Search results (365 results)

Jun 30 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

This is a rare presentation of a case of PPCRA

Photographer: RAKESH JUNEJA

Condition/keywords: pigmented paravenous chorioretinal atrophy (PPCRA), rare

Jun 30 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

A rare case of PPCRA

Photographer: RAKESH JUNEJA

Condition/keywords: pigmented paravenous chorioretinal atrophy (PPCRA), rare

Jun 6 2025 by Jenn Geelan

57 year old male with a Complex Retinoschisis related retinal detachment with PVR and a Posterior Star Fold

Photographer: Jenn Geelan, Retina-Vitreous Surgeons of CNY

Imaging device: Optos California

Condition/keywords: proliferative vitreoretinopathy (PVR), rare, Retinal Detachment, retinoschisis, Starfolds, subretinal fluid

Jul 17 2024 by Anubhav Chauhan

This is fundus photograph of a 30 year male depicting a Macular coloboma in the right eye. The patient had a sharply defined large, yellowish white, coarsely pigmented, atrophic, round crater like defect at the macula. Spectral domain optical coherence tomography confirmed our diagnosis. The serology testing such as serum IgM, IgG for toxoplasma and cytomegalovirus was negative. His systemic examination was normal.

Photographer: Dr Anubhav Chauhan, Department of Ophthalmology, Shri Lal Bahadur Shastri Government Medical College, Nerchowk, District Mandi, Himachal Pradesh, India

Imaging device: Zeiss

Condition/keywords: macula, rare

Jun 30 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

This is the OCT of a rare case of PPCRA

Photographer: RAKESH JUNEJA

Condition/keywords: pigmented paravenous chorioretinal atrophy (PPCRA), rare

Jun 30 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

This is the OCT of a rare case of PPCRA.

Photographer: Rakesh Junena

Condition/keywords: pigmented paravenous chorioretinal atrophy (PPCRA), rare

Dec 20 2019 by Anfisa Ayalon, MD

OCT of a 60 -year-old man with epiretinal membrane. Note a spiral-like edge.

Photographer: Anfisa Ayalon,MD., Meir Medical Center, Kfar Saba, Israel.

Condition/keywords: epiretinal membrane (ERM), optical coherence tomography (OCT), rare

Nov 20 2012 by Roy Schwartz, MD

Rare combination of a choroidal nevus complicated by polypoidal choroidal vasculopathy. The lesion is temporal to the fovea.

Photographer: Galit Yair-Pur

Condition/keywords: choroidal nevus, polypoidal choroidal vasculopathy (PCV)

Nov 20 2012 by Roy Schwartz, MD

Rare combination of a choroidal nevus complicated by polypoidal choroidal vasculopathy. The lesion is temporal to the fovea, and leakage of subretinal fluid almost reaching the fovea is demonstrated.

Photographer: Galit Yair-Pur

Condition/keywords: choroidal nevus, polypoidal choroidal vasculopathy (PCV)

Nov 20 2012 by Roy Schwartz, MD

Rare combination of a choroidal nevus complicated by polypoidal choroidal vasculopathy. The lesion is temporal to the fovea, and subretinal fluid almost reaching the fovea is demonstrated.

Photographer: Galit Yair-Pur

Condition/keywords: choroidal nevus, optical coherence tomography (OCT), polypoidal choroidal vasculopathy (PCV)

