Search results (47 results)

Jun 14 2018 by Gerardo Garcia-Aguirre, MD

EDI OCT of the right eye of a 17-year-old highly myopic girl. Subfoveal fluid is present. There is choroidal thinning, and scleral thickening in the foveal area.

Photographer: Gerardo Garcia-Aguirre, MD

Imaging device: Heidelberg Spectralis

Condition/keywords: dome shaped macula, high myopia

Dec 31 2012 by Humberto Ruiz-Garcia, MD

One week after blunt trauma, closure of macular hole is seen, persistent thinning and subretinal fluid are observed. Vision is CF.

Photographer: Humberto Ruiz-Garcia

Imaging device: Cirrus HD OCT

Condition/keywords: blunt trauma, macular hole, optical coherence tomography (OCT)

Aug 5 2020 by Dhaivat Shah

A 54-year-old healthy male presented to us with a decreased vision in right eye since past 8 years. The patient gave a history of bleed in right eye before 8 years for which some intravitreal injection was given; post which there no major visual improvement. No details or documentation was available regarding the same. His BCVA in the right eye was 5/60. Fundus examination revealed a sharply demarcated hypopigmented patch over the macula with mild posterior excavation suggestive of macular scar. OCT image shows foveal thinning with loss of Retinal pigment epithelium and outer retinal layers (RORA). There are 2 types of RORAs, complete and incomplete. Complete RORA and incomplete RORA are entities defined by various imaging modalities describing atrophy of the retinal pigment epithelial and the outer retinal layers. OCT imaging defines incomplete RORA (iRORA) as a region of signal hyper transmission into the choroid and a corresponding zone of attenuation ordisruption of the RPE (<250um) and evidence of overlying photoreceptor degeneration (<250um). There should not be any RPE tear associated with it. OCT imaging describes complete RORA (cRORA) based on 4 inclusion criteria. These include, area of hypertransmission of more than 250um, zone of attenuation or disruption of the RPE of more than 250um in diameter, evidence of overlying photoreceptor degeneration and absence of scrolled RPE or other signs of an RPE tear. Other modalities used to define these include fundus autoflourescence(FAF), near infrared reflectance(NIR) and color fundus photograph(CFP). On CFP, it shows a sharply demarcated hypopigmented of >250um size with better visibility of choroidal vessels. FAF shows a hypo autoflourescent patch with sharply demarcated borders of size >250um, the colour of which is similar to that of the optic nerve head or retinal blood vessels excluding any pigmentation or artefact. On NIR, it shows a hyperreflective area with sharply demarcated borders of >250um size excluding any artefact. RORA can be seen in conditions like geographical atrophy in ARMD, central areolar choroidal dystrophy, atrophy secondary to anti-VEGF treatment. References: 1. Sadda SR, Guymer R, Holz FG, et al. Consensus Definition for Atrophy Associated with Age-Related Macular Degeneration on OCT: Classification of Atrophy Report 3 [published correction appears in Ophthalmology. 2019 Jan;126(1):177]. Ophthalmology. 2018;125(4):537-548. 2. Guymer RH, Rosenfeld PJ, Curcio CA, et al. Incomplete Retinal Pigment Epithelial and Outer Retinal Atrophy in Age-Related Macular Degeneration: Classification of Atrophy Meeting Report 4. Ophthalmology. 2020;127(3):394-409. 3. Eng VA, Rayess N, Nguyen HV, Leng T. Complete RPE and outer retinal atrophy in patients receiving anti-VEGF treatment for neovascular age-related macular degeneration. PLoS One. 2020;15(5):e0232353.

Photographer: Miss Anjum Zafar Khan

Imaging device: Choithram Netralaya

Condition/keywords: macular scar, outer retina, retinal pigment epithelium

Nov 5 2019 by Nichole Lewis

50-year-old female with high myopia, diffuse myopic thinning and cobblestone degeneration.

Photographer: Nichole Lewis

Imaging device: Optos

Condition/keywords: high myopia, myopia, paving stone degeneration

Dec 29 2012 by Humberto Ruiz-Garcia, MD

SD-OCT obtained at 72 hours which shows neurosensory macular detachment and severe thinning (impending macular hole).

