Search results (93 results)
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Myopic Traction Maculopathy
Mar 17 2025 by Drew Mitchell
HD 1 line 100x 9 mm scan of a right eye with MTM at stage 3c. Macular Schisis Detachment.
Photographer: Drew Mitchell OCT-C
Imaging device: Zeiss Cirrus 5000
Condition/keywords: full thickness macular hole, Macular hole, myopic foveoschisis, myopic macular schisis, myopic traction maculopathy, PVD
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Detached NVE During PVD induction
Apr 27 2018 by Michael J. Koss, MD, PhD, MBA
A 73-year-old woman with macular pucker underwent a pars plana vitrectomy with membrane peeling. Additionally the patient suffers from diabetic retinopathy after being diagnosed with type 2 diabetes mellitus sixteen years ago. Prior to the procedure she was treated with a series of intravitreal Bevacizumab-injections due to diabetic macular edema. There was no history of a proliferative DRP. During the vitrectomy a branch of an obliterated NVE spontaneously detached and floated freely in the vitreous. The 3D shot was captured via Alcon’s NGENUITY® 3D Visualization System in form of photograph and video providing an outstandingly detailed image of the branched NVE.
Photographer: Michael Koss, Augenzentrum Nymphenburger Hoefe
Imaging device: Alcon’s NGENUITY® 3D Visualization System
Condition/keywords: diabetes, diabetic retinopathy, neovascularization elsewhere (NVE), pars plana vitrectomy (PPV), PVD induction
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Multiple Areas of Myelinated RNFL OD
Sep 18 2019 by John S. King, MD
68-year-old African American male presented with an acute PVD in the fellow eye. Fellow eye had similar findings, but the pics were not as good as OD.
Photographer: Brittany Dewberry
Imaging device: Optos CA
Condition/keywords: myelinated nerve fiber layer, myelinated nerve fibers
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Peri-papillary Vascular Loop
Jun 2 2020 by Dhaivat Shah
Peri-papillary vascular loops (PVL) are rare congenital vascular malformations, which are usually detected as accidental finding during routine fundus examination. They can often be confused with tributary vein occlusion or racemose hemangioma. Although benign and asymptomatic, they can be rarely associated with vitreous hemorrhage and arterial occlusion. We herein present a case of a 60-year-old hypertensive male, who was diagnosed elsewhere to have a tributary vein occlusion and was referred to us. FFA was advised to rule out neovascularization, surrounding capillary non perfusion and mass lesion (hemangioma). On FFA, the arterial loop showed a slightly delayed filling (3-5 seconds) as compared to the other arterial vessels and the original vessel appeared to be a branch arising from central retinal artery. The choroidal filling was delayed in the area supplied by the loop. A cilioretinal artery was also noted. The patient was diagnosed to have a Peri-papillary vascular arterial loop (PVL), likely to be congenital in origin. The patient was reassured and was advised yearly follow up. These loops are usually accidental findings discovered during routine fundus examination. Since these vessels are looped and tortuous, they exhibit a slower and laminar blood flow, which make them more prone for arterial occlusions. The vitreous in this area tends to be adherently attached, so during PVD induction, it is likely to cause a tear and hemorrhage leading to vitreous hemorrhage. Until and unless there is a break, this hemorrhage tends to resolve on its own and does not warrant treatment. If there is an evident break, it can be dealt with laser barrage.
Photographer: Choithram Netralaya
Condition/keywords: congenital prepapillary vascular loop
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Posterior Vitreous Detachment
Sep 1 2020 by J. Sebag, MD, FACS, FRCOphth, FARVO
Left: Preset lens biomicroscopy of PVD in the left eye of a subject with a widely dilated pupil. The detached posterior vitreous cortex is seen (arrows) as is the optic disc and retinal vasculature (upper left). (courtesy of C. L. Trempe MD, Harvard Medical School, Boston, MA) [Sebag J: Vitreous – in Health & Disease Springer, New York, 2014; image © Springer Nature, reprinted with permission] Right: B-scan ultrasonography of PVD images the detached posterior vitreous cortex with a visible Weiss Ring.
Condition/keywords: posterior vitreous detachment
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Weiss Ring
Jan 9 2019 by John S. King, MD
77-year-old white male with ERM and PVD OD; sheet of vitreous with weiss ring in the nasal mid-vitreous cavity.
Photographer: Macey Highfill, RN
Imaging device: Topcon 50
Condition/keywords: posterior vitreous detachment, Weiss ring
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ERM that Spontaneously Peeled
Oct 8 2012 by David R. Chow, MD, FRCS(C)
An ERM that through follow-up sponateously separated with the development of PVD.
