Search results (53 results)

May 2 2013 by Henry J. Kaplan, MD

Anterior optic neuropathy or papillitis in the right eye; notice the blurred optic disc margin, engorged capillaries and flame shaped hemorrhages at the margin.

Condition/keywords: optic disc edema, optic disc swelling, papillitis

Oct 1 2012 by Jeffrey G. Gross, MD, FASRS

Optic disc edema and hemorrhages with subdural hematoma.

Condition/keywords: optic disc edema, subdural hematoma

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

Possible CMV Retinitis with frosted branch angiitis appearance and disc edema---late macular star appearance, but diagnosis is not certain.

Condition/keywords: frosted branch angiitis, late macular star, optic disc edema

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

Oct 1 2012 by Jeffrey G. Gross, MD, FASRS

Optic disc edema and hemorrhages with subdural hematoma.

Condition/keywords: optic disc edema, subdural hematoma

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

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

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

Jun 22 2013 by James A Eadie, MD

Fundus photograph montage of a 14-year-old girl with optic disc edema with macular star. Improving 6 weeks after initial presentation.

Photographer: Wendy Malmberg-Lorenz

Condition/keywords: neuroretinitis, optic disc edema

Oct 27 2012 by Mallika Goyal, MD

Fundus photograph of a 52-year-old gentleman with fresh CRVO; retinal haemorrhages all quadrants with optic disc edema and macular edema.

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

May 16 2014 by Arwa Azmeh, MD, PhD

A 20-year-old male suffered from diplopia since age one. He was diagnosed to have acquired fourth nerve palsy in his left eye. VA at time of diagnosis was 20/20 in OU and Fundus exam was WNL in OU. His history revealed no other complaints. 3 days ago he underwent left superior oblique tucking for relief of his diplopia.The surgery was uneventful and at the end of surgery subconjunctival gentamicin was injected. Immediately following surgery his VA in OS decreased from 20/20 to complete loss of central vision and sensation of HM from the periphery. He was referred to us 3 days after surgery. At time of referral fundus exam of his left eye revealed macular infarction with cherry red spot appearance with few retinal hemorrhages, mild optic disc edema and CWS surrounding optic disc. Peripheral retina had normal color and appearance. The vitreous was clear. Anterior segment was quiet. IOP was WNL. Macular OCT was consistent with macular infarction. FA revealed delay in central retinal artery filling as fluorescein started to appear in the arteries at the level of the optic disc at 28 sec, and in the retinal veins at 38 sec. Macular area remained to be non-perfused throughout the whole FA. In late phases staining of blood vessels walls was noticed. The "wipe out" of large vessels and capillaries persisted in the central area. OCT through foveal area showed diffuse thickening of the retina with severe elevation in the fovea, reduced backscattering from the outer layers of the retina and enhanced reflectivity from the inner retina, due to ischemia. Complete blood count and cardiovascular study were WNL. The final diagnosis was macular infarction secondary to subconjunctival gentamicin injection.

Imaging device: OCT

Condition/keywords: macular infarction, subconjunctival gentamicin

May 2 2013 by Henry J. Kaplan, MD

Optic disc swelling due to RICP. Right Eye; #1.

Condition/keywords: optic disc edema, raised intracranial pressure (RICP)

Oct 1 2012 by Jeffrey G. Gross, MD, FASRS

FA late phase optic disc edema with disc leakage in patient with subdural hematoma.

Condition/keywords: disc leakage, subdural hematoma

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

April, 1983; Optic Disc edema; inflammatory optic neuropathy; NFL heme, early macular edema which will evolve into Leber's Stellate Maculopathy.

Condition/keywords: inflammatory optic neuropathy, Leber's stellate maculopathy, macular edema, optic disc edema

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

April, 1983; Optic Disc edema; inflammatory optic neuropathy; NFL heme, early macular edema which will evolve into Leber's Stellate Maculopathy.

Condition/keywords: inflammatory optic neuropathy, Leber's stellate maculopathy, macular edema, optic disc edema

Jun 24 2013 by James A Eadie, MD

Optic disc edema with macular star-OCT of very early star.

Photographer: Wendy Malmberg-Lorentz

Condition/keywords: neuroretinitis, optic disc edema

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

Jun 22 2013 by James A Eadie, MD

OCT of a 14-year-old woman 6 weeks after presenting optic disc edema with macular star. Exudate in Henle's layer is clearly demonstrated.

