Search results (11 results)

  • 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

  • Candy Stripe Sign

    Mar 30 2023 by pedro fernandes souza neto

    Candy Stripe Sign, patient with proliferative diabetic retinopathy progressing to vitreous hemorrhage and subsequently to ghost cell glaucoma.

    Photographer: Marlos Henrique Oliveira Junior, Federal University of Bahia.

    Condition/keywords: dehemoglobinized hemorrhage, diabetes, diabetic glaucoma

  • Diabetic traction retinal detachment

    Jan 9 2023 by JORGE SOBERANES

    Proliferative diabetic retinopathy with extensive traction retinal detachment in a patient with type 1 diabetes mellitus.

    Photographer: Dr. Jorge I. Soberanes, Asociación para Evitar la Ceguera en México.

    Imaging device: Zeiss Clarus 700

    Condition/keywords: Retinal Detachment, tractional retinal detachment

  • High risk Proliferative Diabetic Retinopathy treated with Pan Retinal Photocoagulation

    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)

  • Proliferative Diabetic Retinopathy

    Jul 15 2022 by Gabriel Costa Andrade, PhD

    Fundus angiography of an 22-year-old man with proliferative diabetic retinopathy and macular ischemia.

    Photographer: Dr Gabriel Andrade

    Condition/keywords: Diabetes

  • Proliferative Diabetic Retinopathy

    Oct 16 2021 by Timur Shaimov

    32 y.o. female with Type 1 Diabetes with no glucose compensation for several years. A manual montage of several 8x8 mm OCT angiograms were obtained for this Widefield OCTA image.

    Photographer: Timur Shaimov

    Imaging device: RTVue xR Avanti

    Condition/keywords: OCT Angiography, proliferative diabetic retinopathy (PDR)

  • Proliferative Diabetic Retinopathy (PDR)

    Jul 4 2018 by Deepak Bhojwani, MS

    Colour Fundus Photograph of a 66-year-old diabetic male with large fibro-vascular proliferative vessels causing subhayolid haemorrhage and tractional retinal detachment involving posterior pole.

    Photographer: Deepak Bhojwani

    Condition/keywords: diabetes, neovascularization (NV), subhyaloid hemorrhage, tractional retinal detachment

  • Extensive Tractional Retinal Detachment in Proliferative Diabetic Retinopathy

    Jun 4 2018 by Diva Kant Misra, MBBS, DO, DNB, MNAMS, FVRS

    Montage fundus photograph of a 54-year-old male diabetic patient showing extensive TRD with PDR.

    Photographer: DIVA KANT MISRA

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

  • Subhyaloid Hemorrhage With Flat Neovascular Vessels

    Sep 26 2017 by Purva Patwari

    60-year-old patient with uncontrolled diabetes.

    Photographer: Dr Purva Patwari, Patwari Retina Clinic,Ahmedabad, India

    Imaging device: Zeiss

    Condition/keywords: flat neovascularization

  • Tractional Retinal Detachment

    Jul 29 2017 by FELIPE PEREIRA

    Fundus photograph of an 40-year-old woman with diabetes mellitus diagnosed 20 years ago in insulin use. This image is from her right eye and it was diagnosed with severe total tractional retinal detachment. The best correct visual acuity was hand motion in this eye.

    Photographer: Felipe Pereira, Federal University of Sao Paulo, Sao Paulo, Brazil

    Imaging device: VISUCAM 524 Fundus Imaging

    Condition/keywords: diabetes, tractional retinal detachment

  • TRD Secondary to PDR

    Feb 10 2015 by Matt Poe, COA

    This patient has a long standing tractional detachment secondary to his proliferative diabetic retinopathy. Patient is CF in this eye.

    Photographer: Matt Poe, COA. Northwest Arkansas Retina Associates, Springdale, AR.

    Imaging device: Heidelberg HRA

    Condition/keywords: diabetes, proliferative diabetic retinopathy (PDR), red-free, tractional retinal detachment