Search results (185 results)

Oct 10 2024 by Virginia Gebhart

56 year old male with new amelanotic melanoma emanating from the ciliary body through the posterior iris epithelium. CT scan showed no evidence of metastatic disease. Pt scheduled for radioactive plaque and tumor biopsy

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Samsung Galaxy

Condition/keywords: amelanotic melanoma, iris melanoma

Apr 30 2013 by Theodore Leng, MD, MS, FASRS

SD-OCT scan from a 44-year-old woman with bilateral plaquenil toxicity. There is damage visible in the outer retina in a perifoveal distribution.

Condition/keywords: hydroxychloroquine toxicity, plaquenil toxicity

Nov 10 2020 by Ronald Coriasso

Fundus photo of 68-year-old female with history of plaquenil use. Her findings are most consistent with bear tracks, however these kinds of lesions can be indicative of familial adenomatous polyposis (FAP).

Photographer: Ronald Coriasso

Imaging device: OPTOS

Condition/keywords: bear tracks, familial adenomatous polyposis

Aug 13 2021 by Jeffrey Barker

Hollenhorst Plaque

Photographer: Jeffrey P. Barker, B.S. Retina Vitreous Surgeons of C.N.Y.

Condition/keywords: hollenhorst plaque, optic nerve

May 15 2020 by Sophia El Hamichi, MD

A 63-year-old male with juxtapapillary melanoma of the right eye. Visual acuity at presentation was 20/25 OD. Patient treated with brachytherapy Iodine125 plaque

Photographer: Belinda Rodriguez

Condition/keywords: optical coherence tomography (OCT)

May 4 2021 by RAFAEL REIS PEREIRA, MD

A 31-year-old patient with a complaint of photophobia and low visual acuity OD in the previous three weeks. BCVA was 20/60 and 20/20 The fundus examination revealed a placoid white lesion in the posterior pole and vitreous cells in the right eye. The left eye was unremarkable. Fluorescein angiography reveals hyperfluorescent plaque with distinctive “leopard spots” hypofluorescence.

Imaging device: Opto California

Condition/keywords: acute syphilitic posterior placoid chorioretinitis

Sep 9 2018 by Gabriela Lopezcarasa Hernandez, MD

88-year-old female patient with sudden decrease in visual acuity and scotoma in left eye, please notice the widening retina due to retinal edema of branch occlusion with hollenhorst plaque in the artery and the optic nerve.

Photographer: Araceli Rojas

Imaging device: Zeiss FF4

Condition/keywords: branch retinal artery occlusion (BRAO)

Sep 9 2018 by Gabriela Lopezcarasa Hernandez, MD

88-year-old female patient with sudden decrease in visual acuity and scotoma in left eye, please notice the branch occlusion with hollenhorst plaque and the delay perfusion in the involved arteria.

Photographer: Araceli Rojas

Imaging device: Zeiss FF4

Condition/keywords: branch retinal artery occlusion (BRAO)

Mar 27 2018 by Nichole Lewis

Branch retinal artery occlusion with a Hollenhorst Plaque.

Photographer: Nichole Lewis

Condition/keywords: branch retinal artery occlusion (BRAO), hollenhorst plaque

Dec 27 2016 by Manish Nagpal, MD, FRCS (UK), FASRS

Acute CRAO with hollenhorst plaque.

Photographer: hardik Jain

Condition/keywords: central retinal artery occlusion (CRAO), edema, hollenhorst plaque, retinal infarction

Jan 16 2025 by Virginia Gebhart

RGB/FA/ICG of 76 year old female with a new choroidal melanoma. Pt scheduled for plaque radiation. BCVA 20/400

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: fluorescein angiogram (FA), indocyanine green (ICG) angiography, OPTOS CALIFORNIA RGB

Jul 23 2023 by Ahmad B. Tarabishy, MD

62 year old female with rheumatoid arthritis, treated with hydroxychloroquine 200 mg BID for the past 6-8 years. She presents with blurred vision, difficulty reading, and difficulty transitions from dark to light conditions since 4 months.

Photographer: Dr. Angela Rico

Condition/keywords: hydroxychloroquine toxicity, plaquenil toxicity, toxic maculopathy

Nov 9 2023 by Charlotte Jones

Bilateral ocular coherence tomography and fundus autofluorescence of a 77 year old woman with Macular Foveoschisis. Patient with stable vision since her last appointment (20/30 right eye and 20/25 left eye) with worsening vitreomacular traction in the right eye. Patient is followed routinely for Plaquenil use.

