Search results (191 results)

Apr 30 2020 by Saurabh Deshmukh, MBBS, DNB, FVRS, MNAMS

Late arteriovenous phase FA showing a large sub-internal limiting membrane hemorrhage with overlying neovessels. This hypertensive patient presented with a visual acuity of counting fingers at 2 meters. The patient was advised intravitreal anti-VEGF injection, Nd: YAG Membranotomy, and systemic control of hypertension.

Photographer: Saurabh Deshmukh, Sri Sankaradeva Nethralaya, Guwahati, India

Imaging device: Topcon TRC-50 DX

Condition/keywords: hypertensive retinopathy, neovascularization elsewhere (NVE), subILM hemorrhage

Nov 6 2012 by F. Ryan Prall, MD

32-year-male with history of hypertension, recent admission for malignant hypertension.

Photographer: Tom Egnatz, Indiana University

Condition/keywords: hypertensive retinopathy, malignant hypertension

Oct 23 2012 by Larry Halperin, MD

Malignant hypertension

Condition/keywords: hypertension, malignant hypertension

Jul 10 2013 by Jason S. Calhoun

Fundus photograph shows a young male with a single cotton wool spot just nasal to the macula in the right eye.

Photographer: Jason S. Calhoun, Department of Ophthalmology, Mayo Clinic Jacksonville, Florida

Condition/keywords: cotton wool spots, hypertension

Mar 28 2018 by awaneesh m upadhyay, MBBS, DNB

Fundus photograph of right eye of a 56-year-old gentleman having diabetes, hypertension and chronic kidney disease.

Photographer: Dr Awaneesh Upadhyay

Imaging device: Zeiss

Condition/keywords: proliferative diabetic retinopathy (PDR)

Feb 25 2013 by Suber S. Huang, MD, MBA, FASRS

32-year-old African American male with Grade IV hypertensive retinopathy and acute renal failure. Vision OD 20/70, OS 20/25. Creatine 7.1. BP: 250/150.

Photographer: Geoffrey Pankhurst, University Hospitals, Eye Institute/Dept. Ophthalmology and Visual Sciences Case Western Reserve University Cleveland, OH

Imaging device: Topcon TRC 50x

Condition/keywords: acute renal failure, disc edema, exudate, hypertension, hypertensive retinopathy, ischemia, macular edema, macular ischemia, optic disc edema

Mar 13 2013 by Jose Dalma-Weiszhausz, MD

Fundus photo of 22-year-old female, 8 months pregnant with severe poorly controlled hypertension due to pre-eclampsia.

Photographer: José Dalma, MD, Dalma & Asoc.. Mexico City, Mexico

Condition/keywords: hypertension, preeclampsia, serous retinal detachment

Jan 16 2019 by John S. King, MD

18-year-old African American female with increased BMI with a history of headaches, nausea, transient diplopia and vision loss that she notices when getting up from her bed (and goes away after standing upright) for the last two weeks. Went to PCP and was treated for the flu, and after no improvement and visual symptoms known, was sent to ED. MRI did not show any masses and showed empty sella turcia. Vision 20/30 OD and 20/20 OS; no RAPD; IOP 15OU; no anterior segment or vitreous inflammation; discs are elevated with obscuration of the disc margins and some of the smaller vessels; there are no SVPs; there are mild Patton's lines temporally (see Initial Photos). The optic disc cube shows 360 degrees of RNFL thickening (see OCT). Was referred to near-ophthalmologist, Dr. Doyle. She obtained additional work-up, and LP opening pressure was high, and MRV showed bilateral transverse sinus stenosis. Patient showed steady improvement with medical therapy, that included weight loss and oral diamox. On her last visit with Dr. Doyle, vision has remained stable at 20/20-20/25 without an enlarged blindspot; there are SVPs and optic disc edema has resolved (see Post Treatment Photos); she is currently on 1000 mg of diamox and has lost 15 pounds, and no stinting procedure needed.

Imaging device: Cirrus

Condition/keywords: benign idiopatic intracranial hypertension, optic disc edema, papilledema

Oct 20 2012 by Hyung-Woo Kwak, MD

The sudden appearance of cotton wool spots with hypertension retinopathy is known as accelerated hypertension. This patient has acute hypertension of rapid onset and measured systolic blood pressure was more than 200mmhg at this time.

Imaging device: Zeiss F450 plus

Condition/keywords: cotton wool spots, hypertension

Feb 25 2013 by Suber S. Huang, MD, MBA, FASRS

32-year-old African American male with Grade IV hypertensive retinopathy and acute renal failure. Vision OD 20/70, OS 20/25. Creatine 7.1. BP: 250/150.

Photographer: Geoffrey Pankhurst, University Hospitals, Eye Institute/Dept. Ophthalmology and Visual Sciences Case Western Reserve University Cleveland, OH

Imaging device: Topcon TRC 50x

Condition/keywords: acute renal failure, disc edema, exudate, hypertension, hypertensive retinopathy, ischemia, macular edema, macular ischemia, optic disc edema

Sep 21 2012 by Suber S. Huang, MD, MBA, FASRS

Fundus photograph of a 24-year-old obese woman with severe papilledema secondary to idiopathic intracranial hypertension.

Condition/keywords: dilated tortuous vessels, exudate, idiopathic intracranial hypertension, Paton's lines, peripapillary hemorrhage, pseudotumor cerebri

Dec 7 2012 by F. Ryan Prall, MD

32-year-old male with decreased vision, admitted for malignant hypertension.

