Search results (82 results)
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White Without Pressure
Jan 31 2018 by Olivia Rainey
Ultra-wide field pseudocolor photograph of a 57-year-old female with white without pressure affecting her left eye. Patient will be having bloodwork done to rule out possible sarcoidosis or sickle cell.
Photographer: Olivia Rainey
Imaging device: Optos
Condition/keywords: blot hemorrhages, color fundus photograph, left eye, Optos, ultra-wide field imaging, white without pressure
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Retinitis Pigmentosa
May 26 2017 by Olivia Rainey
Ultra-wide-field pseudocolor image of the right eye of an 39-year-old female with Retinitis Pigmentosa. She had slightly atypical appearance due to asymmetry: sectoral atrophy in left eye, compared to 360 degree bone spicule formation in right eye. Ddx: Pigmentary degeneration vs infection vs X-linked RP carrier due to asymmetry. Recommended genetic testing through My Retina Tracker, as well as visual field and ERG testing. Patient's vision was sc20/100 PH 20/70 in the right eye and sc20/80 PH 20/40 in the left.
Photographer: Olivia Rainey
Imaging device: Optos California
Condition/keywords: bone spicule, fundus photograph, Optos, peripheral bone spicules, pseudocolor, retinitis pigmentosa, ultra-wide field imaging
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Acute Retinal Necrosis secondary to Herpes Zoster Ophthalmicus
Jan 9 2018 by Olivia Rainey
Ultra-wide field Optos pseudocolor montage of an 40-year-old female presenting with acute retinal necrosis secondary to herpes zoster ophthalmicus affecting her right eye.
Photographer: Olivia Rainey
Imaging device: Optos California
Condition/keywords: acute retinal necrosis, color fundus photograph, Herpes zoster, montage, Optos, ultra-wide field imaging
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Proliferative Diabetic Retinopathy with Pre-retinal Hemorrhage
Jan 16 2018 by Olivia Rainey
Ultra-wide field pseudo-color image of an 57-year-old male with a large pre-retinal hemorrhage secondary to proliferative diabetic retinopathy affecting his left eye.
Photographer: Olivia Rainey
Imaging device: Optos California
Condition/keywords: color fundus photograph, diabetic mellitus, hemorrhage, left eye, neovascularization (NV), Optos, proliferative diabetic retinopathy (PDR), pseudocolor, ultra-wide field imaging
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Retinitis Pigmentosa
May 26 2017 by Olivia Rainey
Ultra-wide-field pseudocolor image of the left eye of an 39-year-old female with Retinitis Pigmentosa. She had slightly atypical appearance due to asymmetry: sectoral atrophy in left eye, compared to 360 degree bone spicule formation in right eye. Ddx: Pigmentary degeneration vs infection vs X-linked RP carrier due to asymmetry. Recommended genetic testing through My Retina Tracker, as well as visual field and ERG testing. Patient's vision was sc20/100 PH 20/70 in the right eye and sc20/80 PH 20/40 in the left eye.
Photographer: Olivia Rainey
Imaging device: Optos California
Condition/keywords: bone spicule, fundus photograph, left eye, Optos, peripheral bone spicules, pseudocolor, retinitis pigmentosa, ultra-wide field imaging
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Retinitis Pigmentosa with Asteroid Hyalosis
Jan 16 2018 by Olivia Rainey
Ultra-wide field pseudocolor fundus photograph of an 75-year-old female with Retinitis Pigmentosa with Asteroid Hyalosis affecting her right eye.
Photographer: Olivia Rainey
Imaging device: Optos California
Condition/keywords: asteroid hyalosis, color fundus photograph, Optos, pseudocolor, retinitis pigmentosa, ultra-wide field imaging
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White Without Pressure/Dot Blot Hemorrhages
Jan 31 2018 by Olivia Rainey
Ultra-wide field pseudocolor photograph of a 57-year-old female with white without pressure affecting her right eye. Patient will be having bloodwork done to rule out possible sarcoidosis or sickle cell.
Photographer: Olivia Rainey
Imaging device: Optos
Condition/keywords: blot hemorrhages, Optos, ultra-wide field imaging
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Central Retinal Vein Occlusion
Jul 13 2018 by Olivia Rainey
Ultra-wide field, pseudocolor montage of a patient presenting with a central retinal vein occlusion, as well as, an inferior chorioretinal scar in their right eye.