Condition/keywords: epiretinal membrane (ERM), posterior vitreous detachment
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24 Hours Post Scleral Wound Closure+ Scleral Buckle+25 g Vitrectomy+Silicon Oil
Jan 23 2015 by Carlos Quezada-Ruiz, MD, FASRS
24 hours post op fundus photograph of a 43-year-old man who had perforating injury to the right eye with a small piece of plastic while he was hammering. OD LP, subconjunctival hemorrhage, clear cornea, hyphema, irido and ciclodyalisis as well as a luxated lens with traumatic cataract and a dense vitreous hemorrhage. B-US showed rhegmatogenous retinal detachment with a tear and a big inferior hemorrhagic choroidal detachment. 360 peritomy revealed 2-entry scleral wounds were found in zone II (M V and M VI) and closure was performed. 25 G PPV was performed with the infusion canal placed in the AC through the limbus. Lensectomy and removal of a dense recent vitreous hemorrhage revealed a white detached retina with an exit wound through the temporal inferior segment of the optic nerve with a nasal GRT and sub retinal hemorrhage as well as temporal inferior choroidal, PVD was induced and PFOs helped stabilizing the retina while vitrectomy and sub-retinal hemorrhage was removed through the GRT. Fluid air exchange was made and 360 endolaser over the buckle indentation was done and silicon oil was used as endotamponade. This picture was taken 24 hrs after the surgery.
Photographer: Lilibeth Rodriguez, Instituto de la Visión. Torreon, Mexico.
Condition/keywords: central retinal artery occlusion (CRAO), giant retinal tear, trauma
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OCT Cirrus HD 5 Line Scan ARMD SRF RPED Stage 3 PVD
Mar 6 2013 by James B. Soque, CRA, OCT-C, COA, FOPS
Zeiss Cirrus OCT 4000, Hi Definition 5 Line Scan, 91-year-old white female with peripapillary SRN with subretinal heme, serous fluid, and a stage 3 PVD, still attached at the optic nerve.
Photographer: James Soque, CRA, COA, Island-Retina
Imaging device: Zeiss Cirrus 4000 SD OCT with 6.0.2.81 Software
Condition/keywords: optical coherence tomography (OCT)
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OCT Cirrus 5 Line HD Scan EDI ARMD SRF RPED Stage 3 PVD
Mar 6 2013 by James B. Soque, CRA, OCT-C, COA, FOPS
Zeiss Cirrus OCT 4000, EDI Aquired Using Enhanced Depth Mode, 91-year-old white female with peripapillary SRN with subretinal heme, serous fluid, and a stage 3 PVD, still attached at the optic nerve.
Photographer: James Soque, CRA, COA, Island-Retina
Imaging device: Zeiss Cirrus 4000 SD OCT with 6.0.2.81 Software
Condition/keywords: optical coherence tomography (OCT)
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Age-Related Differences in the Structure of the Human Vitreous Body
Sep 1 2020 by J. Sebag, MD, FACS, FRCOphth, FARVO
Dark-field slit microscopy was performed on fresh, unfixed, post-mortem human eyes that had undergone dissection to peel off the sclera, choroid, and retina. The vitreous body remains attached to the anterior segment which is seen below, while the posterior pole is above in these images. The top panel demonstrates the absence of internal vitreous structures that scatter light in youth (left image from an 11 year-old girl, right image from a 14 year-old boy. The middle panel demonstrates light scattering from linear, fibrous structures that have an antero-posterior orientation with insertions into the vitreous base peripherally and the posterior vitreous cortex, typical in middle age (left image from a 56 year-old and right image from a 59 year-old). The bottom panel illustrates advance fibrous liquefaction in old age (88-year-old subject). [From Sebag J, Niemeyer M, Koss M: Anomalous PVD and vitreoschisis. In: Vitreous – in Health & Disease (J. Sebag, ed.) Springer, New York, 2014, pg. 245; image © Springer Nature, reprinted with permission]
Condition/keywords: vitreous
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Asteroid Hyalosis
Apr 12 2019 by Gary R. Cook, MD, FACS
B-Scan image of visually-significant asteroid hyalosis in the right eye of a 79-year-old white male showing hyperechoic echoes from the asteroid of high internal reflectivity on simultaneous A-scan, and a PVD in the eye; VA= 20/80
Imaging device: Ophthscan
Condition/keywords: asteroid hyalosis, B scan ultrasound
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Bidding Adieu to Attachments: Weiss Ring
Jan 7 2022 by Gayathri Mohan
Colour fundus photograph showing a Weiss ring following PVD.
Photographer: Dr. GAYATHRI MOHAN
Imaging device: Canon
Condition/keywords: PVD induction, Weiss ring
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Central Retinal Vein Occlusion with Macular Edema
Jan 29 2025 by Kimberly Wakester
Fundus photograph of a 62-year-old man with central retinal vein occlusion with macular edema and a new PVD with an operculated retinal tear in the left eye. Laser to retinal tear was completed. Patient will return in 2-3 weeks for follow up exam with possible intravitreal injection for the CRVO with edema and to follow up on the operculated retinal tear s/p retinal tear laser.
