Search results (5 results)

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

Jan 28 2023 by Kingston Rodolfo Ureña-Wong, MD, Opht, MSc

Anterior segment photography of a 54-year-old woman with post phacoemulsification endophthalmitis. She did not improve after first intravitreal antibiotics injection and develop an inflammatory pupillary membrane. After two vitrectomies, and a complete three intravitreal injections scheme, we decided to remove the intraocular lens and capsules.

Photographer: Marco Antonio Rubio-Atonal,UNAM, Asociación para evitar la ceguera en México

Imaging device: Zeiss Clarus 700

Condition/keywords: endophthalmitis, pupillary membranes

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: https://imagebank.asrs.org/file/53854/sxs-crash-during-a-race-causing-valsalva-retinopathy-od). 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

Nov 15 2014 by Rita Couceiro, MD, MS

53-year-old black male, with no relevant prior medical history, complained of bilateral blurry vision for the previous 16 years. On examination, visual acuity was 20/50 on the right eye (OD) and 20/100 on the left eye (OS). Anterior segment evaluation was unremarkable. Fundoscopy revealed pigmentary changes near the macular area in both eyes, with a mottling configuration, suggesting chronic CSCR. Fluorescein angiography showed an ink-blot pattern, with leakage superior to the fovea in OD and nasal to the fovea in OS.

Photographer: Telma Gala - Hospital de Santa Maria, Lisbon, Portugal

Condition/keywords: chronic central serous chorioretinopathy (CSCR)

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