Search results (905 results)

  • "The Eye of Sauron"

    Mar 14 2023 by Anfisa Ayalon, MD

    Fundus autofluorescence image of a 38-year-old female with “Bull's eye” pattern maculopathy. There is no history of medication use associated with retinal toxicity. BCVA RE 20/25+2

    Photographer: Danielle Ferguson and Alec Bertoni, University of Pittsburgh Medical Center

    Condition/keywords: bull's eye maculopathy, retina

  • Hypertensive Retinopathy

    Feb 25 2013 by Suber S. Huang, MD, MBA, FASRS

    32-year-old African American male with Grade IV hypertensive retinopathy and acute renal failure. Vision OD 20/70, OS 20/25. Creatine 7.1. BP: 250/150.

    Photographer: Geoffrey Pankhurst, University Hospitals, Eye Institute/Dept. Ophthalmology and Visual Sciences Case Western Reserve University Cleveland, OH

    Imaging device: Topcon TRC 50x

    Condition/keywords: acute renal failure, disc edema, exudate, hypertension, hypertensive retinopathy, ischemia, macular edema, macular ischemia, optic disc edema

  • Didanosine Toxicity

    Jan 27 2020 by Nimesh A. Patel, MD, FASRS

    Patient with history of HIV treated with didanosine. Developed gyrate like peripheral retinal atrophy with central sparing. Vision is 20/25

    Imaging device: Clarus

    Condition/keywords: AIDS, didanosine, HIV

  • Didanosine Toxicity

    Jan 27 2020 by Nimesh A. Patel, MD, FASRS

    Patient with history of HIV treated with didanosine. Developed gyrate like peripheral retinal atrophy with central sparing. Vision is 20/25

    Imaging device: Clarus

    Condition/keywords: AIDS, didanosine, HIV

  • Foveoschisis secondary to high myopia

    Mar 13 2015 by Niloofar Piri, MD

    Infrared and HD-OCT of the right eye in a 55-year-old African American female with high myopia (more than -6.00 D), BCVA: 20/25 OU Cartwheel appearance of the fovea in the infrared imaging is visible. HD- OCT demonstartes schisis in different layers of the retina (both NFL and OPL; notice stretching of the Muller cells); VMT is also present . Outer retinal layers are preserved which explains the good vision . She had the same findings in OS.

    Photographer: Niloofar Piri, MD

    Imaging device: Heidelberg Spectralis

    Condition/keywords: high myopia, retinoschisis

  • Massive SRH in Patient on Coumadin Being Treated for Exudative AMD

    Sep 30 2019 by John S. King, MD

    78-year-old white female using 1mg of warfarin for atrial fibrillation, who had a large PED, Type 1 lesion from AMD. Noticed acute darkening of vision one week after anti-VEGF injection. Has very large SRH, subRPE heme, and corrugated retinal appearance post RPE tear. Vision HM (from 20/100). 20/25 in the fellow eye that has dry AMD.

    Photographer: Shelly Blair

    Imaging device: Optos CA

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

  • MEWDS

    Oct 9 2020 by David L Kilpatrick, MD

    26-year-old female presented with unilateral vision loss. She c/o flashes and a peripheral scotoma. Vision was 20/100. On exam, she showed foveal granularity, mild disc edema, and white dots as seen. Three weeks later, white dots had resolved and vision improved to 20/25.

    Photographer: Mississippi Retina Associates

    Imaging device: Optos

    Condition/keywords: multiple evanescent white dot syndrome (MEWDS)

  • 3D OCT of juxtapapillary melanoma

    May 15 2020 by Sophia El Hamichi, MD

    A 63-year-old male with juxtapapillary melanoma of the right eye. Visual acuity at presentation was 20/25 OD. Patient treated with brachytherapy Iodine125 plaque

    Photographer: Belinda Rodriguez

    Condition/keywords: optical coherence tomography (OCT)

  • Acute Retinal Periphlebitis and Panuveitis OD

    Jul 16 2014 by Deepayan Kar

    Hemorrhagic retinopathy + frosted retinal angitis OD. Exudative sheathing of the major retinal blood vessels Px 25-year-old woman (VA-OD 20/40/ OS 20/25): recovering from URTI. AC ++ Vit Cells +.

    Photographer: Deepayan Kar

    Condition/keywords: exudative sheathing, frosted branch angiitis, hemorrhage, retinopathy

  • Astrocytic Hamartoma

    Oct 10 2012 by Anat Loewenstein, MD

    Five year-old girl came for regular eye examination with no complaints. Medical and ophthalmic history was unremarkable. On examination, visual acuity was 20/25 in both eyes. A Retinal Astrocytic Hamartoma was seen adjacent to the right optic nerve (picture). The rest of the eye examination was normal and no Lisch nodules were seen. The patient was referred for a pediatric neurologist examination and MRI scan of the brain.

