Search results (366 results)

Nov 30 2024 by John S. King, MD

Both right and left eyes have symmetrical ring of mottled hypo/hyper AF around the fovea and disc. The HyperAF areas correspond to RPE deposits on OCT as well as areas of blockage on FA, and drusenoid deposits seen on fundus photos 57 yo WF referred for AMD vs Pattern Dystrophy that was diagnosed 10 years ago. Reported some slow progressive vision loss in both eyes for distance and near. Denies nyctalopia or hemeralopia. Background medical history includes HTN, CVD, and DM. No family history of eye problems. Denied pentosan use. Anterior segment showed moderate cataracts (OD>OS). Posterior segment exam showed macular changes and mild NPDR. The macular appearance showed a symmetrical, paramacular ring of fleck-like drusenoid material with some faint focal areas of RPE hyperplasia. Fundus Photos, AF, OCT were performed as well as a gene test. Further questioning showed revealed that her mother and maternal grandmother had both diabetes mellitus and sensorineural hearing loss. The patient developed diabetes in her teens, and some high frequency hearing loss in her early twenties. She had not had a previous genetic test or diagnosis of MIDD. Gene testing is pending for the mitochondrial component. Invitae's retinal panel, which does not include mitochondrial disorders, only showed a variant of uncertain significance, HMCN1. I discussed this case with Dr. Freund, and it is similar to a the case report : Inoue M, Kiss S, Freund KB. MACULAR PIGMENT RINGS AS THE PRESENTING FINDING OF MITOCHONDRIAL MYOPATHY, ENCEPHALOPATHY, LACTIC ACIDOSIS, AND STROKELIKE EPISODES. Retin Cases Brief Rep. 2015 Fall;9(4):260-4. doi: 10.1097/ICB.0000000000000182. PMID: 26200388.

Photographer: Grace Melton and Carley Gunn

Imaging device: Clarus

Condition/keywords: Macular Dystrophy, Maternally Inherited Diabetes and Deafness, MIDD, Mitochondrial Disorder

Feb 5 2025 by Kimberly Wakester

Optomap RGB and AF photograph of an 37-year-old woman with multifocal pattern dystrophy in both eyes. Previously believed to be Stargardts, but genetic testing returned positive for PRPH2 mutation. Likely Multifocal Pattern Dystrophy given phenotypical appearance of SGD. There is stable NVE in the left eye. Will continue to monitor both eyes and consider treatment with PRP laser if needed for NVE in the left eye.

Photographer: Kimberly Wakester, COA

Imaging device: Optos California

Condition/keywords: multifocal pattern dystrophy, NVE, PRPH2 Positive

May 19 2020 by Evgeniia Perevoznikova

Butterfly-shaped pattern dystrophy.

Photographer: ophthalmologist_evgeniya

Condition/keywords: butterfly dystrophy

Mar 26 2019 by Carolyn Daley

Fundus auto florescence photograph of the right eye of a 61-year-old woman with intermediate dry AMD. Patient also shows collapsing vitelliform lesions and may have a differential diagnosis of pattern dystrophy.

Photographer: Carolyn Daley, COA, Retina Specialists of Michigan

Imaging device: Heidelberg Spectralis

Condition/keywords: dry age-related macular degeneration (dry AMD), Heidelburg Spectralis, pattern dystrophy, vitelliform lesion

Oct 15 2017 by Sivakami A Pai, MS, DNB, FRCS ( UK), PhD

Right eye fluorescence image of 40-year-old Asian gentlemen, who presented with metamorphosia , vision 1.0 in both eye.

Photographer: Dr Sivakami A pai

Condition/keywords: pattern dystrophy

Jan 11 2013 by Alex P. Hunyor, MD

Adult vitelliform pattern dystrophy, right eye.

Condition/keywords: adult vitelliform dystrophy, pattern macular dystrophy

Jan 11 2013 by Alex P. Hunyor, MD

Adult vitelliform pattern dystrophy, left eye - fluorescein angiogram.