Photographer: Tom Egnatz, Indiana University

Condition/keywords: hypertensive choroidopathy, malignant hypertension

Mar 29 2013 by Henry J. Kaplan, MD

Cotton wool spot in grade III hypertensive retinopathy.

Condition/keywords: hypertension, hypertensive retinopathy

Jan 16 2019 by John S. King, MD

18-year-old African American female with increased BMI with a history of headaches, nausea, transient diplopia and vision loss that she notices when getting up from her bed (and goes away after standing upright) for the last two weeks. Went to PCP and was treated for the flu, and after no improvement and visual symptoms known, was sent to ED. MRI did not show any masses and showed empty sella turcia. Vision 20/30 OD and 20/20 OS; no RAPD; IOP 15OU; no anterior segment or vitreous inflammation; discs are elevated with obscuration of the disc margins and some of the smaller vessels; there are no SVPs; there are mild Patton's lines temporally (see Initial Photos). The optic disc cube shows 360 degrees of RNFL thickening (see OCT). Was referred to near-ophthalmologist, Dr. Doyle. She obtained additional work-up, and LP opening pressure was high, and MRV showed bilateral transverse sinus stenosis. Patient showed steady improvement with medical therapy, that included weight loss and oral diamox. On her last visit with Dr. Doyle, vision has remained stable at 20/20-20/25 without an enlarged blindspot; there are SVPs and optic disc edema has resolved (see Post Treatment Photos); she is currently on 1000 mg of diamox and has lost 15 pounds, and no stinting procedure needed.

Photographer: Gretchen Harper

Imaging device: Topcon 50

Condition/keywords: idiopathic intracranial hypertension, optic disc edema, papilledema, Patton's Lines

Sep 22 2014 by Mallika Goyal, MD

Left fundus of a 21-year-old lady with benign intracranial hypertension shows circumpapillary high-water marks 2 months after initiating oral steroidsfor elevated intracranial pressure with severe papilledema. These marks identify extent of prior retinal elevation due to disc edema.

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

Condition/keywords: papilledema

Feb 20 2013 by From the Collections of Thomas M. Aaberg, MD and Thomas M. Aaberg Jr., MD

46-year-old; 20/20 OU; hypertension.

Condition/keywords: central retinal vein occlusion (CRVO), papillophlebitis

Mar 21 2019 by Jonathan C. Tsui, MD

26-year-old female with hypertension presenting with chief complaint of "darkening" in her nasal visual field in the right eye. No flashes, floaters, or vision loss. Va 20/60 and nasal VF defect OD. SD-OCT demonstrated hyperreflectivity in the INL consistent with paracentral acute middle maculopathy. She was referred to her PCP for blood pressure optimization and a cardiovascular work-up. She returned for follow-up two months later with 20/80 OD, 20/20 OS. Repeat SD-OCT demonstrated inner retinal atrophy.

Photographer: Zellers, Diane

Condition/keywords: paracentral acute middle maculopathy

Mar 1 2014 by Homayoun Tabandeh, MD, FASRS

Cotton wool spots in a patient with hypertension and diabetes

Condition/keywords: cotton wool spots, diabetic retinopathy, hypertensive retinopathy

Mar 1 2014 by Homayoun Tabandeh, MD, FASRS

Cotton wool spots in a patient with hypertension and diabetes.

Condition/keywords: cotton wool spots, diabetic retinopathy, hypertensive retinopathy

Feb 17 2015 by David Callanan, MD

HTN / Macular star / CWS.

Condition/keywords: cotton wool spots, hypertension, macular star

Oct 17 2012 by Sharon Fekrat, MD FACS FASRS

Fluorescein angiography of an inferior perfused branch retinal vein occlusion in the left eye of a middle aged male with hypertension. The foveal avascular zone is irregular. Subretinal hemorrhage is present.

Photographer: John Reaves, Ophthalmic Photographer, Durham VA Medical Center Eye Clinic Imaging Suite, Durham, NC

Imaging device: Fluorescein Angiography

Condition/keywords: branch retinal vein occlusion (BRVO), subretinal hemorrhage

Jun 28 2013 by Jason S. Calhoun

Patient came in complaining of spots in vision in both eyes. VA was 20/25 - right eye and 20/20- left eye. Fundus exam reveals little hemorrhages with cotton wool spots due to hypertension and anemia.

Photographer: Jason S. Calhoun, Mayo Clinic Jacksonville, Florida

Imaging device: TOPCON TRC 50-EX

Condition/keywords: hypertensive retinopathy

Jan 29 2015 by H. Michael Lambert, MD

Malignant hypertension with cotton wool spots and flame hemorrhages.

Condition/keywords: cotton wool spots, hemorrhage, malignant hypertension

Feb 17 2015 by David Callanan, MD

HTN / Macular star / CWS.

Condition/keywords: cotton wool spots, hypertension, macular star

Feb 23 2017 by Alla Goldberg, MD

Fundus photograph of 35-year-old man with severe hypertension (182/128).

Photographer: Sofia Rutiaga, UT Health McGovern Medical School, Cizik Eye Clinic

Condition/keywords: cotton wool spots, Elschnig's spots, hypertensive choroidopathy, hypertensive retinopathy, serous retinal detachment