Search results (35 results)

Jun 18 2024 by KANWALJEET HARJOT MADAN, M.S. (Ophthalmology), FAICO (Vitreous - Retina)

This is a fundus photo depicting ruptured Retinal Artery Macroaneurysm (RAM) in the left eye of a 63 years old female. RAM is an acquired saccular or fusiform dilatation of the retinal arterioles that usually occur within the first three orders of bifurcation. The Superotemporal artery is the most common location. RAM may be asymptomatic or cause a number of complications such as macular edema, serous macular detachment, and hemorrhages.

Photographer: Dr Kanwaljeet Harjot Madan

Condition/keywords: Haemorrhage, macroaneurysm, retinal arteriole

Feb 20 2019 by Lancaster Course in Ophthalmology

Optic atrophy. Note the marked narrowing of the retinal arterioles.

Condition/keywords: optic atrophy, retinal arteriole

Feb 26 2019 by Lancaster Course in Ophthalmology

Malignant hypertension with retinal arterioles that are thickened and have fibrinoid necrosis (arrows). Retinal exudates (asterisk) and papilledema are also present. Papilledema is evidenced by fullness of the optic nerve head and peripapillary crowding of the retina (lower right).

Condition/keywords: fibrinoid, malignant hypertension, papilledema, retinal arteriole, retinal exudates

Feb 26 2019 by Lancaster Course in Ophthalmology

Senile macular degeneration with disciform scar. A retinal arteriole (as­terisk) extends into the subretinal component of the scar, through a break in the thick­ened and detached inner layer of Bruch's membrane, and then into the vascularized intra-Bruch's-membrane component of the scar. Study of serial sections disclosed this retinal vessel to anastomose with the choroidal vessel (arrow) which extends through a branch in Bruch's membrane.

Condition/keywords: Bruch's membrane, disciform scar, macular degeneration, retinal arteriole

Dec 10 2020 by McGill University Health Centre

47-year-old female with cough and fever. Imaging showed a right pulmonary infiltrate. Transbronchial needle biopsy revealed lymphangitic spread of papillary adenocarcinoma with psammoma bodies (MRI of thyroid, CT of abdomen and pelvis were negative) gynecologic evaluation negative at that time. The patient had bilateral floaters, VA: 20/40 OD and 20/20 OS. Fundus examination showed retinal arteriolar sheathing and a flat choroidal lesion OS and vitritis OD. Fluorescein angiogram showed staining of left superior temporal retinal arterioles and bilateral midperipheral patchy hyperfluorescence at RPE. The patient vision in the OD deteriorated to 20/400, and in the OS 20/50. Four months later a new choroidal lesion was diagnosed OS. An abdominal mass consistent with a cystadenoma of the ovary was diagnosed. After a year patient developed systemic metastasis. Autopsy: Metastatic adenocarcinoma to the lung, both adrenals, para-aortic lymph nodes, left hip, right breast, occipital skin, serosal surface of liver, pituitary. In almost all metastatic lesions psammoma bodies were found. Presumptive diagnosis is a primary tumor of the ovary. Histopathologic examination of both eyes disclosed : Bilateral metastatic adenocarcinoma to the vitreous with partially calcified proliferation along internal limiting membrane, OS. Metastatic adenocarcinoma to choroid, OS. Bilateral optic atrophy secondary to retinal arteriolar occlusion with calcification.