Photographer: Humberto Ruiz-Garcia

Imaging device: Cirrus HD OCT

Condition/keywords: traumatic macular hole

Jul 14 2013 by Jason S. Calhoun

Vein occlusion with severe blockage inferiorly. Calcium deposits seen through the veins branching out with thinning of the retina.

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

Imaging device: TOPCON TRC 50-EX

Condition/keywords: branch retinal vein occlusion (BRVO)

Apr 18 2014 by Susanna S. Park, MD, PhD

B-scan ultrasound image of the right eye of an 8-year-old Hispanic boy with Sturge -Weber Syndrome and diffuse choroidal hemangioma one year after proton beam irradiation showing complete resolution of retinal detachment with some thinning of the choroidal hemangioma.

Photographer: Ellen Redenbo, University of California Davis Eye Center

Condition/keywords: after proton beam irradiation, B scan ultrasound, diffuse choroidal hemangioma, Sturge-Weber syndrome

Oct 5 2015 by Jared Watson

+FHx, HVF defects corresponding to RNFL thinning and ONH appearance.

Photographer: Jared Watson COT

Imaging device: Heidelberg Spectralis

Condition/keywords: glaucoma

Oct 2 2013 by Jerald A. Bovino, MD

This is a profile picture of a patient with keratoconus.

Condition/keywords: cornea, degeneration, ectasia, thinning

Sep 22 2021 by Luiz Guilherme Freitas, MD, MsC, PhD

Fundus photograph of a 30-year-old male patient with blunt injury to the globe. Commotio retinae is retinal whitening/opacification that results from a blunt injury. The ocular findings will often resolve in a matter of days to weeks. Vision loss can result from commotio involving the posterior pole (historically referred to as Berlin’s edema). Clinical findings of commotio include the characteristic retinal whitening. Commotio may result in significant vision loss that can be transient. Healing can result in pigmentary changes and retinal thinning which may be associated with poor visual recovery if the area of involvement is macular.

Photographer: Diogo Melo, Santa Luzia Eye Hospital Recife - PE – Brazil

Condition/keywords: Berlin's edema, blunt trauma, commotio retinae, retinal whitening

Oct 5 2015 by Jared Watson

+FHx, HVF defects corresponding to RNFL thinning and ONH appearance.

Photographer: Jared Watson COT

Imaging device: Heidelberg Spectralis

Condition/keywords: primary angle-closure glaucoma

May 4 2021 by Priya Rasipuram Chandrasekaran, MBBS, DO, DNB, FRCS

Fundus photo of a 34-year-old male showing bilaterally symmetrical atrophy of retinal pigment epithelium (RPE) and choriocapillaris involving the fovea and highlighting the underlying large choroidal vessels. OCT macula shows atrophy of the outer retinal layers up to the external limiting membrane along with thinning of RPE and Bruch's membrane complex. Rosette - like hyperreflective structures causing retinal elevation at the border of atrophic area (yellow arrows) are seen categorizing this into stage 4 disease.

Condition/keywords: central areolar choroidal dystrophy (CACD)

Feb 20 2015 by H. Michael Lambert, MD

Thinning and vascularization of the peripheral cornea, a sequelae of peripheral ulcerative keratitis and scleritis.

Condition/keywords: corneal furrow, Wegener's granulomatosis

Jul 29 2014 by Mallika Goyal, MD

Right eye fundus of a 52-year-old male shows perifoveal telangiectasia. OCT shows central retinal thinning. Fellow eye has CNVM associated with telangiectasia.

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

Condition/keywords: perifoveal telangiectasia

Jan 29 2014 by Mallika Goyal, MD

OCT of the left eye of a 17-year-old girl with monoclonal gammopathy shows extreme thinning of the foveal centre, likely from ischaemia associated atrophy.

Photographer: Mallika Goyal, MD, Apollo Health City, Hyderabad, India

Condition/keywords: biclonal gammopathy, optical coherence tomography (OCT)

Aug 25 2018 by Dhaivat Shah

28-year-old male. Post blunt trauma with tennis ball. Fundus color photo shows large area of retinal thinning. Multi color image shows dull red color over fovea, depicting thinning. SD-OCT shows inner retinal ischemia and foveal thinning with early macular hole formation.

