Search results (36 results)

May 27 2025 by César Adrián Gómez Valdivia, MD

Macular Star found in a 31 year-old male patient with suspected Cat Scratch Disease. Typical intraocular presentations include neuroretinitis with optic nerve edema, macular star formation, and discrete white retinal or choroidal lesions. Findings were unilateral.

Photographer: @eyemissu2

Imaging device: TOPCON TRC-50DX

Condition/keywords: macular star

Jan 7 2025 by Jordyn Beckman

Fundus photograph of an 37 year old female presents with reddish vascular lesion with feeder vessels for possible Von Hippel-Lindau Syndrome.

Photographer: Jordyn Beckman

Imaging device: California Optos

Condition/keywords: color fundus photograph, feeder vessel, genetic disorder, pre-cryotherapy

Aug 8 2024 by Guilherme Sturzeneker, MD, MSc

Ultra-widefield fundus photograph and autofluorescence of a 62-year-old woman with endometrial cancer, denoting choroidal metastasis with unusual orange pigment. This presentation is a reminder that the development of orange pigment is not pathognomonic for choroidal melanoma, as it may be seen in other lesions such as carcinoma metastasis.

Photographer: Andrea Almeida

Imaging device: Optos Silverstone

Condition/keywords: choroidal metastasis, metastatic cancer, orange pigment

Nov 3 2023 by Virginia Gebhart

69 year-old female with pigmented lesion that covers the optic nerve. Patient has been aware for over 30 years. Remains stable and unchanged

Photographer: Virginia Gebhart

Imaging device: Topcon

Condition/keywords: benign melanocytoma, Melanocytoma, optic disc melanocytoma

Apr 3 2023 by Gustavo Aguirre Suarez

Fundus photograph of a 36-year-old female with a lesion dependent on the optic nerve head with subretinal extension, elevated, about 1.5 disc diameters, dark brown to black in color, involving more than three quarters of the neuroretinal ring towards the inferonasal area.

Photographer: Dr. Gustavo Aguirre-Suarez

Imaging device: Zeiss Visucam 500

Condition/keywords: melanocytic lesion, Melanocytoma

Jul 1 2023 by Aditya S Kelkar, MS, FRCS, FASRS,FRCOphth

Right eye fundus photograph of a 42 year old asymptomatic male demonstrating a superotemporal solitary large Congenital Hypertrophy of Retinal Pigment Epithelium (CHRPE) lesion.

Photographer: Optom Komal Jangam

Imaging device: OPTOS DAYTONA

Condition/keywords: CHRPE

Dec 23 2021 by Jessica Norkus

89-year-old female with extra-scleral extension of choroidal metastatic melanoma. Patient hadn't been seen by any eye doctor in 3 years prior to this visit. Noticed scleral darkening about 6 months ago, with vision loss noted for about 4-5 months. Presented with LP vision. Emergent MRI of brain/orbit showed no extension beyond what is seen at slit lamp. CT C/A/P w/ contrast ordered and found 2 hepatic lesions, concerning for potential mets. Patient referred to medical oncology.

Photographer: Jessica Norkus, COA, OSC

Imaging device: Topcon TRC 50DX

Condition/keywords: external photography, extrascleral extension, metastatic cancer, metastatic lesion

Nov 16 2021 by Manuel Ángel Alcántara Delgado, MD

Optomap ultra-widefield retinal imaging of an 52-year-old woman showed multiple punched-out chorioretinal lesions and 2 rows of peripheral curvilinear pigmented chorioretinal streaks (Schlaegel lines).

Photographer: Manuel Ángel Alcántara Delgado. Conde de Valenciana.

Condition/keywords: multifocal choroiditis, myopia, retina, uveitis

Feb 2 2021 by Niloofar Piri, MD

#2 Fluorescein angiography of the same patient in lamellar arteriovenous phase, demonstrating temporal peripheral telangiectatic vessels, as well as hyperfluorescent aneurysma lesions. Note the anterior capillary non perfusion. Posterior hypofluorescence is secondary to blocking effect from hard exudates.

Condition/keywords: Coats' disease, Leber's miliary aneurysm

Jan 22 2021 by Renata Garcia Franco, Md

20-year-old male with reduction of vision in both eyes, scotoma and metamorphopsia. Widespread multiple chorioretinal lesions with RPE hyperplasia, which appear from posterior pole to peripheral retina.

Photographer: Fatima Hernandez, Instituto de la Retina del Bajio SC

Imaging device: Zeiss

Condition/keywords: chorioretinitis

Nov 10 2020 by Ronald Coriasso

Fundus photo of 68-year-old female with history of plaquenil use. Her findings are most consistent with bear tracks, however these kinds of lesions can be indicative of familial adenomatous polyposis (FAP).

Photographer: Ronald Coriasso

Imaging device: OPTOS

Condition/keywords: bear tracks, familial adenomatous polyposis

Jul 29 2020 by Yoshihiro Yonekawa, MD, FASRS

Fundus photograph of a 10-year-old boy with an incidentally identified torpedo maculopathy.

