Search results (152 results)

Mar 23 2023 by Isaac Agranoff

Fundus photograph of a 37-year-old woman presenting with chorioretinitis with overlying vitreous stranding/vitritis that has remained unchanged for multiple years. Patient presented with irritation and blurred vision and her vision was 20/40 OD. The OCT revealed evidence of low-grade inflammation and the recommend treatment was anti-inflammatory eye drops at this time and to obtain second opinion with another physician in the office.

Photographer: Isaac Agranoff, Technician

Imaging device: Optos California

Condition/keywords: chorioretinal scar, chorioretinitis, inflammation, Optos, ultra-wide field imaging, vitritis

Feb 25 2013 by Henry J. Kaplan, MD

Toxoplasmosis, right eye: reactivation of congenital toxoplasmosis as an active retinitis lesion with overlying vitritis adjacent to an old scar.

Condition/keywords: toxoplasmosis chorioretinitis, toxoplasmosis reactivation

Dec 30 2015 by Nader Moinfar, MD, MPH, FACS, FASRS

Healthy 55-year-old patient presenting with subacute decline in vision, vitritis, periphlebits, and necrotizing retinitis.

Imaging device: Optos Wide Field Camera

Condition/keywords: acute retinal necrosis

Jul 3 2025 by Heitor Nogueira

Fundus photograph of an 53-year-old woman with patient who reported unilateral visual acuity loss for 10 days associated with ocular pain. She presented conjunctival hyperemia with temporal and nasal nodular scleritis, anterior chamber reaction 2+/4+, Koeppe nodules, granulomatous PKs, vitritis 2+/4+, multiple areas of vasculitis in arcades and periphery, associated with hemorrhages and necrotizing retinitis in temporal, inferior and nasal periphery. patient who reported unilateral visual acuity loss for 10 days associated with ocular pain. He presented conjunctival hyperemia with temporal and nasal nodular scleritis, anterior chamber reaction 2+/4+, Koeppe nodules, granulomatous PKs, vitreitis 2+/4+, multiple areas of vasculitis in the arcades and periphery, associated with hemorrhages and necrotizing retinitis in the temporal, inferior and nasal periphery. Positive serology for Herpes Virus.

Photographer: Heitor Nogueira, Penido Burnier Institute and CHOV, Campinas, São Paulo, Brazil

Imaging device: Optos Daytona

Condition/keywords: ARN complications, Herpes, progressive outer retinal necrosis (PORN)

Jan 26 2020 by Marlon García Roa, MD

Female, 30-years-old with <<< V Pregnancy Currently with 18 weeks gestation. Pathological personal history 1 month prior hospitalization for complicated acute appendicitis + pyelonephritis + severe thrombocytopenia (autoimmune treated with corticosteroids) with septic shock, appendectomy was performed, due to torpid evolution, intensive care unit with placement of central venous catheter treated with intravenous antibiotics is performed, CT scan is performed of thorax, abdomen and pelvis in search of aggregate pathology; finding multiple renal lithiasis that conditions hydronephrosis and reactivation of pyelonephritis, so he continued with antibiotic therapy and underwent endoscopic lithotomy, due to febrile persistence and with a positive blood culture result for candida Albicans, intravenous antifungals (anidulafungin) were started for 1 week, with improvement satisfactory for what was decided his discharge. During hospitalization it was required to transfuse 2 globular packages and platelet plasmapheresis as well as replacement of calcium, phosphorus and potassium. It refers to approximately 3 weeks of visual loss of the left eye associated with myodisopsia. visual acuity 20/100 Vitritis +, with floating vitreous abscess on the posterior pole, round papilla, slightly erased edges, excavation 0.3, macula without foveolar luster, conserved vein artery relationship, with vessels with multiple mineralization areas and superior peripheral lesion of ¼ diameter of papilla as ball of snow applied to retina.

Photographer: MARLON GARCIA ROA, INSTITUTO DE RETINA DEL BAJIO (INDEREB), QUERETARO, MEXICO

Condition/keywords: candida endophthalmitis

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

Sep 25 2019 by Gustavo Barreto de Melo, MD, PhD, FASRS

A 65-year-old female presented with an acute decrease in VA in the left eye 48 hours after an intravitreal injection of an antiangiogenic drug. Slit-lamp examination showed AC cells (4+) and vitritis. No pain or hyperemia. Multiple silicone oil droplets were seen in the anterior vitreous.

Photographer: Celso Dias, Hospital de Olhos de Sergipe

Condition/keywords: silicone oil

Oct 10 2018 by Vishal Agrawal, MD, FRCS,FACS,FASRS

Intraoperative fundus picture of right eye of a 18-year-old boy with complaints of DOV for the past 2 months. There were 12 intravitreal cysts in total with vitritis sclerosis retinal vessels and TRD. To note here, the largest cyst has a flimsy wall and no scolex (possibly ruptured) and the rest of the smaller cysts have a scolex and a taut wall.

Photographer: Vishal Agrawal MD,FRCS

Imaging device: SONY PMW-10 MD HD

Condition/keywords: cysticercosis, scolex

Dec 13 2017 by Gabriel Costa Andrade, PhD

Healthy 47-year-old patient presenting with subacute decline in vision, vitritis, periphlebits, and necrotizing retinitis.

Photographer: Gabriel Andrade, RETINA CLINIC, SP

Imaging device: Optos Wide Field Camera

Condition/keywords: acute retinal necrosis, uveitis, vasculitis

Feb 26 2013 by Henry J. Kaplan, MD

Multifocal choroiditis and panuveitis: left eye. Acute stage: haziness of the media due to vitritis and multiple active yellow and also inactive choroidal lesions are present.

