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: https://imagebank.asrs.org/file/53854/sxs-crash-during-a-race-causing-valsalva-retinopathy-od). 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
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
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)
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
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
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
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
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)
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
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
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
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
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
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)
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
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
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
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
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
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
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
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
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
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