Photographer: Suely Bascope

Imaging device: Topcon

Condition/keywords: macula lesion, pediatric retina, torpedo maculopathy

Jun 6 2020 by Albert Li, MD, FASRS

Montaged infrared retinal imaging of a 37-year-old asymptomatic man with a grade II arteriovenous malformation (AVM) in the nasal mid-periphery. The presentation of the AVM can be classified with three categories. Grade 1 AVMs are characterized by an abnormal capillary plexus between the major communicating vessels. Grade 2 AVMs are defined by the direct arteriovenous communication without the interposition of arterioles or capillaries. Grade 3 AVMs are characterized by widespread, large caliber anastomosing vessels that are associated with decreased visual acuity and intracranial AVMs. Because retinal AVMs are mostly asymptomatic and non-progressive, further testing may not be indicated unless there are concomitant neurological signs and symptoms or if there is a strong clinical suspicion of a grade 3 retinal AVM. Observation was recommended for the patient in this image. On his most recent follow-up at four months, the patient remained asymptomatic with a stable appearance of the lesion.

Imaging device: Heidelberg Spectralis

Condition/keywords: arteriovenous anastomosis, arteriovenous malformation

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.

Dec 29 2019 by Vishal Agrawal, MD, FRCS,FACS,FASRS

Fundus montage of a 3-year-old boy with mass lesion involving macula and abutting the disc of the right eye.The superior half of the tumor shows preretinal extension.

Photographer: Vishal Agrawal MD

Imaging device: Zeiss

Condition/keywords: retinoblastoma

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

Nov 18 2019 by Sophia El Hamichi, MD

Large optic disc melanocytoma with surrounding pigment dispersion. It is a benign lesion. The main differential in this case is melanoma with vitreous seeding.

Condition/keywords: melanocytoma, melanoma, vitreous seeding

Oct 12 2019 by John S. King, MD

82-year-old white male with an acute loss of vision in the right eye was sent in to rule out a retinal detachment. Vision was 20/350; a dense VH was present, b-scan showed irregular areas of high reflectivity in the periphery that was c/w SRH. Peripherally, a few weeks later, there were areas that could be seen and were c/w peripheral CNVM (old and new). Anti-VEGF was administered. A month later vision was unchanged and patient wanted surgery to remove the VH. Pictured is one week since surgery; large peripheral scars are seen; diffuse areas of SR pigmentation is present; vitreous skirt present; and a few IRHs secondary to DR can be seen. He is currently 20/70 sc.

Photographer: Shelly Blair

Imaging device: Optos CA

Condition/keywords: choroidal neovascular membrane (CNVM), peripheral fundus lesion, vitreous blood

Sep 30 2019 by John S. King, MD

78-year-old white female using 1mg of warfarin for atrial fibrillation, who had a large PED, Type 1 lesion from AMD. Noticed acute darkening of vision one week after anti-VEGF injection. Has very large SRH, subRPE heme, and corrugated retinal appearance post RPE tear. Vision HM (from 20/100). 20/25 in the fellow eye that has dry AMD.

Photographer: Shelly Blair

Imaging device: Optos CA

Condition/keywords: subretinal hemorrhage, wet age-related macular degeneration (wet AMD)

Jul 25 2019 by Manish Nagpal, MD, FRCS (UK), FASRS

Fundus photo of old toxo lesion on macula.

Photographer: Gayathri Mohan, Retina Foundation

Imaging device: Nidek Mirante SLO

Condition/keywords: toxoplasmosis, toxoplasmosis chorioretinitis

May 27 2019 by John S. King, MD

60-year-old white male non-smoker presented to Dr. Zocchi with acute transient decreased vision in the right eye. Background history includes metastatic NSCLC (adenocarcinoma). Acuity OD 20/60, and posterior segment had two small, yellow, choroidal lesions, above the nerve and IT arcade (these had a fairly smooth and dome shaped appearance on the OCT, and top lesion had mild SRF) (see photo)

Photographer: Shelly Blair

Imaging device: Optos CA

Condition/keywords: choroidal metastasis, lung cancer metastasis

May 5 2019 by Steven Lapere, MBChB, DA, FCOphth, MMed

51-year-old gentleman with 3-week history of decreased vision in the left eye. Two active Coats' lesions are visible, with a third involuted lesions infero-temporally.

Photographer: Steven Lapere, Cape Town, South Africa

Imaging device: Clarus 500

Condition/keywords: Coats' disease

Jun 19 2018 by Somnath Chakraborty, MD

A montage of the right eye of a 15-year-old boy, who was struck by a football. The image shows multiple choroidal ruptures in the macular area, with sub-retinal blood and multiple, large retinal tears temporally. There is also an area of juxtapapillary, pigmentary changes.

Photographer: Saptarshi Mehta, Retina Institute of Bengal

Condition/keywords: blunt trauma, choroidal rupture, giant retinal tear, subretinal hemorrhage

Sep 15 2017 by Somnath Chakraborty, MD

Montage fundus photo of a 56-year-old female with a bullous rhegmatogenous retinal detachment in the supero-temporal quadrant, secondary to a large horse shoe tear at 10 o' clock hour. She also has a large, pigmented lattice extending from 4 to 6 o' o' clock hours.

Photographer: Saptarshi Mehta, Retina Institute of Bengal

Condition/keywords: macular splitting, pigmented lattice lesion, retinal tear

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