Search results (325 results)

Feb 6 2024 by SHILPI H NARNAWARE, ICO ( Retina) , FAICO ( Vitreo-Retina)

A case of 16 year-old female with combined RD in RE. Fundus examination & FFA revealed 360 degrees non-perfusion in periphery in non-symptomatic eye.

Photographer: Shilpi Narnaware, Sarakshi Netralaya , Nagpur, Maharashtra , India

Imaging device: Mirante ( by Nidek)

Condition/keywords: CNP areas, takayasu arteritis

Nov 7 2018 by Vedang Shah

Flecks over the entire retinal mid-periphery and periphery of a 12-year-old male with no visual complaints.

Photographer: Dr. Vedang Shah

Imaging device: OPTOS IMAGING SYSTEM

Condition/keywords: fleck retinopathy

Apr 22 2017 by Gabriel Costa Andrade, PhD

Panoramic retinography (Optos® California) of the right eye of a 48-year-old female patient with a history of low-vision in the right eye 2 months ago. At the exam presented visual acuity of 20/200 in the right eye and 20/20 in the left eye. Angiography shows diffuse perivascular leakage associated with areas of hypoperfusion in macula and periphery.

Photographer: Gabriel Andrade

Imaging device: Optos® California

Condition/keywords: central retinal vein occlusion (CRVO)

Nov 29 2022 by Niloofar Piri, MD

Fundus photograph of the left eye in a 58 yo male with rod cone dystrophy. He presented with night blindness and peripheral vision loss since youth and recent decrease in central vision for the past 10 years. Notice waxy pallor of the nerve, severe arterial narrowing and chorioretinal atrophy mainly around the arcades as well as posterior pole along with RPE hyperplastic changes and atrophy. RPE atrophy in midperiphery has coin shaped appearance. FAF has characteristic appearance (uploaded separately) He has one pathogenic variants of both CEP290 and PRPH2 genes.

Photographer: Sean Kelso, Saint Louis University

Condition/keywords: hereditary retinal deg, hereditary retinal dystrophy, Rod cone dystrophy

Feb 6 2013 by Roy Schwartz, MD

A healthy 31-year-old female presented with visual deterioration in her left eye. On examination thick macular retinal hemorrhages were seen, as well as some small minopr hemorrhages in the periphery. A workup for hypercoagulability was negative, and sources of emboli were not found. A diagnosis of a unilateral idiopathic hemorrhagic retinopathy was made.

Photographer: Galit Yair-Pur

Condition/keywords: benign idiopathic hemorrhagic retinopathy, red-free

Feb 25 2021 by Niloofar Piri, MD

Collage color photo and FA image of the same patient with Coats' Disease demonstrating telangiectatic aneurysmal lesions in the temporal periphery, associated with hard exudate deposition posteriorly. FA (AV phase) demonstrating hyperfluorescent aneurysmal lesions as well as peripheral capillary non perfusion. Note the posterior hypofluorescence where the hard exudates are located.

Condition/keywords: Coats' disease, congenital retinal telangiectasis, retinal telangiectasia

Feb 2 2021 by Niloofar Piri, MD

#4 Recirculation phase fluorescein angiography of the same patient demonstrating increased hyperfluorescence and leakage from abnormal vascular lesions in temporal periphery. Note the capillary non perfusion area anteriorly.

Condition/keywords: Coats' disease, Leber's miliary aneurysm

Apr 29 2022 by Otakar Dušek, M.D. Ph.D.

Colour fundus photograph of 22-year-old woman with incidentally found snail track retinal degeneration in the superior temporal periphery of the retina of the right eye.

Photographer: Otakar Dušek, Charles University, Prague

Imaging device: Zeiss Clarus

Condition/keywords: peripheral retinal degeneration

Apr 30 2022 by Niloofar Piri, MD

61 yo male with PMH of longstanding schizophrenia since 20s with secondary intellectual disability presented with decreased vision following a recent stroke. He was found to have bilateral chorio-retinal atrophy involving posterior pole with scalloped edges and coin shaped atrophic area at margins extending into mid-periphery, diagnosis most concerning for intermediate stage thioridazine toxicity given the history. Mother could find handwritten prescriptions from 1990s when he was on Thioridazine 800 mg daily for unknown period of time. Patient had better vision in the left eye which was affected by recent stroke and prompted him to seek medical care. Fundus photograph of the right eye is demonstrated here.

Photographer: Jacob Grodsky, MD

Condition/keywords: drug toxicity, thioridazine toxicity, toxic retinopathy

Apr 29 2018 by Sarina M Amin, MD

Wide-field fundus photograph of a 32-year-old woman with Wyburn-Mason syndrome showing temporal vessel sclerosis and temporal periphery nonperfusion.

