Search results (45 results)

Sep 17 2015 by Marc C. Peden, MD

49-year-old female referred for presumed ocular melanoma. On examination was noted to have darkly pigmented lesion in the temporal retina of left eye. Lesion had characteristic scalloped edges with central lacunae, however, on ultrasonography was noted to have 1.8mm of elevation with high internal reflectivity. IVFA shows absence of dual circulation with areas of window defect. Findings were consistent with those described by Shields et al., in their April 2001 article in Archives of Ophthalmology.

Photographer: Janet Traynom

Imaging device: Optos P200MA

Condition/keywords: adenocarcinoma arising from CHRPE

Aug 22 2024 by Jordyn Beckman

61 year old male with Idiopathic Uveal Effusion Syndrome with starry night appearance on fluorescein. 3 weeks s/p single external drainage retinotomy and 9 weeks of oral pred with recurrent choroidal effusions. Has since returned to surgery for secondary drainage retinotomy; subretinal fluid remain persistent.

Photographer: Jordyn Beckman

Imaging device: Optos California

Condition/keywords: chorioretinitis, Choroidal, exudative detachment, window defect

Oct 16 2012 by Ratimir Lazic, MD, PhD

FAG of 58-year-old male. In early venous phase hyperflorescence of white dots (caused by window defect) can be seen. Leakage of dye in juxtafoveolar region.

Photographer: Marko Lukic, MD

Imaging device: Zeis Visucam Lite 2

Condition/keywords: acute posterior multifocal placoid pigment epitheliopathy (APMPPE), choroidal neovascularization (CNV)

Jan 26 2022 by Olivia Rainey

Heidelberg Spectralis fluorescein angiography of a 94-year-old woman with Macular Degeneration affecting both eyes. The FA reveals transmission defects consistent with RPE changes and geographic atrophy of RPE of both eyes, as well as window defects consistent with peripheral scarring in the right eye. The patient's vision was Dcc20/70 in both eyes at the visit the images were taken.

Photographer: Olivia Rainey, OCT-C, COA

Imaging device: Heidelberg Spectralis

Condition/keywords: 30-degrees, choroidal neovascularization (CNV), dry age-related macular degeneration (dry AMD), early phase, fluorescein angiogram (FA), geographic atrophy, heidelberg spectralis, macular degeneration, neovascular age-related macular degeneration (AMD)

May 7 2019 by William Ensor

A 37-year-old female presented with a two-week history of vision loss in the right eye. She experienced a flu-like illness including rash on the hands, feet, and mouth 2 days prior to her vision change. Her 3-year-old son had a similar illness diagnosed as hand, foot, and mouth disease by his pediatrician one week prior. Her visual acuity was 20/150 of the right eye, and 20/20 of the left eye. On dilated fundus examination, the left eye was unremarkable; the right eye revealed a circular, variably pigmented lesion of the macula. OCT imaging showed areas of RPE loss and clumping, with overlying loss of the photoreceptor layer. Fluorescein angiography showed central and peripheral hyperfluorescence consistent with window defect, and blockage in area of RPE loss. No treatment was initiated at this time. The patient returned 10 days later; her visual acuity improved to 20/50 in the right eye. Dilated fundus exam showed increased pigmentation of the macular lesion. OCT of the right eye showed further RPE clumping without recovery of the photoreceptor layer, despite her improved visual acuity.

Condition/keywords: unilateral acute idiopathic maculopathy

May 7 2019 by William Ensor

A 37-year-old female presented with a two-week history of vision loss in the right eye. She experienced a flu-like illness including rash on the hands, feet, and mouth 2 days prior to her vision change. Her 3-year-old son had a similar illness diagnosed as hand, foot, and mouth disease by his pediatrician one week prior. Her visual acuity was 20/150 of the right eye, and 20/20 of the left eye. On dilated fundus examination, the left eye was unremarkable; the right eye revealed a circular, variably pigmented lesion of the macula. OCT imaging showed areas of RPE loss and clumping, with overlying loss of the photoreceptor layer. Fluorescein angiography showed central and peripheral hyperfluorescence consistent with window defect, and blockage in area of RPE loss. No treatment was initiated at this time. The patient returned 10 days later; her visual acuity improved to 20/50 in the right eye. Dilated fundus exam showed increased pigmentation of the macular lesion. OCT of the right eye showed further RPE clumping without recovery of the photoreceptor layer, despite her improved visual acuity.

Condition/keywords: unilateral acute idiopathic maculopathy

Oct 16 2012 by Ratimir Lazic, MD, PhD

FAG of 58-year-old male. In late venous phase hyperflorescence of white dots (caused by window defect) can be seen. Intensive leakage of dye in juxtafoveolar region.

Photographer: Marko Lukic, MD

Imaging device: Zeis Visucam Lite 2

Condition/keywords: acute posterior multifocal placoid pigment epitheliopathy (APMPPE), choroidal neovascularization (CNV)

Sep 21 2018 by Dhaivat Shah

A 40-year-old female presented with sudden onset decreased vision in right eye. BCVA: CF 1 mt. Fundus showed massive subretinal exudation with haemorrhage. EDI OCT showed notched PEDs with shallow SRF and exudation with back-shadowing. FFA shows leak with window defects. ICG shows hotspot in late phase. Polypoidal choroidal vasculopathy (PCV) is a retinal disorder characterized by the presence of aneurysmal polypoidal lesions in the choroidal vasculature, resulting in damage to the overlying retina and loss of retinal pigment epithelium. The aneurysmal dilatations, also known as polyps, may be found subfoveal, juxtafoveal, extrafoveal, peripapillary or even peripheral regions. The polypoidal lesions are best detected on indocyanine green angiography as hotspots in late phase. The presence of choroidal polyps can lead to recurrent episodes of exudative retinal detachment, serous or hemorrhagic pigment epithelial detachment, subretinal hemorrhage and exudation. Treatment is available in form of laser/PDT along with Anti VEGF injection.

