Search results (87 results)

Sep 23 2020 by Nimesh A. Patel, MD, FASRS

Fundus photo showing peri-vascular inflammation of both arteries and veins with translucent exudation (yellow arrow). Superior nasally, there is classic retinal whitening with retinal hemorrhages superior. This patient was found to have a low CD4 count and a diagnosis of AIDS was made.

Condition/keywords: cytomegalovirus (CMV), HIV, uveitis

Apr 7 2018 by Rameez N Hussain, MD

Acute branch retinal artery occlusion with a calcium embolus at the disc with retinal whitening in the area of retinal edema.

Photographer: DR RAMEEZ N HUSSAIN

Imaging device: zeiss

Condition/keywords: branch retinal artery occlusion (BRAO), embolus, fundus photograph, retinal edema

Nov 16 2023 by Gabriel Costa Andrade, PhD

Fundus photograph of an 62-year-old man with retinal whitening and a cherry red spot due to Central Retinal Artery Occlusion.

Photographer: Gabriel Andrade

Condition/keywords: Central Retinal Artery Occlusion, central retinal artery occlusion (CRAO), Retina

Oct 6 2020 by Michael Izzo, MD

Left image: fundus photograph of a 39-year-old male with rheumatoid arthritis found to have ophthalmic artery occlusion depicting boxcar segmentation of blood in retinal vasculature and macular ischemia demonstrated by retinal whitening without cherry red fovea. Right image: early phase fluorescein angiography demonstrating patchy choroidal filling, arterial non-perfusion and optic nerve head leakage.

Photographer: Karen Rivera, COA; Washington National Eye Center

Condition/keywords: fluorescein angiogram (FA), ophthalmic artery occlusion, rheumatoid arthritis

Jan 22 2021 by Renata Garcia Franco, Md

65-year-old male, history of uncontrolled systemic arterial hypertension. Segmentation of blood in retinal arterioles, retinal whitening and cherry red spot.

Photographer: Fatima Hernandez, Instituto de la Retina del Bajio SC

Imaging device: Zeiss

Condition/keywords: central retinal artery occlusion (CRAO)

May 14 2024 by Eloy Mata-Cortes, MD

Color image capturing the left eye of a 32-year-old female. Despite a negative ophthalmological and medical history, she reported three days of blurred vision and a paracentral scotoma in her left eye, while maintaining central vision. The image reveals retinal whitening, extends from the parafoveal region to the inferotemporal arcade indicative of cilioretinal artery occlusion. Following this observation, the patient was referred for systemic assessment to explore the underlying etiology of the occlusion.

Photographer: Eloy Mata-Cortes, MD, Instituto Mexicano de Oftalmología, Querétaro, México

Imaging device: Nidek Mirante

Condition/keywords: cilioretinal artery occlusion, oclussion, retinal whitening

Nov 18 2024 by Edward F. Hall, MD, FASRS

Left fundus photograph of a 44-year-old man showing patchy ischemic retinal whitening associated with Sturge-Weber Syndrome. The precise cause of this rare complication remains unclear, but it may be linked to choroidal vascular congestion and a compartment syndrome-like effect on the local retinal arteriolar circulation. OCT imaging confirmed inner retinal ischemia and thickening

Photographer: Karissa Kuhl

Imaging device: Optos

Condition/keywords: retinal ischemia, Sturge Weber Syndrome

Apr 7 2018 by Rameez N Hussain, MD

Acute retinal artery occlusion with a calcium embolus at the disc and retinal whitening.

Photographer: DR RAMEEZ N HUSSAIN

Imaging device: zeiss

Condition/keywords: branch retinal artery occlusion (BRAO), embolus, fundus photograph, retinal edema

Jun 29 2018 by Gareth Lema, MD, PhD

Retinal whitening, subretinal hemorrhages, retinal hemorrhages, and vascular tortuosity following blunt trauma from a paintball.

Photographer: Flaum Eye Institute, University of Rochester, Rochester, NY

Condition/keywords: blunt trauma, chorioretinitis sclopetaria

Feb 15 2013 by From the Collections of Thomas M. Aaberg, MD and Thomas M. Aaberg Jr., MD

Fundus photograph showing activated toxoplasma retinochoroiditis with active retinal whitening adjacent to a hyperpigmented scar in the superonasal mid-periophery.

Condition/keywords: ocular toxoplasmosis

Mar 12 2021 by Kushal S Delhiwala, MBBS, MS, FMRF,FICO, FAICO

Fundus photographs of 33-year-old healthy male with right eye acute CRAO of 12 hours duration showing cattle trucking, extensive retinal whitening and cherry red spot (left image). Right image 18 hours later showing reduced extent of retinal whitening and absent cattle trucking, suggestive of natural restoration of perfusion.

