Search results (13 results)

  • Benign Familial Fleck Retina

    Feb 2 2023 by Hemanth Murthy, MBBS, MD, FASRS

    12 year boy first born of consanguineous marriage, came for routine eye check up with BCVA 20/40 OU. He has no night blindness. His OCT showed thickening of the RPE with dome like elevations involving the ellipsoid layer. Dark adapted ERG showed normal 'b' wavesPhotopic ERG showed reduced 'a' and b waves.

    Photographer: Veda Vyas

    Imaging device: Optos Daytona

    Condition/keywords: Benign familial fleck retina

  • Methotrexate Bubble following Intravitreal Injection for PVR

    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

  • CERKL-related Cone Rod Dystrophy

    Jun 27 2022 by Hanna Choi

    37-year-old female with cone-rod dystrophy. Developed photophobia and progressive blurry vision in the third decade. VA 20/40 OD, 20/30 OS. The patient is compound heterozygous for pathogenic mutations in the CERKL gene (Arg465Trp and Arg283*).

    Photographer: Kaitlynn Silva, New England Retina Consultants

    Imaging device: Ultrawide-field Optos Fundus Photography, Autofluorescence, Fluorescein Angiography

    Condition/keywords: cone dystrophy, inherited retinal disease, maculopathy

  • 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)

  • Congenital Toxoplasmosis

    Dec 18 2019 by Yoshihiro Yonekawa, MD, FASRS

    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

  • Retinal Ischemia, Edema, and Hemorrhages on the Infero-Temporal Macula

    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

  • Ruptured Macroaneurysm

    May 22 2019 by Nichole Lewis

    FA of a 91-year-old woman with a ruptured macroaneurysm, intraretinal hemorrhage and subretinal hemorrhage. VA 20/400.

    Photographer: Nichole Lewis

    Condition/keywords: intraretinal hemorrhage, ruptured macroaneurysm, subretinal hemorrhage

  • Optos Picture With Speculum: Dislocated Natural Lens

    Oct 9 2018 by John S. King, MD

    55-year-old white female with history of pathologic myopia+, lattice (laser), SB OU (1990s), and dislocated natural lenses OU that had been watched for years. In the fellow eye she developed phacolytic glaucoma and a PPV, PPL was performed. Plan for both eyes are monitoring. I wanted to get a good picture of her lens today with the optos machine, as the other pics had artifact from the lower lid. It worked out well to use a speculum in the left eye. Vision cc is 20/400 J1+ OD and 20/40 J2 OS; aphakic OU; vitreous clear OD; dislocated lens OS (see pic); retinas attached.

    Photographer: Maisee Yang

    Imaging device: Optos California

    Condition/keywords: dislocated crystalline lens, pathologic myopia, scleral buckle, staphyloma

  • Autosomal Recessive Bestrophinopathy - Color Photo OD

    Dec 22 2017 by Tony Tsai, MD, FASRS

    11-year-old Asian male with 20/40 vision OU, negative family history for ocular conditions, and bilateral atypical vitelliform deposits and subretinal fluid. EOG confirmed abnormally low Arden ratios OU. Genetic testing revealed homozygous recessive mutation in BEST1 gene (p.L140V:c.418C>G). Also known as p.L80V; Ref: Davidson (2009) Am J Hum Genet 85, 581.

    Photographer: San Juanita Zazueta

    Imaging device: Topcon

    Condition/keywords: Best disease

  • Multifocal CSR FA & ICG

    May 19 2017 by Manish Nagpal, MD, FRCS (UK), FASRS

    A 30-year-old male diagnosed elsewhere as VKH was started on heavy steroids and he developed multiple serous elevations and OS developed a exudative RD. We immediately asked the patient to stop steroids and when he followed up after a month lesions had flattened and he had recovered to 20/40 in both eyes.. he is still undergoing further follow up at this stage...

    Photographer: pooja barot

    Imaging device: heidelberg

    Condition/keywords: central serous retinopathy (CSR), multifocal central serous chorioretinopathy (CSCR), Vogt-Koyanagi-Harada

  • RAMA

    Jun 20 2016 by John S. King, MD

    RAMA with 2 w co decreased vision; htn, afib using anticoag; light laser applied; 20/400.

    Condition/keywords: ruptured macroaneurysm

  • CSCR Mushroom Cloud

    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

  • Acute Retinal Periphlebitis and Panuveitis OD

    Jul 16 2014 by Deepayan Kar

    Hemorrhagic retinopathy + frosted retinal angitis OD. Exudative sheathing of the major retinal blood vessels Px 25-year-old woman (VA-OD 20/40/ OS 20/25): recovering from URTI. AC ++ Vit Cells +.

    Photographer: Deepayan Kar

    Condition/keywords: exudative sheathing, frosted branch angiitis, hemorrhage, retinopathy