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  • Hemorrhagic Choroidals

    Jan 22 2025 by Danish Shabbir, Ophthalmic Technologist

    78 year old female complains of suddenly vision decrease 2 days ago.

    Photographer: Danish Shabbir,Retina-EyeCare Centre

    Imaging device: Optos California

    Condition/keywords: choroidal detachment, Retinal Detachment, retinal detachment with choroidal

  • Retinitis Pigmentosa with PPRPE

    Jan 27 2025 by Vishal Agrawal, MD, FRCS,FACS,FASRS

    16 year-old male patient presented with DOV, nyctalopia and nystagmus. Fundus revealed pigment clumping, pale disc and preserved para-arteriolar retinal pigment epithelium (PPRPE) in both eyes. Genetic testing revealed CRB1 gene mutation.

    Photographer: Dr Ayushi

    Imaging device: Clarus 700

    Condition/keywords: retinitis pigmentosa

  • Racemose Angioma

    Jan 23 2025 by SHILPI H NARNAWARE, ICO ( Retina) , FAICO ( Vitreo-Retina)

    42 year old male, presented with blurred vision . Examination revealed Racemose angioma. FFA was done which revealed tortuosity of blood vessels.

    Photographer: Shilpi Narnaware, Sarakshi Netralaya , Nagpur, Maharashtra , India

    Imaging device: Mirante ( by Nidek)

    Condition/keywords: FFA in a case of Racemose angioma

  • CHRPE and Bear Tracks

    Jan 7 2025 by Drew Mitchell

    Fundus Autofluorescence of a CHRPE and Bear Tracks.

    Photographer: Drew Mitchel, OCT-C

    Imaging device: Optos Silverstone

    Condition/keywords: bear tracks, CHRPE, congenital hypertrophy of the retinal pigment epithelium (CHRPE)

  • Von Hippel-Lindau Syndrome

    Jan 7 2025 by Jordyn Beckman

    Fundus photograph of an 37 year old female presents with reddish vascular lesion with feeder vessels for possible Von Hippel-Lindau Syndrome.

    Photographer: Jordyn Beckman

    Imaging device: California Optos

    Condition/keywords: color fundus photograph, feeder vessel, genetic disorder, lesion, pre-cryotherapy

  • Choroidal Melanoma with Serous Retinal Detachment

    Dec 20 2024 by Daniel Davis, OCT-C

    67 year old male presenting with large pigmented choroidal mass with serous retinal detachment.

    Photographer: Daniel Davis, OCT-C, The Retina Institute

    Imaging device: Optos California

    Condition/keywords: Retina detachment

  • Fungal Endophthalmitis

    Feb 25 2025 by Gaurav K. Shah, MD

    This image shows the classic string of pearls with fluff infiltrates in the retina SP intraocular surgery.

    Condition/keywords: fluff infiltrates, fungal endophthalmitis, string of pearls

  • Who Stole My Blood Supply?

    Jan 25 2025 by Muna Bhende, MD

    Superficial capillary plexus slab montage image of a young female diabetic with florid proliferation . There is no flow in the capillaries anterior to the tangle of new vessels indicating severe retinal ischemia.

    Photographer: Mohanapriya L , Medical Research Foundation, Sankara Nethralaya, Chennai, India

    Imaging device: PLEX elite 9000

    Condition/keywords: florid type PDR, OCTA

  • Right Eye Color Photo With Hemorrhages in Case of CNVM With Angioid Streaks

    Nov 29 2024 by Anand Temkar

    A 45 year old male came with chief complaint of blurring vision in right eyes since past 4 days. His vision is 6/12 in right eye and 6/9 in left eye. His vision was 14 mmHg in right eye and 16 mmHg in left eye. He was diagnosed with Angioid Streaks in both eyes about a year ago, then he developed choroidal neovascularization in his left eye 8 months ago, for which he received AntiVEGF injections x 3. Left eye is a stable eye now. Patient presented with right eye choroidal neovascularization in a case of Angioid Streaks on recent follow up. We have advised him right eye AntiVEGF injections x 3. In this image, the right eye color photo shows bleed from CNVM in case of angioid streaks.

