Search results (81 results)

Dec 18 2023 by siddharth sheth

33 year old male presented with a complaint of redness since 15 years in left eye.

Photographer: Gaurav Kamble, Isha Netralaya

Imaging device: Dyanmic slit lamp imaging

Condition/keywords: conjunctival AV malformation, slit lamp photo, slit lamp photography, unilateral

Apr 16 2014 by Scott D. Schoenberger, MD

Fundus photograph of a 20-year-old male with pain and decreased vision OS for 3 days. His visual acuity was counting fingers and he had conjunctival injection, anterior chamber cells and vitreous cells. He admitted to intermittent use of intravenous heroin. A vitrectomy was performed and cultures were positive for candida albicans.

Condition/keywords: endogenous endophthalmitis, fungal endophthalmitis

Jul 13 2013 by Jason S. Calhoun

Chemosis or swelling of the conjunctiva with sub-conjunctival hemorrhage.

Photographer: Jason S. Calhoun, Department of Ophthalmology, Mayo Clinic Jacksonville, Florida

Imaging device: TOPCON D-90 SL NIKON CAMERA

Condition/keywords: chemosis

Jun 27 2018 by Gabriel Costa Andrade, PhD

A 73-year-old male patient was referred to our ophthalmic emergency department with complaints of redness, pain, and diminution of vision in his left eye, after fall from height. The patient underwent small incision cataract surgery with polymethylmethacrylate (PMMA) IOL implantation in both the eyes 15 years back through superior sclerocorneal incision under local anesthesia. His best-corrected visual acuity was perception of light in the left eye. Ophthalmic examination using slit lamp biomicroscopy of the left eye revealed diffuse subconjunctival hemorrhage with no conjunctival laceration and inferior bulbar conjunctiva showed traumatic pseudophacocele with a sign “golden half ring,” suggesting the presence of PCIOL in subconjunctival space.There was total hyphema obscuring the view of rest of the ocular structures in his left eye.

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

Condition/keywords: dislocated intraocular lens (IOL), trauma

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

Sep 20 2012 by Jeffrey G. Gross, MD, FASRS

Subconjunctival hemorrhage, trauma in eye with choroidal rupture HM

Condition/keywords: choroidal rupture, subconjunctival hemorrhage

Apr 9 2024 by Hector Gabriel Moreno Solano, MD, MHA

48-year-old Hispanic male patient who comes to the clinic due to the presence of pterygium. Upon examination, a 2 mm blue nevus is found, which the patient reports having had since he was 15 years old.

Photographer: Héctor Gabriel Moreno-Solano.

Condition/keywords: conjunctiva, nevus

Jul 13 2013 by Jason S. Calhoun

Sub conjunctival hemorrhage with chemosis after a sub conjunctival injection of Lidocaine 2%.

Photographer: Jason S. Calhoun, Department of Ophthalmology, Mayo Clinic Jacksonville, Florida

Imaging device: TOPCON D-90 SL NIKON CAMERA

Condition/keywords: chemosis

May 16 2014 by Arwa Azmeh, MD, PhD

A 20-year-old male suffered from diplopia since age one. He was diagnosed to have acquired fourth nerve palsy in his left eye. VA at time of diagnosis was 20/20 in OU and Fundus exam was WNL in OU. His history revealed no other complaints. 3 days ago he underwent left superior oblique tucking for relief of his diplopia.The surgery was uneventful and at the end of surgery subconjunctival gentamicin was injected. Immediately following surgery his VA in OS decreased from 20/20 to complete loss of central vision and sensation of HM from the periphery. He was referred to us 3 days after surgery. At time of referral fundus exam of his left eye revealed macular infarction with cherry red spot appearance with few retinal hemorrhages, mild optic disc edema and CWS surrounding optic disc. Peripheral retina had normal color and appearance. The vitreous was clear. Anterior segment was quiet. IOP was WNL. Macular OCT was consistent with macular infarction. FA revealed delay in central retinal artery filling as fluorescein started to appear in the arteries at the level of the optic disc at 28 sec, and in the retinal veins at 38 sec. Macular area remained to be non-perfused throughout the whole FA. In late phases staining of blood vessels walls was noticed. The "wipe out" of large vessels and capillaries persisted in the central area. OCT through foveal area showed diffuse thickening of the retina with severe elevation in the fovea, reduced backscattering from the outer layers of the retina and enhanced reflectivity from the inner retina, due to ischemia. Complete blood count and cardiovascular study were WNL. The final diagnosis was macular infarction secondary to subconjunctival gentamicin injection.