Photographer: Olivia Rainey
Imaging device: Optos
Condition/keywords: central retinal vein occlusion (CRVO), chorioretinal scar, montage, Optos, pseudocolor, ultra-wide field imaging
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05- Unilateral Acute Idiopathic Maculopathy (UAIM) - OCT OD
Jul 24 2018 by Hosam Attia, MD
20-year-old white, male presented for initial evaluation with one week history of acute, sudden, painless loss of central vision in his right eye a week prior to presentation. - H/O short course of exogenous testosterone, Tamoxifen and Clomiphene intake ~ 2-3 weeks cycle, which was already stopped, prior to development of pt's symptoms. - H/O acute illness with generalized fatigue, malaise, URTI like symptoms and rash over the hands and chest, just prior to symptoms development, and upon further discussion, pt mentioned that few of his friends got sick around the same time. - Patient was seen the week prior by general ophthalmologist and was found to have SRF on OCT , diagnosed with CSCR and referred for retina evaluation. - ROS/ PMHx: Negative, healthy aside from the short illness described above - Denied any prior vision problems, similar episodes, trauma etc - VA Dsc OD: 20/400 OS:20/20 - anterior segment exam - unremarkable - posterior segment - macular RPE changes/ clumping with GA with no CME/ SRF or crystals OD, and unremarkable OS. - Pseudocolor and FAF photos: RPE changes/ clumps w/ GA and stippled autofluorescense OD, unremarkable OS. - HD SD-OCT: thickened choroid, thickened/ hypertrophied subfoveal RPE with hyper-reflective material on the apical side of the retinal pigment epithelium/apical debris, Subfoveal ellipsoid zone atrophy w/ intact ELM W/No CME or SRF OD, Unremarkable OS. - FA: Dye not available - ICG: deferred - mf-ERG & VF - patient rescheduled
Imaging device: Zeiss-Cirrus 4000
Condition/keywords: unilateral acute idiopathic maculopathy
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Dislocated IOL
May 15 2018 by Morgan Benton
Ultra-wide field pseudocolor image of a 68-year-old male with a dislocated IOL after cataract surgery in the left eye. Patient was only able to count fingers at one foot and could pinhole to 20/60.
Photographer: Morgan Benton
Imaging device: Optos
Condition/keywords: color fundus photograph, dislocated intraocular lens (IOL), left eye, Optos, ultra-wide field imaging
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Vascular Sheathing
Dec 19 2019 by Lauren Schuler
Ultra-wide field pseudocolor fundus photograph of a 68-year-old female with vascular sheathing affecting her right eye. This was noted on initial exam on 1/15/16, at patient's first appointment. This remains unchanged and patient is asymptomatic at this time.
Photographer: Lauren Schuler
Imaging device: Optos California
Condition/keywords: fundus photograph, ghost vessels, pseudocolor, vascular sheathing of retina
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Retinitis Pigmentosa
May 26 2017 by Olivia Rainey
Ultra-wide-field pseudocolor image of the left eye of an 39-year-old female with Retinitis Pigmentosa. She had slightly atypical appearance due to asymmetry: sectoral atrophy in left eye, compared to 360 degree bone spicule formation in right eye. Ddx: Pigmentary degeneration vs infection vs X-linked RP carrier due to asymmetry. Recommended genetic testing through My Retina Tracker, as well as visual field and ERG testing. Patient's vision was sc20/100 PH 20/70 in the right eye and sc20/80 PH 20/40 in the left eye.
