Search results (317 results)

Mar 25 2014 by Homayoun Tabandeh, MD, FASRS

"Internal mirroring" by residual intraocular gas in a highly myopic patient 3 weeks post repair of retinal detachment with pars plana vitrectomy and C3F8 gas.

Photographer: Danny Rivas

Condition/keywords: high myopia, intraocular gas

Mar 13 2015 by Niloofar Piri, MD

Infrared and HD-OCT of the right eye in a 55-year-old African American female with high myopia (more than -6.00 D), BCVA: 20/25 OU Cartwheel appearance of the fovea in the infrared imaging is visible. HD- OCT demonstartes schisis in different layers of the retina (both NFL and OPL; notice stretching of the Muller cells); VMT is also present . Outer retinal layers are preserved which explains the good vision . She had the same findings in OS.

Photographer: Niloofar Piri, MD

Imaging device: Heidelberg Spectralis

Condition/keywords: high myopia, retinoschisis

Jun 17 2023 by Harsh Vardhan Singh, MS

Fundus photograph of 32-year-old male having good best corrected visual acuity in both eyes with right eye having high myopia & MNF as incidental finding

Photographer: Dr Harsh Vardhan Singh, Assistant Professor, AIIMS, Guwahati

Condition/keywords: medullated nerve fibers, MNF, myelinated nerve fiber layer, myelinated nerve fibers, Nerve fiber layer arrangements, NFL

Jan 25 2022 by Kachelle Brown

Ultra-wide field photograph of a 48-year-old female with a prominent long ciliary nerve. Patient presented asymptomatic, and was referred for a macula on retinal detachment. Patient was diagnosed with high myopia and a posterior vitreous detachment, and the physician discussed increased risk of floaters, myopic degeneration and retinal detachment associated with high myopia. -24.00 prior to cataract surgery OU per patient.

Photographer: Kachelle Brown

Imaging device: Optos California

Condition/keywords: fundus photograph, high myopia, long ciliary nerve, optos, right eye, ultra-widefield image

Dec 21 2023 by Vishal Agrawal, MD, FRCS,FACS,FASRS

10-year male with high myopia on examination revealed diffuse flecks distributed all over fundus in both eyes sparing macula. Inferior lattice with WWOP areas were also noted in right eye.

Photographer: Dr Ayushi

Imaging device: Clarus 700

Condition/keywords: fleck retinopathy, myopia

Jun 14 2018 by Gerardo Garcia-Aguirre, MD

EDI OCT of the right eye of a 17-year-old highly myopic girl. Subfoveal fluid is present. There is choroidal thinning, and scleral thickening in the foveal area.

Photographer: Gerardo Garcia-Aguirre, MD

Imaging device: Heidelberg Spectralis

Condition/keywords: dome shaped macula, high myopia

Apr 21 2025 by Hrishikesh Naik, MS

A 28 year old high myope with retinal detachment associated with a supero-temporal giant retinal tear in addition to multiple peripheral horseshoe tears and an additional supero-nasal retinal tear.

Photographer: Hrishikesh Naik

Imaging device: Optos Daytona

Condition/keywords: giant retinal tear, High Myopia, horseshoe tear, retinal break, retinal detachment

Dec 7 2019 by Anfisa Ayalon, MD

Fundus photograph of a 55-year-old woman with high myopia.

Photographer: Anfisa Ayalon,MD., Meir Medical Center, Kfar Saba, Israel.

Condition/keywords: high myopia, myopia, peripapillary atrophy

Apr 19 2013 by Theodore Leng, MD, MS, FASRS

Red free fundus photograph of a 48-year-old woman with lacquer cracks in the setting of pathologic myopia.

Condition/keywords: lacquer cracks, pathologic myopia

Apr 18 2025 by DR Rohit Gupta

The **myelinated nerve fibers of the optic disc** (also known as **medullated nerve fibers**) are retinal nerve fibers that retain their myelin sheath as they pass through the optic nerve head. Normally, retinal nerve fibers are unmyelinated to allow for light transparency, but in some cases, myelination extends anteriorly into the retina, appearing as a striking white, feathery patch on the optic disc or peripapillary retina. ### **Key Features:** 1. **Appearance:** - Dense, white, striated patches with feathery edges. - Typically located at the superior or inferior pole of the optic disc. - May obscure retinal vessels underneath. 2. **Clinical Significance:** - Usually **benign** and asymptomatic. - **Congenital** (present at birth or early childhood). - Rarely associated with **visual field defects** (e.g., scotomas corresponding to the area of myelination). - Occasionally linked with **high myopia** or **amblyopia** if extensive. 3. **Pathophysiology:** - Failure of oligodendrocytes or Schwann cells to stop myelination at the lamina cribrosa. - Normally, myelination stops at the optic nerve head, but in this condition, it extends into the retina. 4. **Diagnosis:** - **Fundoscopy:** Classic white, feathery appearance. - **Optical Coherence Tomography (OCT):** Shows thickened retinal nerve fiber layer (RNFL). - **Visual Field Testing:** May detect defects if large. 5. **Differential Diagnosis:** - Optic disc edema - Cotton wool spots - Retinoblastoma (rarely, but must be ruled out in children) 6. **Management:** - No treatment required if asymptomatic. - Monitor for amblyopia in children. - Rare cases with significant visual impairment may need further evaluation. ### **Fun Fact:** Myelinated nerve fibers are seen in **~0.5-1%** of the population and are usually an incidental finding.