Photographer: Kushal Delhiwala, Netralaya superspeciality eye hospital, Ahmedabad, Gujarat,India

Imaging device: Optos Daytona

Condition/keywords: cattle trucking, central retinal artery occlusion (CRAO), cherry red spot

Jun 1 2019 by John S. King, MD

84-year-old white female with acute loss of vision in the left eye one day ago was sent here after going to the ED per primary eye provider. She described vision loss as a grey curtain that became total darkness. She had left sided temporal tenderness and some left sided neck pain. In the ED the cardiac work-up was u/r, the ESR and CRP were normal, and the CTH showed some non-specific opacification in the L ethmoid sinus. Acuity was HM OS with RAPD, normal EOMs, no proptosis or ptosis, posteriorly no SVPs were noted; the optic discs were pink and flat; no emboli or retinal whitening present; some bear tracks located nasally (see photo). She was referred to Dr. Doyle, who ordered an MRI, which showed a large mucocele with bony erosion into the left orbit, along with some ON enhancement possibly from compression (see images). She was operated that night and later recovered to 20/40 in that eye with a residual, inferior arcuate scotoma.

Condition/keywords: bear tracks, optic neuropathy

Jun 1 2019 by John S. King, MD

84-year-old white female with acute loss of vision in the left eye one day ago was sent here after going to the ED per primary eye provider. She described vision loss as a grey curtain that became total darkness. She had left sided temporal tenderness and some left sided neck pain. In the ED the cardiac work-up was u/r, the ESR and CRP were normal, and the CTH showed some non-specific opacification in the L ethmoid sinus. Acuity was HM OS with RAPD, normal EOMs, no proptosis or ptosis, posteriorly no SVPs were noted; the optic discs were pink and flat; no emboli or retinal whitening present; some bear tracks located nasally (see photo). She was referred to Dr. Doyle, who ordered an MRI, which showed a large mucocele with bony erosion into the left orbit, along with some ON enhancement possibly from compression (see Images). She was operated that night and later recovered to 20/40 in that eye with a residual, inferior arcuate scotoma.

Condition/keywords: bear tracks, optic neuropathy

Jun 1 2019 by John S. King, MD

84-year-old white female with acute loss of vision in the left eye one day ago was sent here after going to the ED per primary eye provider. She described vision loss as a grey curtain that became total darkness. She had left sided temporal tenderness and some left sided neck pain. In the ED the cardiac work-up was u/r, the ESR and CRP were normal, and the CTH showed some non-specific opacification in the L ethmoid sinus. Acuity was HM OS with RAPD, normal EOMs, no proptosis or ptosis, posteriorly no SVPs were noted; the optic discs were pink and flat; no emboli or retinal whitening present; some bear tracks located nasally (see photo). She was referred to Dr. Doyle, who ordered an MRI, which showed a large mucocele with bony erosion into the left orbit, along with some ON enhancement possibly from compression (see images). She was operated that night and later recovered to 20/40 in that eye with a residual, inferior arcuate scotoma.

Photographer: Karin Aletter

Imaging device: Topcon 50

Condition/keywords: bear tracks, optic neuropathy

Feb 15 2013 by From the Collections of Thomas M. Aaberg, MD and Thomas M. Aaberg Jr., MD

Diffuse intraretinal hemorrhages and whitening in the posterior pole consistent with acute retinal necrosis.

Condition/keywords: macular edema, microangiopathy, retinal necrosis, retinal whitening

May 27 2019 by John S. King, MD

60-year-old African American female who had been treated for iridocyclitis for at least a week sent in for vitritis and a nasal fundus lesion. Complaints included redness, floaters, photophobia, and decreased vision. Husband had recent shingles. Acuity was 20/60-2 with IOP of 12, and small KP in Art's triangel, 1-2+ a/c cell, 2-3+ ant vit cell, diffuse arteriolar sheathing, multiple areas of retinal whitening in periphery and mid-periphery (see Photo #1). PCR of a/c was performed, and intravitreal GCV administered, and VACV 2g qid and ASA started.... PCR positive for HZV, pred taper was started two days after presentation as the infection had begun to stablize..... Five days from presentation the vision was 20/60, inflammation and areas of retinal whitening had improved (see Photo #2).... One week later acuity was 20/30, the a/c was quiet and KP resolved; ant vitreous cell decreased; and there was further improvement in retinal appearance without any signs of retinal holes or detachment; she is now on low dose maint VACV (see photo#3)

Photographer: Maysee Yang

Imaging device: Optos CA

Condition/keywords: acute retinal necrosis, Herpes zoster

May 27 2019 by John S. King, MD

60-year-old African American female who had been treated for iridocyclitis for at least a week sent in for vitritis and a nasal fundus lesion. Complaints included redness, floaters, photophobia, and decreased vision. Husband had recent shingles. Acuity was 20/60-2 with IOP of 12, and small KP in Art's triangel, 1-2+ a/c cell, 2-3+ ant vit cell, diffuse arteriolar sheathing, multiple areas of retinal whitening in periphery and mid-periphery (see Photo #1). PCR of a/c was performed, and intravitreal GCV administered, and VACV 2g qid and ASA started.... PCR positive for HZV, pred taper was started two days after presentation as the infection had begun to stablize..... Five days from presentation the vision was 20/60, inflammation and areas of retinal whitening had improved (see Photo #2).... One week later acuity was 20/30, the a/c was quiet and KP resolved; ant vitreous cell decreased; and there was further improvement in retinal appearance without any signs of retinal holes or detachment; she is now on low dose maint VACV (see photo#3)

