Search results (113 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

  • Choroidal Fracture

    Oct 27 2024 by César Adrián Gómez Valdivia, MD

    Fundus photograph of a traumatic choroidal fracture & extra-macular sub-retinal hemorrhage.

    Photographer: @eyemissu2

    Imaging device: TOPCON TRC-50DX

    Condition/keywords: Choroidal Fracture

  • New Choroidal Melanoma with Exudative Detachment

    Oct 16 2024 by Virginia Gebhart

    56 year old male with a large pigmented tumor with an exudative detachment inferior and shallow fluid through the macula. Pt states they have been having symptoms for over a year. Scheduled for brachytherapy.

    Photographer: Virginia Gebhart, Retina Consultants of Carolina

    Imaging device: Optos California

    Condition/keywords: Choroidal melanoma, exudative detachment, melanoma

  • B-FAF in Stargardt's Disease

    Jul 4 2024 by Tejaswita Verma

    Blue fundus autofluorescence showing hypoautofluorescence picture of a 28 year old male with 6/60 vision in BE in a case of Stargardt's disease.

    Photographer: DR. TEJASWITA VERMA

    Imaging device: MIRANTE

    Condition/keywords: fundus autofluorescence (FAF), hereditary macular dystrophy, Stargardt disease

  • Failure of Macular Hole Surgery

    Jul 2 2024 by Abel Ramírez-Estudillo, MD

    Fundus photograph of a 67-year-old woman with failed macular hole surgery, now referred to our clinic with 8 holes.

    Photographer: Berenice Palafox, Centro Oftalmológico Mira, Mexico City

    Imaging device: Zeiss

    Condition/keywords: iatrogenic retinal tear, internal limiting membrane (ILM) peeling, macular hole, vitrectomy

  • Ruptured Retinal Artery Macroaneurysm

    Jun 18 2024 by KANWALJEET HARJOT MADAN, M.S. (Ophthalmology), FAICO (Vitreous - Retina)

    This is a fundus photo depicting ruptured Retinal Artery Macroaneurysm (RAM) in the left eye of a 63 years old female. RAM is an acquired saccular or fusiform dilatation of the retinal arterioles that usually occur within the first three orders of bifurcation. The Superotemporal artery is the most common location. RAM may be asymptomatic or cause a number of complications such as macular edema, serous macular detachment, and hemorrhages.

    Photographer: Dr Kanwaljeet Harjot Madan

    Condition/keywords: Haemorrhage, macroaneurysm, retinal arteriole

  • Generalized Gyrate Atrophy, CME

    Apr 17 2024 by Virginia Gebhart

    92 year old female with bilateral patchy, sharply demarcated circular areas of chorioretinal atrophy with hyperpigmented margins in the mid to far periphery suggestive of gyrate atrophy. Also intermediate uveitis and CMD/CME. FTA-ABS, Quant gold, and HLA-A29 labs all negative.

    Photographer: Virginia Gebhart

    Imaging device: Optos California

    Condition/keywords: cystoid macular degeneration, cystoid macular edema (CME), FA, Fluorescein angiography, gyrate atrophy

  • Post-Operative Scleral Buckle

    Mar 8 2024 by Ethan K Sobol, MD

    The post operative week one appearance of a macula-on retinal detachment repaired with a 5mm strip encircling band, cryotherapy, and external drainage.

    Photographer: Bryan Murphy, Senior Ophthalmic Photographer (Retina Group of Washington)

    Imaging device: Optos California

    Condition/keywords: scleral buckle

  • Benign Familial Fleck Retina

    Dec 21 2023 by Vishal Agrawal, MD, FRCS,FACS,FASRS

    10-year male with high myopia on examination revealed diffuse flecks distributed all over fundus in both eyes sparing macula. Inferior lattice with WWOP areas were also noted in right eye.

    Photographer: Dr Ayushi

    Imaging device: Clarus 700

    Condition/keywords: fleck retinopathy, myopia

  • New Retinal Detachment 6w s/p RD repair

    Nov 16 2023 by Virginia Gebhart

    13 year old male presented with new blind spot 6 weeks s/p RD repair with cryo/scleral buckle/prophylaxis laser with gas bubble. New RD involving the macula, posterior to scleral buckle, secondary to PVD. Small gas bubble remaining. Pt was brought back to OR for repeat PPV and silicone oil repair

    Photographer: Virginia Gebhart

    Imaging device: Optos

    Condition/keywords: gas bubble, Retinal Detachment, retinal detachment of the macula, scleral buckle

  • Retinal Fold

    Sep 26 2023 by Mauricio Bayram-Suverza, MD

    A 38-year-old man underwent vitrectomy in the left eye due to a giant tear in the upper retina. SF6 gas was used as endotamponade. During the post-surgical check-up, it was identified that the patient developed a full-thickness retinal fold due to retinal slippage during fluid-air exchange. As the fold was away from the macular area, it was decided to observe the patient. Three weeks after the surgery, his best-corrected visual acuity was 20/30.

    Photographer: Mauricio Bayram-Suverza, Fundación Hospital Nuestra Señora de la Luz

    Imaging device: TRC-50DX

    Condition/keywords: giant retinal tear, retina surgery complications, Retinal slippage, vitreoretinal surgery

  • Macula on Retinal Detachment with large Horseshoe Tear

    Apr 26 2023 by Kelli Nyenhuis

    Optos photograph of a 61-year-old male with a macula on retinal detachment and large horseshoe tear. Patient had no visual changes.

    Photographer: Kelli Nyenhuis, COA

    Imaging device: Optos California

  • Gyrate Atrophy

    Apr 12 2023 by Ahmed Abbas Hashmi, OD

    Left eye fundus of a 53-year-old male patient with advanced gyrate atrophy of the choroid and retina with macular sparing. Optic nerve head is healthy.

