Search results (325 results)

Oct 7 2020 by Olivia Rainey

Fluorecein and ICG angiography of a 80-year-old male with peripheral exudative hemorrhagic chorioretinopathy affecting his right eye. Patient noted only mild floaters for a couple weeks OD on 10/5/2020. The physician strongly suspects that the lesion is subretinal blood (likely from PEHCR) rather than choroidal melanoma. There is blocking on FA and ICG with a definite lack of intrinsic vessels within the mass lesion. He will monitor closely, as the patient is monocular with a history of multiple surgeries (which the family believes PPV for "scar tissue") OS mostly in 2013. His family also reports remembering possibly being told there was a "small mass" in the left eye at one point in their surgical course. The physician believes that it's possible this was a bleed related to PEHCR as it typically exists as a bilateral condition.

Photographer: Olivia Rainey, OCT-C, COA

Imaging device: Optos California

Condition/keywords: fluorescein angiogram (FA), indocyanine green (ICG) angiography, lesion, monocular, Optos, peripheral exudative hemorrhagic chorioretinopathy (PEHCR), periphery, subretinal hemorrhage, ultra-wide field imaging

Nov 30 2022 by SHRADDHA ASHOK CHANDORKAR, DNB DO

A 45-year-old man presented with diminution of vision in both eyes with metamorphopsia, which was painless and gradually progressive in nature. BCVA at presentation were 6/40 and 6/36 for the right and left eye respectively. Anterior segment examination of both eyes was unremarkable. IOP were within normal limits. Fundus examination showed bilateral numerous yellowish white round closely spaced lesions extending radially from the vascular arcades till the periphery associated with an elevated grayish macular choroidal neovascular membrane (CNV) with multiple drusen in the macular area and posterior pole. Impression was Familial Dominant Drusen (Doyne Honeycomb Drusen) associated with CNVM, both eyes. Color fundus photograph and autofluorescence showed Familial Dominant Drusen with CNVM. Subsequently , the patient underwent periodic intravitreal injections of Ranibizumab in both eyes under guarded visual prognosis, for which he tolerated well.

Photographer: NATIONAL INSTITUTE OF OPHTHALMOLOGY, PUNE

Imaging device: ZEISS CLARUS

Condition/keywords: choroidal neovascular membrane (CNVM), Doyne's Honeycomb, FAMILIAL DOMINANT DRUSEN, IMIM (Online Mendelian Inheritance in Man), intravitreal injection, Malattia Leventinese

Sep 3 2016 by ADRIANO FERREIRA

A 28-year-old white man was referred to the rheumatology clinic with gradually and rapid deterioration of the vision (both eyes). In this picture, we can observe cotton wool spots in the papillomacular area and extensive hemorrhages in posterior polo and in the middle periphery. Hard exudates are present in macular area (macular edema)

Photographer: Claudio Zett Lobo

Imaging device: TRC50DXi TOPCON

Condition/keywords: systemic lupus erythematosus (SLE) vasculitis, vasculitis

Jan 19 2022 by James B. Soque, CRA, OCT-C, COA, FOPS

Acute Zonal Occult Outer Retinopathy (AZOOR). Peripheral Vasculitis OD. Fluorescein angiography showing vasculitis in the far right periphery 8-10 o'clock. 46-year-old white male, VA CC 20/16, 20/12.5, has had recurrent vasculitis for 11 years. No treatment.

Photographer: James Soque, CRA, OCT-C, COA, FOPS, Island Retina, Shirley, NY

Imaging device: Optos California

Condition/keywords: acute zonal occult outer retinopathy (AZOOR), FA early phase, fluorescein angiogram (FA), Peripheral Vasculitis, ultra-wide field imaging

Aug 18 2015 by Mallika Goyal, MD

Left fundus of a 61-year-old non diabetic, non hypertensive lady complaining of vision deterioration for 1 year showing massive hard exudates at the macula. Fluorescein angiography revealed microvascular abnormalities over the posterior pole and temporal midperiphery and extensive capillary non-perfusion over the temporal retinal quadrants. OCT revealed macular edema. Fellow eye fundus and angiogram were normal.