May 5 2021 by Deependra Vikram Singh, MD FASRS

Fundus photographs and OCT scans of a 73-year-old non-smoker Indian male who presented to our retina clinic in 2013 with blurred vision in left eye for past 2 weeks. BCVA was 20/20 in right eye and 20/40 in left eye. Slit lamp exam was unremarkable for both eyes with no cells in aqueous or anterior vitreous. Fundus examination revealed creamy yellow choroidal lesions in both eyes. Lesion in right eye was one disc diameter (DD) in size and was located close to fovea (Fig-1a). Lesion in the left eye was bigger with a size of 2 DD located superior to fovea (Fig-1b). OCT scan for left eye revealed neurosensory detachment involving fovea (Fig-1c). Fundus fluorescein angiography was inconclusive for right eye and showed late hyper fluorescence the choroidal lesion in left eye. Patient underwent detailed systemic work up for malignancy that revealed primary lung non-small cell carcinoma. He had widespread metastasis affecting liver and brain. Palliative chemotherapy and radiotherapy were initiated 4 weeks after he presented to us. The choroidal lesions show progression on fundus picture and OCT scans done at 4 weeks follow up after initial presentation (Fig – 1d, e, f). The lesions in both eyes show regression at 4 weeks and 12 weeks follow up after initiation of therapy. Unfortunately, patient succumbed at 13 weeks follow up due to disease progression. The case demonstrates rare bilateral choroidal metastasis from primary lung cancer and also highlights that lesions can be asymptomatic till they develop neurosensory detachment as evident from asymptomatic lesion in right eye despite proximity to fovea and symptomatic lesion in left eye with NSD.

Photographer: Deependra Vikram Singh, Eye-Q Superspecialty Eye Hospitals, Gurugram

Imaging device: Topcon

Condition/keywords: choroidal mass, choroidal metastasis

Oct 20 2023 by Daniel Davis, OCT-C

Infrared image of NVD (52F)

Imaging device: Heidelberg Spectralis

Condition/keywords: neovascularization of the disc (NVD)

Jul 7 2020 by Deependra Vikram Singh, MD FASRS

25-yr-old male presented to our retina clinic in 2007 with history of Hammer and chisel injury to left eye 2 months back. On examination BCVA in left eye was 20/20. Slit-lamp examination revealed iris hole and fundus examination showed an encapsulated metallic intraocular foreign body (IOFB) close to inferior arcade in left eye. Patient was advised Vitreous surgery with IOFB removal. Patient, however did not turn up for Surgery and revisited our clinic after seven years in 2014. On examination his BCVA was 20/20 in left eye and IOFB has reduced in size with brown siderotic deposits seen over IOFB capsule. Examination revealed posterior sub-capsular cataract but no siderotic changes with intraocular pressure (IOP) also being recorded as normal. In view of good visual acuity and no siderotic changes, he was advised regular follow up and ERG. Since most IOFBs would get timely removed by vitreous surgery, this Image capturing the natural course of a metallic IOFB is rare.

Photographer: Deependra Vikram Singh, Eye-Q Hospitals, Gurugram, INDIA

Imaging device: Kowa and Zeiss

Condition/keywords: encapsulated intraocular foreign body

Jan 1 2023 by Malek Yassine, MD

This is the results at 6 months of a Bimanual 23 G-PPV with a very extensive and posterior 360 retinotomy for the management of a combined longstanding closed funnel RD, with submacular membranes, intraretinal PVR. Preop VA was a doubtful light perception. Borders of the retinotomy are stable at 6 months under 1300 Cs Silicon oil with some pigmented PVR developping the edges. Macula appears spared. Silicon oil emulsification droplets are well visualized beneath the superior temporal arcade.

Imaging device: Zeiss Clarus 700

Condition/keywords: combined retinal detachment, retinotomy, silicone oil

Sep 22 2022 by wang xiaomei

Fundus photograph of an 55-year-old man with Retinitis Pigmentosa, There is increasing loss of pigment from the pigment epithelium with intraretinal clumping of melanin, appearing most often as coarse clumps in a "bone spicule" configuration, arteriolar narrowing

Photographer: Man, Li, Bao Ji Ophthalmic Hospital

Imaging device: ZEISS CLARUS 500

Condition/keywords: retinitis pigmentosa (RP) dystrophy

Nov 30 2022 by SHRADDHA ASHOK CHANDORKAR, DNB DO FVRS

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

Mar 25 2024 by Daniel Davis, OCT-C

18 yo female presenting with hazy vison for 2-3 weeks. VA OD: sc20/20 VA OS: sc20/20 Infrared imaging showed dark gray, petalloid, perifoveal lesions and OCT shows focal signal reduction of the Inner Segment / Outer Segment junction. Elects to observe.

