Search results (10 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

  • Fish Hook Eye Trauma

    Jun 12 2024 by Miguel Brito, MD, FASRS

    Fundus photograph of a 15-year-old boy post cataract aspiration, pars plana vitrectomy, suprachoroidal drainage, and retinal reattachment surgery secondary to traumatic endophthalmitis.

    Photographer: Miguel Brito

    Condition/keywords: endophthalmitis, PFCL, Retinal detachment under Silicon Oil, retinal fold

  • Post Combined Surgery of Cataract, TRD & Vitreous Hemorrhage

    Jun 27 2024 by Sanauddin Samejo , Diploma (Ophthalmic Technician Training Course)

    A 27 year-old diabetic female visited the clinic one week after combined surgery of cataract, tractional retinal detachment and vitreous hemorrhage.

    Photographer: Sanauddin Samejo, Burjeel Hospital, Abu Dhabi, UAE

    Imaging device: Silver Stone Optos

    Condition/keywords: Combined Surgery Cataract Tractional Retinal Detachment Vitreous Hemorrhage, POST SURGERY, Retinal Detachment, TRD

  • Congenital Retinal Macro Vessel

    May 15 2024 by KANWALJEET HARJOT MADAN, M.S. (Ophthalmology), FAICO (Vitreous - Retina)

    This is the Fundus Picture of a 56 years Female, who had come for Cataract Surgery of her left eye. Her best corrected vision in left eye was 6/12. She was diagnosed to have Congenital Retinal Macro vessel in her left eye on fundus exam. She underwent cataract surgery and vision improved to 6/9. She is kept under regular follow up.

    Photographer: Dr. Kanwaljeet Harjot Madan

    Condition/keywords: congenital, RETINAL MACROVESSEL

  • Dislocated Crystalline Lens

    Mar 19 2024 by Annaka Gooding

    Ultra Wide field fundus photography of a 70 year old male who presented to clinic with a sudden increase of vision due to dropped crystalline lens secondary to severely dense cataract. Patient reported seeing a full black circle in his inferior visual field. Patient's visual acuity at time of visit was 20/100 with a +5.00 diopter lens. The physician recommended surgical intervention, and discussed surgery for PPV/PPL/IOL implantation with an ACIOL.

    Photographer: Annaka Gooding, CPO

    Imaging device: Optos California RGB

    Condition/keywords: dislocated crystalline lens, fundus photography, inferior retina, OPTOS CALIFORNIA RGB, Right Eye, Ultra-wide field retinal imaging

  • Feather like cataract

    Apr 11 2023 by rodrigo torres

    Cataract after vitrectomy and gas tamponade.

    Photographer: Rodrigo Amaral Torres

    Condition/keywords: cataract, pars plana vitrectomy (PPV)

  • Traumatic Lens Drop in Vitreous

    Dec 15 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

    Patient had come to us status post blunt trauma with the lens dislocated in inferior vitreous.

    Photographer: Gayathri Mohan, Retina Fellow, Retina Foundation, Ahmedabad, India

    Imaging device: Mirante CSLO

    Condition/keywords: dropped nucleus, lens dislocation, traumatic cataract

  • Persistent Fetal Vasculature

    Oct 18 2018 by Sengul Ozdek, MD, FEBO, FASRS

    Fundus photograph of a 2-year-old girl who had already been operated elsewhere for congenital cataract before. Note the hyaloid vessels coming from ONH to the posterior capsule.

    Photographer: Sengul Ozdek, Gazi University, School of Medicine.

    Imaging device: RetCam

    Condition/keywords: persistent fetal vasculature (PFV)

  • Horse Shoe Tear

    Sep 16 2017 by Purva Patwari

    Asymptomatic horse shoe tear found on preoperative cataract assessment of a 54-year-old male patient. Laser barrage was done and he underwent Phacoemulsification surgery a month later.

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

    Imaging device: Zeiss Visucam 500

  • Traumatic Cataract Rossette

    Apr 24 2015 by Mehul A Shah

    25-year-old male presented with complaint of blunt trauma, presented after 3 week as rosette cataract picture shemoflage retro illumination.

    Photographer: Mehul Shah, Drashti Netralaya

    Imaging device: Zeiss FF450plus

    Condition/keywords: rossette cataract, traumatic cataract