Photographer: Kimberly Wakester, COA
Imaging device: Optos California
Condition/keywords: central retinal vein occlusion (CRVO), operculated tear, PVD
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Chronic Retinal Detachment after Pneumatic Retinopexy
Jan 8 2022 by Parnian Arjmand, MD, MSc, FRCSC, DABO
This is a fundus photo in the eye of a young phakic patent who presented with a 6 month history of "difficulty seeing at night" and subjective nasal "blurriness" in the left eye. There was a chronic temporal RD, OS, extending to the arcades (Mac on). This photo is week 1 s/p Pneumatic retinopexy with SF6 gas and laser retinopexy to temporal breaks (6 holes, lattice); no PVD. As you can see, there is a "bleb" of viscous schlieren given the chronic nature of this RD that persist posterior to the breaks and temporal to the macula. This type of sub retinal fluid may take months to years to resorb.
Condition/keywords: chronic retinal detachment, pneumatic retinopexy
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Cloquet Canal
Sep 20 2024 by Jordyn Beckman
79 year old male with wet AMD, no PVD, presents with stable cloquet canal.
Photographer: Jordyn Beckman
Imaging device: Optos California
Condition/keywords: Cloquet Canal, hyaloid membrane, punctum caecum, stilling's canal
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Color Fundus Photograph of Myope With PVD and Staphyloma
Jun 11 2016 by Philip J. Polkinghorne, MD
Color photograph of patient with PVD and staphyloma.
Imaging device: Optos
Condition/keywords: degenerative myopia, peripheral vascular disease (PVD), staphyloma
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Complete PVD
Dec 10 2012 by Yale L. Fisher, MD
Dr. Yale Fisher presents a sagittal view of a complete posterior detachment demonstrated by the thin preretinal reflection (yellow arrow). Scleral depression (green arrow) at the ora serrata demonstrates the ability to register anatomical position on ultrasound using a scleral depressor.
Condition/keywords: video
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Eales Disease
Jan 31 2025 by Thirumalesh Mochi Basavaraj, MD
Ultra-wide field image of a 24 year old young healthy adult male with a visible sea fan neovascularization with partial PVD with vitreous and subhyaloid hemorrhage.
Photographer: Puttaswamy
Condition/keywords: Eales disease, sea fan, Ultra-wide field retinal imaging
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Eales Disease
Jan 31 2025 by Thirumalesh Mochi Basavaraj, MD
Ultra wide field image of a 24 year-old young healthy adult male with a visible sea fan neovascularization with partial PVD secondary to Scatter LASER photocoagulation with Vitreous and subhyaloid hemorrhage.
Photographer: Puttaswamy N K
Condition/keywords: Eales disease, Neovascularisation elsewhere (NVE), sea fan
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Epiretinal Membrane
Feb 2 2022 by Manish Nagpal, MD, FRCS (UK), FASRS
Intraoperative photo of a epiretinal membrane, glistening reflex noted. Prior to this capture, PVD induction has been done, which has left a small splinter hemorrhage around the disc attachment of hyaloid.
Photographer: Manish Nagpal, Retina Foundation, Ahmedabad, India
Imaging device: Sony PMW -10 MD surgical camera
Condition/keywords: epiretinal membrane formation, ERM, ILM flap, PVD induction
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Evolving Weiss Ring
Sep 11 2022 by Michael B Green, MD, MBA
Fundus photograph of a 62-year-old female with an evolving Weiss-ring in the process of separating from the optic disc.
Condition/keywords: posterior vitreous detachment, PVD, Weiss ring
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Folds in Detached Posterior Vitreous Cortex
May 31 2022 by Joshua Friedman
Slit lamp (video) image showing folds in the posterior vitreous cortex in an eye with PVD.
Photographer: Martin Snead, MD, Cambridge, England
Condition/keywords: folds, posterior vitreous cortex, PVD, vision degrading myodesopsia, vitreous
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Horseshoe Retinal Tear
Apr 8 2019 by Gary R. Cook, MD, FACS
61-year-old white female with acute horseshoe retinal tear superotemporally secondary to an acute PVD; V.A. = 20/30
Imaging device: Topcon VT-50
Condition/keywords: retinal tear
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Intraoperative Triamcinolone Staining to Visualize Hyaloid
Jan 10 2022 by Manish Nagpal, MD, FRCS (UK), FASRS
Intraoperative image of triamcinolone being injected in order to stain the hyaloid for facilitating PVD induction.
Photographer: Manish Nagpal, Retina Foundation, Ahmedabad, India
Imaging device: Sony PMW -10 MD surgical camera
Condition/keywords: hyaloid, PVD induction, triamcinolone