Search results (22 results)

Nov 5 2022 by Somnath Chakraborty, MD

A Fundus Photo Montage of 43 year old Asian Male with Type 2 Diabetes Mellitus since 7 years who presented with sudden onset diminition of vision in his Left eye. BCVA OS was 20/200. He was diagnosed to have Pre retinal bleed due to Proliferative Diabetic Retinopathy and was treated with Pan Retinal Photocoagulation. This image shows a large neo-cascular frond at the disc and superior to it with Pre-retinal bleed and Fresh laser marks along

Photographer: Pulak Roy

Condition/keywords: diabetic blindness, diabetic retinopathy vitrectomy study (DRVS), fresh laser burns, laser photocoagulation, preretinal hemorrhage, proliferative diabetic retinopathy (PDR)

Sep 21 2022 by Zach Seim

Ultra-widefield fundus photograph of an 81 year old female with a Methotrexate bubble following an Intravitreal Injection for Proliferative Vitreoretinopathy. Patient has been presenting to the office for two week interval Methotrexate injections in her left eye. The image was taken prior to her eighth injection which revealed a residual Methotrexate bubble in her inferior retinal image. This patient was seeing "lots" of floaters, as well as having visual acuity of cc20/400 cc20/200 PH.

Photographer: Zach Seim

Imaging device: OPTOS California

Condition/keywords: bubble, fundus photograph, fundus photography, intravitreal injection, left eye, methotrexate, nasal retina, Optos, proliferative vitreoretinopathy (PVR), pseudocolor, ultra-wide field imaging

Sep 6 2021 by Ricardo Leitão Guerra

65-year-old woman with an asymptomatic ERM (BCVA=20/20).

Imaging device: Zeiss Clarus 700

Condition/keywords: epiretinal membrane (ERM)

Oct 20 2021 by Bryon R McKay, MD, PhD, FRCSC, DRCPSC - Retina

27yF presented with sub-acute findings of VKH, she has an interesting pattern of perivascular changes. She was successfully treated with immunosuppressive agents and maintains 20/20 vision.

Photographer: Dr. Vaezi, University of British Columbia

Imaging device: Optos Imaging System

Condition/keywords: uveitis

Feb 15 2021 by Kim Barrett

24-year-old female with Sickle Cell Retinopathy, stage 3. She confirms she has the trait as well as her grandmother, mother and a sibling. She has seafan neovascularization superotemporal OD. Current VA is 20/20. Photo is pre-PRP laser with areas of non-profusion temporally.

Photographer: Kim Barrett C.O.A. Retina Specialist of Michigan, Grand Rapids, MI

Imaging device: Optos California

Condition/keywords: neovascularization (NV), pan-retinal photocoagulation (PRP), sickle cell retinopathy, stage 3, trait

Feb 15 2021 by Kim Barrett

A 14-year-old male presented with vision loss and VF defect. Patient was treated for presumed amblyopia with patching since age 4. He has had neurologic care for post traumatic skull fracture and brain bleed in 2012. IOP's WNL. OD is without retinoschisis or subretinal fluid. Patient is at risk of serous detachment. Current VA OD 20/200+1 PH 20/80.

Photographer: Kim Barrett C.O.A. Retina Specialist of Michigan, Grand Rapids, MI

Imaging device: Optos California

Condition/keywords: amblyopia, hemifield, Humphrey visual field, nerve, optic nerve pit, visual field defect

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, subretinal hemorrhage, vitreous hemorrhage

Jan 6 2020 by MATTEO 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, silicone oil

Aug 26 2019 by Narciso F. Atienza, MD, MBA, FASRS, FPCS, FPAO.

47-year-old female who came in with blurring of vision of the right eye of 2 weeks duration. She is hypertensive with poor control, taking Amlodipine irregularly. Denies any cardiac problem non-diabetic. Vision upon presentation was 20/400 (OD), 20/20 (OS) colored fundus photo of the right eye showing areas of retinal ischemia, edema and hemorrhages on the infero-temporal macula extending to the arcade.