Photographer: Sarah Ellano, Retinal Consultants of Arizona, Phoenix, Arizona

Imaging device: Optos

Condition/keywords: Wyburn-Mason

Sep 3 2016 by ADRIANO FERREIRA

A 28-year-old white man was referred to the rheumatology clinic with gradually and rapid deterioration of the vision (both eyes). In this picture, we can observe cotton wool spots in the papillomacular area and extensive hemorrhages in posterior polo and in the middle periphery. Hard exudates are present in macular area (macular edema)

Photographer: Claudio Zett Lobo

Imaging device: TRC50DXi TOPCON

Condition/keywords: systemic lupus erythematosus (SLE) vasculitis, vasculitis

Jan 19 2022 by James B. Soque, CRA, OCT-C, COA, FOPS

Acute Zonal Occult Outer Retinopathy (AZOOR). Peripheral Vasculitis OD. Fluorescein angiography showing vasculitis in the far right periphery 8-10 o'clock. 46-year-old white male, VA CC 20/16, 20/12.5, has had recurrent vasculitis for 11 years. No treatment.

Photographer: James Soque, CRA, OCT-C, COA, FOPS, Island Retina, Shirley, NY

Imaging device: Optos California

Condition/keywords: acute zonal occult outer retinopathy (AZOOR), FA early phase, fluorescein angiogram (FA), Peripheral Vasculitis, ultra-wide field imaging

Jan 19 2022 by Olivia Rainey

Ultra-widefield fluorescein angiogram of a 56-year-old male with a Central Retinal Vein Occlusion with Severe Retinal Ischemia affecting his right eye. The patient presented on 1/19/2022, sc20/20-2 vision in the right eye. The patient has had a good response to Eylea with complete resolution of edema. The physician is considering PRP to ischemic periphery in the future and given the degree of ischemia in both eyes, she recommends that the patient's PCP check carotid Doppler US.

Photographer: Olivia Rainey, OCT-C, COA

Imaging device: Optos California

Condition/keywords: central retinal vein occlusion (CRVO), FA late phase, fluorescein angiogram (FA), ischemic CRVO, Optos, retinal ischemia, ultra-wide field imaging

Oct 29 2020 by Olivia Rainey

Ultra-widefield fluorescein anigogram of a 51-year-old female with an exudative retinal detachment and branch retinal vein occlusion with retinal neovascularization affecting her right eye. The physician stated that the multiple aneurysmal dilations noted in the inferior periphery are responsible for the exudative RD seen on exam. He is considering Coat's vs FEVR given family history of aneurysms/congenital heart pathology per patient. He encouraged the patient to control their blood pressure, cholesterol, blood sugar, and co-morbidities which may have promoted the BRVO. He recommended antiVEGF injections to control the vascular leakage. Given the severe presentation and imminent threat to her vision, he recommended Eylea as first line therapy.

Photographer: Olivia Rainey, OCT-C, COA

Imaging device: Optos California

Condition/keywords: branch retinal vein occlusion (BRVO), chronic retinal detachment, fluorescein angiogram (FA), fluorescein leakage, inferior retina, inferior retinal detachment, Optos, ultra-wide field imaging

Nov 22 2015 by Mallika Goyal, MD

Bilateral drusen over the entire retinal mid-periphery and periphery of a 29-year-old male with no visual complaints. Macular centre is normal though there are some drusen in the temporal macula.

Photographer: Mallika Goyal, MD, Apollo Health City, Jubilee Hills, Hyderabad, India

Condition/keywords: familial drusen

Feb 4 2022 by Naresh Babu Kannan, MS, FNB(V R),MBA (H R),FASRS,.

Wide field fundus photograph of a 20-year-old woman with familial exudative vitreoretinopathy showing temporal avascular retinal periphery. BCVA OD 20/40.

Photographer: Mrs. Bharathi, Aravind Eye Hospital, Madurai

Imaging device: Zeiss Clarus

Condition/keywords: familial exudative vitreoretinopathy (FEVR), pediatric retinal vascular diseases, temporal avascular retina

Feb 26 2013 by Henry J. Kaplan, MD

Multifocal choroiditis, MFC, inactive scars in the periphery.

Condition/keywords: multifocal choroiditis

Oct 12 2019 by John S. King, MD

82-year-old white male with an acute loss of vision in the right eye was sent in to rule out a retinal detachment. Vision was 20/350; a dense VH was present, b-scan showed irregular areas of high reflectivity in the periphery that was c/w SRH. Peripherally, a few weeks later, there were areas that could be seen and were c/w peripheral CNVM (old and new). Anti-VEGF was administered. A month later vision was unchanged and patient wanted surgery to remove the VH. Pictured is one week since surgery; large peripheral scars are seen; diffuse areas of SR pigmentation is present; vitreous skirt present; and a few IRHs secondary to DR can be seen. He is currently 20/70 sc.

