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  • Retinal Detachment Associated with Coloboma

    Aug 23 2020 by Noy Ashkenazy, MD, MS

    Fundus photograph of a 2-year-old boy with a history of CHARGE syndrome. The image nicely illustrates a retinal detachment associated with a congenital coloboma.

    Photographer: Giselle DeOliveira

    Imaging device: Retcam III

    Condition/keywords: CHARGE syndrome, chronic retinal detachment, coloboma, pediatric retina

  • Torpedo Maculopathy

    Jul 29 2020 by Yoshihiro Yonekawa, MD

    Fundus photograph of a 10-year-old boy with an incidentally identified torpedo maculopathy.

    Photographer: Suely Bascope

    Imaging device: Topcon

    Condition/keywords: macula lesion, pediatric retina, torpedo maculopathy

  • XLJR - X-linked Juvenile Retinoschisis with CME

    Jun 25 2020 by Evan N Dunn, MD

    40-year-old male with X-linked juvenile retinoschisis. Genetic testing was positive for a pathogenic variant in the RS1 gene.

    Photographer: Steve Morris

    Condition/keywords: x-linked retinoschisis (XLRS)

  • Vogt-Koyanagi-Harada Disease OS

    Jun 18 2020 by Renata Garcia Franco, Md

    Female 25-year-old with serous retinal detachment in both eyes.

    Photographer: Fatima Hernandez

    Imaging device: Visucam

    Condition/keywords: Vogt-Koyanagi-Harada

  • Proliferative Diabetic Retinopathy with Choroidal Effusion Status Post PRP

    Dec 15 2020 by Manish Nagpal, MD, FRCS (UK)

    A 17-year-old juvenile diabetic patient came to us with extensive neovascular proliferations and PRP done a week back and had developed 360 degree choroidal effusion as seen in this wide field montage image

    Photographer: Sham Talati, Retina Fellow , Retina Foundation, Ahmedabad, India

    Imaging device: Mirante CSLO

    Condition/keywords: choroidal effusion, diabetic retinopathy, proliferative diabetic retinopathy (PDR)

  • Retinal Detachment with Horseshoe Tear

    Jun 10 2020 by Manish Nagpal, MD, FRCS (UK)

    Localized superior retinal detachment with horseshoe tear and minimal fluid.

    Photographer: gayathri mohan

    Imaging device: nidek slo mirante

    Condition/keywords: horseshoe tear, retinal detachment

  • Subhyaloid Hemorrhage

    Jun 10 2020 by Manish Nagpal, MD, FRCS (UK)

    Subhyaloid hemorrhage over macula.

    Photographer: Gayathri Mohan, Retina Foundation

    Imaging device: NIDEK SLO MIRANTE

    Condition/keywords: subhyaloid hemorrhage

  • Blunt Ocular Trauma Due to Firework Injury

    Jun 9 2020 by Brittany Rota

    Ultra- widefield pseudocolor image of an 18-year-old male with blunt ocular trauma in the right eye due to a firework injury. The patient presented with commotio retinae (sclopteria), an acute vitreous hemorrhage, choroidal rupture, and a subretinal hemorrhage. The referring physician performed surgery on the lateral rectus muscle which was macerated but not severed, and several orbital fibrous foreign bodies were removed from the posterior orbit. The globe was intact. There is no evidence of retinal tear in the region of sclopetaria; however, there is complete necrosis of the temporal peripheral choroid and retina. The vitreous hemorrhage was slowly clearing on his exam 6-9-2020. The patient is developing subretinal fibrosis. The physician is concerned about the choroidal rupture that is visible through the submacular hemorrhage. There is one rupture that appears to course directly under the fovea. The physician states that if this is the case, his vision most likely will be 20/200 or worse. His vision was hand motion in all fields except nasally, which he was unable to see hand motion at his visit on 6-9-2020.

    Photographer: Brittany Rota

    Imaging device: Optos California

    Condition/keywords: blunt trauma, choroidal rupture, commotio retinae, fibrosis, firework injury, fundus photograph, hand motion, necrotizing retina, Optos, pseudocolor, right eye, subretinal hemorrhage, vitreous hemorrhage

  • Retinal Arteriovenous Malformation

    Jun 6 2020 by Albert Li, MD

    Montaged infrared retinal imaging of a 37-year-old asymptomatic man with a grade II arteriovenous malformation (AVM) in the nasal mid-periphery. The presentation of the AVM can be classified with three categories. Grade 1 AVMs are characterized by an abnormal capillary plexus between the major communicating vessels. Grade 2 AVMs are defined by the direct arteriovenous communication without the interposition of arterioles or capillaries. Grade 3 AVMs are characterized by widespread, large caliber anastomosing vessels that are associated with decreased visual acuity and intracranial AVMs. Because retinal AVMs are mostly asymptomatic and non-progressive, further testing may not be indicated unless there are concomitant neurological signs and symptoms or if there is a strong clinical suspicion of a grade 3 retinal AVM. Observation was recommended for the patient in this image. On his most recent follow-up at four months, the patient remained asymptomatic with a stable appearance of the lesion.