Condition/keywords: bilateral, calcification, histopathology, metastatic adenocarcinoma, pathology, retinal arteriolar occlusion

Dec 10 2020 by McGill University Health Centre

47-year-old female with cough and fever. Imaging showed a right pulmonary infiltrate. Transbronchial needle biopsy revealed lymphangitic spread of papillary adenocarcinoma with psammoma bodies (MRI of thyroid, CT of abdomen and pelvis were negative) gynecologic evaluation negative at that time. The patient had bilateral floaters, VA: 20/40 OD and 20/20 OS. Fundus examination showed retinal arteriolar sheathing and a flat choroidal lesion OS and vitritis OD. Fluorescein angiogram showed staining of left superior temporal retinal arterioles and bilateral midperipheral patchy hyperfluorescence at RPE The patient vision in the OD deteriorated to 20/400, and in the OS 20/50. Four months later a new choroidal lesion was diagnosed OS. An abdominal mass consistent with a cystadenoma of the ovary was diagnosed. After a year patient developed systemic metastasis. Autopsy: Metastatic adenocarcinoma to the lung, both adrenals, para-aortic lymph nodes, left hip, right breast, occipital skin, serosal surface of liver, pituitary. In almost all metastatic lesions psammoma bodies were found. Presumptive diagnosis is a primary tumor of the ovary. Histopathologic examination of both eyes disclosed : Bilateral metastatic adenocarcinoma to the vitreous with partially calcified proliferation along internal limiting membrane, OS. Metastatic adenocarcinoma to choroid, OS. Bilateral optic atrophy secondary to retinal arteriolar occlusion with calcification.

Condition/keywords: bilateral, calcification, histopathology, metastatic adenocarcinoma, pathology, retinal arteriolar occlusion

Dec 10 2020 by McGill University Health Centre

47-year-old female with cough and fever. Imaging showed a right pulmonary infiltrate. Transbronchial needle biopsy revealed lymphangitic spread of papillary adenocarcinoma with psammoma bodies (MRI of thyroid, CT of abdomen and pelvis were negative) gynecologic evaluation negative at that time. The patient had bilateral floaters, VA: 20/40 OD and 20/20 OS. Fundus examination showed retinal arteriolar sheathing and a flat choroidal lesion OS and vitritis OD. Fluorescein angiogram showed staining of left superior temporal retinal arterioles and bilateral midperipheral patchy hyperfluorescence at RPE. The patient vision in the OD deteriorated to 20/400, and in the OS 20/50. Four months later a new choroidal lesion was diagnosed OS. An abdominal mass consistent with a cystadenoma of the ovary was diagnosed. After a year patient developed systemic metastasis. Autopsy: Metastatic adenocarcinoma to the lung, both adrenals, para-aortic lymph nodes, left hip, right breast, occipital skin, serosal surface of liver, pituitary. In almost all metastatic lesions psammoma bodies were found. Presumptive diagnosis is a primary tumor of the ovary. Histopathologic examination of both eyes disclosed : Bilateral metastatic adenocarcinoma to the vitreous with partially calcified proliferation along internal limiting membrane, OS. Metastatic adenocarcinoma to choroid, OS. Bilateral optic atrophy secondary to retinal arteriolar occlusion with calcification.

Condition/keywords: bilateral, calcification, histopathology, metastatic adenocarcinoma, pathology, retinal arteriolar occlusion

Dec 10 2020 by McGill University Health Centre

47-year-old female with cough and fever. Imaging showed a right pulmonary infiltrate. Transbronchial needle biopsy revealed lymphangitic spread of papillary adenocarcinoma with psammoma bodies (MRI of thyroid, CT of abdomen and pelvis were negative) gynecologic evaluation negative at that timePatient had bilateral floaters, VA: 20/40 OD and 20/20 OS. Fundus examination showed retinal arteriolar sheathing and a flat choroidal lesion OS and vitritis OD. Fluorescein angiogram showed staining of left superior temporal retinal arterioles and bilateral midperipheral patchy hyperfluorescence at RPE The patient vision in the OD deteriorated to 20/400, and in the OS 20/50. Four months later a new choroidal lesion was diagnosed OS. An abdominal mass consistent with a cystadenoma of the ovary was diagnosed. After a year patient developed systemic metastasis. Autopsy: Metastatic adenocarcinoma to the lung, both adrenals, para-aortic lymph nodes, left hip, right breast, occipital skin, serosal surface of liver, pituitary. In almost all metastatic lesions psammoma bodies were found. Presumptive diagnosis is a primary tumor of the ovary. Histopathologic examination of both eyes disclosed : Bilateral metastatic adenocarcinoma to the vitreous with partially calcified proliferation along internal limiting membrane, OS. Metastatic adenocarcinoma to choroid, OS. Bilateral optic atrophy secondary to retinal arteriolar occlusion with calcification.