Photographer: Olivia Rainey
Imaging device: Optos California
Condition/keywords: autofluorescence imaging, bone spicule, hyperautofluorescent ring, hypoautofluorescence, Optos, peripheral bone spicules, retinitis pigmentosa, ultra-wide field imaging
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03- Unilateral Acute Idiopathic Maculopathy (UAIM) - FAF OD
Jul 24 2018 by Hosam Attia, MD
20-year-old white, male presented for initial evaluation with one week history of acute, sudden, painless loss of central vision in his right eye a week prior to presentation. - H/O short course of exogenous testosterone, Tamoxifen and Clomiphene intake ~ 2-3 weeks cycle, which was already stopped, prior to development of patient's symptoms. - H/O acute illness with generalized fatigue, malaise, URTI like symptoms and rash over the hands and chest, just prior to symptoms development, and upon further discussion, pt mentioned that few of his friends got sick around the same time. - Patient was seen the week prior by general ophthalmologist and was found to have SRF on OCT , diagnosed w/ CSCR and referred for retina evaluation. - ROS/ PMHx: Negative, healthy aside from the short illness described above - Denied any prior vision problems, similar episodes, trauma etc - VA Dsc OD: 20/400 OS:20/20 - anterior segment exam - unremarkable - posterior segment - macular RPE changes/ clumping with GA with no CME/ SRF or crystals OD, and unremarkable OS. - Pseudocolor & FAF photos: RPE changes/ clumps with GA and stippled autofluorescense OD, Unremarkable OS. - HD SD-OCT: thickened choroid, thickened/ hypertrophied subfoveal RPE with hyper-reflective material on the apical side of the retinal pigment epithelium/apical debris, subfoveal ellipsoid zone atrophy with intact ELM with no CME or SRF OD, unremarkable OS. - FA: Dye not available - ICG: deferred - mf-ERG & VF - pt rescheduled!
Imaging device: Optos - California
Condition/keywords: unilateral acute idiopathic maculopathy
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Retinocytoma
Jul 13 2018 by Olivia Rainey
Ultra-wide field pseudocolor image of a 5-year-old male with a retinocytoma affecting his right eye. The retinal tumor has associated calcium which looks suspicious for retinoblastoma. However, there are a number of atypical features which raise the possibility of a masquerade tumor.
Photographer: Olivia Rainey
Imaging device: Optos
Condition/keywords: Optos, pseudocolor, retinocytoma, ultra-wide field imaging
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06- Unilateral Acute Idiopathic Maculopathy (UAIM) - OCT OS
Jul 24 2018 by Hosam Attia, MD
20-year-old white, male presented for initial evaluation with one week history of acute, sudden, painless loss of central vision in his right eye a week prior to presentation. - H/O short course of exogenous testosterone, Tamoxifen and Clomiphene intake ~ 2-3 weeks cycle, which was already stopped, prior to development of pt's symptoms. - H/O acute illness with generalized fatigue, malaise, URTI like symptoms and rash over the hands and chest, just prior to symptoms development, and upon further discussion, pt mentioned that few of his friends got sick around the same time. - Patient was seen the week prior by general ophthalmologist and was found to have SRF on OCT , diagnosed with CSCR and referred for retina evaluation. - ROS/ PMHx: Negative, healthy aside from the short illness described above - Denied any prior vision problems, similar episodes, trauma etc - VA Dsc OD: 20/400 OS:20/20 - anterior segment exam - unremarkable - posterior segment - macular RPE changes/ clumping with GA with no CME/ SRF or crystals OD, and unremarkable OS. - Pseudocolor and FAF photos: RPE changes/ clumps w/ GA and stippled autofluorescense OD, unremarkable OS. - HD SD-OCT: thickened choroid, thickened/ hypertrophied subfoveal RPE with hyper-reflective material on the apical side of the retinal pigment epithelium/apical debris, Subfoveal ellipsoid zone atrophy w/ intact ELM W/No CME or SRF OD, Unremarkable OS. - FA: Dye not available - ICG: deferred - mf-ERG & VF - patient rescheduled
Imaging device: Zeiss-Cirrus 4000
Condition/keywords: unilateral acute idiopathic maculopathy
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Penetrating Trauma with Retinal Detachment
Apr 30 2019 by Olivia Rainey
Ultra-wide field pseudocolor image of a 39-year-old female with penetrating trauma resulting in a retinal detachment with an intraretinal hemorrhage affecting the left eye. Patient was struck with a champagne glass in October of 2018, which lacerated the eyelid and globe. Patient was "seeing red" when she first came to the office and after multiple surgeries she was seeing 20/20 at her last check in April 2019.
