayess N, Nguyen HV, Leng T. Complete RPE and outer retinal atrophy in patients receiving anti-VEGF treatment for neovascular age-related macular degeneration. PLoS One. 2020;15(5):e0232353.

Photographer: Miss Anjum Zafar Khan

Imaging device: Choithram Netralaya

Condition/keywords: macular scar, outer retina, retinal pigment epithelium

May 29 2020 by Saarang Hansraj

Fundus photograph of a 60-year-old lady with history of sudden painless loss of vision 4 months ago. Features of chronic CRAO seen. Fluorescein angiography showed normal vascular flow. OCT showed inner retinal thinning. Diagnosis confirmed with reduced A and B wave amplitudes on ERG. Thus this is a a case of chronic transient CRAO.

Photographer: Saarang Hansraj

Condition/keywords: central retinal artery occlusion (CRAO)

May 27 2020 by Olivia Rainey

Optical coherence tomography of the left eye of a 20-year-old male with Alport Syndrome. The patient did not present with any ocular or visual symptoms, yet the distinct "plateau contour" of his fovea was noted on OCT during his visit. The patient presented with 20/25 vision at the time of his visit. There was myelinated nerve fiber layer noted in both eyes, but these features had remained stable from his appointment three years prior. The physician noted that myelinated nerve fiber was a congenital change, and had not affected his vision or health of the eye, nor is a feature of Alport Syndrome.

Photographer: Olivia Rainey, OCT-C, COA

Imaging device: Heidelberg Spectralis

Condition/keywords: Alports disease, Heidelburg Spectralis, inner retinal thinning, left eye, optical coherence tomography (OCT), plateau fovea

May 18 2020 by McGill University Health Centre

A Mooren ulcer is a rapidly progressive ulcerative keratitis that first affects the periphery of the cornea before spreading circumferentially toward its center. Mooren ulcer is a diagnosis of exclusion: it can only be diagnosed after ruling out infectious and systemic causes. In this enucleation specimen, the periphery of the cornea is circumferentially ulcerated (arrow) and the cornea is thinning. There is also scarring of the corneoscleral junction.

Condition/keywords: Mooren's ulcer, ulcerative keratitis

Nov 5 2019 by Nichole Lewis

50-year-old female with high myopia, diffuse myopic thinning and cobblestone degeneration.

Photographer: Nichole Lewis

Imaging device: Optos

Condition/keywords: high myopia, myopia, paving stone degeneration

Mar 26 2019 by Gary R. Cook, MD, FACS

Mid-phase (laminar venous return phase) FA frame demonstrating thinning/loss of the RPE, choriocapillaris loss, and increased visibility of the larger choroidal vessels around the disc and in the macula from a 73-year-old white female with regional choriocapillaris atrophy; VA= 20/100.

Imaging device: Topcon VT-50

Condition/keywords: atrophy, choriocapillaris, fluorescein angiogram (FA), hereditary choroidal atrophy, hereditary choroidal dystrophy

Mar 4 2019 by Lancaster Course in Ophthalmology

Choroidal melanomas, particularly in the macular region, invaginate or become "embedded" in the underlying sclera. This results in thinning and slight ectasia of the sclera but in most case no actual tumor invasion. This tendency has clinical significance in that the tumor may obtain an appreciable size but have minimal elevation, and its dimensions may not be appreciated ophthalmoscopically. Direct invasion of the sclera occurs in about 15 percent of tumors.

Condition/keywords: melanoma, sclera, scleral indentation