Condition/keywords: bilateral, calcification, histopathology, metastatic adenocarcinoma, pathology, retinal arteriolar occlusion

Dec 10 2020 by McGill University Health Centre

47-year-old female with cough and fever. Imaging showed a right pulmonary infiltrate. Transbronchial needle biopsy revealed lymphangitic spread of papillary adenocarcinoma with psammoma bodies (MRI of thyroid, CT of abdomen and pelvis were negative) gynecologic evaluation negative at that time. The patient had bilateral floaters, VA: 20/40 OD and 20/20 OS. Fundus examination showed retinal arteriolar sheathing and a flat choroidal lesion OS and vitritis OD. Fluorescein angiogram showed staining of left superior temporal retinal arterioles and bilateral midperipheral patchy hyperfluorescence at RPE The patient vision in the OD deteriorated to 20/400, and in the OS 20/50. Four months later a new choroidal lesion was diagnosed OS. An abdominal mass consistent with a cystadenoma of the ovary was diagnosed. After a year patient developed systemic metastasis. Autopsy: Metastatic adenocarcinoma to the lung, both adrenals, para-aortic lymph nodes, left hip, right breast, occipital skin, serosal surface of liver, pituitary. In almost all metastatic lesions psammoma bodies were found. Presumptive diagnosis is a primary tumor of the ovary. Histopathologic examination of both eyes disclosed : Bilateral metastatic adenocarcinoma to the vitreous with partially calcified proliferation along internal limiting membrane, OS. Metastatic adenocarcinoma to choroid, OS. Bilateral optic atrophy secondary to retinal arteriolar occlusion with calcification.

Condition/keywords: bilateral, calcification, histopathology, metastatic adenocarcinoma, pathology, retinal arteriolar occlusion

Dec 10 2020 by McGill University Health Centre

47-year-old female with cough and fever. Imaging showed a right pulmonary infiltrate. Transbronchial needle biopsy revealed lymphangitic spread of papillary adenocarcinoma with psammoma bodies (MRI of thyroid, CT of abdomen and pelvis were negative) gynecologic evaluation negative at that time. The patient had bilateral floaters, VA: 20/40 OD and 20/20 OS. Fundus examination showed retinal arteriolar sheathing and a flat choroidal lesion OS and vitritis OD. Fluorescein angiogram showed staining of left superior temporal retinal arterioles and bilateral midperipheral patchy hyperfluorescence at RPE. The patient vision in the OD deteriorated to 20/400, and in the OS 20/50. Four months later a new choroidal lesion was diagnosed OS. An abdominal mass consistent with a cystadenoma of the ovary was diagnosed. After a year patient developed systemic metastasis. Autopsy: Metastatic adenocarcinoma to the lung, both adrenals, para-aortic lymph nodes, left hip, right breast, occipital skin, serosal surface of liver, pituitary. In almost all metastatic lesions psammoma bodies were found. Presumptive diagnosis is a primary tumor of the ovary.

