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  • Proliferative Diabetic Retinopathy

    Jul 9 2019 by Chinmayi Vyas

    38-year-old type 1 diabetic female with gross neovascularization of disc.

    Photographer: Sangeeta

    Condition/keywords: neovascularization of the disc (NVD)

  • Coats' Disease

    Jul 16 2019 by Kim Barrett

    Ultra-wide field fluorescein angiogram of a 23-year-old male with Coats' disease, presented with distorted vision affecting his left eye. He reported seeing flashes and floaters since January of 2019, but the flashes had resolved. He was treated with Intravitreal Preservative Free Triamcinolone in the office and scheduled for PRP laser in the near future.

    Photographer: Kim Barrett

    Imaging device: Optos

    Condition/keywords: Coats' disease, fluorescein angiogram (FA), fluorescein leakage, inferior retina, ischemia, left eye, Optos, ultra-wide field imaging

  • Toxo Lesion on Macula

    Jul 25 2019 by Manish Nagpal, MD, FRCS (UK)

    Fundus photo of old toxo lesion on macula.

    Photographer: Gayathri Mohan, Retina Foundation

    Imaging device: Nidek Mirante SLO

    Condition/keywords: toxoplasmosis, toxoplasmosis chorioretinitis

  • Uveitis Posterior

    Jul 19 2019 by JEFFERSON R SOUSA

    A 23-year-old male patient attended the clinic with low vision of the right eye. In the evaluation it presented important fundoscopical alterations like retinal exudations in the posterior pole and nasal retina, aspects of macular star. It was proven that it was a posterior uveitis.

    Photographer: JEFFERSON R SOUSA - Study Center and Ophthalmological Research Dr. Andre M V Gomes, Institute Dr. Suel Abujamra São Paulo-Brazil

    Imaging device: Topcon TRC-50 DX, Imaginet 4.0, angle de 50 graus. Flash 50w-s

    Condition/keywords: uveitis

  • Buckled Silicon oil Filled eye

    Jul 25 2019 by Manish Nagpal, MD, FRCS (UK)

    Wide field view of a buckled eye along with silicon oil reflex.

    Photographer: Gayathri Mohan, Retina Foundation

    Imaging device: Nidek Mirante SLO

    Condition/keywords: retinal detachment, scleral buckle, silicone oil

  • Leukemic Retinopathy

    Jul 11 2019 by Robert A Lalane, MD

    55-year-old male currently undergoing chemotherapy for leukemia. Found to have extensive retinal hemorrhaging throughout various retinal layers bilaterally.

    Photographer: Brandy Maxwell, Retina Group of Florida

    Condition/keywords: leukemia, retinal hemorrhage

  • Morning Glory Syndrome

    Jun 19 2019 by Olivia Rainey

    Ultra-wide field pseudocolor image of an 10-year-old girl with Morning Glory Syndrome affecting her left eye. Patient is able to count fingers at 4 feet.

    Photographer: Olivia Rainey

    Imaging device: Optos

    Condition/keywords: left eye, Morning Glory Syndrome, Optos, pseudocolor, ultra-wide field imaging

  • Retinal CRAO With Emboli

    Jun 27 2019 by Somnath Chakraborty, MD

    Left eye fundus photo montage of a 43-year-old male with central retinal artery occlusion with bright yellow multiple retinal (cholesterol) emboli both at the disc and also along multiple retinal arteries.

    Photographer: Pulak Roy

    Condition/keywords: arterial embolus, central retinal artery occlusion (CRAO), cholesterol embolus

  • Ruptured Macroaneurysm

    May 22 2019 by Nichole Lewis

    FA of a 91-year-old woman with a ruptured macroaneurysm, intraretinal hemorrhage and subretinal hemorrhage. VA 20/400.

    Photographer: Nichole Lewis

    Condition/keywords: intraretinal hemorrhage, ruptured macroaneurysm, subretinal hemorrhage

  • Metastatic NSCLCA to the Choroid: Initial Appearance

    May 27 2019 by John S. King, MD

    60-year-old white male non-smoker presented to Dr. Zocchi with acute transient decreased vision in the right eye. Background history includes metastatic NSCLC (adenocarcinoma). Acuity OD 20/60, and posterior segment had two small, yellow, choroidal lesions, above the nerve and IT arcade (these had a fairly smooth and dome shaped appearance on the OCT, and top lesion had mild SRF) (see photo)

    Photographer: Shelly Blair

    Imaging device: Optos CA

    Condition/keywords: choroidal metastasis, lung cancer metastasis

  • Coats' Disease - Widefield Fundus Image

    May 18 2019 by Tony Tsai, MD

    Widefield fundus image of 11-year-old male with peripheral lipid exudative retinopathy secondary to Coats' Syndrome.

    Photographer: Chue Vang, Retinal Consultants, Sacramento, CA

    Imaging device: Optos

    Condition/keywords: Coats' disease

  • Volume Rendering Structural and Angiographic Optical Coherence Tomography Angiography Image of a Retinal Capillary Microaneurysm, A Newly Described Entity.

    May 21 2019 by Richard F. Spaide, MD

    This is a newly described entity in which patients develop solitary aneurysms that are much larger than typical microaneurysms and they are supplied by capillaries. The aneurysm is shown in red. The associated macular edema produced cystoid spaces in Henle’s fiber layer, rendered as teal and in the inner nuclear layer as blue.

    Photographer: Richard F. Spaide, MD

    Condition/keywords: aneurysm, optical coherence tomography (OCT), volume rendering

  • Adult Onset Coats' Disease

    May 5 2019 by Steven Lapere, MBChB, DA, FCOphth, MMed

    51-year-old gentleman with 3-week history of decreased vision in the left eye. Two active Coats' lesions are visible, with a third involuted lesions infero-temporally.