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

Condition/keywords: Coats' disease

Aug 18 2015 by Mallika Goyal, MD

Left fundus of a 61-year-old non diabetic, non hypertensive lady complaining of vision deterioration for 1 year showing massive hard exudates at the macula. Fluorescein angiography revealed microvascular abnormalities over the posterior pole and temporal midperiphery and extensive capillary non-perfusion over the temporal retinal quadrants. OCT revealed macular edema. Fellow eye fundus and angiogram were normal.

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

Condition/keywords: Coats' disease

Aug 18 2015 by Mallika Goyal, MD

Left fundus of a 61-year-old non diabetic, non hypertensive lady complaining of vision deterioration for 1 year showed massive hard exudates at the macula. Fluorescein angiography revealed microvascular abnormalities over the posterior pole and temporal midperiphery and extensive capillary non-perfusion over the temporal retinal quadrants. OCT revealed macular edema. Fellow eye fundus and angiogram were normal.

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

Condition/keywords: Coats' disease

Aug 18 2015 by Mallika Goyal, MD

Fluorescein angiography of left eye of a lady with adult Coats' disease revealed microvascular abnormalities over the posterior pole and temporal midperiphery and extensive capillary non-perfusion over the temporal retinal quadrants. Other retinal areas had normal perfusion.

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

Condition/keywords: Coats' disease

Aug 18 2015 by Mallika Goyal, MD

Fluorescein angiography of left eye of a lady with adult coats' disease revealed microvascular abnormalities over the posterior pole and temporal midperiphery and extensive capillary non-perfusion over the temporal retinal quadrants. Other retinal areas had normal perfusion.

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

Condition/keywords: Coats' disease

Aug 18 2015 by Mallika Goyal, MD

Left fundus of a 61-year-old non diabetic, non hypertensive lady complaining of vision deterioration for 1 year showed massive hard exudates at the macula. Fluorescein angiography revealed microvascular abnormalities over the posterior pole and temporal midperiphery and extensive capillary non-perfusion over the temporal retinal quadrants. OCT revealed macular edema. Fellow eye fundus and angiogram were normal.

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

Condition/keywords: Coats' disease

Aug 18 2015 by Mallika Goyal, MD

Left fundus of a 61-year-old non diabetic, non hypertensive lady complaining of vision deterioration for 1 year showed massive hard exudates at the macula. Fluorescein angiography revealed microvascular abnormalities over the posterior pole and temporal midperiphery and extensive capillary non-perfusion over the temporal retinal quadrants. OCT revealed macular edema. Fellow eye fundus and angiogram were normal.

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

Condition/keywords: Coats' disease

Aug 18 2015 by Mallika Goyal, MD

Left fundus of a 61-year-old non diabetic, non hypertensive lady complaining of vision deterioration for 1 year showed massive hard exudates at the macula. Fluorescein angiography revealed microvascular abnormalities over the posterior pole and temporal midperiphery and extensive capillary non-perfusion over the temporal retinal quadrants. OCT revealed macular edema. Fellow eye fundus and angiogram were normal.

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

Condition/keywords: Coats' disease

Aug 18 2015 by Mallika Goyal, MD

Left fundus of a 61-year-old non diabetic, non hypertensive lady complaining of vision deterioration for 1 year showed massive hard exudates at the macula. Fluorescein angiography revealed microvascular abnormalities over the posterior pole and temporal midperiphery and extensive capillary non-perfusion over the temporal retinal quadrants. OCT revealed macular edema. Fellow eye fundus and angiogram were normal.