Photographer: Shelly Blair

Imaging device: Optos CA

Condition/keywords: choroidal neovascular membrane (CNVM), peripheral fundus lesion, vitreous blood

Dec 19 2020 by John S. King, MD

44-year-old white female seen over the weekend complaining of a "spot" in her vision centrally OD for three days. She was referred over by another eye doctor who was concerned about a possible retinal detachment vs ARN in that eye. Her past medical history includes adrenal insufficiency for which she takes a low dose of hydrocortisone, thyroxine (post thyroidectomy), Plaquenil (inflammatory arthritis). She is divorced with one partner and denies any IVDU. Va 20/200 OD and 20/20 OS, IOP 12 OU, pupils mydriatic post gtts (light desaturation OD). There was 1+ A/C cell OD, O/W unremarkable anterior segment OU; in the posterior segment OD there was 1+ vitritis with a diffusely swollen optic disc and a large yellowish placoid lesion in the macula with yellowish border and extended out past the arcades inferiorly, as well as another lesion smaller in the IN periphery, and two possible smaller spots SN (See Photo above). There was a trace vitreous cell OS with a large, granular placoid lesion nasally. The OCT showed mild subfoveal fluid with nodular areas in the RPE and some overlying irregular architecture of the outer retina. Syphilis was a concern at this point. She denied any hand or foot rash, and said that she was recently working on the house, and her hands were dried out. There did appear to be a rash on the hand, and later learned that she had a rash on the soles of her feet. She was sent to ED for a work-up and her syphilis IgG was positive and VDRL 1:128, and negative for HIV. She was started on a course IV Penicillin (40mg PO steroid two days after tx started). She has responded well. A few days after treatment her visual acuity has improved to 20/60 OD; there was no anterior segment inflammation OU, and decreased vitreous cell OU. Disc edema was improved. The large placoid lesion in the macula of the right eye was slightly enlarged, but more granular in appearance without a distinct yellowish border, and the smaller lesions SN had dissipated. OCT showed resolution of the subfoveal fluid and an improved appearance of the outer retina and RPE layer.

Imaging device: Optos CA

Condition/keywords: acute syphilitic posterior placoid chorioretinitis, syphilis

Jan 29 2021 by Olivia Rainey

Ultra-widefield fluorescein angiogram of a 24-year-old female with proliferative sickle cell retinopathy affecting her right eye. The physician's interpretation of the fluorescein shows seafan neovascularization superotemporally, AV anastomeses, and good peripheral laser. He performed scatter PRP OD on 12/2/2020 to nonperfusion in temporal far periphery. The patient's 12/2020 Hb electrophoresis came back showing Hb SC (rather than sickle cell trait). Patient was born at full term, but she reports that her mother used drugs while pregnant with the patient. The patient also mentioned that her niece has full sickle cell disease and her grandmother, mother, and sibling all have condition on the sickle cell spectrum.

Photographer: Olivia Rainey, OCT-C, COA

Imaging device: Optos California

Condition/keywords: fluorescein angiogram (FA), fluorescein leakage, neovascularization (NV), neovascularization elsewhere (NVE), Optos, sea fan, sickle cell retinopathy

Dec 24 2012 by Roy D. Brod, MD

Mid phase fluorescein angiogram of 16 year old male with recent diagnosis of Von Hippel-Lindau disease showing hyperfluorescent angioma in superior mid periphery OD.

Photographer: Julia Walker

Condition/keywords: hemangioma, Von Hippel-Lindau

Jan 11 2013 by Alex P. Hunyor, MD

Retinal capillary haemangiomas, left superior periphery, in a 20 year old female with von Hippel-Lindau disease.

Condition/keywords: hemangioma, retinal capillary hemangioma, Von Hippel-Lindau

Jun 13 2019 by Prithvi Chandrakanth

42-year-old, male came with chief complaints of diminished vision and floaters in right eye for past one week. On fundus examination noted to have subretinal haemorrhage and edema at the posterior pole and a subretinal live mobile worm at the periphery. Laser photocoagulation done followed by pars plana vitrectomy.

Photographer: Dr.PRITHVI CHANDRAKANTH, Dr.CHANDRAKANTH MALABAR NETHRALAYA, KOZHIKODE

Imaging device: TRASH TO TREASURE RETCAM - SMARTPHONE FUNDUS CAMERA DEVICE

Condition/keywords: laser photocoagulation, smartphone fundus photography, subretinal hemorrhage, uveitis, worm

Nov 18 2022 by Niloofar Piri, MD

21 yo female presented with decaresed central vision and scotoma immediately after severe vomiting. Color fundus phtograph demonstrates large sub ILM layered hemorrhage in the macula consistent with valsalva retinopathy. Notice the sacttered blot retinal hemorrhages in mid-periphery.

Photographer: Rocio Bentivegna, MD, Saint Louis University

Condition/keywords: sub ILM hemorrhage, valsalva retinopathy

Jan 2 2023 by Manish Nagpal, MD, FRCS (UK), FASRS

Vitrectomy for bullous Retinal detachment with superior tear| In this case vitrectomy is being done for a retinal detachment with superior tear. Once the vitreous is removed, air fluid exchange is carried out. Perfluorocarbon heavy liquid is injected to flatten the posterior pole and push the fluid to the periphery for endo drainage. This is followed by endo drainage from the superior break. Once the retina flattened endolaser was carried out.

Condition/keywords: air fluid exchange, bullous retinal detachment, endo drainage, endolaser, holes, Prophylaxis, RD, reattachment of retinal detachment, tear, video, vitrectomy