Photographer: Olivia Rainey
Imaging device: Optos
Condition/keywords: hemorrhage, left eye, Optos, penetrating trauma, ruptured globe, ultra-wide field imaging
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02 Unilateral Acute Idiopathic Maculopathy (UAIM) - Pseudocolor Photograph OS
Jul 24 2018 by Hosam Attia, MD
20-year-old white, male presented for initial evaluation with one week history of acute, sudden, painless loss of central vision in his right eye a week prior to presentation. - H/O short course of exogenous testosterone, Tamoxifen and Clomiphene intake ~ 2-3 weeks cycle, which was already stopped, prior to development of pt's symptoms. - H/O acute illness with generalized fatigue, malaise, URTI like symptoms and rash over the hands and chest, just prior to symptoms development, and upon further discussion, pt mentioned that few of his friends got sick around the same time. - Patient was seen the week prior by general ophthalmologist and was found to have SRF on OCT , diagnosed with CSCR and referred for retina evaluation. - ROS/ PMHx: Negative, healthy aside from the short illness described above - Denied any prior vision problems, similar episodes, trauma etc - VA Dsc OD: 20/400 OS:20/20 - anterior segment exam - unremarkable - posterior segment - macular RPE changes/ clumping with GA with no CME/ SRF or crystals OD, and unremarkable OS. - Pseudocolor and FAF photos: RPE changes/ clumps w/ GA and stippled autofluorescense OD, unremarkable OS. - HD SD-OCT: thickened choroid, thickened/ hypertrophied subfoveal RPE with hyper-reflective material on the apical side of the retinal pigment epithelium/apical debris, Subfoveal ellipsoid zone atrophy w/ intact ELM W/No CME or SRF OD, Unremarkable OS. - FA: Dye not available - ICG: deferred - mf-ERG & VF - patient rescheduled
Imaging device: Optos - California
Condition/keywords: unilateral acute idiopathic maculopathy
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05- Unilateral Acute Idiopathic Maculopathy (UAIM) - OCT OD2
Jul 24 2018 by Hosam Attia, MD
20-year-old white, male presented for initial evaluation with one week history of acute, sudden, painless loss of central vision in his right eye a week prior to presentation. - H/O short course of exogenous testosterone, Tamoxifen and Clomiphene intake ~ 2-3 weeks cycle, which was already stopped, prior to development of pt's symptoms. - H/O acute illness with generalized fatigue, malaise, URTI like symptoms and rash over the hands and chest, just prior to symptoms development, and upon further discussion, pt mentioned that few of his friends got sick around the same time. - Patient was seen the week prior by general ophthalmologist and was found to have SRF on OCT , diagnosed with CSCR and referred for retina evaluation. - ROS/ PMHx: Negative, healthy aside from the short illness described above - Denied any prior vision problems, similar episodes, trauma etc - VA Dsc OD: 20/400 OS:20/20 - anterior segment exam - unremarkable - posterior segment - macular RPE changes/ clumping with GA with no CME/ SRF or crystals OD, and unremarkable OS. - Pseudocolor and FAF photos: RPE changes/ clumps w/ GA and stippled autofluorescense OD, unremarkable OS. - HD SD-OCT: thickened choroid, thickened/ hypertrophied subfoveal RPE with hyper-reflective material on the apical side of the retinal pigment epithelium/apical debris, Subfoveal ellipsoid zone atrophy w/ intact ELM W/No CME or SRF OD, Unremarkable OS. - FA: Dye not available - ICG: deferred - mf-ERG & VF - patient rescheduled
Imaging device: Zeiss-Cirrus 4000
Condition/keywords: unilateral acute idiopathic maculopathy
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Pseudocolor Fundus of Peripheral Retinoschisis
Jul 26 2018 by Olivia Rainey
Ultra-wide field pseudocolor image of a 49-year-old male with non-progressive peripheral retinoschisis of his left eye. Patient was asymptomatic and had no prior trauma or surgery to his eye. Recommended observation at this time.
Photographer: Olivia Rainey
Imaging device: Optos
Condition/keywords: fundus photograph, left eye, Optos, pseudocolor, retinoschisis, ultra-wide field imaging
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Macula Off Retinal Detachment with CNV
Nov 11 2019 by Olivia Rainey
Ultra-wide field pseudocolor photograph of a 42-year-old female with a long-standing, macula-off retinal detachment affecting her left eye. Patient was unaware of vision loss until testing her visual acuity and she denied seeing flashing lights. Patient decided to proceed with scleral buckling. The CNV is potentially secondary the retinal detachment, but may be myopic related or idiopathic. The CNV appears fibrotic and inactive. The patient was warned that this will absolutely limit how much vision she recovers once the retina is reattached.
Photographer: Olivia Rainey
Imaging device: Optos California
Condition/keywords: choroidal neovascularization (CNV), chronic retinal detachment, fundus autofluorescence (FAF), left eye, montage, Optos, retinal detachment of the macula, ultra-wide field imaging
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Proliferative Diabetic Retinopathy
May 15 2018 by Morgan Benton
Ultra-wide field pseudocolor image of a 42-year-old female with proliferative diabetic retinopathy resulting in severe hemorrhaging. Vision was cc20/80+1 when the image was taken.