    Photographer: Ahmed Abbas Hashmi

    Imaging device: Topcon TRC-NW8F

    Condition/keywords: chorioretinal atrophy

  • Retinal detachment

    Apr 12 2023 by Ahmed Abbas Hashmi, OD

    Color fundus photograph of the left eye of a 30-year-old man with asymptomatic inferior retinal detachment with pigmented demarcation line. Macula and Disc healthy.

    Photographer: Ahmed Abbas Hashmi

    Imaging device: Topcon TRC-NW8F

    Condition/keywords: Pigmentary demarcation line, Retinal Detachment

  • PEHCR (Peripheral Exudative Hemorrhagic Chorioretinopathy)

    May 12 2023 by Niloofar Piri, MD

    Ultrawide fundus photograph of the left eye demonstrating extensive peripheral hemorrhagic exudative detachment in a 79 yo Caucasian female with prior history of non-exudative AMD. Recent diagnosis of Acute myeloid leukemia with low platelet count which might have contributed to the above presentatuon. Please note the temporal subretinal hemorrhage as well as RPE atrophy and hyperplasia in the macula.

    Photographer: Rocio Bentivegna, MD, Saint Louis University; Jessica Maddox, COA, Saint Louis University

    Condition/keywords: peripheral exudative hemorrhagic chorioretinopathy (PEHCR)

  • Macula Off Retinal Detachment

    Mar 22 2023 by Zach Seim

    An ultra-widefield fundus image of a 65 year old male with a Macula Off Retinal Detachment. Patient's vision at the time of the image was CF at 6 Feet and surgical options were discussed. Fluid-gas exchange was performed without complications.

    Photographer: Zach Seim

    Imaging device: Optos California

    Condition/keywords: left eye, macula off retinal detachment, OPTOS CALIFORNIA, scanning laser ophthalmoscope, ultra-widefield image

  • Lady in a dress

    Feb 9 2023 by Shelby Helton

    Fluorescein Angiography on a 67-year-old male with significant RPE changes secondary to a severe subretinal hemorrhage that required a vitrectomy with subretinal TPA in 2013.

    Photographer: Shelby Helton

    Imaging device: Heidelberg Spectralis

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

  • North Carolina Macular Dystrophy collage

    Nov 21 2022 by Kent W. Small, MD, FASRS, FACS

    Color fundus photo collage of 24 members of a single family with NCMD chr6: 99593030G>T

    Condition/keywords: North Carolina Macular Dystrophy (MCDR1)

  • Angioid Streaks

    Dec 14 2022 by Pramod Kumar Suman, MBBS, MD

    Fundus autofluorescence photograph of a 65-year-old male with numerous narrow, irregular streaks radiating in a circumferential pattern within the posterior pole with macular atrophy.

    Photographer: Pramod Kumar Suman, Retina Foundation, Ahmedabad

    Imaging device: Mirante

    Condition/keywords: angioid streaks

  • Proliferative Diabetic Retinopathy with Macular Isquemia by OCT Angiography

    Oct 14 2022 by JORGE SOBERANES

    Depth-encoded OCT angiography of a patient with proliferative diabetic retinopathy showing vascular changes and extensive ischemia including macular area.

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

    Imaging device: PLEX Elite 9000, Zeiss

    Condition/keywords: diabetic retinopathy, OCT Angiography

  • Total retinal Detachment multiple holes

    Sep 26 2022 by Denica Rodriguez

    60 year old Male presented with two week old Macula off Retinal detachment with multiple tears.

    Photographer: Denica Rodriguez

    Imaging device: Optos California

    Condition/keywords: color fundus photograph, color photo, macula-off, optos, pseudocolor, Retinal detachment, retinal holes, retinal tear, Retinal tear with detachment, superior arcade, superior field, superior retina, total retinal detachment

  • submacular perfluorocarbon liquid

    Sep 7 2022 by JEFFERSON R SOUSA, Tecg.º (Biomedical Systems Technology)

    A 63-year-old male patient underwent vitreoretinal surgery with the use of perfluorocarbon. From a technological point of view, extended-field retinography presents many points of focus variation due to the difficulty of establishing a diffuse focus, as it is a recent post-operative case. In OCT Fundus Enface, although it has a low resolution, it is extremely important for documenting the presence of perfluor. Best seen in structural OCT.

    Photographer: JEFFERSON ROCHA DE SOUSA - Retinal Department at Instituto Dr. Suel Abujamra Sao Paulo-Brazil

    Imaging device: Optical Coherence Tomography system OCT CIRRUS 5000, Protocol, HD 5 Line

    Condition/keywords: perfluorocarbon fluid, post-vitrectomy, submacular perfluorocarbon liquid (PFO), vitrectomy

  • Displaced & folded macula

    Oct 10 2022 by Ricardo Leitão Guerra

    Tractional retinal detachment due to sickle cell retinopathy leading to a displaced and folded appearance of the macula in this 36-yo male. Subretinal bands are also noticed crossing the macula towards inferior retinal detachment area.

    Photographer: Ricardo Leitão Guerra

    Imaging device: Clarus 700 - Zeiss

    Condition/keywords: folds, sickle cell retinopathy, subretinal bands, tractional retinal detachment

  • Submacular Hemorrhage PCV

    May 6 2022 by Shobhit Chawla, M.S.

    Submacular hemorrhage in a 38 years old female patient cause polyp bleed in PCV.

    Photographer: Shobhit Chawla

    Imaging device: Zeiss Clarus 500

    Condition/keywords: polypoidal choroidal vasculopathy (PCV), submacular hemorrhage

  • 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