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  • Eales Disease Causing TRD and Macular Edema in Pregnancy

    Apr 21 2020 by Richard M Martindale, MD

    42-year-old pregnant African American with TRD and peripheral ischemia secondary to Eales disease. She was assigned this diagnosis of exclusion after a thorough work up for other identifiable causes of peripheral ischemia (e.g. sickle cell, syphilis, sarcoid, clotting disorders, SLE, TB, IP, FEVR). We elected to temporize her with PRP and Ozurdex in lieu of anti-VEGF medication given her pregnant status. Note: the Ozurdex pellet is visible in the inferior aspect of this photo.

    Photographer: Retina Consultants of Alabama

    Imaging device: Optos

    Condition/keywords: Eales disease

  • A Motor Vehicle Accident Causing Valsalva Retinopathy OD, While Racing A Side By Side 4 Wheel Off-Road Vehicle

    Apr 29 2020 by John S. King, MD

    43-year-old white male who was injured while racing a side by side 4-wheel off-road vehicle (see Video: He presented about three weeks after the injury. He was being seen by his local eye doctor who wanted an evaluation for the retinal heme and scotoma. His main complaint was a central/parcentral scotoma described as a greyish area in vision. Va 20/50 OD, nomotensive, no APD (by technician), anterior segment u/r; see picture for the fundus exam - of note there are superficial/preretinal heme, with layering of the heme superiorly, and small superficial heme at nasal edge of the optic disc; in the parafoveal region nasally there is some mottling of the RPE that may indicate an area of prior commotio retinae (also possible to have TON), which may account for his scotoma. Really bad accident (video), and amazingly, he had no LOC or injuries other than the right retina. Helmet and racing harness seat belt were used.

    Photographer: Asli Ahmed

    Imaging device: Topcon 50

    Condition/keywords: valsalva retinopathy

  • Retinal Autograft Postoperative Day 1

    Feb 29 2020 by Rajarami P Reddy, MD FRCS

    20-year-old boy presented with recurrent retinal detachment post silicone oil removal with a macular hole. During surgery a retinal graft was created from the detached retina and positioned on the macular hole. silicone oil was injected at the end of surgery. One can see the diathermy marks on all sides of the edges of the graft.

    Condition/keywords: autograft, macular hole, retinal detachment

  • Submacular PFO

    Feb 20 2020 by Kevin J. Blinder, MD

    This is a 53-year-old gentleman that was referred to us for a second opinion with an inoperable RD with PVR after 3 failed attempts. We performed a PPV, membranectomy, scleral buckling procedure, with silicone oil injection. This case did not require PFO. You can imagine our surprise when we discovered submacular PFO postoperatively. It is very difficult to see the PFO on the Optos. The infrared shows it clearly, with confirmation of the submacular space on the SD-OCT.

    Photographer: Jarrod Wehmeier, The Retina Institute; St. Louis, MO

    Imaging device: optos

    Condition/keywords: submacular perfluorocarbon liquid (PFO)

  • Large, Dome-Shaped Peripheral Choroidal Melanoma - Widefield Color

    Feb 13 2020 by Michael Seider, MD

    Large, dome-shaped peripheral choroidal melanoma of the left eye with inferior exudative retinal detachment. Note the lack of obvious orange pigment over the tumor and apparent drusen anteriorly. A lack of ophthalmoscopically obvious lipofuscin is not uncommon among larger choroidal melanomas. B-Scan ultrasonography (transverse, 10 o’clock) confirms a low-moderate internally reflective dome-shaped choroidal lesion with a small adjacent retinal detachment. Ultrasound biomicroscopy (radial, 10 o’clock) confirms no ciliary body involvement of the tumor.

    Condition/keywords: choroidal melanoma

  • Combined Hamartoma of the Retina and Retinal Pigment Epithelium (CHRRPE)

    Jan 21 2020 by Pierre-Henry Gabrielle, MD

    Fundus photograph of a 17-year-old man with combined hamartomas of the retina and retinal pigment epithelium (CHRRPE) at the posterior pole of the left eye.