    Photographer: Dr.Anand Temkar- Retina Foundation, Ahmedabad

    Imaging device: Mirante

    Condition/keywords: Angioid Streaks, choroidal neovascular membrane (CNVM)

  • Large Retinal Tear from a Shuttlecock Injury

    Oct 11 2024 by Ahmad B. Tarabishy, MD

    27 year old woman presenting with floaters and a shadow in her temporal visual field OS. Approximately one week earlier, she was injured in her left eye by a shuttlecock while playing badminton. Fundus exam reveals mild vitreous hemorrhage and a large retinal tear with a small cuff of surrounding SRF.

    Photographer: Angela Rico, M.D.

    Imaging device: Optos

    Condition/keywords: blunt trauma, ocular trauma, retinal tear

  • MIDD (Maternally Inherited Diabetes and Deafness) - Right AF

    Nov 30 2024 by John S. King, MD

    Both right and left eyes have symmetrical ring of mottled hypo/hyper AF around the fovea and disc. The HyperAF areas correspond to RPE deposits on OCT as well as areas of blockage on FA, and drusenoid deposits seen on fundus photos. Disc drusen in right eye present as HyperAF spot 57 yo WF referred for AMD vs Pattern Dystrophy that was diagnosed 10 years ago. Reported some slow progressive vision loss in both eyes for distance and near. Denies nyctalopia or hemeralopia. Background medical history includes HTN, CVD, and DM. No family history of eye problems. Denied pentosan use. Anterior segment showed moderate cataracts (OD>OS). Posterior segment exam showed macular changes and mild NPDR. The macular appearance showed a symmetrical, paramacular ring of fleck-like drusenoid material with some faint focal areas of RPE hyperplasia. Fundus Photos, AF, OCT were performed as well as a gene test. Further questioning showed revealed that her mother and maternal grandmother had both diabetes mellitus and sensorineural hearing loss. The patient developed diabetes in her teens, and some high frequency hearing loss in her early twenties. She had not had a previous genetic test or diagnosis of MIDD. Gene testing is pending for the mitochondrial component. Invitae's retinal panel, which does not include mitochondrial disorders, only showed a variant of uncertain significance, HMCN1. I discussed this case with Dr. Freund, and it is similar to a the case report : Inoue M, Kiss S, Freund KB. MACULAR PIGMENT RINGS AS THE PRESENTING FINDING OF MITOCHONDRIAL MYOPATHY, ENCEPHALOPATHY, LACTIC ACIDOSIS, AND STROKELIKE EPISODES. Retin Cases Brief Rep. 2015 Fall;9(4):260-4. doi: 10.1097/ICB.0000000000000182. PMID: 26200388.

    Photographer: Grace Melton and Carley Gunn

    Imaging device: Clarus

    Condition/keywords: Macular Dystrophy, Maternally Inherited Diabetes and Deafness, MIDD, Mitochondrial Disorder

  • Choroidal Fracture

    Oct 27 2024 by César Adrián Gómez Valdivia, MD

    Fundus photograph of a traumatic choroidal fracture & extra-macular sub-retinal hemorrhage.

    Photographer: @eyemissu2

    Imaging device: TOPCON TRC-50DX

    Condition/keywords: Choroidal Fracture

  • Giant Retinal Tear

    Oct 11 2024 by Anjana Mirajkar, MS Ophthalmology

    Fundus photograph montage of LE showing a giant retinal extending from 12 to 4 o clock.

    Photographer: Dr. Anjana Mirajkar -Retina Foundation, Ahmedabad

    Imaging device: Mirante-Nidek

    Condition/keywords: GIANT RETINAL TEAR

  • New Choroidal Melanoma with Exudative Detachment

    Oct 16 2024 by Virginia Gebhart

    56 year old male with a large pigmented tumor with an exudative detachment inferior and shallow fluid through the macula. Pt states they have been having symptoms for over a year. Scheduled for brachytherapy.

    Photographer: Virginia Gebhart, Retina Consultants of Carolina

    Imaging device: Optos California

    Condition/keywords: Choroidal melanoma, exudative detachment, melanoma

  • Acute Syphilitic Posterior Placoid Chorioretinitis

    Oct 20 2024 by César Adrián Gómez Valdivia, MD

    Fundus autofluorescence image of an acute syphilitic posterior placoid chorioretinitis found in a HIV positive 28 YO male patient with suspected neurosyphilis. A beautiful butterfly autofluorescence pattern can be appreciated.