Photographer: Miss Moupiya Das

Condition/keywords: polypoidal choroidal vasculopathy (PCV)

Feb 12 2024 by BENITO VERGARA, MD

Image of a late phase fluorescein angiography at 4 minutes and 30 seconds of a 58-year-old woman treated with chloroquine at a daily dose of 3mg/kg, (recommended dose >2.3 mg/kg) that shows circular window defect suggestive of bullseye maculopathy.

Photographer: Benito Vergara Flores.

Imaging device: Clarus 700

Condition/keywords: chloroquine toxicity

Sep 17 2015 by Marc C. Peden, MD

49-year-old female referred for presumed ocular melanoma. On examination was noted to have darkly pigmented lesion in the temporal retina of left eye. Lesion had characteristic scalloped edges with central lacunae, however, on ultrasonography was noted to have 1.8mm of elevation with high internal reflectivity. IVFA shows absence of dual circulation with areas of window defect. Findings were consistent with those described by Shields et al., in their April 2001 article in Archives of Ophthalmology.

Photographer: Janet Traynom COT

Imaging device: Optos P200MA

Condition/keywords: adenocarcinoma arising from CHRPE

May 3 2013 by Suber S. Huang, MD, MBA, FASRS

Age related macular degeneration.

Condition/keywords: advanced geographic atrophy, atrophic scar, atrophic spot, geographic atrophy, macula lesion, pigment epithelial atrophy, red-free, window defect

May 3 2013 by Suber S. Huang, MD, MBA, FASRS

Geographic Atrophy.

Imaging device: Retina Diseases Imaging Reading Center

Condition/keywords: advanced geographic atrophy, atrophic scar, atrophic spot, geographic atrophy, macula lesion, pigment epithelial atrophy, red-free, window defect

Jul 29 2013 by H. Michael Lambert, MD

Alports disease, macular diseases not associated with FA changes. Spotty window defects with mid peripheral lesions. Disease may represent ABNL in basement membranes. Basal laminar drusen.

Condition/keywords: Alports disease

Jul 29 2013 by H. Michael Lambert, MD

Alports disease, macular diseases not associated with FA changes. Spotty window defects with mid peripheral lesions. Disease may represent ABNL in basement membranes. Basal laminar drusen.

Condition/keywords: Alports disease

Oct 12 2012 by Jeffrey G. Gross, MD, FASRS

ARMD with RPE rip, FA, showing window defect and blockage from retracted RPE layer.

Condition/keywords: retinal pigment epithelium, retinal pigment epithelium (RPE) tear, retracted retinal pigment epithelium (RPE) layer

May 2 2013 by Henry J. Kaplan, MD

Fluorescein angiography demonstrates RPE window defects and hyperfluorescence in bull's eye maculopathy; #2.

Condition/keywords: bull's eye maculopathy

May 2 2013 by Henry J. Kaplan, MD

Fluorescein angiogram demonstrates early hyperfluorescence due to window defect; the patient is young with GA like lesion and vision of 20/200 which is compatible with central areolar atrophy#1

Condition/keywords: central areolar choroidal dystrophy (CACD)

Jan 5 2015 by H. Michael Lambert, MD

Early fluorescein angiogram OD with central, well defined, confluent atrophy, window defect with choroidal vessels visible.

Condition/keywords: central areolar choroidal dystrophy (CACD)

Jan 5 2015 by H. Michael Lambert, MD

Later fluorescein angiogram OD with central, well defined, confluent atrophy, window defect with transmission.

Condition/keywords: central areolar choroidal dystrophy (CACD)

Oct 31 2012 by Lihteh Wu, MD

FA frame showing a hyperfluorescent window defect in a gutter pattern. There is also a hot spot in the nasal macula.

Oct 31 2012 by Lihteh Wu, MD

FA frame showing a hyperfluorescent window defect in a gutter pattern extending down from the posterior.

Condition/keywords: central serous chorioretinopathy (CSCR)

May 4 2014 by Neha Goel, MS DNB FRCS (Glasg)

FFA of a patient with chronic CSCR showing RPE window defects at the macula and RPE tracts running inferiorly from the peripapillary region.

Photographer: Neha Goel

Imaging device: Zeiss Visucam

Condition/keywords: chronic central serous chorioretinopathy (CSCR), retinal pigment epithelium

Jul 31 2014 by Mallika Goyal, MD

Fluorescein of the right eye of a 55-year-old male who presented with symptoms from chronic CSCR (> 3 years) shows extensive RPE window defects and occasional areas of intense hyperfluorescence.

Photographer: Mallika Goyal, MD, Apollo Health City, Jubilee Hills, Hyderabad-500033

Condition/keywords: chronic central serous chorioretinopathy (CSCR)

Jul 31 2014 by Mallika Goyal, MD

Fluorescein of the inferior fundus of the right eye of a 55-year-old male who presented with symptoms from chronic CSCR (> 3 years) shows extensive RPE window defects and occasional areas of intense hyperfluorescence.

Photographer: Mallika Goyal, MD, Apollo Health City, Jubilee Hills, Hyderabad-500033

Condition/keywords: chronic central serous chorioretinopathy (CSCR)

Jul 31 2014 by Mallika Goyal, MD

Fluorescein of the left eye of a 55-year-old male who presented with fellow eye symptoms from chronic CSCR (> 3 years) shows extensive RPE window defects.

Photographer: Mallika Goyal, MD, Apollo Health City, Jubilee Hills, Hyderabad-500033

Condition/keywords: chronic central serous chorioretinopathy (CSCR)