Photographer: Morgan Benton
Imaging device: Optos
Condition/keywords: color fundus photograph, hemorrhage, left eye, montage, neovascularization (NV), Optos, proliferative diabetic retinopathy (PDR), ultra-wide field imaging
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Endogenous Endophthalmitis With Suspected Systemic Candidiasis
Jan 9 2018 by Olivia Rainey
Ultra-wide field Optos pseudocolor image of an 45-year-old male presenting with endogenous endophthalmitis affecting his left eye. Candidiasis was at high considerations due to intravenous drug abuse and recent history of dental abscess. Patient developed a subretinal infiltrate resulting in central scotoma and responded well to anti-fungal treatment.
Photographer: Olivia Rainey
Imaging device: Optos California
Condition/keywords: candida endophthalmitis, drug abuse, endogenous endophthalmitis, left eye, Optos, pseudocolor, retinal infiltrates, scotoma, ultra-wide field imaging
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04- Unilateral Acute Idiopathic Maculopathy (UAIM) - FAF OS
Jul 24 2018 by Hosam Attia, MD
20-year-old white, male presented for initial evaluation with one week history of acute, sudden, painless loss of central vision in his right eye a week prior to presentation. - H/O short course of exogenous testosterone, Tamoxifen and Clomiphene intake ~ 2-3 weeks cycle, which was already stopped, prior to development of pateint's symptoms. - H/O acute illness with generalized fatigue, malaise, URTI like symptoms and rash over the hands and chest, just prior to symptoms development, and upon further discussion, patient mentioned that few of his friends got sick around the same time. - Patient was seen the week prior by general ophthalmologist and was found to have SRF on OCT, diagnosed with CSCR and referred for retina evaluation. - ROS/ PMHx: negative, healthy aside from the short illness described above - Denied any prior vision problems, similar episodes, trauma etc - VA Dsc OD: 20/400 OS:20/20 - anterior segment exam - unremarkable - posterior segment - macular RPE changes/ clumping with GA with no CME/ SRF or crystals OD, and unremarkable OS. - pseudocolor and FAF photos: RPE changes/ clumps with GA & stippled autofluorescence OD, unremarkable OS. - HD SD-OCT: thickened choroid, thickened/ hypertrophied subfoveal RPE with hyper-reflective material on the apical side of the retinal pigment epithelium/apical debris, subfoveal ellipsoid zone atrophy with intact ELM with no CME or SRF OD, unremarkable OS. - FA: Dye not available - ICG: deferred - mf-ERG & VF - patient rescheduled
Imaging device: Optos - California
Condition/keywords: unilateral acute idiopathic maculopathy
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Closed Funnel Retinal Detachment
Oct 8 2019 by Olivia Rainey
Ultra-wide field pseudocolor image of a 57-year-old male with a closed funnel retinal detachment with anterior and posterior napkin rings affecting his left eye. Patient presented with klebsiella endophthalmitis in UK, and was in medically induced coma with tracheostomy. He awoke after sedation with loss of vision in both eyes, later developing a retinal detachment in both eyes. Prior inflammation attributable to prephthisical state and chronic funnel retinal detachment. The eye is inoperable and observation is recommended.
Photographer: Olivia Rainey and Amber Poss
Imaging device: Optos
Condition/keywords: blind eye, funnel, hypotony, klebsiella endopthalmitis, left eye, Optos
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Penetrating Trauma of an Inadvertent Sub-Tenon's Kenalog Injection
Jan 31 2018 by Olivia Rainey
Ultra-wide field pseudocolor photograph of a 38-year-old female with penetrating trauma after an inadvertent sub-tenon's kenalog injection affecting her left eye. Patient has a large dehemoglobinized vitreous hemorrhage settling inferior near the entry wound. The exit wound has developed chorioretinal scarring and the disruption of several veins near the optic nerve, resulting in a branch retinal vein occlusion.
Photographer: Olivia Rainey
Imaging device: Optos
Condition/keywords: branch retinal vein occlusion (BRVO), chorioretinal scar, color fundus photograph, dehemoglobinized hemorrhage, kenalog, left eye, montage, Optos, penetrating trauma, sub-tenon's, ultra-wide field imaging