Search results (79 results)

  • Myopic Traction Maculopathy

    Mar 17 2025 by Drew Mitchell

    HD 1 line 100x 9 mm scan of a right eye with MTM at stage 3c. Macular Schisis Detachment.

    Photographer: Drew Mitchell OCT-C

    Imaging device: Zeiss Cirrus 5000

    Condition/keywords: full thickness macular hole, Macular hole, myopic foveoschisis, myopic macular schisis, myopic traction maculopathy, PVD

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • Macular Hemorrhage Secondary to Anemic Retinopathy

    Apr 18 2022 by Deepak Bhojwani, MS

    Fundus image of a young 28 year old patient who has been diagnosed as 'PRIMARY BONE MARROW APLASIA' by hematologist showing large macular hemorrhage (sub -ILM Heme mound). Few Roth spots were also seen in midperiphery suggesting 'ANEMIC RETINOPATHY'.

    Photographer: DEEPAK BHOJWANI

    Condition/keywords: anaemic retinopathy, BONE MARROW APLASIA

  • Green Goblin Detachment

    Jan 13 2022 by Netan Choudhry, MD, FRCS(C) FASRS

    Tractional retinal detachment with macular hole in a 76-year-old female.

    Photographer: John Golding BA, Vitreous Retina Macula Specialists of Toronto, OCTane Imaging Lab

    Imaging device: Multicolor fundus photo taken on the Spectralis OCT2 (Heidelberg Engineering GmbH).

    Condition/keywords: macular hole, Multispectral imaging, tractional retinal detachment

  • Commotio-Retinae

    Sep 22 2021 by Luiz Guilherme Freitas, MD, MsC, PhD

    Fundus photograph of a 30-year-old male patient with blunt injury to the globe. Commotio retinae is retinal whitening/opacification that results from a blunt injury. The ocular findings will often resolve in a matter of days to weeks. Vision loss can result from commotio involving the posterior pole (historically referred to as Berlin’s edema). Clinical findings of commotio include the characteristic retinal whitening. Commotio may result in significant vision loss that can be transient. Healing can result in pigmentary changes and retinal thinning which may be associated with poor visual recovery if the area of involvement is macular.

    Photographer: Diogo Melo, Santa Luzia Eye Hospital Recife - PE – Brazil

    Condition/keywords: Berlin's edema, blunt trauma, commotio retinae, retinal whitening

  • RD Montage

    Jul 3 2021 by Somnath Chakraborty, MD

    Fundus photo montage of the left eye of a 56-year-old male showing subtotal retinal detachment with macular involvement and a large circumlinear tear extending from 1 o' clock to 3 o' clock hours.

    Photographer: Pulak Roy

    Condition/keywords: acute retinal detachment, retinal detachment of the macula, retinal tear, retinal tear with detachment

  • Cat Scratch Disease

    Mar 29 2021 by Gabriel Costa Andrade, PhD

    Fundus photograph of an 36-year-old woman with a macular vasculitis, pre retinal hemorrhage and exudation due to Bartonella henselae infection.

    Photographer: Gabriel Andrade

    Condition/keywords: cat scratch retinitis

  • RPE Tear After Anti-VEGF Injection

    Mar 17 2021 by RAFAEL REIS PEREIRA, MD

    Retinal pigment epithelium (RPE) tear is a rare devastating complication of age-related macular degeneration (AMD). The believed mechanism lies in an adherence of the neovascularization to the undersurface of the RPE creating a contractile force that increases after VEGF therapy and causes the tear.

    Photographer: Rafael Reis, Retina Clinic, São Paulo

    Condition/keywords: retinal pigment epithelium (RPE) contracture

  • Macular Traction Related to Toxoplasma Chorioretinitis

    Jan 7 2021 by Lucas Zago Ribeiro, MD

    Fundus image of a 50-year-old woman with macular traction and epiretinal membrane after toxoplasma chorioretinitis.

    Photographer: Lucas Zago Ribeiro, UNIFESP / EPM, Brazil

    Condition/keywords: epiretinal membrane (ERM), toxoplasmosis

  • Blunt Ocular Trauma Due to Firework Injury

    Jun 9 2020 by Brittany Rota

    Ultra- widefield pseudocolor image of an 18-year-old male with blunt ocular trauma in the right eye due to a firework injury. The patient presented with commotio retinae (sclopteria), an acute vitreous hemorrhage, choroidal rupture, and a subretinal hemorrhage. The referring physician performed surgery on the lateral rectus muscle which was macerated but not severed, and several orbital fibrous foreign bodies were removed from the posterior orbit. The globe was intact. There is no evidence of retinal tear in the region of sclopetaria; however, there is complete necrosis of the temporal peripheral choroid and retina. The vitreous hemorrhage was slowly clearing on his exam 6-9-2020. The patient is developing subretinal fibrosis. The physician is concerned about the choroidal rupture that is visible through the submacular hemorrhage. There is one rupture that appears to course directly under the fovea. The physician states that if this is the case, his vision most likely will be 20/200 or worse. His vision was hand motion in all fields except nasally, which he was unable to see hand motion at his visit on 6-9-2020.

    Photographer: Brittany Rota

    Imaging device: Optos California

    Condition/keywords: blunt trauma, choroidal rupture, commotio retinae, fibrosis, firework injury, fundus photograph, hand motion, necrotizing retina, Optos, pseudocolor, subretinal hemorrhage, vitreous hemorrhage

  • CRVO with Secondary CLRAO

    May 28 2020 by Richard M Martindale, MD

    Non-ischemic CRVO (VA 20/30) with secondary CLRAO (nasal macular pallor) in a hypertensive 69yo female. Pathophysiologically, the cilioretinal artery occlusion occurs secondary to elevation in the hydrostatic pressure in the retinal venous system relative to the choroidal perfusion pressure (which supplies the cilioretinal artery).

    Photographer: Retina Consultants of Alabama, P. C.

    Imaging device: Optos

    Condition/keywords: cilioretinal artery occlusion, non-ischemic central retinal vein occlusion (CRVO)

  • Vein Occlusion Zoom in a BRVO

    Apr 29 2020 by Gabriel Castilho S Barbosa, MD

    A zoomed vein occlusion in a young patient with systemic arterial hypertension.

    Photographer: Gabriel Castilho, Suel Abujamra Institute, São Paulo.

    Condition/keywords: branch retinal vein occlusion (BRVO), macular branch retinal vein occlusion (BRVO), non-perfused branch retinal vein occlusion (BRVO)