Search results (1032 results)

  • Flame of the Forest

    Apr 9 2020 by Daraius N Shroff, MS FMRF FRCS

    A 54-year-old man with DM for 15 years. The left eye had a visual acuity of 20/40. Wide field swept source OCTA revealed branching out central neovascular trunk vessels from the disc with terminal loops, along with exuberant proliferation of irregular small-calibre fine new vessels. The patient underwent OCTA guided pan retinal photocoagulation.

    Photographer: Anuj Choudhary, Shroff Eye Centre, New Delhi

    Imaging device: Zeiss Plex Elite 9000

    Condition/keywords: proliferative diabetic retinopathy (PDR)

  • Benign Familial Fleck Retina

    Feb 2 2023 by Hemanth Murthy, MBBS, MD, FASRS

    12 year boy first born of consanguineous marriage, came for routine eye check up with BCVA 20/40 OU. He has no night blindness. His OCT showed thickening of the RPE with dome like elevations involving the ellipsoid layer. Dark adapted ERG showed normal 'b' wavesPhotopic ERG showed reduced 'a' and b waves.

    Photographer: Veda Vyas

    Imaging device: Optos Daytona

    Condition/keywords: Benign familial fleck retina

  • Central Areolar Choroidal Dystrophy

    Jul 7 2015 by Hamid Ahmadieh, MD

    Color fundus photograph of both eyes of a 58-year-old man with progressive loss of vision. VA OD is 20/60 and VA OS is 20/400.

    Photographer: Soulmaz Shahmohammad, Negah Eye Center, Tehran, Iran

    Imaging device: Topcon

    Condition/keywords: central areolar choroidal dystrophy (CACD), color fundus photograph

  • Central Retinal Vein Occlusion

    Jan 21 2022 by Olivia Rainey

    Ultra-widefield fluorescein angiogram of a 23-year-old female with a Central Retinal Vein Occlusion affecting her left eye. The patient presented on 12/22/2021 cc20/40-2 vision in the left eye. The patient reported recent trauma of being hit with a fist on both sides of face followed by vision loss. The patient has history of Hashimoto's thyroid disease. The following labs have been ordered, PT, PTT, CBC, antithrombin III activity, protein C, protein S, Factor V Leiden mutation, Prothrombin (G20210A), lipid panel, HbA1c, quantiferon gold, RPR, and CXR.

    Photographer: Olivia Rainey, OCT-C, COA

    Imaging device: Optos California

    Condition/keywords: central retinal vein occlusion (CRVO), disc leakage, fluorescein angiogram (FA), fluorescein leakage, left eye, non-ischemic central retinal vein occlusion (CRVO), Optos, trauma, ultra-wide field imaging

  • Chorioretinitis with Overlying Vitreous Stranding/Vitritis

    Mar 23 2023 by Isaac Agranoff

    Fundus photograph of a 37-year-old woman presenting with chorioretinitis with overlying vitreous stranding/vitritis that has remained unchanged for multiple years. Patient presented with irritation and blurred vision and her vision was 20/40 OD. The OCT revealed evidence of low-grade inflammation and the recommend treatment was anti-inflammatory eye drops at this time and to obtain second opinion with another physician in the office.

    Photographer: Isaac Agranoff, Technician

    Imaging device: Optos California

    Condition/keywords: chorioretinal scar, chorioretinitis, inflammation, Optos, ultra-wide field imaging, vitritis

  • 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

  • Branch Retinal Artery Occlusion

    Dec 2 2019 by Kristen Wagner

    Fundus Photo of a left eye with a branch retinal artery occlusion. Vision was DVA cc 20/40.

    Photographer: Kristen Wagner, COT, OSC, Ophthalmic Photographer, Tennessee Retina

    Condition/keywords: branch retinal artery occlusion (BRAO)

  • Central Areolar Choroidal Dystrophy

    Jul 7 2015 by Hamid Ahmadieh, MD

    Infrared image of both eyes of a 58-year-old man with progressive loss of vision. VA OD is 20/60 and VA OS is 20/400.

    Photographer: Soulmaz Shahmohammad, Negah Eye Center, Tehran, Iran

    Imaging device: Specteralis

    Condition/keywords: central areolar choroidal dystrophy (CACD), infrared image

  • Central Serous Choroidopathy - Angiography

    Jun 27 2018 by Gabriel Costa Andrade, PhD

    46-year-old male with central serous choroidopathy in left eye. VA OS cc 20/40. Late phase FA photo shows multiple foci of leakage.

    Photographer: Gabriel Andrade, RETINA CLINIC, São Paulo, BRAZIL

    Imaging device: Optos California

    Condition/keywords: central serous retinopathy (CSR)

  • CERKL-related Cone Rod Dystrophy

    Jun 27 2022 by Hanna Choi

    37-year-old female with cone-rod dystrophy. Developed photophobia and progressive blurry vision in the third decade. VA 20/40 OD, 20/30 OS. The patient is compound heterozygous for pathogenic mutations in the CERKL gene (Arg465Trp and Arg283*).

    Photographer: Kaitlynn Silva, New England Retina Consultants

    Imaging device: Ultrawide-field Optos Fundus Photography, Autofluorescence, Fluorescein Angiography

    Condition/keywords: cone dystrophy, inherited retinal disease, maculopathy

  • 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

  • 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 23 2015 by James J. Bedrick, MD

    Late transit FA of a large active sub-foveal CSCR leak. You may view this pair in stereo to appreciate the plume of leakage within this large serous RD of the 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 elected to be treated initially with oral rifampin and BCVA improved to 20/40 with persistent metamorphosis and a shallower persistent macular detachment over several visits. Rifampin was discontinued and he then received sub-threshold micro-pulse laser photocoagulation with an 810 diode which resulted in the patient reporting full restoration of his vision subjectively within a month. He failed to keep his follow-up appointment.