    Photographer: Galit Yair-Pur

    Imaging device: ZEISS FF450 PLUS IR

  • Bilateral “Bull's eye”pattern maculopathy

    Mar 14 2023 by Anfisa Ayalon, MD

    Both eyes fundus autofluorescence image of a 38-year-old female with “Bull's eye” pattern maculopathy. There is no history of medication use associated with retinal toxicity. BCVA RE 20/25+2, LE 20/20-3

    Photographer: Danielle Ferguson and Alec Bertoni, University of Pittsburgh Medical Center

    Condition/keywords: bull's eye maculopathy, maculopathy, retina

  • Congenital Retinal Macrovessel

    Oct 13 2023 by Jacob D. Grodsky, MD

    41 y/o male who presented with acute onset of blurred vision OD. Visual acuity was 20/200 OD; 20/25 OS. Examination was consistent with congenital retinal macrovessel through the macula with intraretinal hemorrhage as seen in the fundus photo. Intravitreal bevacizumab was injected, and visual acuity improved to 20/40 at 4-week follow-up. MRA head and neck was ordered to rule out other vascular anomalies.

    Condition/keywords: congenital retinal macrovessel, RETINAL MACROVESSEL

  • CSCR Mushroom Cloud

    Feb 25 2015 by James J. Bedrick, MD

    Late transit FA of a large active subfoveal CSCR leak. Focus is on peri-foveal vessels to give sense of height of large serous RD of macula. This patient presented with a BCVA of 20/200 and fluorescein and historic evidence of prior episodes of leakage. After discussion of known treatment options including observation, he was initially treated with rifampin and had partial resolution to 20/70 BCVA but this was short-lived with reaccumulation of the large serous detachment within 3 months. He then received sub-threshold micro-pulse laser photocoagulation with an 810 nm diode laser which resulted 1 month later in complete drying of the serous detachment and BCVA of 20/25.

    Photographer: Diana Bodnar, COT

    Imaging device: Topcon 50X with OIS capture station

    Condition/keywords: CSCR subfoveal leak

  • Cytomegalovirus Retinitis Partially Regressed on Ganciclovir

    Oct 10 2012 by Jeffrey G. Gross, MD, FASRS

    CMV retinitis, partially regressed, on ganciclovir, 20/25.

    Condition/keywords: 20/25, ganciclovir, partial regression

  • Familial Exudative Vitreoretinopathy (FEVR)

    Oct 13 2012 by Hamid Ahmadieh, MD

    Early FA image of the right eye of a 24-year-old woman with FEVR and visual acuity of 20/25.

    Photographer: Hamid Ahmadieh, MD, Ophthalmic Research Center, Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences

    Imaging device: Heidelberg Spectralis

    Condition/keywords: familial exudative vitreoretinopathy (FEVR)

  • Hypertensive Retinopathy

    Aug 24 2012 by Geoffrey G. Emerson, MD, PhD, FASRS

    A 35-year-old man has headaches and decreased vision. The right eye measures 20/25 and the left eye measures 3/200. The blood pressure measures 180/110.This fluorescein angiogram shows leakage of dye from the optic disc (papilledema), ischemia, and dilated capillaries around the foveal avascular zone

    Photographer: Geoffrey Emerson, MD, PhD, Retina Center, Minneapolis

    Condition/keywords: hypertensive retinopathy, ischemia, papilledema

  • Hypertensive Retinopathy

    Aug 24 2012 by Geoffrey G. Emerson, MD, PhD, FASRS

    A 35-year-old man has headaches and decreased vision. The right eye measures 20/25 and the left eye measures 3/200. The blood pressure measures 180/110.

    Photographer: Geoffrey Emerson, MD, PhD, Retina Center, Minneapolis

    Condition/keywords: hypertensive retinopathy, papilledema, serous retinal detachment

  • Hypertensive Retinopathy

    Jun 28 2013 by Jason S. Calhoun

    Patient came in complaining of spots in vision in both eyes. VA was 20/25 - right eye and 20/20- left eye. Fundus exam reveals little hemorrhages with cotton wool spots due to hypertension and anemia.

    Photographer: Jason S. Calhoun, Mayo Clinic Jacksonville, Florida

    Imaging device: TOPCON TRC 50-EX

    Condition/keywords: hypertensive retinopathy

  • Macular Foveoschisis

    Nov 9 2023 by Charlotte Jones

    Bilateral ocular coherence tomography and fundus autofluorescence of a 77 year old woman with Macular Foveoschisis. Patient with stable vision since her last appointment (20/30 right eye and 20/25 left eye) with worsening vitreomacular traction in the right eye. Patient is followed routinely for Plaquenil use.