Condition/keywords: adult vitelliform dystrophy

Jan 11 2013 by Alex P. Hunyor, MD

Adult vitelliform pattern dystrophy, left eye - color image

Condition/keywords: adult vitelliform dystrophy

Feb 21 2014 by David Callanan, MD

71-year-old male with age-related macular degeneration with pattern dystrophy appearance.

Condition/keywords: age-related macular degeneration (AMD), pattern macular dystrophy

Feb 21 2014 by David Callanan, MD

71-year-old male with age-related macular degeneration with pattern dystrophy appearance.

Condition/keywords: age-related macular degeneration (AMD), pattern macular dystrophy

Feb 21 2014 by David Callanan, MD

71-year-old male with age-related macular degeneration with pattern dystrophy appearance.

Condition/keywords: age-related macular degeneration (AMD), pattern macular dystrophy

Feb 21 2014 by David Callanan, MD

71-year-old male with age-related macular degeneration with pattern dystrophy appearance.

Condition/keywords: age-related macular degeneration (AMD), pattern macular dystrophy

Feb 21 2014 by David Callanan, MD

71-year-old male with age-related macular degeneration with pattern dystrophy appearance.

Condition/keywords: age-related macular degeneration (AMD), pattern macular dystrophy

Feb 21 2014 by David Callanan, MD

71-year-old male with age-related macular degeneration with pattern dystrophy appearance.

Condition/keywords: age-related macular degeneration (AMD), pattern macular dystrophy

Feb 21 2014 by David Callanan, MD

71-year-old male with age-related macular degeneration with pattern dystrophy appearance.

Condition/keywords: age-related macular degeneration (AMD), pattern macular dystrophy

Feb 21 2014 by David Callanan, MD

71-year-old male with age-related macular degeneration with pattern dystrophy appearance.

Condition/keywords: age-related macular degeneration (AMD), pattern macular dystrophy

Feb 21 2014 by David Callanan, MD

71-year-old male with age-related macular degeneration with pattern dystrophy appearance.

Condition/keywords: age-related macular degeneration (AMD), pattern macular dystrophy

Feb 21 2014 by David Callanan, MD

71-year-old male with age-related macular degeneration with pattern dystrophy appearance.

Condition/keywords: age-related macular degeneration (AMD), pattern macular dystrophy

Feb 21 2014 by David Callanan, MD

71-year-old male with age-related macular degeneration with pattern dystrophy appearance.

Condition/keywords: age-related macular degeneration (AMD), pattern macular dystrophy

Feb 21 2014 by David Callanan, MD

71-year-old male with age-related macular degeneration with pattern dystrophy appearance.

Condition/keywords: age-related macular degeneration (AMD), pattern macular dystrophy

Feb 21 2014 by David Callanan, MD

71-year-old male with age-related macular degeneration with pattern dystrophy appearance.

Condition/keywords: age-related macular degeneration (AMD), pattern macular dystrophy

Feb 21 2014 by David Callanan, MD

71-year-old male with age-related macular degeneration with pattern dystrophy appearance.

Condition/keywords: age-related macular degeneration (AMD), pattern macular dystrophy

Feb 21 2014 by David Callanan, MD

71-year-old male with age-related macular degeneration with pattern dystrophy appearance.

Condition/keywords: age-related macular degeneration (AMD), pattern macular dystrophy

Feb 21 2014 by David Callanan, MD

71-year-old male with age-related macular degeneration with pattern dystrophy appearance.

Condition/keywords: age-related macular degeneration (AMD), pattern macular dystrophy

Aug 7 2013 by From the Collections of Thomas M. Aaberg, MD and Thomas M. Aaberg Jr., MD

Angioid streaks and secondary CNV, right eye, #1.

Condition/keywords: angioid streaks, choroidal neovascularization (CNV)