    Photographer: Pierre-Henry Gabrielle, Ophthalmology department, Dijon University Hospital, France

    Imaging device: Zeiss Visucam

    Condition/keywords: combined hamartoma, fundus photograph

  • Didanosine Toxicity

    Jan 27 2020 by Nimesh A Patel, MD

    Patient with history of HIV treated with didanosine. Developed gyrate like peripheral retinal atrophy with central sparing. Vision is 20/25

    Imaging device: Clarus

    Condition/keywords: AIDS, didanosine, HIV

  • Diabetic Macular TRD

    Jan 10 2020 by Somnath Chakraborty, MD

    Fundus Montage image of the left eye of a 48-year-old type 2 diabetic with post PRP macular extensive tractional retinal detachment involving macula.

    Photographer: Pulak Roy

    Condition/keywords: diabetic retinopathy, proliferative diabetic retinopathy (PDR), tractional retinal detachment, vitrectomy, vitreomacular surgery

  • Flame of the Forest

    Apr 9 2020 by Daraius N Shroff, MS FMRF FRCS

    A 54-year-old man with DM for 15 years. The left eye had a visual acuity of 20/40. Wide field swept source OCTA revealed branching out central neovascular trunk vessels from the disc with terminal loops, along with exuberant proliferation of irregular small-calibre fine new vessels. The patient underwent OCTA guided pan retinal photocoagulation.

    Photographer: Anuj Choudhary, Shroff Eye Centre, New Delhi

    Imaging device: Zeiss Plex Elite 9000

    Condition/keywords: proliferative diabetic retinopathy (PDR)

  • Morning Glory Syndrome

    Jan 6 2020 by Olivia Rainey

    Ultra-wide field pseudocolor image of a 23-month-old male with morning glory syndrome affecting his left eye. Patient presented with esotropia affecting his left eye and strabismic amblyopia affecting both eyes. He could fix and follow on exam and his medical history was unremarkable.

    Photographer: Olivia Rainey

    Imaging device: Optos California

    Condition/keywords: esotropia, left eye, macular, Morning Glory Syndrome, Optos, strabismic amblyopia, ultra-wide field imaging

  • Retinal Detachment with Giant Retinal Tear and Macular Hole

    Jan 6 2020 by MATTEO M FORLINI, MD

    A 61-year-old-male patient presented with sudden diminution of vision in the right eye due to retinal detachment with giant retinal tear and macular hole. Best corrected visual acuity (BCVA) at presentation was 20/200. A 23 G vitrectomy was performed. The edges of the tear were unrolled and complete retinal re-attachment under PFCL was achieved. A 360 degree intraoperative endolaser was performed on the peripheral retina as well as around the edges of the tears. PFCL was exchanged with silicone oil 5000cs as final tamponade. At six-months follow-up retina was attached and macular hole was repaired. Best-corrected visual acuity is 20/125 at present.

    Photographer: Matteo Forlini MD, San Marino Hospital, Republic of San Marino

    Condition/keywords: full thickness macular hole, giant retinal tear, retinal detachment, silicone oil

  • Retinoblastoma Group C

    Dec 29 2019 by Vishal Agrawal, MD, FRCS

    Fundus montage of a 3-year-old boy with mass lesion involving macula and abutting the disc of the right eye.The superior half of the tumor shows preretinal extension.

    Photographer: Vishal Agrawal MD

    Imaging device: Zeiss

    Condition/keywords: retinoblastoma

  • Vascular Sheathing

    Dec 19 2019 by Lauren Schuler

    Ultra-wide field pseudocolor fundus photograph of a 68-year-old female with vascular sheathing affecting her right eye. This was noted on initial exam on 1/15/16, at patient's first appointment. This remains unchanged and patient is asymptomatic at this time.

    Photographer: Lauren Schuler

    Imaging device: Optos California

    Condition/keywords: fundus photograph, ghost vessels, pseudocolor, right eye, vascular sheathing of retina

  • Congenital Toxoplasmosis

    Dec 18 2019 by Yoshihiro Yonekawa, MD

    Widefield fundus image of a teenage girl's right eye with an inactive congenital toxoplasmosis macular lesion. Her vision is 20/400 in this eye.

    Photographer: Netanya Lerner, COA, Wills Eye Hospital/Mid Atlantic Retina

    Imaging device: Optos California

    Condition/keywords: congenital toxoplasmosis, pediatric retina

  • 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)

  • Coats' Disease With Exudative Retinal Detachment and Retinal Macrocyst

    Dec 9 2019 by Sophia El Hamichi, MD

    A 3-year-old male with a presentation of a complex Coats' disease in the left eye with exudative retinal detachment, abnormal telangiectatic vasculature, and inferotemporal retinal macrocyst/retinoschisis.