Photographer: Daniel Davis, OCT-C, The Retina Institute, St. Louis

Imaging device: Optos California SWL

Condition/keywords: acute macular neuroretinopathy

Mar 25 2024 by Daniel Davis, OCT-C

18 yo female presenting with hazy vison for 2-3 weeks. VA OD: sc20/20 VA OS: sc20/20 Infrared imaging showed dark gray, petalloid, perifoveal lesions and OCT shows focal signal reduction of the Inner Segment / Outer Segment junction. Elects to observe.

Photographer: Daniel Davis, OCT-C, The Retina Institute, St. Louis

Imaging device: Optos California SWL

Condition/keywords: acute macular neuroretinopathy

Dec 11 2019 by Lauren Whaley

34-year-old female patient presented with changes in vision after recent upper respiratory infection. Referring doctor originally thought it was a blood pressure issue. She noticed a "C" shape in her vision. Infrared image was captured showing exactly what patient was describing! Doctor confirmed with this image that it was AMN.

Photographer: Lauren R. Whaley, COA

Imaging device: Heidelberg Spectralis

Condition/keywords: 30 degrees, acute macular neuroretinopathy, Heidelburg Spectralis, left eye, macula, near infrared autofluorescence (NIRAF)

Sep 15 2014 by Thomas A. Ciulla, MD, MBA, FASRS

Color photo. This might be a typical fundus photo, with no definite lesion. However, the infrared photo nicely depicts a typical lesion.

Condition/keywords: acute macular neuroretinopathy, color photo

Sep 15 2014 by Thomas A. Ciulla, MD, MBA, FASRS

Red-free photo. Similar to the color photo, this red-free photo shows no definite lesion. However, the infrared photo nicely depicts the typical lesion.

Condition/keywords: acute macular neuroretinopathy, red-free

Aug 13 2014 by Thomas A. Ciulla, MD, MBA, FASRS

Infrared photo. This infrared photo nicely demonstrates a typical small wedge-shaped lesion of acute macular neuroretinopathy. This case highlights the usefulness of the infrared photo for this condition.

Condition/keywords: acute macular neuroretinopathy

Feb 15 2013 by From the Collections of Thomas M. Aaberg, MD and Thomas M. Aaberg Jr., MD

Diffuse intraretinal hemorrhages and whitening in the posterior pole consistent with acute retinal necrosis.

Condition/keywords: macular edema, microangiopathy, retinal necrosis, retinal whitening

Aug 12 2025 by César Adrián Gómez Valdivia, MD

This FAF image reveals a hypoautofluorescent mass with areas of dense hyperautofluorescent stippling—a classic pattern suggestive of an amelanotic choroidal melanoma. Amelanotic melanoma is a rare variant of uveal melanoma, accounting for only a minority of cases. Unlike pigmented melanomas, these lesions lack melanin, making them more challenging to detect on conventional color fundus imaging. FAF Characteristics: • Central hypoautofluorescence: due to loss or compression of the RPE • Peripheral hyperautofluorescent speckling: consistent with lipofuscin accumulation or RPE disruption • Often associated with subretinal fluid or orange pigment seen clinically Location: Juxtapapillary, with potential optic nerve involvement—a factor that complicates both diagnosis and

Photographer: @eyemissu2

Imaging device: California ICG OPTOS

Condition/keywords: amelanotic melanoma

Nov 17 2025 by SHRADDHA RAJ SHRIVASTAVA

This left eye montage fundus fluorescein angiography (FFA) image of a 19 year old male with idiopathic retinal vasculitis, having skip vasculitic lesions predominantly involving retinal veins. There are areas of blocked fluorescence due to intraretinal hemorrhages, the involved veins have filling defects and occlusions, leading to formation of numerous collateral channels. The inflamed vessels also show perivascular fuzzy hyperfluorescent stain due to leakage of dye. We can also see multiple peripheral capillary non perfusion (CNP) areas, with a 'hot disc', suggestive of ongoing inflammation.

Photographer: Dr. Shraddha Raj Shrivastava

Imaging device: Nidek Mirante SLO/OCT (Confocal scanning/Spectral domain OCT)

Condition/keywords: FA late phase leakage, Fundus Fluorescein Angiography, idiopathic retinal vasculitis, optic disc leakage, VASCULITIS