Imaging device: Spectralis

Condition/keywords: blunt trauma

May 27 2020 by Olivia Rainey

Optical coherence tomography of the left eye of a 20-year-old male with Alport Syndrome. The patient did not present with any ocular or visual symptoms, yet the distinct "plateau contour" of his fovea was noted on OCT during his visit. The patient presented with 20/25 vision at the time of his visit. There was myelinated nerve fiber layer noted in both eyes, but these features had remained stable from his appointment three years prior. The physician noted that myelinated nerve fiber was a congenital change, and had not affected his vision or health of the eye, nor is a feature of Alport Syndrome.

Photographer: Olivia Rainey, OCT-C, COA

Imaging device: Heidelberg Spectralis

Condition/keywords: Alports disease, Heidelburg Spectralis, inner retinal thinning, left eye, optical coherence tomography (OCT), plateau fovea

Sep 14 2016 by Andrea Arriola-Lopez, MD MSc

33-year-old man, with decreased VA since 3 months ago. HIV+, HAART therapy, CD4 257, virus load undetectable. No ocular previous history. On fundus examination there were macular folds, SRF, and a thinning of temporal peripheral retina AO. There was not hemorrhages, cotton wool spots or any other lesion. Vitrectomy + silicon oil was performed, multiples holes was found on the thinning area of retinal detachment. VA three weeks later was 20/150.

Photographer: Andrea E. Arriola-López MD MSc

Imaging device: OPTOS Dakota

Condition/keywords: CMV retinitis, retinitis

Sep 10 2025 by Gustavo Uriel Fonseca Aguirre

This axial B-scan reveals an elongated globe with an axial length of 39.16 mm, consistent with high axial myopia. Posterior staphyloma and scleral thinning are observed, though the retina remains attached.

Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

Condition/keywords: high myopia

Aug 29 2018 by Abhishek Das, MBBS, MS

OCT of a 54-year-old woman diagnosed to have Alport's syndrome. OCT shows temporal thinning of retina with nasal retina preserved.

Photographer: Abhishek Das, The Eye Foundation,Coimbatore,India

Imaging device: Optovue

Condition/keywords: Alports disease

Sep 21 2023 by Ben Serar

Fundus photograph showing increased cup-disc ratio with nasalisation of vessels , with thinning of Neuroretinal rim and bayonetting of vessels in a case of Glaucomatous Optic Atrophy (GOA).

Condition/keywords: Glaucomatous Optic Atrophy (GOA)

Feb 25 2019 by Lancaster Course in Ophthalmology

Localized area of inner ischemic infarction of the nerve fiber layer, pre­sumably the site of a previous cotton-wool exudate. There is loss of the ganglion cell layer and thinning of the inner nuclear layer (between arrows).

Condition/keywords: ganglion cell, inner ischemic infarction

Dec 10 2020 by Cláudia Farinha

71-year-old male presented with progressive vision loss OD, now reduced to CF, without nyctalopia. The SD-OCT scans are one year apart and show extensive and progressive macular atrophy with marked disruption of the outer retinal layers and slightly larger vertical diameter, plus choroidal thinning. Reticular pseudodrusen-like deposits are heavily present in the posterior pole and are better depicted in the infra-red. The widefield imaging shows extensive paving stone peripheral degeneration. The patient denies any systemic medication or known disease. No family history of similar findings.

Photographer: Claudia Farinha

Imaging device: Optomap ultra-widefield imaging, Optos

Condition/keywords: macular atrophy

May 18 2020 by McGill University Health Centre

A Mooren ulcer is a rapidly progressive ulcerative keratitis that first affects the periphery of the cornea before spreading circumferentially toward its center. Mooren ulcer is a diagnosis of exclusion: it can only be diagnosed after ruling out infectious and systemic causes. In this enucleation specimen, the periphery of the cornea is circumferentially ulcerated (arrow) and the cornea is thinning. There is also scarring of the corneoscleral junction.

Condition/keywords: Mooren's ulcer, ulcerative keratitis

May 26 2023 by Virginia Gebhart

35-year-old female with resolved syphilitic uveitis OU. Severe retinal thinning with chalky ON pallor and severe vessel attenuation associated with presumed post syphilitic neuritis vs bilateral CRAO's in both eyes. Pt reports acute bilateral vision loss after delivery of her child in 8/2021. Limited VA OU due to severe optic nerve and macula atrophy.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Topcon TRC 50DX

Condition/keywords: syphilis, uveitis