Condition/keywords: multifocal choroiditis

Oct 8 2012 by Pauline T Merrill, MD, FASRS

Left fundus photograph of a 23-year-old Hispanic male with decreased vision for 1 month, recent pain/redness both eyes. Found to have panuveitis; also rash on palms & soles. Labs positive for FTA-ABS, and CSR VDRL. Treated with IV penicillin for 14 days.

Photographer: Karen Parque, Illinois Retina Associates, Chicago, IL

Condition/keywords: panuveitis, snowballs, syphilis, vitritis

Feb 26 2013 by Henry J. Kaplan, MD

Birdshot retinochoroidopathy; left eye: acute stage, haze due to vitritis and multiple oval cream colored lesions at the level of choroid.

Condition/keywords: birdshot retinochoroidopathy

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

29-year-old white male with moderate vitritis associated with an active toxoplasmosis lesion OS resulting in a "headlight in the fog" picture.

Condition/keywords: toxo chorioretinitis, toxoplasmosis, vitritis

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

Fundus photograph of inflammatory deposits on vitreous fibrils, known as "Wet snow on grapevines" in a case of recurrent ocular toxoplasmosis.

Imaging device: Topcon VT-50

Condition/keywords: ocular toxoplasmosis, vitritis, wet snow on grapevines

Sep 23 2022 by Jaideep sharma

A 50-year old woman presented to us with unilateral progressive and painless visual blurring. She was diagnosed as a case of CSCR and started on topical dorzolamide with no improvement in VA. Her best-corrected visual acuity (BCVA) was RE 6/6 and LE 6/60 . Eye examination revealed vitritis (grade1) with optic disc hyperemia and multiple serous retinal detachments with choroidal striae in the left eye and a normal right eye. She is k/c/o diabetes. Her past ocular and drug histories were unremarkable. Retinal imaging revealed characteristic features of APMPPE in the left eye. All laboratory testing results were inconclusive. VA and OCT findings significantly improved following the treatment with LE posterior sub tenon’s triamcinolone (40 mg/ml). 1 month post injection VA of the left eye reached 6/6 with resolved serous retinal detachments in this eye. This case is unique as it was managed via PST injection rather than conventional steroid therapy

Photographer: jaideep sharma jaipur calgary eye hospital rajasthan india

Condition/keywords: acute posterior multifocal placoid pigment epitheliopathy (APMPPE), FFA

Sep 23 2022 by Jaideep sharma

A 50-year old woman presented to us with unilateral progressive and painless visual blurring. She was diagnosed as a case of CSCR and started on topical dorzolamide with no improvement in VA. Her best-corrected visual acuity (BCVA) was RE 6/6 and LE 6/60 . Eye examination revealed vitritis (grade1) with optic disc hyperemia and multiple serous retinal detachments with choroidal striae in the left eye and a normal right eye. She is k/c/o diabetes. Her past ocular and drug histories were unremarkable. Retinal imaging revealed characteristic features of APMPPE in the left eye. All laboratory testing results were inconclusive. VA and OCT findings significantly improved following the treatment with LE posterior sub tenon’s triamcinolone (40 mg/ml). 1 month post injection VA of the left eye reached 6/6 with resolved serous retinal detachments in this eye. This case is unique as it was managed via PST injection rather than conventional steroid therapy

Photographer: jaideep sharma jaipur calgary eye hospital rajasthan india

Condition/keywords: acute posterior multifocal placoid pigment epitheliopathy (APMPPE), FFA

Aug 14 2013 by From the Collections of Thomas M. Aaberg, MD and Thomas M. Aaberg Jr., MD

Vitritis.

Condition/keywords: acute retinal necrosis, vitritis

Jun 29 2014 by John S. King, MD

Asymptomatic MA healthy female consulted for wet AMD. Plan: observe. Photo and AF initially and year afterwards. Health MA female; no vitritis or other lesions; similar findings in both eyes.

Photographer: Wayne A Ladlee Jr

Condition/keywords: aquired vitelliform maculopathy

Feb 27 2013 by Henry J. Kaplan, MD

ARN, severe vitritis, and necrotizing retina.

Condition/keywords: acute retinal necrosis, necrotizing retina, vitritis

Feb 27 2013 by Henry J. Kaplan, MD

ARN; hazy media is due to moderate to severe vitritis

Condition/keywords: acute retinal necrosis

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

Dec 10 2012 by Yale L. Fisher, MD

In asteroid hyalosis, accumulations of calcium soaps dispersed throughout the vitreous produce bright echoes in the usually echolucent vitreous. The appearance of asteroid hyalosis should not be confused with that of vitreous hemorrhage or vitritis. Many of the larger aggregates in asteroid hyalosis are easily seen as the gain is reduced to below 60 db, unlike vitreous hemorrhage or vitritis which usually disappears at low gain settings. There is also an area of clear echolucent vitreous between the posterior hyaloid face and the asteroid particles, which is usually not present in vitreous hemorrhage or vitritis.

Condition/keywords: video

Jun 21 2024 by Tejaswita Verma

Fundus montage of the right eye of a 27 year old male with macula threatening occlusive vasculitis showing hemorrhages in inferior, temporal quadrant with vascular sheathing. The patient was Mantoux positive (20 mm induration) and IGRA (TB-GOLD)positive and started on oral steroids. The case was atypical due to no vitritis at presentation which is unusual of tuberculosis. Behcet's disease was ruled out as there was no panuveitis like picture.

Photographer: DR. TEJASWITA VERMA

Imaging device: MIRANTE

Condition/keywords: occlusive vasculitis, ocular tuberculosis