Search results (136 results)

Sep 23 2020 by Nimesh A. Patel, MD, FASRS

Fundus photo showing peri-vascular inflammation of both arteries and veins with translucent exudation (yellow arrow). Superior nasally, there is classic retinal whitening with retinal hemorrhages superior. This patient was found to have a low CD4 count and a diagnosis of AIDS was made.

Condition/keywords: cytomegalovirus (CMV), HIV, uveitis

Oct 16 2024 by César Adrián Gómez Valdivia, MD

Fundus autofluorescence image of an acute syphilitic posterior placoid chorioretinitis found in a HIV positive 28 YO male patient with suspected neurosyphilis. A beautiful butterfly autofluorescence pattern can be appreciated.

Photographer: @eyemissu2

Imaging device: California ICG OPTOS

Condition/keywords: acute syphilitic posterior placoid chorioretinitis, chorioretinitis, syphilis

Mar 13 2015 by Niloofar Piri, MD

The same patient one month after systemic treatment with Gancyclovvir and HAART ; resolved retinitis and hemorrhages, granular pattern remains as the outer retina is damaged.

Photographer: Angela Anderson

Condition/keywords: CMV retinitis, HIV

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

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

Aug 20 2014 by Andree Henaine-Berra, MD

Fundus photograph of the right eye of a HIV-positive male patient. The image shows multiple cotton wool spots and vascular tortuosity.

Photographer: Jorge Morales, MD. Hospital General "Dr. Manuel Gea Gonzalez". Mexico City

Condition/keywords: HIV retinopathy

Apr 30 2021 by Shivani Reddy, MD

This is a fluorescein angiogram image capturing a beautiful example of different stages of venous beading in diabetic retinopathy all in one frame. This patient also has various microangiopathic findings including microaneurysms, venous loops and capillary dropout. This patient is a 41 y/o male with a history of type 1 diabetes, presenting for his first eye exam in years.

Imaging device: Optos FA

Condition/keywords: capillary dropouts, nonproliferative diabetic retinopathy, proliferative diabetic retinopathy (PDR), retinal ischemia, venous beading

Oct 20 2024 by César Adrián Gómez Valdivia, MD

Fundus autofluorescence image of an acute syphilitic posterior placoid chorioretinitis found in a HIV positive 28 YO male patient with suspected neurosyphilis. A beautiful butterfly autofluorescence pattern can be appreciated.

Photographer: @eyemissu2

Imaging device: California ICG OPTOS

Condition/keywords: acute syphilitic posterior placoid chorioretinitis

Sep 17 2015 by Marc C. Peden, MD

49-year-old female referred for presumed ocular melanoma. On examination was noted to have darkly pigmented lesion in the temporal retina of left eye. Lesion had characteristic scalloped edges with central lacunae, however, on ultrasonography was noted to have 1.8mm of elevation with high internal reflectivity. IVFA shows absence of dual circulation with areas of window defect. Findings were consistent with those described by Shields et al., in their April 2001 article in Archives of Ophthalmology.

Photographer: Janet Traynom

Imaging device: Optos P200MA

Condition/keywords: adenocarcinoma arising from CHRPE

Oct 21 2020 by Rutul R Patel, MD Ophthalmology

Fundus photograph of left eye of 37-year-old female who presented with sudden painless loss of vision in left eye due to CRVOwith CLRAO.

Photographer: Vidhi Bavishi, Shivjyoti Eye Hospital

Imaging device: TOPCON MAESTRO

Condition/keywords: central retinal vein occlusion (CRVO), cilioretinal artery occlusion

Mar 30 2024 by KANWALJEET HARJOT MADAN, M.S. (Ophthalmology), FAICO (Vitreous - Retina)

This is Fundus Photograph of left eye of 53 year male depicting an area of Retinal Necrosis with few Retinal Haemorrhages suggestive of CMV Retinitis. Areas of Perivascular Exudation also seen. On investigations, the patient was found to be HIV positive. He was started on Anti Retro Viral treatment after physician opinion.

Photographer: Dr. Kanwaljeet Harjot Madan, Thind Eye Hospital, Jalandhar City (Punjab) INDIA.

Imaging device: Zeiss Fundus Camera

Condition/keywords: AIDS, cytomegalovirus (CMV), retinitis

Feb 17 2024 by Eloy Mata-Cortes, MD

Fundus photograph of left eye showing Cytomegalovirus retinitis of a 40-year-old male with positive HIV history. He presented with CD4 cell count of 50 cells/mm3 and decreased vision of left eye. In the photograph we can see the three typical patterns in this retinitis: a hemorrhagic appearance in superior temporal arcade and between nasal arcades, granular pattern in superior temporal retina, and a “frosted branch” angiitis surrounding the retinal vessels in nasal and superior retina.

Photographer: Eloy Mata-Cortes, Instituto Mexicano de Oftalmologia, Queretaro, Mexico

Imaging device: Clarus 700

Condition/keywords: CMV retinitis, cytomegalovirus (CMV), frosted branch angiitis, Frosted Branch Angitis

Mar 5 2015 by Andrew M Hendrick, MD

Fundus photograph of an asymptomatic 54-year-old male with a history of HIV and chronic DDI use.