Imaging device: Fluoroscein angiogram

Condition/keywords: bilateral, calcification, metastatic adenocarcinoma, retinal arteriolar occlusion

Dec 10 2020 by McGill University Health Centre

47-year-old female with cough and fever. Imaging showed a right pulmonary infiltrate. Transbronchial needle biopsy revealed lymphangitic spread of papillary adenocarcinoma with psammoma bodies. MRI of thyroid, CT of abdomen and pelvis were negative. gynecologic evaluation negative at that time. The patient had bilateral floaters, VA: 20/40 OD and 20/20 OS. Fundus examination showed retinal arteriolar sheathing and a flat choroidal lesion OS and vitritis OD. Fluorescein angiogram showed staining of left superior temporal retinal arterioles and bilateral midperipheral patchy hyperfluorescence at RPE The patient vision in the OD deteriorated to 20/400, and in the OS 20/50. Four months later a new choroidal lesion was diagnosed OS. An abdominal mass consistent with a cystadenoma of the ovary was diagnosed. After a year patient developed systemic metastasis. Autopsy: Metastatic adenocarcinoma to the lung, both adrenals, para-aortic lymph nodes, left hip, right breast, occipital skin, serosal surface of liver, pituitary. In almost all metastatic lesions psammoma bodies were found. Presumptive diagnosis is a primary tumor of the ovary.

Condition/keywords: bilateral, calcification, metastatic adenocarcinoma, retinal arteriolar occlusion

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

reprints of figures 1 and 2 from the publication Brown and Mendis. Retinal arteritis complicating herpes zoster ophthalmicus. Br J Ophthalmol 1973;57:344-6. The left panel is a "fundus painting showing extensive exudate in areas of supply of narrowed and sheathed upper nasal and upper temporal retinal arterioles." The right panel is a fluorescein angiograph of the fundus, "demonstrating leakage of dye in area of exudation."

Condition/keywords: Herpes zoster, retinal arteriolar occlusion, retinal necrosis

Mar 2 2021 by Renata Garcia Franco, Md

Retinal edema, cherry spot, retinal arteriolar attenuation and segmentation of blood in retinal arterioles.

Photographer: Guillermina Hernandez

Imaging device: Zeiss

Condition/keywords: central artery

Jan 22 2021 by Renata Garcia Franco, Md

65-year-old male, history of uncontrolled systemic arterial hypertension. Segmentation of blood in retinal arterioles, retinal whitening and cherry red spot.

Photographer: Fatima Hernandez, Instituto de la Retina del Bajio SC

Imaging device: Zeiss

Condition/keywords: central retinal artery occlusion (CRAO)

Oct 28 2020 by Fang Helen Mi

Fundus photograph of an 61-year-old Chinese male showing central retinal artery occlusion with cilioretinal sparing. Photo shows diffuse ischemic retinal whitening and box-carring of the retinal arterioles.

Condition/keywords: central retinal artery occlusion (CRAO), cilioretinal sparing

Apr 2 2024 by Pablo Angel Garcia Uribe

Fundus photograph of a 29-year-old man with bilateral congenital retinal vessel tortuosity. This image shows the sinuous course of retinal arterioles and a shiny internal limiting membrane.

Photographer: Pablo Ángel García-Uribe, Clínica Oftalmológica Salauno, Mexico City

Imaging device: NIDEK OCT RS-330 Duo 2

Condition/keywords: abnormal retinal vessel, anomalous vessels, Retina, tortuous vessels

Mar 26 2019 by Gary R. Cook, MD, FACS

58-year-old WM with embolic CRAO demonstrating a a cherry-red spot in macula, retinal whitening around the fovea, and the embolus in a inferotemporal branch retinal arteriole; VA= HM 6''

Imaging device: Topcon VT-50

Condition/keywords: central retinal artery occlusion (CRAO), cherry red spot, embolus, retinal whitening

Nov 29 2024 by Anand Temkar

Right eye Fluorescein and Indocyanine green angiography of a 42 year old male in case of Choroidal hemangioma. Choroidal hemangioma have a unique pattern of circulation where the large blood vessels produce a “COARSE VASCULAR PATTERN.” Fluorescein angiography of circumscribed choroidal hemangiomas typically reveals very early hyperfluorescence of larger-caliber choroidal blood vessels either before or simultaneously with the initial filling of the retinal arterioles. Indocyanine green angiography typically shows filling of the intralesional vascular channels, intense hypercyanescence of the lesion by the intermediate frames (peaks around 3-4 minutes) and late washout of the central portion of the lesion.