    Photographer: @eyemissu2

    Imaging device: California ICG OPTOS

    Condition/keywords: acute syphilitic posterior placoid chorioretinitis

  • Suprachoroidal Hemorrhage

    Dec 3 2024 by Dibya Prabha

    Colour Fundus photograph of 62 Year old female patient with Suprachoroidal hemorrhage post trauma

    Photographer: Dibya Prabha, LV Prasad eye Institute, Hyderabad

    Condition/keywords: suprachoroidal hemorrhage

  • Foveal Hypoplasia / Ocular Albinism

    Aug 29 2024 by César Adrián Gómez Valdivia, MD

    Fundus photograph of a 64-year-old female patient with foveal hypoplasia, ocular albinism and pendular nystagmus. Findings were bilateral. Retinal and choroidal vasculature are exquisitely beautiful.

    Photographer: @eyemissu2

    Imaging device: California ICG OPTOS

    Condition/keywords: foveal hypoplasia, ocular albinism

  • Dislocated IOL

    Sep 28 2024 by Anjana Mirajkar, MS Ophthalmology

    An intra operative image of right eye showing dislocated IOL sitting on the posterior pole.

    Photographer: Dr. Anjana Mirajkar -Retina Foundation, Ahmedabad

    Condition/keywords: dislocated IOL

  • From Ora to Ora

    Aug 26 2024 by Nassim Alejandro Abreu Arbaje, MD

    Ultra-wide field OCT angiography of a 39 year-old healthy male. The photo attempts to explore retinal vasculature up to the ora serrata.

    Photographer: Johel Arrieta, TowardPi

    Imaging device: TowardPi BMizar 400khz

    Condition/keywords: OCT Angiography, OCTA, ultra-wide field imaging

  • Symmetric Retinal Cysts

    Aug 22 2024 by Neeket R. Patel, MD

    Ultrasonography of a 55-year-old woman with chronic, symmetric retinal cysts.

    Condition/keywords: Retinal Cysts

  • Idiopathic Uveal Effusion Syndrome

    Aug 22 2024 by Jordyn Beckman

    61 year old male with Idiopathic Uveal Effusion Syndrome with starry night appearance on fluorescein. 3 weeks s/p single external drainage retinotomy and 9 weeks of oral pred with recurrent choroidal effusions. Has since returned to surgery for secondary drainage retinotomy; subretinal fluid remain persistent.

    Photographer: Jordyn Beckman

    Imaging device: Optos California

    Condition/keywords: chorioretinitis, Choroidal, exudative detachment, window defect

  • Choroidal Metastasis With Orange Pigment in a Patient With Endometrial Carcinoma

    Aug 8 2024 by Guilherme Sturzeneker, MD, MSc

    Ultra-widefield fundus photograph and autofluorescence of a 62-year-old woman with endometrial cancer, denoting choroidal metastasis with unusual orange pigment. This presentation is a reminder that the development of orange pigment is not pathognomonic for choroidal melanoma, as it may be seen in other lesions such as carcinoma metastasis.

    Photographer: Andrea Almeida

    Imaging device: Optos Silverstone

    Condition/keywords: choroidal metastasis, metastatic cancer, orange pigment

  • Choroidal Melanoma

    Aug 8 2024 by Virginia Gebhart

    88 year old male with new bilobed choroidal melanoma. Pt scheduled for brachytherapy

    Photographer: Virginia Gebhart

    Imaging device: Optos California

    Condition/keywords: melanoma

  • Pericentral Retinitis Pigmentosa

    Sep 6 2024 by Mauricio Bayram-Suverza, MD

    A 65-year-old male patient reports experiencing bilateral blind spots that have gradually intensified over time. Genetic testing was unrevealing. The fundus autofluorescence image shows a hypoautofluorescent ring in the posterior pole, especially nasal to the nerve and along arcades.

    Photographer: Mauricio Bayram-Suverza, Casey Eye Institute, OHSU.

    Imaging device: Optos California

    Condition/keywords: fundus autofluorescence (FAF), inherited retinal disease, nyctalopia, retinal dystrophy, retinitis pigmentosa

  • B-FAF in Stargardt's Disease

    Jul 4 2024 by Tejaswita Verma

    Blue fundus autofluorescence showing hypoautofluorescence picture of a 28 year old male with 6/60 vision in BE in a case of Stargardt's disease.

    Photographer: DR. TEJASWITA VERMA

    Imaging device: MIRANTE

    Condition/keywords: fundus autofluorescence (FAF), hereditary macular dystrophy, Stargardt disease