Search results (97 results)

Apr 24 2022 by Aniruddha K Agarwal, MD

Green-light fundus autofluorescence (FAF) of the right eye from a 55-year-old man with risk factors for sexually trasnmitted diseases who presented to the retina clinic for a central scotoma. Funduscopy revealed a placoid lesion in the posterior pole. FAF highlights a hyperautofluorescent placoid lesion involving the macula with granular hyperfluorescence. The patient tested positive for syphilis and received intravenous penicillin treatment.

Photographer: Esther CIANCAS, MD, PhD, Gema CRESPO-RODRÍGUEZ, RN

Imaging device: Zeiss Clarus fundus camera

Condition/keywords: chorioretinitis, IUSG, syphilis, uveitis

Apr 28 2019 by Niloofar Piri, MD

HD-OCT image of 53-year-old man who presented with a superior small paracentral scotoma for 1 month. He had very small hypopigmented area inferior to the fovea and hyporeflectivity on NIR image ( #1). OCT demonstrated a vertical hyper-reflective band extending from OPL to RPE. This form is type 2 AMN which is due to occlusion of deep capillary plexus.

Photographer: Niloofar Piri,MD

Condition/keywords: acute macular neuroretinitis, acute macular neuroretinopathy

Apr 28 2019 by Niloofar Piri, MD

HD-OCT image of 53-year-old man who presented with a superior small paracentral scotoma for 1 month. He had very small hypopigmented area inferior to the fovea and hyporeflectivity on NIR image ( #1). OCT demonstrated a vertical hyper-reflective band extending from OPL to RPE. This form is type 2 AMN which is due to occlusion of deep capillary plexus. #2

Condition/keywords: acute macular neuroretinitis, acute macular neuroretinopathy

Feb 25 2025 by Prithvi Chandrakanth

A 61-year-old woman with a history of hypertension noticed a sudden painless blurring of vision in her left eye. Over the next few days, the blurriness persisted, and she experienced a mild central scotoma. On examination, Fundoscopic evaluation revealed dilated, tortuous retinal veins, retinal hemorrhages, and macular oedema.

Photographer: DR.PRITHVI CHANDRAKANTH, DR.CHANDRAKANTH NETHRALAYA, KOZHIKODE

Imaging device: EIDON

Condition/keywords: CRVO, CRVO WITH MACULA EDEMA, flame shaped retinal hemorrhage

May 14 2024 by Eloy Mata-Cortes, MD

Color image capturing the left eye of a 32-year-old female. Despite a negative ophthalmological and medical history, she reported three days of blurred vision and a paracentral scotoma in her left eye, while maintaining central vision. The image reveals retinal whitening, extends from the parafoveal region to the inferotemporal arcade indicative of cilioretinal artery occlusion. Following this observation, the patient was referred for systemic assessment to explore the underlying etiology of the occlusion.

Photographer: Eloy Mata-Cortes, MD, Instituto Mexicano de Oftalmología, Querétaro, México

Imaging device: Nidek Mirante

Condition/keywords: cilioretinal artery occlusion, oclussion, retinal whitening

Mar 9 2013 by Gabriela Lopezcarasa Hernandez, MD

A 46-year-old male with decrease in visual acuity in left eye and central scotoma.

Photographer: Araceli Rojas Arriaga, Hospital Angeles Lomas, Mexico

Imaging device: Zeiss FF4

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

Nov 25 2015 by Roy Schwartz, MD

A 30-year-old presented with central scotoma and blurred vision a day following C-section for preeclampsia.

Photographer: Galit Yair Pur

Condition/keywords: blurred vision, central scotoma, preeclampsia

Jan 31 2018 by John S. King, MD

73-year-old with well controlled diabetes and hypertension presented with a month onset of acute central scotoma; CF 5'

Photographer: Stacey

Imaging device: Cirrus

Condition/keywords: ruptured macroaneurysm, sub-inner limiting membrane hemorrhage

Apr 28 2019 by Bastián Schmidt Arias

Optical coherence tomography of a 13-year-old adolescent with a laser pointer maculopathy, 20/20 visual acuity with paracentral scotoma.