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

Condition/keywords: Coats' disease

Aug 18 2015 by Mallika Goyal, MD

Left fundus of a 61-year-old non diabetic, non hypertensive lady complaining of vision deterioration for 1 year showed massive hard exudates at the macula. Fluorescein angiography revealed microvascular abnormalities over the posterior pole and temporal midperiphery and extensive capillary non-perfusion over the temporal retinal quadrants. OCT revealed macular edema. Fellow eye fundus and angiogram were normal.

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

Condition/keywords: Coats' disease

Aug 18 2015 by Mallika Goyal, MD

Left fundus of a 61-year-old non diabetic, non hypertensive lady complaining of vision deterioration for 1 year showed massive hard exudates at the macula. Fluorescein angiography revealed microvascular abnormalities over the posterior pole and temporal midperiphery and extensive capillary non-perfusion over the temporal retinal quadrants. OCT revealed macular edema. Fellow eye fundus and angiogram were normal.

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

Condition/keywords: Coats' disease

Aug 18 2015 by Mallika Goyal, MD

Left fundus of a 61-year-old non diabetic, non hypertensive lady complaining of vision deterioration for 1 year showed massive hard exudates at the macula. Fluorescein angiography revealed microvascular abnormalities over the posterior pole and temporal midperiphery and extensive capillary non-perfusion over the temporal retinal quadrants. OCT revealed macular edema. Fellow eye fundus and angiogram were normal.

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

Condition/keywords: Coats' disease

Aug 18 2015 by Mallika Goyal, MD

Left fundus of a 61-year-old non diabetic, non hypertensive lady complaining of vision deterioration for 1 year showed massive hard exudates at the macula. Fluorescein angiography revealed microvascular abnormalities over the posterior pole and temporal midperiphery and extensive capillary non-perfusion over the temporal retinal quadrants. OCT revealed macular edema. Fellow eye fundus and angiogram were normal.

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

Condition/keywords: Coats' disease

Aug 18 2015 by Mallika Goyal, MD

Left fundus of a 61-year-old non diabetic, non hypertensive lady complaining of vision deterioration for 1 year showed massive hard exudates at the macula. Fluorescein angiography revealed microvascular abnormalities over the posterior pole and temporal midperiphery and extensive capillary non-perfusion over the temporal retinal quadrants. OCT revealed macular edema. Fellow eye fundus and angiogram were normal.

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

Condition/keywords: Coats' disease

Nov 5 2024 by rahul saradge

A man, 58, arrived complaining of BOV for both near and distance vision in both eyes, with a 6/9 BCVA in each eye. For a year, the patient had been taking medication for both diabetes and hypertension. In both eyes, the dilated ophthalmoscopic retina revealed waxy disc pallor paired with bony spicules in the mid-periphery. The patient was prescribed spectacles and given counseling regarding the nature of the illness.

Photographer: Lokesh Dukare ,Isha Netralaya Thane

Imaging device: optos

Condition/keywords: bone spicule, optic disc pallor, Optos, Retinitis Pigmentosa

Sep 20 2024 by Anand Temkar

A 45 year old male came to our OPD with chief complaints of DOV in BE since 2 months and wavy vision in periphery. Patient was diagnosed with (BE) CNVM in a case of Angioid Streaks and has already received (BE) bevacizumab x 2.

Photographer: Dr.Anand Temkar- Retina Foundation, Ahmedabad

Imaging device: Mirante

Condition/keywords: Angioid Streaks, choroidal neovascularization (CNV), fundus autofluorescence (FAF)

Sep 20 2024 by Anand Temkar

A 45 year old male came to our OPD with chief complaints of DOV in BE since 2 months and wavy vision in periphery. Patient was diagnosed with (BE) CNVM in a case of Angioid Streaks and has already received (BE) bevacizumab x 2.