Photographer: Dr.Anand Temkar- Retina Foundation, Ahmedabad

Imaging device: Mirante

Condition/keywords: Choroidal Hemangioma, FLUORESCEIN ANGIOGRAPHY, indocyanine green (ICG) angiography

Apr 24 2022 by Aniruddha K Agarwal, MD

Ultra-wide field fundus fluorescein angiography (FFA) of the left eye from an asymptomatic, healthy 33-year-old woman who was referred to the retina clinic from a refractive surgery unit due to the presence of vascular anomalies and hard exudates in both eyes. FFA revealed the characteristic sacular aneurysms at the bifurcation of retinal arterioles in the posterior pole, together with microvascular anomalies and capillary closure peripherally.

Photographer: Julio J GONZALEZ-LOPEZ, MD, PhD, FEBO and Teresa GONZALEZ-LOMAS, RN

Imaging device: Optos California

Condition/keywords: IRVAN Syndrome, IUSG, neuroretinitis, retinal vasculitis, uveitis

Aug 21 2015 by Mallika Goyal, MD

Right eye OCT of a 70-year-old male 3 weeks after inadvertent globe penetration with peribulbar anaesthesia needle and intraocular injection of lignocaine. There is a thick taut epimacular membrane with severely increased central retinal thickness. Fluorescein angiography revealed an occluded retinal arteriole at the macula indicating macular ischaemia underlying the membrane.

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

Condition/keywords: lignocaine retinal toxicity

Aug 21 2015 by Mallika Goyal, MD

Right eye OCT of a 70-year-old male 3 weeks after inadvertent globe penetration with peribulbar anaesthesia needle and intraocular injection of lignocaine shows a thick taut epimacular membrane with severely increased central retinal thickness. Fluorescein angiography revealed an occluded retinal arteriole at the macula indicating macular ischaemia underlying the membrane.

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

Condition/keywords: lignocaine retinal toxicity

Aug 21 2015 by Mallika Goyal, MD

Right eye OCT of a 70-year-old male 3 weeks after inadvertent globe penetration with peribulbar anaesthesia needle and intraocular injection of lignocaine showing a taut epimacular membrane with macular elevation compared to a relatively normal foveal contour immediately after surgery suggesting progressive traction secondary to lignaocaine toxicity. Fluorescein angiography revealed an occluded retinal arteriole at the macula indicating macular ischaemia underlying the membrane.

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

Condition/keywords: lignocaine retinal toxicity

Aug 18 2015 by Mallika Goyal, MD

Right eye fundus of a 70-year-old male 3 weeks after inadvertent globe penetration with peribulbar anaesthesia needle and intraocular injection of lignocaine. There is a thick taut epimacular membrane with severely increased central retinal thickness. Fluorescein angiography revealed an occluded retinal arteriole at the macula indicating macular ischaemia underlying the membrane.

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

Condition/keywords: lignocaine retinal toxicity

Aug 18 2015 by Mallika Goyal, MD

Right eye fundus of a 70-year-old male 3 weeks after inadvertent globe penetration with peribulbar anaesthesia needle and intraocular injection of lignocaine. There is a thick taut epimacular membrane with severely increased central retinal thickness. Fluorescein angiography revealed an occluded retinal arteriole at the macula indicating macular ischaemia underlying the membrane.

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

Condition/keywords: lignocaine retinal toxicity

Aug 18 2015 by Mallika Goyal, MD

Right eye fluorescein angiogram of a 70-year-old male 3 weeks after inadvertent globe penetration with peribulbar anaesthesia needle and intraocular injection of lignocaine. There is an occluded retinal arteriole indicating macular ischaemia underlying the clinically obvious epimacular membrane.

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

Condition/keywords: lignocaine retinal toxicity