Photographer: Bastian Schmidt

Imaging device: Topcon 3D OCT-2000

Condition/keywords: laser pointer maculopathy, maculopathy, optical coherence tomography (OCT)

Apr 29 2020 by John S. King, MD

43-year-old white male who was injured while racing a side by side 4-wheel off-road vehicle (see Video: https://imagebank.asrs.org/file/53854/sxs-crash-during-a-race-causing-valsalva-retinopathy-od). He presented about three weeks after the injury. He was being seen by his local eye doctor who wanted an evaluation for the retinal heme and scotoma. His main complaint was a central/parcentral scotoma described as a greyish area in vision. Va 20/50 OD, nomotensive, no APD (by technician), anterior segment u/r; see picture for the fundus exam - of note there are superficial/preretinal heme, with layering of the heme superiorly, and small superficial heme at nasal edge of the optic disc; in the parafoveal region nasally there is some mottling of the RPE that may indicate an area of prior commotio retinae (also possible to have TON), which may account for his scotoma. Really bad accident (video), and amazingly, he had no LOC or injuries other than the right retina. Helmet and racing harness seat belt were used.

Photographer: Asli Ahmed

Imaging device: Topcon 50

Condition/keywords: valsalva retinopathy

May 5 2020 by John S. King, MD

A 43-year-old white male who was injured while racing his side by side 4 wheel off-road vehicle (this is a video he showed me on his phone). He presented about three weeks after the injury. He was being seen by his local eye doctor who wanted an evaluation for the retinal heme and scotoma. His main complaint was a central/parcentral scotoma described as a greyish area in vision. Va 20/50 OD, nomotensive, no APD (by technician), anterior segment u/r; see {https://imagebank.asrs.org/file/53828/sxs-crash-during-a-race-causing-valsalva-retinopathy-od} for the fundus exam - of note there are superficial/preretinal heme, with layering of the heme superiorly; in the parafoveal region nasally there is some mottling of the RPE that may indicate an area of prior commotio retinae (also possible to have TON), which may account for his scotoma. Really bad accident, and amazingly, he had no LOC or injuries other than the right retina. Helmet and racing harness seat belt were used.

Condition/keywords: motor vehicle accident, trauma, valsalva retinopathy

Mar 9 2013 by Gabriela Lopezcarasa Hernandez, MD

A 46-year-old male with decrease in visual acuity in left eye and central scotoma.

Photographer: Araceli Rojas Arriaga, Hospital Angeles Lomas, Mexico

Imaging device: ZEISS FF4

Condition/keywords: cilioretinal artery occlusion

Oct 22 2012 by Ronald C. Gentile, MD

A 26-year-old man noticed a central and para-central scotoma in his left eye following strenuous exercise. He was doing push-up while standing on his head. The scotoma and retinal hemorrhage resolved in 2 months with observation.

Photographer: The New York Eye & Ear Infirmary Department of Medical Imaging

Condition/keywords: valsalva retinopathy

Mar 9 2013 by Gabriela Lopezcarasa Hernandez, MD

A 46-year-old male with decrease in visual acuity in left eye and central scotoma.

Photographer: Araceli Rojas Arriaga, Hospital Angeles Lomas, Mexico

Imaging device: Zeiss FF4

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

Aug 23 2012 by Gabriela Lopezcarasa Hernandez, MD

12-year-old boy with blunt trauma in right eye and central scotoma.