Photographer: Dr.Anand Temkar- Retina Foundation, Ahmedabad

Imaging device: Mirante

Condition/keywords: Angioid Streaks, choroidal neovascularization (CNV), fundus autofluorescence (FAF)

May 27 2019 by John S. King, MD

60-year-old African American female who had been treated for iridocyclitis for at least a week sent in for vitritis and a nasal fundus lesion. Complaints included redness, floaters, photophobia, and decreased vision. Husband had recent shingles. Acuity was 20/60-2 with IOP of 12, and small KP in Art's triangel, 1-2+ a/c cell, 2-3+ ant vit cell, diffuse arteriolar sheathing, multiple areas of retinal whitening in periphery and mid-periphery (see Photo #1). PCR of a/c was performed, and intravitreal GCV administered, and VACV 2g qid and ASA started.... PCR positive for HZV, pred taper was started two days after presentation as the infection had begun to stablize..... Five days from presentation the vision was 20/60, inflammation and areas of retinal whitening had improved (see Photo #2).... One week later acuity was 20/30, the a/c was quiet and KP resolved; ant vitreous cell decreased; and there was further improvement in retinal appearance without any signs of retinal holes or detachment; she is now on low dose maint VACV (see photo#3)

Photographer: Maysee Yang

Imaging device: Optos CA

Condition/keywords: acute retinal necrosis, Herpes zoster

May 27 2019 by John S. King, MD

60-year-old African American female who had been treated for iridocyclitis for at least a week sent in for vitritis and a nasal fundus lesion. Complaints included redness, floaters, photophobia, and decreased vision. Husband had recent shingles. Acuity was 20/60-2 with IOP of 12, and small KP in Art's triangel, 1-2+ a/c cell, 2-3+ ant vit cell, diffuse arteriolar sheathing, multiple areas of retinal whitening in periphery and mid-periphery (see Photo #1). PCR of a/c was performed, and intravitreal GCV administered, and VACV 2g qid and ASA started.... PCR positive for HZV, pred taper was started two days after presentation as the infection had begun to stablize..... Five days from presentation the vision was 20/60, inflammation and areas of retinal whitening had improved (see Photo #2).... One week later acuity was 20/30, the a/c was quiet and KP resolved; ant vitreous cell decreased; and there was further improvement in retinal appearance without any signs of retinal holes or detachment; she is now on low dose maint VACV (see photo#3)

Photographer: Maysee Yang

Imaging device: Optos CA

Condition/keywords: acute retinal necrosis, Herpes zoster

May 27 2019 by John S. King, MD

60-year-old African American female who had been treated for iridocyclitis for at least a week sent in for vitritis and a nasal fundus lesion. Complaints included redness, floaters, photophobia, and decreased vision. Husband had recent shingles. Acuity was 20/60-2 with IOP of 12, and small KP in Art's triangel, 1-2+ a/c cell, 2-3+ ant vit cell, diffuse arteriolar sheathing, multiple areas of retinal whitening in periphery and mid-periphery (see Photo #1). PCR of a/c was performed, and intravitreal GCV administered, and VACV 2g qid and ASA started.... PCR positive for HZV, pred taper was started two days after presentation as the infection had begun to stablize..... Five days from presentation the vision was 20/60, inflammation and areas of retinal whitening had improved (see Photo #2).... One week later acuity was 20/30, the a/c was quiet and KP resolved; ant vitreous cell decreased; and there was further improvement in retinal appearance without any signs of retinal holes or detachment; she is now on low dose maint VACV (see photo#3)

Photographer: Maysee Yang

Imaging device: Optos CA

Condition/keywords: acute retinal necrosis, Herpes zoster

Dec 9 2024 by Mauricio Bayram-Suverza, MD

A 54 year-old male patient presented with asteroid hyalosis. Retinal examination revealed the presence of bone spicules, primarily located in the mid-periphery. Genetic testing identified a pathogenic variant in the RHO gene.

Photographer: Mauricio Bayram-Suverza, Casey Eye Institute, OHSU.

Imaging device: Optos California

Condition/keywords: Asteroid hyalosis, retinal dystrophy, Retinitis Pigmentosa, vitreous