    Photographer: Abby Orcutt-Hayes, Murray Ocular Oncology and Retina

    Imaging device: RetCam

    Condition/keywords: Coats' disease, exudative detachment, montage, retinal detachment, retinal macrocyst

  • Retinal Detachment

    Dec 4 2019 by Alex Jun

    Fundus photograph of a 47-year-old male with retinal detachment.

    Photographer: Alain Bui, Retina Associates of Orange County, California

    Imaging device: Topcon TRC-50DX

    Condition/keywords: retinal detachment

  • Choroidal Detachment OS

    Dec 2 2019 by Kristen Wagner

    Choroidal Detachment of the left eye. Patient's vision was Hand Motion best corrected.

    Photographer: Kristen Wagner, COT, OSC, Ophthalmic Photographer, Tennessee Retina

    Condition/keywords: choroidal detachment

  • Not All Vitreous Seeding Represents Malignancy: Case of Melanocytoma

    Nov 18 2019 by Sophia El Hamichi, MD

    Large optic disc melanocytoma with surrounding pigment dispersion. It is a benign lesion. The main differential in this case is melanoma with vitreous seeding.

    Condition/keywords: melanocytoma, melanoma, vitreous seeding

  • Focal Retinitis- Unilateral Acute Idiopathic Maculopathy OS.

    Nov 13 2019 by Tammy Mclaughlin

    No prodromal URI. Symptoms present for 1 1/2 weeks. No serous detachment presently. Does have typical circular RPE changes in macula without leakage or edema. Typical course is spontaneous improvement with residual RPE changes. Recommended observation.

    Photographer: Tammy Mclaughlin

    Imaging device: Zeiss Visucam

    Condition/keywords: focal retinitis, unilateral acute idiopathic maculopathy

  • Presumed Tenofovir Induced Toxicity

    Nov 7 2019 by Sham Talati

    46-year-old HIV positive diabetic male with progressive bilateral decrease in vision for last 45 days. Patient had associated liver and kidney disease. Taking Tenofovir for last one year.

    Photographer: Sham Talati,Retina Foundation,Ahmedabad

    Imaging device: Nidek Mirante

    Condition/keywords: autofluorescence imaging, drug toxicity, HIV

  • Small subILM Hemorrhage

    Oct 26 2019 by Navneet Mehrotra, DNB

    44-year-old hypertensive male with sudden decrease in vision showing small sub ILM hemorrhage at macula.

    Photographer: Navneet Mehrotra

    Imaging device: NidekRS330

    Condition/keywords: hypertension, subILM hemorrhage

  • Branch Retinal Vein Occlusion with Acute on Chronic Subhyaloid Hemorrhage

    Oct 24 2019 by Nichole Lewis

    60-year-old male with a branch retinal vein occlusion and subhyaloid hemorrhage and retinal neovascularization. VA HM.

    Photographer: Nichole Lewis

    Condition/keywords: branch retinal vein occlusion (BRVO), retinal neovascularization, subhyaloid hemorrhage

  • Vitreous Amyloidosis Slit Lamp Photo

    Oct 23 2019 by Alexander D Port, MD

    Slit lamp photograph preoperatively demonstrating dense symptomatic vitreous opacity in the setting of amyloidosis. The patient elected to undergo pars plana vitrectomy.

    Condition/keywords: slit lamp photo, vitreous amyloidosis

  • Peripheral CNVM with Extensive Scarring

    Oct 12 2019 by John S. King, MD

    82-year-old white male with an acute loss of vision in the right eye was sent in to rule out a retinal detachment. Vision was 20/350; a dense VH was present, b-scan showed irregular areas of high reflectivity in the periphery that was c/w SRH. Peripherally, a few weeks later, there were areas that could be seen and were c/w peripheral CNVM (old and new). Anti-VEGF was administered. A month later vision was unchanged and patient wanted surgery to remove the VH. Pictured is one week since surgery; large peripheral scars are seen; diffuse areas of SR pigmentation is present; vitreous skirt present; and a few IRHs secondary to DR can be seen. He is currently 20/70 sc.

    Photographer: Shelly Blair

    Imaging device: Optos CA

    Condition/keywords: choroidal neovascular membrane (CNVM), peripheral fundus lesion, vitreous blood