Imaging device: OCT

Condition/keywords: macular infarction, subconjunctival gentamicin

Jul 13 2013 by Jason S. Calhoun

Slit lamp exam shows conjunctival cyst in the nasal aspect. Fluorescence shows cyst in blue light.

Photographer: Jason S. Calhoun, Department of Ophthalmology, Mayo Clinic Jacksonville, Florida

Imaging device: TOPCON D-90 SL NIKON CAMERA

Condition/keywords: conjunctival cysts, cyst

Jul 13 2013 by Jason S. Calhoun

Slit lamp exam shows conjunctival cyst in the nasal aspect. Fluorescence shows cyst in blue light.

Photographer: Jason S. Calhoun, Department of Ophthalmology, Mayo Clinic Jacksonville, Florida

Imaging device: TOPCON D-90 SL NIKON CAMERA

Condition/keywords: conjunctival cysts, cyst

Jul 13 2013 by Jason S. Calhoun

Slit lamp exam shows conjunctival cyst in the nasal aspect. Fluorescence shows cyst in blue light.

Photographer: Jason S. Calhoun, Department of Ophthalmology, Mayo Clinic Jacksonville, Florida

Imaging device: TOPCON D-90 SL NIKON CAMERA

Condition/keywords: conjunctival cysts, cyst

Jan 20 2023 by Elaine Michele Binkley, MD

Slit lamp photograph shows characteristic "salmon-patch" conjunctival lesion in the setting of uveal marginal zone lymphoma with conjunctival involvement.

Photographer: Brice Critser, University of Iowa

Condition/keywords: Uveal Lymphoma

Dec 19 2013 by Jason S. Calhoun

Medial RUL palpebral conjunctiva with fleshly peduculated mass near lid.

Photographer: Jason S. Calhoun, Ophthalmic Photographer, Department of Ophthalmology, Mayo Clinic Jacksonville

Imaging device: TOPCON D-90 SL NIKON CAMERA

Condition/keywords: lesion

Jul 13 2013 by Jason S. Calhoun

Elderly woman with history of melanoma, shows large melanoma temporally on the conjunctiva in the left eye

Photographer: Jason S. Calhoun, Department of Ophthalmology, Mayo Clinic Jacksonville, Florida

Imaging device: TOPCON D-90 SL NIKON CAMERA

Condition/keywords: melanoma

Dec 11 2014 by H. Michael Lambert, MD

Conjunctival Nevus.

Condition/keywords: nevus

Dec 11 2014 by H. Michael Lambert, MD

Conjunctival Nevus- flat grey elevated pigmented lesion

Condition/keywords: nevus

Nov 29 2013 by Jason S. Calhoun

Right conjunctival melanoma extending into anterior orbit, right eye. Temporally and nasally with pigmented masses/nodules. VA was 20/30 without correction in the right eye. Follow up to proceed with proton beam therapy.

Photographer: Jason S. Calhoun, Ophthalmic Photographer, Department of Ophthalmology, Mayo Clinic Jacksonville

Imaging device: TOPCON D-90 SL NIKON CAMERA

Condition/keywords: tumor

Nov 29 2013 by Jason S. Calhoun

Right conjunctival melanoma extending into anterior orbit, right eye. Temporally and nasally with pigmented masses/nodules. VA was 20/30 without correction in the right eye. Follow up to proceed with proton beam therapy.

Photographer: Jason S. Calhoun, Ophthalmic Photographer, Department of Ophthalmology, Mayo Clinic Jacksonville