Photographer: Narciso F Atienza, Jr. MD, MBA

Imaging device: Topcon TRC

Condition/keywords: edema, hemorrhage, inferotemporal arcade, retinal ischemia

Sep 18 2019 by John S. King, MD

57-year-old white male with history of PPCNVM OS and POHS OU here for a routine visit. History of avastin in 2014, and stable since then. Va OS 20/20. PP scar with macular subretinal fibrosis. No heme or exudates. CR spot supero-nasally.

Photographer: Shelly Blair

Imaging device: Topcon 50

Condition/keywords: choroidal neovascular membrane (CNVM), ocular histoplasmosis syndrome (OHS), peripapillary choroidal neovascularization (PPCNVM), presumed ocular histoplasmosis syndrome (POHS)

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, ruptured globe, ultra-wide field imaging

Jul 1 2018 by John S. King, MD

9-year-old with two month history of decreased vision that has improved some over time. 20/20 OD and 20/30 OS. Further prompting, he admitted to playing with "toy lasers" with his friends recently. He also looked at the eclipse, but used protective eye wear. Photos show small RPE defects characterized by a hyperpigmented center with hypopigmented halo.

Photographer: Karin Aletter

Imaging device: Topcon

Condition/keywords: laser pointer maculopathy, laser pointer retinopathy, maculopathy

May 3 2018 by Nichole Lewis

39-year-old female with presumed ocular histoplasmosis syndrome. Patient presented with vision of 20/200 in 10/2014. Vision CF @ 1 ft on 7/2015. Right eye vision is 20/20.

Photographer: Nichole Lewis

Condition/keywords: ocular histoplasmosis syndrome (OHS), presumed ocular histoplasmosis syndrome (POHS)

Feb 13 2018 by John S. King, MD

Background: 46-year-old WF with CML (stable on Sprycel) saw her PCP for headaches without known cause; Headaches worsened and became confused, disoriented, off balance, and impaired short term memory. Heme-oncology ordered MRI that showed abnormal signal in the cerebellum and other parts of the brain, and LP has elevated protein. LP did show positive tau test, but fortunately, was a false positive for CJD. IV and PO steroids started and symptoms improved. MRI showed much improvement one month since starting steroids. 3 weeks later had a scotoma in right eye and eye doctor did not find anything at that time to cause it. Tinnitus developed (and some intermittent vertigo before that) and ENT referred back to eye doctor, who then referred the patient to Dr. Zocchi. He found a CWS and BRAO OD, and bilateral arteritis. She had some additional work-up for vasculitis. Given the retinal arteritis, cochlear issues, and MRI findings, Dr.Zocchi suspected Susac's Syndrome. She was started on multiple regimens including prednisone, IVIG, azathiprine, and MTX, and has had the best reponse to IVIG (FA shows a recurrence/worsening while adjusting IMT). She is stable and doing well with 20/20 vision in both eyes.

Photographer: Kay Dalby

Imaging device: Topcon

Condition/keywords: retinal vasculitis, Susac's syndrome

Apr 5 2018 by Kim Barrett

Ultra-wide field fluorescein angiogram of a 77-year-old male with multiple myeloma. Patient's angiogram presented significant peripheral retinal ischemia and cystoid macular edema. Patient tested positive for polymerase chain reaction, confirming cytomegalovirus retinitis. Patient is being treated with intravitreal ganciclovir and his current vision is 20/200.

Photographer: Kim Barrett, COA

Imaging device: Optos

Condition/keywords: cystoid macular edema (CME), fluorescein angiogram (FA), fluorescein leakage, intravitreal ganciclovir, myeloma, peripheral ischemia, positive polymerase chain reaction (PCR), ultra-wide field imaging

Mar 1 2017 by Philip J. Polkinghorne, MD

Color photograph of chronic retinal detachment with pigment demarcation line and atrophic holes visible. The vision was recorded at 20/20, and follow up is 3 years.