Photographer: Wendy Malmberg-Lorentz

Condition/keywords: neuroretinitis, optic disc edema

Jun 22 2013 by James A Eadie, MD

Fundus photograph montage of a 14-year-old girl with optic disc edema with macular star. Her laboratory work-up was negative for known causes. She improved from 20/200 to 20/40 with observation/an empirical course of doxycycline.

Photographer: Wendy Malmberg-Lorentz

Condition/keywords: neuroretinitis, optic disc edema

Oct 1 2012 by Jeffrey G. Gross, MD, FASRS

FA early phase optic disc edema with blockage of hemorrhages in patient with subdural hematoma.

Condition/keywords: subdural hematoma

May 16 2014 by Arwa Azmeh, MD, PhD

A 20-year-old male suffered from diplopia since age one. He was diagnosed to have acquired fourth nerve palsy in his left eye. VA at time of diagnosis was 20/20 in OU and fundus exam was WNL in OU. His history reaveled no other complaints. 3 days ago he underwent left superior oblique tucking for relief of his diplopia.The surgery was uneventful and at the end of surgery subconjunctival gentamicin was injected. Immediately following surgery his VA in OS decreased from 20/20 to complete loss of central vision and sensation of HM from the periphery. He was referred to us 3 days after surgery. At time of referral fundus exam of his left eye revealed macular infarction with cherry red spot appearance with few retinal hemorrhages , mild optic disc edema and CWS surrounding optic disc. Peripheral retina had normal color and appearance. The vitreous was clear. Anterior segment was quiet. IOP was WNL. Macular OCT was consistent with macular infarction. FA revealed delay in central retinal artery filling as fluorescein started to appear in the arteries at the level of the optic disc at 28 sec, and in the retinal veins at 38 sec. Macular area remained to be non-perfused throughout the whole FA. In late phases staining of blood vessels walls was noticed. The "wipe out" of large vessels and capillaries persisted in the central area. OCT through foveal area showed diffuse thickening of the retina with severe elevation in the fovea, reduced backscattering from the outer layers of the retina and enhanced reflectivity from the inner retina, due to ischemia. Complete blood count and cardiovascular study were WNL. The final diagnosis was macular infarction secondary to subconjunctival gentamicin injection.

Imaging device: OCT

Condition/keywords: macular infarction, subconjunctival gentamicin

Apr 4 2014 by H. Michael Lambert, MD

23-year-old white female. Acute optic disc edema if JODM. VA 20/40 OU.

Photographer: Donald Lowd

Condition/keywords: diabetes, posterior hyaloid contraction

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

May 16 2014 by Arwa Azmeh, MD, PhD

A 20-year-old male suffered from diplopia since age one. He was diagnosed to have acquired fourth nerve palsy in his left eye. VA at time of diagnosis was 20/20 in OU and fundus exam was WNL in OU. His history revealed no other complaints. 3 days ago he underwent left superior oblique tucking for relief of his diplopia.The surgery was uneventful and at the end of surgery subconjunctival gentamicin was injected. Immediately following surgery his VA in OS decreased from 20/20 to complete loss of central vision and sensation of HM from the periphery. He was referred to us 3 days after surgery. At time of referral fundus exam of his left eye revealed macular infarction with cherry red spot appearance with few retinal hemorrhages, mild optic disc edema and CWS surrounding optic disc. Peripheral retina had normal color and appearance. The vitreous was clear. Anterior segment was quiet. IOP was WNL. Macular OCT was consistent with macular infarction. FA revealed delay in central retinal artery filling as fluorescein started to appear in the arteries at the level of the optic disc at 28 sec, and in the retinal veins at 38 sec. Macular area remained to be non-perfused throughout the whole FA. In late phases staining of blood vessels walls was noticed. The "wipe out" of large vessels and capillaries persisted in the central area. OCT through foveal area showed diffuse thickening of the retina with severe elevation in the fovea, reduced backscattering from the outer layers of the retina and enhanced reflectivity from the inner retina, due to ischemia. Complete blood count and cardiovascular study were WNL. The final diagnosis was macular infarction secondary to subconjunctival gentamycin injection.

Imaging device: OCT

Condition/keywords: macular infarction, subconjunctival gentamicin

Jun 22 2013 by James A Eadie, MD

Fundus photo of a 14-year-old girl with very early macular star.

Photographer: Wendy Malmberg-Lorenz

Condition/keywords: optic disc edema