    Photographer: Diana Bodnar, COT

    Imaging device: Topcon 50X with Merge capture station

    Condition/keywords: CSCR subfoveal leak

  • Diabetic Papillitis

    Jun 28 2013 by Jason S. Calhoun

    Patient was about to undergo surgery for CNS aneurysm. Patient woke up with little spots which never cleared up. Patients VA was 20/30-OD and 20/40-OS. Both eyes appeared to have disc edema with hemorrhages in the right eye. Ordered a CT of the brain to make sure the aneurysm didn't ruptured.

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

    Imaging device: TOPCON TRC 50-EX

    Condition/keywords: diabetic mellitus

  • Disseminated Chorioretinitis With Unknown Etiology

    Apr 5 2018 by Kim Barrett

    Ultra-wide field fluorescein angiogram of a 31-year-old female with intermittent pain in her left eye. Her condition has been managed in Liberia until recently when she moved to the United States. She suffers from multiple modalities including central retinal artery occlusion, posterior synechiae of the iris, interstitial keratitis, disseminated chorioretinitis, as well as HIV. An infectious cause is high on the differential in light of her HIV status. DDx: hypertensive crisis, an embolism (? IV drug use), coagulopathy, trauma, infectious. Blood work was normal. Her current vision is 20/30 right eye and 20/400 left eye.

    Photographer: Kim Barrett, COA

    Imaging device: Optos

    Condition/keywords: central retinal artery occlusion (CRAO), chorioretinal scar, ciliary artery sparring, disseminated chorioretinitis, HIV, left eye, optic atrophy, staining

  • Emulsified Silicone Oil

    Apr 3 2025 by Andrew A. Moshfeghi, MD, MBA, FASRS

    This is an 87 year- old male with 3.5 year history of retained silicone oil following treatment of late-onset recurrent retinal detachment 18 years following prior primary scleral buckle repair. Robust emulsified silicone oil aggregates are appreciated. Visual acuity is 20/400.

    Photographer: Tammy Schoenholz, University of Southern California.

    Imaging device: Zeiss Clarus

    Condition/keywords: emulsified silicone oil

  • Familial Exudative Vitreoretinopathy

    Feb 4 2022 by Naresh Babu Kannan, MS, FNB(V R),MBA (H R),FASRS,.

    Wide field fundus photograph of a 20-year-old woman with familial exudative vitreoretinopathy showing temporal avascular retinal periphery. BCVA OD 20/40.

    Photographer: Mrs. Bharathi, Aravind Eye Hospital, Madurai

    Imaging device: Zeiss Clarus

    Condition/keywords: familial exudative vitreoretinopathy (FEVR), pediatric retinal vascular diseases, temporal avascular retina

  • Hemangioma

    Feb 9 2021 by Kim Barrett

    66-year-old female with a history of thyroid and uterine cancer in her 30's. She has a family history of cancers also. Current VA 20/40-2 PH OS. Patient and doctor chose observation at this time with possible surgical intervention in the future. She also has a small Hemangioma temporally in the right eye. Von Hippel-Lindau is also suspected and genetic testing was suggested.

    Photographer: Kim Barrett C.O.A. Retina Specialists of Michigan, Grand Rapids, MI

    Imaging device: Optos California

    Condition/keywords: cancer, genetic testing, Optos, retinal hemangioblastoma, Von Hippel-Lindau

  • Methotrexate Bubble following Intravitreal Injection for PVR

    Sep 21 2022 by Zach Seim

    Ultra-widefield fundus photograph of an 81 year old female with a Methotrexate bubble following an Intravitreal Injection for Proliferative Vitreoretinopathy. Patient has been presenting to the office for two week interval Methotrexate injections in her left eye. The image was taken prior to her eighth injection which revealed a residual Methotrexate bubble in her inferior retinal image. This patient was seeing "lots" of floaters, as well as having visual acuity of cc20/400 cc20/200 PH.

    Photographer: Zach Seim

    Imaging device: OPTOS California

    Condition/keywords: bubble, fundus photograph, fundus photography, intravitreal injection, left eye, methotrexate, nasal retina, Optos, proliferative vitreoretinopathy (PVR), pseudocolor, ultra-wide field imaging

  • Optic Disc Edema With Macular Star

    Jun 22 2013 by James A Eadie, MD

    Fundus photograph montage of a 14-year-old girl with optic disc edema with macular star. Her laboratory work-up was negative for known causes. She improved from 20/200 to 20/40 with observation/an empirical course of doxycycline.

    Photographer: Wendy Malmberg-Lorentz

    Condition/keywords: neuroretinitis, optic disc edema

  • 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

  • Purtscher's Retinopathy

    Nov 24 2014 by Raj K. Maturi, MD

    Fundus images of a 21-year-old woman with Purtscher's retinopathy. Mild visual improvement 20/200 OU vs. 20/400 OU.

    Photographer: Charlotte Harris Midwest Eye Institue Indianapolis, Indiana

    Condition/keywords: Purtscher's retinopathy

  • Racemose Hemangioma and Retinal Vein Occlusion

    Mar 5 2013 by Eduardo Torres-Porras, MD

    A 13-year-old woman had a history of decreased vision for 2 years. Visual acuity was 20/400.

    Photographer: Camelia Rosales Lara

    Condition/keywords: retinal angiomatous proliferation (RAP)

  • Racemose Hemangioma and Retinal Vein Occlusion

    Mar 5 2013 by Eduardo Torres-Porras, MD

    A 13-year-old woman had a history of decreased vision for 2 years. Visual acuity was 20/400.

    Photographer: Camelia Rosales Lara

    Condition/keywords: retinal angiomatous proliferation (RAP)