Photographer: Matt Raeber, Emory University

Condition/keywords: drug toxicity

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

Feb 27 2013 by Henry J. Kaplan, MD

HIV retinopathy, left eye: multiple cotton wool spots. #2

Condition/keywords: cotton wool spots, HIV retinopathy

Jan 11 2013 by Alex P. Hunyor, MD

HIV retinopathy, right eye. 36-year-old male with HIV/AIDS.

Condition/keywords: HIV retinopathy

Dec 19 2020 by John S. King, MD

44-year-old white female seen over the weekend complaining of a "spot" in her vision centrally OD for three days. She was referred over by another eye doctor who was concerned about a possible retinal detachment vs ARN in that eye. Her past medical history includes adrenal insufficiency for which she takes a low dose of hydrocortisone, thyroxine (post thyroidectomy), Plaquenil (inflammatory arthritis). She is divorced with one partner and denies any IVDU. Va 20/200 OD and 20/20 OS, IOP 12 OU, pupils mydriatic post gtts (light desaturation OD). There was 1+ A/C cell OD, O/W unremarkable anterior segment OU; in the posterior segment OD there was 1+ vitritis with a diffusely swollen optic disc and a large yellowish placoid lesion in the macula with yellowish border and extended out past the arcades inferiorly, as well as another lesion smaller in the IN periphery, and two possible smaller spots SN (See Photo above). There was a trace vitreous cell OS with a large, granular placoid lesion nasally. The OCT showed mild subfoveal fluid with nodular areas in the RPE and some overlying irregular architecture of the outer retina. Syphilis was a concern at this point. She denied any hand or foot rash, and said that she was recently working on the house, and her hands were dried out. There did appear to be a rash on the hand, and later learned that she had a rash on the soles of her feet. She was sent to ED for a work-up and her syphilis IgG was positive and VDRL 1:128, and negative for HIV. She was started on a course IV Penicillin (40mg PO steroid two days after tx started). She has responded well. A few days after treatment her visual acuity has improved to 20/60 OD; there was no anterior segment inflammation OU, and decreased vitreous cell OU. Disc edema was improved. The large placoid lesion in the macula of the right eye was slightly enlarged, but more granular in appearance without a distinct yellowish border, and the smaller lesions SN had dissipated. OCT showed resolution of the subfoveal fluid and an improved appearance of the outer retina and RPE layer.

Imaging device: Optos CA

Condition/keywords: acute syphilitic posterior placoid chorioretinitis, syphilis

Aug 27 2012 by Logan Milad Haak, MD

51 year-old HIV+ man presenting with "Gray screen over vision" RPR and FTA-Abs were positive.

Photographer: Illinois Retina Associates

Condition/keywords: acute syphilitic posterior placoid chorioretinitis

Mar 13 2015 by Niloofar Piri, MD

Fundus photograph of the left eye of a 40-year-old Caucasian female with history of positive HIV test for 23 years. She has been off HAART therapy for the past 2 years and presented with decreased vision OS and upper visual field defect. On examination, she had trace cells in anterior vitreous , hemorrhagic retinitis which starts around the optic nerve and extending to inferotemporal arcade with secondary inferotemporal BRVO; in temporal periphery , she had granular pattern of CMV retinitis which is a manifestation of outer retina involvement.

Photographer: Angela Anderson

Condition/keywords: CMV retinitis, HIV

Jan 16 2018 by Olivia Rainey

Color fundus montage of an 37-year-old, HIV positive male with CMV retinitis affecting his right eye. Patient's vision was sc20/20-1. He received an intravitreal Ganciclovir injection as well. The referring physcian suspects his condition is secondary to his chemotherapy for large B cell lymphoma or stomach cancer. The patient had not started taking oral Valgancyclovir.

Photographer: Olivia Rainey

Imaging device: Topcon 50dx

Condition/keywords: CMV retinitis, color fundus photograph, cytomegalovirus (CMV), HIV, montage

Nov 7 2019 by Sham Talati, DOMS

46-year-old HIV positive diabetic male with progressive bilateral decrease in vision for last 45 days. Patient had associated liver and kidney disease. Taking Tenofovir for last one year.

Photographer: Sham Talati,Retina Foundation,Ahmedabad

Imaging device: Nidek Mirante

Condition/keywords: autofluorescence imaging, drug toxicity, HIV

Feb 27 2013 by Henry J. Kaplan, MD

HIV retinopathy, multiple cotton wool spots, right eye. #1

Condition/keywords: cotton wool spots, HIV retinopathy

Jun 29 2013 by Jason S. Calhoun

Patient who is HIV Positive with cytomegalovirus retinitis. Patient was treated with gangcyclovir intra-vitreal injection.

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

Imaging device: TOPCON TRC 50-EX/CIRRUS HD OCT

Nov 19 2017 by Navneet Mehrotra, DNB

42-year-old HIV positive male with reduced vision in right eye for two weeks.

Photographer: Mehul Prajapati

Imaging device: Topcon

Condition/keywords: HIV, progressive outer retinal necrosis (PORN)

Oct 26 2012 by Mallika Goyal, MD

Fundus photograph of left eye of a 43-year-old HIV infected gentleman who started antiretroviral therapy 2 months prior to visual symptoms in this eye.

Condition/keywords: tubercular choroidal granuloma