Photographer: Maysee Yang

Imaging device: Optos CA

Condition/keywords: acute retinal necrosis, Herpes zoster

May 27 2019 by John S. King, MD

60-year-old African American female who had been treated for iridocyclitis for at least a week sent in for vitritis and a nasal fundus lesion. Complaints included redness, floaters, photophobia, and decreased vision. Husband had recent shingles. Acuity was 20/60-2 with IOP of 12, and small KP in Art's triangel, 1-2+ a/c cell, 2-3+ ant vit cell, diffuse arteriolar sheathing, multiple areas of retinal whitening in periphery and mid-periphery (see Photo #1). PCR of a/c was performed, and intravitreal GCV administered, and VACV 2g qid and ASA started.... PCR positive for HZV, pred taper was started two days after presentation as the infection had begun to stablize..... Five days from presentation the vision was 20/60, inflammation and areas of retinal whitening had improved (see Photo #2).... One week later acuity was 20/30, the a/c was quiet and KP resolved; ant vitreous cell decreased; and there was further improvement in retinal appearance without any signs of retinal holes or detachment; she is now on low dose maint VACV (see photo#3)

Photographer: Maysee Yang

Imaging device: Optos CA

Condition/keywords: acute retinal necrosis, Herpes zoster

Feb 15 2013 by From the Collections of Thomas M. Aaberg, MD and Thomas M. Aaberg Jr., MD

Color fundus photographs of the right eye of a patient suspected to have Behcet Uveitis. Over the course of 11 days, there is progressive optic disc edema, intraretinal whitening, hemorrhage and vessel occlusion.

Condition/keywords: Behcet's uveitis, posterior uveitis, retinitis

Feb 15 2013 by From the Collections of Thomas M. Aaberg, MD and Thomas M. Aaberg Jr., MD

Color fundus photographs of the right eye of a patient suspected to have Behcet Uveitis. Over the course of 11 days, there is progressive optic disc edema, intraretinal whitening, hemorrhage and vessel occlusion. Fluorescein angiography confirms impaired retinal perfusion secondary to vessel occlusion.

Condition/keywords: posterior uveitis, retinitis

Feb 15 2013 by From the Collections of Thomas M. Aaberg, MD and Thomas M. Aaberg Jr., MD

Color fundus photographs showing peripheral retinal whitening and pigmentary change consistent with early resolution of inflammatory lesions (upper panel) along with persistent exudative retinitis in the post-equatorial retina (lower panels).

Condition/keywords: Behcet's uveitis, retinitis

Apr 8 2019 by Gary R. Cook, MD, FACS

39-year-old white female with geographic area of retinal whitening ( Berlin's edema) without hemorrhage in the midperiphery secondary to blunt trauma; V.A. = 20/25

Imaging device: Topcon VT-50

Condition/keywords: Berlin's edema, blunt trauma, retinal edema

Jul 12 2017 by S. Natarajan, MD, FASRS, FRCS (GLASGOW) , FICO, D.Sc, FELA

An embolus is seen in the inferior branch of retinal artery with resultant retinal whitening . The patient had been diagnosed with a CRAO and the embolus then got dislodged distally to produce a BRAO

Photographer: Miss Ashwini borde

Imaging device: FF 450 Plus IR

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

Mar 26 2019 by Gary R. Cook, MD, FACS

61-year-old male patient with acute CRAO OS demonstrating a hyperemic optic disc with a couple of peripapillary hemorrhages, generalized arteriolar narrowing, a cherry-red spot in the macula, and retinal whitening surrounding the fovea; VA= LP.

Imaging device: Topcon VT-50

Condition/keywords: central retinal artery occlusion (CRAO), cherry red spot, retinal whitening

Sep 13 2019 by Patrícia José Figueiredo Lopes

A 19-year-old man presented in emergency department (ED) reporting painless blurred vision in the right eye that started one hour ago while he was doing exercise. His medical history was unremarkable. On examination, best corrected visual acuity in the right eye was counting fingers (20cm), right relative afferent pupillary defect was evident, intraocular pressure and anterior segment were normal. Dilated retinal examination revealed retinal whitening in the macular area and a cherry red spot (panel A) that became increasingly evident with time. Patient denied other systemic symptoms. Macular spectral domain optic coherence tomography showed hyperreflectivity of the inner retina (panel B). In ED, patient underwent ocular massage using a three-mirror contact lens and topical hypotensive treatment. Additionally, oral antiplatelet and hyperbaric oxygen treatment were initiated. Further investigation was performed and fluorescein angiography revealed a delay in arterial filling. Blood tests including hypercoagulation disorders investigation, plain chest radiography and electrocardiogram were unremarkable. Patent foramen ovale was diagnosed in transesophageal echocardiogram (panel C), anticoagulation therapy was promptly initiated and percutaneous closure of patent foramen ovale was done successfully a few weeks later. Final best corrected visual acuity was 20/200 and macula developed atrophy.

Photographer: Patrícia José

Condition/keywords: central retinal artery occlusion (CRAO), patent foramen ovale