Photographer: Charlotte Jones

Imaging device: Heidelberg Spectralis

Condition/keywords: fundusautofluorescence, macularfoveoschisis, macularretinoschisis, macularstar, ocularcoherencetomography

Oct 3 2024 by Logan ryzenga

4 view ultra-widefield Optos fluorescein angiogram in the left eye of a 39 year old woman occlusive retinal vasculitis with four quadrant Kyrieleis plaques. This is a showcase of a suspected, rarely reported, and atypical presentation of Behcet's Syndrome.

Photographer: Logan Ryzenga

Imaging device: Optos California

Condition/keywords: Behcet's Disease, Behcet's uveitis, Fluorescein angiography, fluorescein leakage, kyrieleis plaques, non-perfusion, OPTOS, OPTOS CALIFORNIA, ultra-wide field imaging, Uveitis

Jul 11 2018 by Sarah Oelrich

Plaquenil Toxicity

Photographer: Sarah Oelrich CRA, Southeastern Retina Associates, Knoxville TN

Condition/keywords: plaquenil toxicity

Apr 30 2013 by Theodore Leng, MD, MS, FASRS

SD-OCT scan from a 44-year-old woman with bilateral plaquenil toxicity. There is damage visible in the outer retina in a perifoveal distribution.

Condition/keywords: hydroxychloroquine toxicity, plaquenil toxicity

Apr 30 2013 by Theodore Leng, MD, MS, FASRS

Fundus autofluorescence from a 44-year-old woman with bilateral plaquenil toxicity. There is an area of hyperautofluorescence that corresponds to areas of outer retinal damage.

Condition/keywords: hydroxychloroquine toxicity, plaquenil toxicity

Apr 30 2013 by Theodore Leng, MD, MS, FASRS

Fundus autofluorescence from a 44-year-old woman with bilateral plaquenil toxicity. There is an area of hyperautofluorescence that corresponds to areas of outer retinal damage.

Condition/keywords: hydroxychloroquine toxicity, plaquenil toxicity

Feb 25 2021 by Niloofar Piri, MD

Bilateral fundus autofluorescence of a patient with hydroxycholoroquine (plaquenil) toxicity demonstrating classic bull's eye pattern.

Condition/keywords: bull's eye maculopathy, hydroxychloroquine toxicity, plaquenil toxicity

Jun 8 2016 by John S. King, MD

AF 6 years med.

Condition/keywords: bull's eye maculopathy, plaquenil toxicity

Feb 25 2021 by Niloofar Piri, MD

SD- OCT of the same patient with hydroxychloroquine (Plaquenil) toxicity, demonstrating classic "Flying Saucer" pattern secondary to parafoveal RPE atrophy, and outer retinal layer disruption including EZ loss, and outer nuclear layer loss.

Condition/keywords: bull's eye maculopathy, hydroxychloroquine toxicity, plaquenil toxicity

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

Apr 12 2019 by David L Kilpatrick, MD

Fundus photograph of a 69-year-old male with an amelanotic choroidal melanoma and corresponding exudative retinal detachment. Transvitreal biopsy was performed at the time of radioactive I-125 plaque placement. The genetic expression profile revealed a Class 1A, PRAME negative tumor.

Photographer: Retina Consultants of Alabama, P. C.

Imaging device: Optos

Condition/keywords: amelanotic melanoma

Jan 8 2016 by Jared Watson

42-year-old white female, S/P I-125 plaque brachytherapy.

Photographer: Jared Watson COT/CRA

Imaging device: Topcon 50EX, OIS-Merge

Oct 9 2012 by James B. Soque, CRA, OCT-C, COA, FOPS

88 y/o WM with extensive history of EMD and prominent plaque OS. Large heme OS has resolved with a variety of anti-VEGF therapy, and only a small heme, IT to fovea, remains. VA OS cc 20/50. (3) three photos: Color Photo, Early FA, and Late FA enclosed. 50 Degree, no mag.

Photographer: James Soque CRA COA

Imaging device: Topcon TRC 50 EX, with OIS V 10.5.74 Software. 5 MP Camera

Condition/keywords: exudative age-related macular degeneration