    Photographer: Charlotte Jones

    Imaging device: Heidelberg Spectralis

    Condition/keywords: fundusautofluorescence, macularfoveoschisis, macularretinoschisis, macularstar, ocularcoherencetomography

  • Mild Patton's Lines in IIH - Initial Photos

    Jan 16 2019 by John S. King, MD

    18-year-old African American female with increased BMI with a history of headaches, nausea, transient diplopia and vision loss that she notices when getting up from her bed (and goes away after standing upright) for the last two weeks. Went to PCP and was treated for the flu, and after no improvement and visual symptoms known, was sent to ED. MRI did not show any masses and showed empty sella turcia. Vision 20/30 OD and 20/20 OS; no RAPD; IOP 15OU; no anterior segment or vitreous inflammation; discs are elevated with obscuration of the disc margins and some of the smaller vessels; there are no SVPs; there are mild Patton's lines temporally (see Initial Photos). The optic disc cube shows 360 degrees of RNFL thickening (see OCT). Was referred to near-ophthalmologist, Dr. Doyle. She obtained additional work-up, and LP opening pressure was high, and MRV showed bilateral transverse sinus stenosis. Patient showed steady improvement with medical therapy, that included weight loss and oral diamox. On her last visit with Dr. Doyle, vision has remained stable at 20/20-20/25 without an enlarged blindspot; there are SVPs and optic disc edema has resolved (see Post Treatment Photos); she is currently on 1000 mg of diamox and has lost 15 pounds, and no stinting procedure needed.

    Photographer: Gretchen Harper

    Imaging device: Topcon 50

    Condition/keywords: idiopathic intracranial hypertension, optic disc edema, papilledema, Patton's Lines

  • Ozurdex in AC

    Apr 1 2025 by Korey Starkey

    90-year-old patient with an Ozurdex implant that migrated into the AC and with the cornea decompensating. Patient recommended for urgent surgery to remove implant. Vision OD at this visit was CF @ 2ft, most recent visit vision is 20/400, PH 20/25.

    Photographer: Korey Starkey

    Imaging device: Topcon

    Condition/keywords: anterior chamber, corneal decompensation, external, external photography, Ozurdex implant, Topcon

  • Papilledema Probable to Pseudo Tumor Cerebri

    Jun 30 2013 by Jason S. Calhoun

    A 24-year-old female presented severe headaches and vision loss over the past 6-months. VA was 20/40 with pinhole 20/25, right eye and 20/25, left eye. Fundiscopic exam reveals 3-4 plus papilledema of both optic nerves. Patient has VF defects inferior, nasal-right eye and enlarged blind spot with an inferior arcuate defect present. Patient will get MRI and work-up with treatment in the hospital.

    Photographer: Jason S. Calhoun, Mayo Clinic Jacksonville, Florida

    Condition/keywords: papilledema

  • Peripheral Drusen

    Jan 19 2022 by Olivia Rainey

    Ultra-widefield fluorescein angiogram of an 83-year-old female with Peripheral Drusen affecting both eyes. The patient presented on 1/19/2022 with slightly decreased vision since her last appointment. Her vision was sc20/25-2 in the right eye. The physician did not believe that the peripheral drusen represents AMD and recommended monitoring. The patient also had mild diabetic retinopathy at the time of her visit.

    Photographer: Olivia Rainey, OCT-C, COA

    Imaging device: Optos California

    Condition/keywords: background diabetic retinopathy (BDR), fluorescein angiogram (FA), Optos, Peripheral drusen, staining, ultra-wide field imaging

  • Retinitis Pigmentosa

    Nov 7 2023 by Jolee Rodriguez

    Bilateral fundus photography and fundus autofluorescence imaging of a 62-year-old male with Retinitis Pigmentosa. Patient reported visual field defects and dark adapting issues. Patient's vision at the time images were taken were sc20/20 of the right eye and sc20/25 of the left eye. Dr. Sutherland determined that based on the patient's lack of family history, the most likely route of inheritance is autosomal recessive.

    Photographer: Jolee Rodriguez

    Imaging device: Optos California RGB

    Condition/keywords: autofluorescence imaging, fundus photography, hereditary retinal dystrophy, Optos, OPTOS CALIFORNIA RGB, retinitis pigmentosa, ultra-wide field imaging, Ultra-wide field retinal imaging, ultra-widefield image

  • Susac's Syndrome

    Oct 10 2013 by Maurice F. Rabb

    Forty one year old white male who presented for acute painless visual loss OD. There was a previous similar transient history of visual loss involving the right eye associated with a possible ill-defined cerebrovasculitis, which improved spontaneously. There also was a history of auditory difficulties. The vision at presentation was 1/200 OD, and 20/20 OS. Baseline kodachromes and a fluorescein angiogram are presented. With treatment and over a four month timeframe, the visual acuity improved to 20/25+ OD, while the left eye remained stable at 20/20.

    Condition/keywords: Susac's syndrome