Photographer: Alex Fraser

Condition/keywords: atrophic retinal hole, demarcation line

Apr 22 2017 by Gabriel Costa Andrade, PhD

Panoramic retinography (Optos® California) of the right eye of a 48-year-old female patient with a history of low-vision in the right eye 2 months ago. At the exam presented visual acuity of 20/200 in the right eye and 20/20 in the left eye. Angiography shows diffuse perivascular leakage associated with areas of hypoperfusion in macula and periphery.

Photographer: Gabriel Andrade

Imaging device: Optos® California

Condition/keywords: central retinal vein occlusion (CRVO)

Sep 20 2016 by JEFFERSON R SOUSA, Tecg.º (Biomedical Systems Technology)

Female patient, 32-years-old, Asian, appeared at the clinic with a history of glaucoma. 20/20 visual acuity in both eyes. Examination of color photography, pigmentary changes were observed following the vascular arcades only in the left eye. Suggestive of paravenous degeneration.

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

Imaging device: Zeiss / VisuCam-500 - Angulation of field photo of 45 Degrees, flash 24.

Condition/keywords: degeneration paravenous

Feb 25 2015 by James J. Bedrick, MD

Late transit FA of a large active subfoveal CSCR leak. Focus is on peri-foveal vessels to give sense of height of large serous RD of macula. This patient presented with a BCVA of 20/200 and fluorescein and historic evidence of prior episodes of leakage. After discussion of known treatment options including observation, he was initially treated with rifampin and had partial resolution to 20/70 BCVA but this was short-lived with reaccumulation of the large serous detachment within 3 months. He then received sub-threshold micro-pulse laser photocoagulation with an 810 nm diode laser which resulted 1 month later in complete drying of the serous detachment and BCVA of 20/25.

Photographer: Diana Bodnar, COT

Imaging device: Topcon 50X with OIS capture station

Condition/keywords: CSCR subfoveal leak

Feb 23 2015 by James J. Bedrick, MD

Late transit FA of a large active sub-foveal CSCR leak. You may view this pair in stereo to appreciate the plume of leakage within this large serous RD of the macula. This patient presented with a BCVA of 20/200 and fluorescein and historic evidence of prior episodes of leakage. After discussion of known treatment options including observation, he elected to be treated initially with oral rifampin and BCVA improved to 20/40 with persistent metamorphosis and a shallower persistent macular detachment over several visits. Rifampin was discontinued and he then received sub-threshold micro-pulse laser photocoagulation with an 810 diode which resulted in the patient reporting full restoration of his vision subjectively within a month. He failed to keep his follow-up appointment.

Photographer: Diana Bodnar, COT

Imaging device: Topcon 50X with Merge capture station

Condition/keywords: CSCR subfoveal leak

Nov 26 2014 by James B. Soque, CRA, OCT-C, COA, FOPS

Stereo FC, RF and FA of a 77-year-old white female with visual acuity CC 20/200-3, with left eye neovascular ARMD, drusen, and subretinal hemorrhage with hard exudates temporally. Peripheral retina reveals cobblestone degeneration.

Photographer: James Soque, CRA, COA, Island Retina, Shirley, NY

Imaging device: Topcon TRC 50 EX, with MERGE software and OIS 5 MP digital Camera

Condition/keywords: neovascular age-related macular degeneration (AMD), red-free, stereo pair

Mar 18 2014 by Arwa Azmeh, MD, PhD

Color fundus photograph of an 48-year-old male who complained of decreased visual acuity in his right eye over the last few months. Systemically the patient was healthy. His VA was OD Cf 3m, OS 20/20. Anterior segments were WNL in OU. IOP was WNL in OU. Fundus exam OD revealed unpigmented mass over the optic disc with retinal venous tortuosity at its edges with a ring of thick HYE surrounding it and shallow RD in this area extending to the foveal area. Several few small retinal hemorrhages were seen in the far retinal periphery which were explained to be caused by venous stasis due the optic disc tumor.

Condition/keywords: color photo, optic disc, retinal hemangioblastoma