    Imaging device: Heidelberg Spectralis

    Condition/keywords: arteriovenous anastomosis, arteriovenous malformation

  • Optic Disc Drusen and Angioid Streaks

    Jun 3 2020 by Mirko Ratkovic, MD

    Optic disc drusen and angioid streaks.

    Condition/keywords: angioid streaks, fundus autofluorescence (FAF), optic disc drusen

  • CRVO with Secondary CLRAO

    May 28 2020 by Richard M Martindale, MD

    Non-ischemic CRVO (VA 20/30) with secondary CLRAO (nasal macular pallor) in a hypertensive 69yo female. Pathophysiologically, the cilioretinal artery occlusion occurs secondary to elevation in the hydrostatic pressure in the retinal venous system relative to the choroidal perfusion pressure (which supplies the cilioretinal artery).

    Photographer: Retina Consultants of Alabama, P. C.

    Imaging device: Optos

    Condition/keywords: cilioretinal artery occlusion, non-ischemic central retinal vein occlusion (CRVO)

  • Choroidal Neovascularization

    May 27 2020 by Jamin S. Brown, MD

    73-year-old female with CNV.

    Photographer: Jeffrey Barker, Retina-Vitreous Surgeons of CNY

    Condition/keywords: choroidal neovascularization (CNV)

  • Retinal Tear

    Apr 30 2020 by Giselle DeOliveira

    Fundus photograph montage of 32-year-old male with retinal tear after repair.

    Photographer: Giselle DeOliveira, University of Miami, Bascom Palmer Eye Institute

    Imaging device: Topcon

    Condition/keywords: retinal tear

  • Total Retinal Detachment

    May 27 2020 by Jason Griffith

    25-year-old male with histroy of blunt force trauma, s/p RD repair with hx scleral buckle/cryo.

    Photographer: Hollie Sanders, Tennessee Retina, Nashville, TN

    Imaging device: Optos California

    Condition/keywords: retinal detachment

  • Prepapillary Vascular Loop

    Mar 11 2020 by Asdrubal Moreno

    Fundus color photograph of a 80-year-old woman with a unilateral congenital prepapillary vascular loop and hypertensive retinopathy, focused on the retinal plane for perception.

    Photographer: Asdrubal Moreno, Fundacion AVAO, Universidad de Los Andes, Venezuela

    Imaging device: Zeiss Visucam 500

    Condition/keywords: congenital prepapillary vascular loop, peripapillary

  • Proliferative Diabetic Retinopathy with Traction Retinal Detachment OS

    Apr 28 2020 by Pauline T. Merrill, MD

    Fundus photographs of an 29-year-old man with PDR, TRD, VH OS.

    Photographer: Karen Parque, Illinois Retina Associates

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

  • Vein Occlusion Zoom in a BRVO

    Apr 29 2020 by Gabriel Castilho

    A zoomed vein occlusion in a young patient with systemic arterial hypertension.

    Photographer: Gabriel Castilho, Suel Abujamra Institute, São Paulo.

    Condition/keywords: branch retinal vein occlusion (BRVO), macular branch retinal vein occlusion (BRVO), non-perfused branch retinal vein occlusion (BRVO)

  • Retinopathy of Prematurity S/P Laser Complications

    Apr 30 2020 by Giselle DeOliveira

    Gonio photograph of 13-year-old female with retinopathy of prematurity, s/p laser complications.

    Photographer: Giselle DeOliveira

    Imaging device: Retcam III

    Condition/keywords: laser, retinopathy of prematurity (ROP)

  • Retinoblastoma

    Apr 30 2020 by Giselle DeOliveira

    Fundus photograph of an 17-month-old female infant with retinoblastoma over optic nerve.

    Photographer: Giselle DeOliveira, University of Miami, Bascom Palmer Eye Institute

    Imaging device: Retcam III

    Condition/keywords: retinoblastoma

  • Hydrogel Implant Intrusion

    May 5 2020 by Geovanni Jassiel Rios, MD

    Ultra-wide field fundus photograph of the right eye with reattached retina. We can observe retinal hydrogel implant intrusion at the inferior retina

    Photographer: Ericka , Hospital de la Luz

    Condition/keywords: hydrogel implant intrusion, ultra-wide field imaging

  • Surfboard to OS - Choroidal Rupture, Retinal and Choroidal Avulsion, Retinal Detachment

    May 20 2020 by Theodore Leng, MD, MS

    33-year-old male who sustained a surfboard to the left orbit with orbital fractures, choroidal rupture, nasally and retinal and choroidal avulsion nasally. He also had a horseshoe retinal tear superotemorally and a resultant rhegmatogenous retinal detachment.

    Condition/keywords: choroidal avulsion, choroidal rupture, retinal avulsion, retinal detachment with retinal defect

  • Butterfly-Shaped Pattern Dystrophy

    May 19 2020 by Evgeniia Perevoznikova

    Butterfly-shaped pattern dystrophy.

    Photographer: ophthalmologist_evgeniya

    Condition/keywords: butterfly dystrophy

  • 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