Imaging device: TOPCON D-90 SL NIKON CAMERA

Condition/keywords: tumor

May 16 2014 by Arwa Azmeh, MD, PhD

A 20-year-old male suffered from diplopia since age one. He was diagnosed to have acquired fourth nerve palsy in his left eye. VA at time of diagnosis was 20/20 in OU and Fundus exam was WNL in OU. His history revealed no other complaints. 3 days ago he underwent left superior oblique tucking for relief of his diplopia.The surgery was uneventful and at the end of surgery subconjunctival gentamicin was injected. Immediately following surgery his VA in OS decreased from 20/20 to complete loss of central vision and sensation of HM from the periphery. He was referred to us 3 days after surgery. At time of referral fundus exam of his left eye revealed macular infarction with cherry red spot appearance with few retinal hemorrhages, mild optic disc edema and CWS surrounding optic disc. Peripheral retina had normal color and appearance. The vitreous was clear. Anterior segment was quiet. IOP was WNL. Macular OCT was consistent with macular infarction. FA revealed delay in central retinal artery filling as fluorescein started to appear in the arteries at the level of the optic disc at 28 sec, and in the retinal veins at 38 sec. Macular area remained to be non-perfused throughout the whole FA. In late phases staining of blood vessels walls was noticed. The "wipe out" of large vessels and capillaries persisted in the central area. OCT through foveal area showed diffuse thickening of the retina with severe elevation in the fovea, reduced backscattering from the outer layers of the retina and enhanced reflectivity from the inner retina, due to ischemia. Complete blood count and cardiovascular study were WNL. The final diagnosis was macular infarction secondary to subconjunctival gentamicin injection.

Imaging device: OCT

Condition/keywords: macular infarction, subconjunctival gentamicin

Jan 11 2021 by Sophia El Hamichi, MD

Surgery of the left eye affected with advanced melanoma: Upper left image: separating the sclera from the conjunctiva and the tenon by performing a peritomy, then separating the rectus muscles that will be later sutured to the donor sclera, to preserve post-op motility. Upper right image: cutting the optic nerve. Middle left image: the globe is enucleated. Middle right image: dissection of the globe showing the melanoma. Tissue is then sent to pathology Lower left image: putting the porous polyethyline implant inside the donor sclera and marking muscles' insertion. Lower right image: reinsertion of the rectus muscles on the donor sclera, then covering with tenon and conjunctiva.

Photographer: Belinda Rodriguez, Murray Ocular Oncology and Retina, Miami

Condition/keywords: donor sclera, enucleation, implant, melanoma

Oct 14 2021 by Islam bechakh

A vitrectomy is performed in our 25 G transconjunctival patient after careful decontamination of the cul-de-sacs by washing with povidone-iodine (Betadine®) 5% for 2 minutes. The panoramic system associated with the operating microscope makes it possible to control the traction on the retinal periphery and to facilitate the manipulation of the dye (Brilliant Blue G) during the surgery. The peeling of the membrane is extended to the whole macular area by trying, by a superficial grip begun in the sub-foveolar, to peel only the membrane. The internal limiting is then stained a second time and the total or partial decision is discussed on a case-by-case basis depending on the severity of the retraction and the type of diffuse or cystoid edema.

Photographer: Islam Bechakh

Condition/keywords: Epimacular membrane, vitrectomy

Feb 2 2018 by Olivia Rainey

An external photography series of a 51-year-old female with conjunctival lesions affecting both eyes. Patient is going through testing to help with diagnosis.

Photographer: Olivia Rainey

Imaging device: Topcon 50dx

Condition/keywords: external photography, xanthogranuloma

Feb 8 2018 by Claire Kiernan, MD

Slit lamp photograph of a 29-year-old female with herpetic keratitis complicated by deep corneal neovascularization and lipid keratopathy, shown here following Argon laser sectioning and subconjunctival bevacizumab with marked reduction of neovascularization and lipid keratopathy.

Photographer: Steve Crow, University of Tennessee Hamilton Eye Institute, Memphis, TN

Condition/keywords: Herpes simplex infection, keratitis

Jan 2 2019 by John S. King, MD

34-year-old white male injured while taking apart wooden pallets with a hammer in each hand and no protective eye-wear; he did not notice what hit his eye; just said his eye hurt and teared for four days before calling an eye doctor; his vision was 20/400 sc and IOP 6; the anterior chamber was deep with minimal cell and no hypopyon; and conjunctival/scleral laceration was present near the lateral rectus insersion; the vitreous was quiet; in the temporal portion of the fundus and full thickness laceration was seen with surrounding hemorrhage and what appeared to be an eyelash vs other (possibly a staple, from the wooden pallet). During surgery 2 eyelashes were pulled from the area of the laceration; the lateral rectus muscle was disorganized; after primary closure, a ppv was performed, the object in the picture was removed with forcepts; laser partial afx and gas; antibiotics injected at 1/2 dose.

Photographer: Maisee Yang

Imaging device: Optos CA

Condition/keywords: intraocular foreign body, ruptured globe