Photographer: Gabriela Lopezcarasa Hernandez, Hospital Angeles Lomas

Imaging device: ZEISS F4

Condition/keywords: blunt trauma, central scotoma, macular hole

Apr 12 2021 by Iuri Golubev, MD

46-year-old female with sudden onset paracentral scotoma below the central point of fixation in her left eye. Enface image shows a wedge shaped lesion pointing towards the fovea (top left). The lesion was spanning outer retinal layers from OPL to RPE (top left insert). One month later, the lesion has diminished in size, and was only involving retinal layers from ellipsoid zone to RPE(top right). At 4 months since presentation, the patient did not have any signs of AMN identifiable on enface or b-scan images (bottom center). Patient's symptoms has slowly improved and eventually resolved over the course of the next 4 years.

Imaging device: Zeiss Cirrus 5000

Condition/keywords: acute macular neuroretinopathy, acute macular outer retinopathy

Apr 24 2024 by Marcelo Zas, MD PhD

Best vitelliform macular dystrophy (BVMD) or Best disease. Is the most common autosomal dominant macular dystrophy. It involves the retinal pigment epithelium (RPE), and leads to a characteristic bilateral yellow “egg-yolk” appearance of the macula as you can see in this image. Essentially, BVMD is considered to have 6 clinical stages: Previtelliform, Vitelliform, Pseudohypopyon, Vitelleruptive, Atrophic and Choroidal neovascularization. As the disease progresses, patients may experience a slow, bilateral decrease in visual acuity, central scotoma, or metamorphopsia. With secondary CNV, visual decline can be rapid, however.

Photographer: Luciano Scorsetti MD

Condition/keywords: Macular Dystrophy

Dec 3 2013 by Maurice F. Rabb

Central scotoma.

Condition/keywords: central scotoma

Dec 3 2013 by Maurice F. Rabb

Central scotoma.

Condition/keywords: central scotoma

Dec 3 2013 by Maurice F. Rabb

Central scotoma.

Condition/keywords: central scotoma

Dec 3 2013 by Maurice F. Rabb

Central scotoma.

Condition/keywords: central scotoma

Apr 15 2021 by Rui Zhang, BA

A 14-year-old boy receiving induction chemotherapy for acute lymphocytic leukemia (ALL) complained of floaters and central scotoma in his left eye. (A) Fundus photography showed sub-macular choroidal abscess with intraretinal hemorrhage and edema. (B) OCT confirmed that the abscess had not penetrated the retinal pigment epithelium (RPE). Due to systemic septic signs (fever, tachycardia, tachypnea, new-onset papules), blood cultures were drawn and they came back positive for methicillin-resistant staphylococcus aureus (MRSA). Patient was promptly treated with both IV and intravitreal antibiotics. This is a case of sub-macular choroidal MRSA abscess in the setting of systemic bacteremia in an immunocompromised host.

Photographer: Raymond Mok, CRA COMT (Dartmouth-Hitchcock Medical Center)

Imaging device: Optical coherence tomography

Condition/keywords: abscess, acute leukemia, MRSA sepsis

Mar 9 2013 by Gabriela Lopezcarasa Hernandez, MD

A 46-year-old male with decrease in visual acuity in left eye and central scotoma.

Photographer: Araceli Rojas Arriaga, Hospital Angeles Lomas, Mexico

Imaging device: Zeiss FF4

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

Mar 9 2013 by Gabriela Lopezcarasa Hernandez, MD

A 46-year-old male with decrease in visual acuity in left eye and central scotoma.

Photographer: Araceli Rojas Arriaga, Hospital Angeles Lomas, Mexico

Imaging device: zeiss FF4

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

Jan 9 2018 by Olivia Rainey

Ultra-wide field Optos pseudocolor image of an 45-year-old male presenting with endogenous endophthalmitis affecting his left eye. Candidiasis was at high considerations due to intravenous drug abuse and recent history of dental abscess. Patient developed a subretinal infiltrate resulting in central scotoma and responded well to anti-fungal treatment.

Photographer: Olivia Rainey

Imaging device: Optos California

Condition/keywords: candida endophthalmitis, drug abuse, endogenous endophthalmitis, left eye, Optos, pseudocolor, retinal infiltrates, scotoma, ultra-wide field imaging