    Photographer: Steven Lapere, Cape Town, South Africa

    Imaging device: Clarus 500

    Condition/keywords: Coats' disease

  • Exudative Macular Degeneration

    Apr 26 2019 by Pamela Rowlett

    Exudative macular degeneration

    Photographer: Pamela Rowlett CRA, Universtiy of Colorado, Rocky Mountain Lions Eye Institute

    Condition/keywords: wet age-related macular degeneration (wet AMD)

  • PDR; High Myopia; PRP

    May 2 2019 by Carissa Hurdstrom

    PDR; high myopia; PRP

    Imaging device: Optos

    Condition/keywords: fluorescein angiogram (FA), high myopia, pan-retinal photocoagulation (PRP), proliferative diabetic retinopathy (PDR)

  • Optos Giant Tear within Retinal Detachment

    Apr 30 2019 by Lauren Whaley

    Noticed an inferior visual field defect on a patient with history of vitreous hemorrhage. Decided to take an Optos image and this is what we found. Doctor performed pneumatic retinopexy in office and patient recovering well.

    Photographer: Lauren R. Whaley

    Imaging device: Optos

    Condition/keywords: Optos, retinal detachment, retinal tear, subretinal fluid

  • Old Healed Choroiditis

    Apr 28 2019 by Nilesh K Kanjani, MD

    Fundus photograph of 30-year-old patient having old healed choroiditis.

    Photographer: Nilesh Kanjani, Dr Agarwal Eye Hospital, Ahmedabad

    Condition/keywords: choroiditis

  • 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, retinal detachment, ruptured globe, ultra-wide field imaging

  • Coats' Disease Color Fundus Photograph

    Apr 19 2019 by Ahmad B. Tarabishy, MD

    57-year-old man referred for macular hemorrhage. Examination reveals a large macular scar along with vascular sheathing, vascular irregularity, and extensive exudation. Fluorescein angiogram revealed findings of lightbulb vascular aneurysms and capillary non-perfusion.

    Imaging device: Zeiss Cirrus Photo

    Condition/keywords: Coats' disease

  • Amelanotic Choroidal Melanoma

    Apr 12 2019 by David L Kilpatrick, MD

    Fundus photograph of a 69-year-old male with an amelanotic choroidal melanoma and corresponding exudative retinal detachment. Transvitreal biopsy was performed at the time of radioactive I-125 plaque placement. The genetic expression profile revealed a Class 1A, PRAME negative tumor.

    Photographer: Retina Consultants of Alabama, P. C.

    Imaging device: Optos

    Condition/keywords: amelanotic melanoma, choroidal melanoma

  • Angioid Streaks

    Apr 3 2019 by HECTOR LUIS VILLARROEL GUIZAR, MD, RETINA FELLOW

    Retinal angiography composition of an 45-year-old man with angioid streaks and secondary choroidal neovascularization.

    Photographer: HECTOR VILLARROEL, HOSPITAL DE LA LUZ, MEXICO CITY

    Condition/keywords: angioid streaks

  • Ocular Hypotony Due to Leaking Bleb

    Apr 1 2019 by Anfisa Ayalon

    81-year-old male who had trabeculectomy in his right eye 4 years ago, presented to the emergency room with complains of decreased vision in that eye for two months. Slit-lamp examination showed cystic bleb with leakage, intraocular pressure was 0 MMHg. Fundus examination showed hypotony maculopathy, peripheral choroidal detachments, multiple chorioretinal folds with subretinal fluid.

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

    Imaging device: California, Optos 200 DTX

    Condition/keywords: choroidal detachment, hypotonous retinopathy, hypotony maculopathy

  • Laser Induced BRAO in IRVAN Syndrome

    May 3 2019 by Deependra Vikram Singh, MD

    Fundus photograph of a 26-year-old man with IRVAN syndrome referred for vitreous surgery in OS for secondary rhegmatogenous retinal detachment. OD has received laser photocoagulation for capillary nonperfusion areas and retinal artery macroaneurysm associated with retinal vasculitis. Fundus photograph of OD shows laser induced nasal BRAO. Case re-emphasizes why laser for macroaneurysm should be avoided in cases with IRVAN.

    Photographer: Deependra V Singh, Eye-Q Superspecialty Eye Hospitals. Gurugram, India

    Imaging device: Zeiss Visucam 500

    Condition/keywords: arteriolar macroaneurysm, branch retinal artery occlusion (BRAO), laser photocoagulation

  • Choroidal Melanoma

    Jan 30 2019 by Karen Panzegrau

    Ultra-wide field optos image of a 27-year-old male patient who presented with loss of vision for about 6-8 weeks. Previous choroidal nevus seen. Recommended annual monitoring. No exam for since 10/2014. Brachytherapy vs enucleation was discussed. Brachytherapy was decided as treatment. Full metastatic work up is being performed.

    Photographer: Karen Panzegrau

    Imaging device: Optos

    Condition/keywords: choroidal melanoma, choroidal nevus, exudative retinal detachment, malignant neoplasm of eye, Optos, right eye, ultra-wide field imaging

  • Varicella Zoster Virus Retinitis

    Jan 17 2019 by Netan Choudhry, MD, FRCS(C)

    Wide-field montage image of a patient with unilateral varicella-zoster virus retinitis following ingestion of animal feces in Colombia.

    Photographer: Carmelina Timboli, Vitreous Retina Macula Specialists of Toronto

    Imaging device: Optos California (Optos PLC, Edinburgh, UK)

    Condition/keywords: retinitis, varicella zoster virus (VZV)