Photographer: Dr Rohit gupta

Imaging device: Samsung S21

Condition/keywords: Medulated Nerve fibre, Medullated Nerve fibres, myelinated nerve fibers, Myelinated Nerve Fibres, optic disc drusen

Jul 22 2022 by T. P . VIGNESH, MBBS,MS

Fundus photograph of a 64-year-old woman with high myopia , myopic fundus and myopic CNVM.

Photographer: Bharathi Singaravel

Imaging device: Zeiss Clarus

Condition/keywords: high myopia, Myopic CNVM

Oct 1 2023 by Bruno DECAY, MD

Fundus photograph (autofluorescence) of a 43-year-old myopic man (left eye) Axial length: 29.32 mm

Photographer: Bruno DECAY, MD

Imaging device: iCARE EIDON confocal fundus imaging system (Ultra-Widefield Module)

Condition/keywords: Bilateral, High myopia

Oct 1 2023 by Bruno DECAY, MD

Fundus photograph (autofluorescence) of a 43-year-old myopic man (right eye) Axial length: 27.67 mm

Photographer: Bruno DECAY, MD

Imaging device: iCARE EIDON confocal fundus imaging system (Ultra-Widefield Module)

Condition/keywords: Bilateral, High Myopia, Pigmented Paravenous Retinochoroidal Atrophy

Oct 1 2023 by Bruno DECAY, MD

Fundus photograph of a 43-year-old myopic man (right eye) Axial length: 27.67 mm

Photographer: Bruno DECAY, MD

Imaging device: iCARE EIDON confocal fundus imaging system (Ultra-Widefield Module)

Condition/keywords: Bilateral, High myopia, Pigmented Paravenous Retinochoroidal Atrophy

Apr 9 2025 by Virginia Gebhart

35 year old female with stable sectoral RP and high myopia OU. RP has not progressed in either eye since initial visit in 2021. Will continue to observe. VA 20/20 OU

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: high myopia, retinitis pigmentosa

May 25 2017 by Somnath Chakraborty, MD

Fundus photograph of a 45-year-old female with pathological myopia and retinal detachment secondary to giant retinal tear.

Photographer: Saptarshi Mehta, Retina Institute of Bengal

Condition/keywords: giant retinal tear, retinal tear

Apr 14 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

50-year-old male having myopia presented with a IOL in vitreous within its bag.

Photographer: Pooja Barot

Condition/keywords: intraocular lens (IOL), intraocular lense in vitreous, intraocular lense with bag, myopia

Mar 12 2016 by Sjakon G Tahija, MD

This a fundus photograph of a high myope who presented with a submacular hemorrhage.

Photographer: Avris Siahaan, Klinik Mata Nusantara, Jakarta, Indonesia

Condition/keywords: high myopia, spontaneous submacular hemorrhage

Oct 9 2018 by John S. King, MD

55-year-old white female with history of pathologic myopia+, lattice (laser), SB OU (1990s), and dislocated natural lenses OU that had been watched for years. In the fellow eye she developed phacolytic glaucoma and a PPV, PPL was performed. Plan for both eyes are monitoring. I wanted to get a good picture of her lens today with the optos machine, as the other pics had artifact from the lower lid. It worked out well to use a speculum in the left eye. Vision cc is 20/400 J1+ OD and 20/40 J2 OS; aphakic OU; vitreous clear OD; dislocated lens OS (see pic); retinas attached.

Photographer: Maisee Yang

Imaging device: Optos California

Condition/keywords: dislocated crystalline lens, pathologic myopia, scleral buckle, staphyloma

Aug 23 2012 by Gabriela Lopezcarasa Hernandez, MD

Photographer: Gabriela Lopezcarasa Hernandez, Macula Retina Consultores

Imaging device: Heidelberg Spectralis

Condition/keywords: degenerative myopia

Oct 9 2012 by Audina M. Berrocal, MD FASRS

Teenager with high myopia and a GRT

Photographer: Ditte Hess CRA, BPEI

Imaging device: Fundus Camera

Condition/keywords: high myopia, retinal degeneration, retinal tear

May 2 2019 by Carissa Hurdstrom

PDR; high myopia; PRP

Imaging device: Optos

Condition/keywords: fluorescein angiogram (FA), high myopia, pan-retinal photocoagulation (PRP), proliferative diabetic retinopathy (PDR)

May 5 2016 by Steven J Ryder, MD

38-year-old African American female with moderate myopia (-4.50 Sph OU) and asymptomatic superior retinal detachment in the right eye. Montage fundus photography showing localized retinal detachment superiorly with single full-thickness retinal break at 12:00.

Photographer: Luis Bernhard, Miami VA Healthcare System

Imaging device: Topcon

Condition/keywords: asymptomatic, full thickness retinal hole, myopia, retinal break, retinal detachment with retinal defect

Aug 23 2012 by Gabriela Lopezcarasa Hernandez, MD

Asymptomatic 25-year-old woman with high myopia.

Photographer: Gabriela Lopezcarasa Hernandez, Hospital Angeles Lomas

Imaging device: FF4

Condition/keywords: high myopia, subretinal fibrosis

Jan 11 2013 by Alex P. Hunyor, MD

Myopic macular degeneration complicated by subretinal neovascularisation, left eye.

Condition/keywords: high myopia, myopia, myopic choroidal neovascularization (CNV)