Search results (6 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

Jun 3 2020 by Mirko Ratkovic, MD

Optic disc drusen and angioid streaks.

Condition/keywords: angioid streaks, fundus autofluorescence (FAF), optic disc drusen

Feb 13 2020 by Michael Seider, MD

Large, dome-shaped peripheral choroidal melanoma of the left eye with inferior exudative retinal detachment. Note the lack of obvious orange pigment over the tumor and apparent drusen anteriorly. A lack of ophthalmoscopically obvious lipofuscin is not uncommon among larger choroidal melanomas. B-Scan ultrasonography (transverse, 10 o’clock) confirms a low-moderate internally reflective dome-shaped choroidal lesion with a small adjacent retinal detachment. Ultrasound biomicroscopy (radial, 10 o’clock) confirms no ciliary body involvement of the tumor.

Feb 17 2017 by Kristen Wagner

22-year-old female fundus photograph of a right eye with Optic Nerve Drusen with Idiopathic CNV.

Photographer: Kristen Wagner, COT, OSC Ophthalmic Photographer, Tennessee Retina, Nashville TN

Condition/keywords: choroidal neovascularization (CNV), drusen of optic disc, optic disc drusen

Feb 12 2015 by Timothy S Fuller, MD

Fundus autofluorescence image of a 34-year-old woman with striking, asymptomatic optic nerve head drusen.

Photographer: Nice Hesse, Texas Retina Associates

Imaging device: Heidelberg Spectralis

Condition/keywords: drusen of optic disc

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