Search results (134 results)

  • Choroidal Neovascular Membrane Secondary to Angioid Streaks in Polycythaemia Vera

    Apr 28 2026 by Rebecca Hong

    A 60 year-old man with poorly controlled JAK2+ polycythaemia vera (PV) on hydroxyurea presented with progressive bilateral vision loss. Fundoscopy revealed bilateral choroidal neovascular membranes (CNVM) with subtle radial streaks emanating from the optic discs (A). Fundus autofluorescence (B) elegantly demonstrated the angioid streaks with striking perilesional hyperautofluorescence - a hallmark of RPE metabolic stress. On optical coherence tomography, the right eye showed active neovascularisation with intra- & subretinal fluid, responding favourably to intravitreal anti-VEGF therapy. The left eye exhibited atrophic changes precluding treatment. This case underscores a rare but sight-threatening complication of PV.

    Photographer: Rebecca Hong, MD MPHTM

    Imaging device: Optos Ultra-widefield

    Condition/keywords: Angioid Streaks, choroidal neovascular membrane (CNVM), polycythaemia vera

  • Deja Vu in the Vitreous : Two Ozurdex Implants Caught in the Same Frame

    May 6 2026 by Sakthi Gnana Sundaram Natarajan, MS

    An interesting case of a 60 year-old man, who is diagnosed to have Diabetic macular edema - being treated with Ozurdex implant. Here, we see the former implant, laying in the vitreous after serving its purpose, making way for the second newly injected implant to start its miracle - like a shadow lurking past - The Deja Vu of Life.

    Photographer: DR.SUPREME GOEL , FELLOW - FNB VITREO RETINAL SURGERY , CHAITHANYA EYE HOSPITAL & RESEARCH INSTITUTE , THIRUVANANTHAPURAM , KERALA , INDIA.

    Imaging device: OPTOS ultra-widefield (UWF™) retinal imaging

    Condition/keywords: Corticosteroid implant, cystoid macular edema (CME), dexamethasone implant, diabetic macular oedema, intravitreal implant, intravitreal injection, ozurdex, Ozurdex implant

  • Pigmentary Retinal Dystrophy

    Feb 9 2026 by Kimberly Wakester, COA, OCT-C

    Optomap RGB montage photo of a 24-year-old woman with 360 Pigmentary Retinal Dystrophy. Unusual in appearance though differential could include congenital arrest of normal periphery, prior uveal effusion, peripheral dystrophy/atypical sectoral RP, etc. No treatment needed at this time, will monitor. Will recheck in 6 months.

    Photographer: Kimberly Wakester, COA, OCT-C

    Imaging device: Optos California

    Condition/keywords: Pigmentary Retinal Dystrophy, right eye

  • Dropped IOL With Glaucoma, Sclerosed Retinal Vessels and Retinal Hemorrhages

    Jan 15 2026 by NIDHI PANWAR, MD FRCS Glasgow FNB FICO

    82 year old female came to eye clinic with left eye pain and blurring of vision noted since past few months. She was found to have , vision of hand movements, high IOP with advanced glaucoma, sclerosed retinal vessels with retinal hemorrhage, and dislocated single piece lens in vitreous cavity.

    Photographer: Dr Nidhi Panwar, NMC Royal hospital sharjah

    Imaging device: optos

    Condition/keywords: advanced stage glaucoma, dropped IOL, retinal hemorrhage, sclerosed vessels

  • Retinal Detachment with Giant Retinal Tear

    Dec 16 2025 by Kimberly Wakester, COA, OCT-C

    Optomap RGB of a 66-year-old man with a Retinal Detachment with Giant Retinal Tear OS. Surgery was recommended. Patient is to continue follow up care post operatively.

    Photographer: Kimberly Wakester, COA, OCT-C

    Imaging device: Optos California

    Condition/keywords: giant retinal tear, Retinal detachment

  • Peripheral Exudative Hemorrhagic Chorioretinopathy

    Dec 17 2025 by Virginia Gebhart

    77 year old female with amelanotic choroidal lesion with subretinal hemorrhage at the base and exudate inferiorly. Lesion has decreased on exam, photos and ultrasound after 4 months. Ultrasound showed irregular lesion that is regressing, variable internal reflectivity, and no venous pulsations. Findings most consistent with PEHCR. Will continue to observe.

    Photographer: Virginia Gebhart, Retina Consultants of Carolina

    Imaging device: Optos California

    Condition/keywords: asteroid hyalosis, peripheral exudative hemorrhagic chorioretinopathy (PEHCR)

  • Branch Retinal Vein Occlusion with Retinal Neovascularization

    Oct 20 2025 by Jason Gayoski

    Prev. getting injections, last one in 2024 at external provider. Hx of liver hemangiomas on CT/MRI in 2018: no known follow-up for this. Hx of migraine headaches longstanding without hemangiomas noted on brain MRI in 2018. CTA head/neck neg in 2021. No hx or Fhx of VHL. NVE/shunt vessels inferiorly on FA today. Discussed option of restarting antiVEGF or laser. Pt would like to observe for now given stability. Will consider antiVEGF/Laser/belzutifan in future. Referral to medical genetics to eval for VHL. Recommend obtain MRI brain, spine w/wo con, CTAbd w/wo con to eval for systemic hemangiomas. Will likely refer to Ocular Onc pending these results. Also consider GI referral given liver hemangiomas since 2018. Pt already established with Neurology for migraines.

    Photographer: Jason Gayoski COA

    Imaging device: Optos

    Condition/keywords: branch retinal vein occlusion (BRVO), retinal neovascularization

  • Retinal Detachment with Macular Hole

    Nov 10 2025 by Korey Starkey

    A 58 year-old female presented with re-detached retina through macular hole. Planned for surgical intervention.

    Photographer: Korey Starkey

    Imaging device: Optos

    Condition/keywords: gas bubble, intermediate uveitis, macular hole, pars plana vitrectomy (PPV), retinal detachment, scleral buckle, traction detachment

  • Posterior Dislocated Intraocular Lens

    Oct 23 2025 by Aditya S Kelkar, MS, FRCS, FASRS,FRCOphth

    Fundus photograph of a 53-year-old man with a posteriorly dislocated intraocular lens near the posterior pole.

    Photographer: Dr Tejal Rao, National Institute of Ophthalmology, Pune, India

    Imaging device: Optos Daytona

    Condition/keywords: dislocated intraocular lens (IOL), IOL drop

  • Amelanotic Melanoma

    Sep 19 2025 by Aditya S Kelkar, MS, FRCS, FASRS,FRCOphth

    Widefield fundus photograph of a 37 year old showing a large, dome-shaped, intraocular mass involving the temporal retina. The lesion appears elevated and lacks surface pigmentation. Overlying retinal vessels are displaced and draped across the tumor surface, with surrounding retinal elevation noted. The appearance is suggestive of amelanotic variant of choroidal melanoma.

    Photographer: Dr. Muskan Mangal

    Imaging device: Optos Daytona

    Condition/keywords: choroidal melanoma, intraocular tumor

  • Dislocated Intraocular Lens

    Jun 4 2025 by Aditya S Kelkar, MS, FRCS, FASRS,FRCOphth

    Fundus photograph of a 79-year-old man with a posteriorly dislocated intraocular lens in the inferior quadrant.

    Photographer: Optom Chandrakanta Bhandare, National Institute of Ophthalmology, Pune

    Imaging device: Optos Daytona

    Condition/keywords: dislocated intraocular lens (IOL)

  • Aurora Borealis in Retina

    Apr 25 2025 by Poornachandra B, MS, FVRS

    Fundus picture of 54 year old male with proliferative diabetic retinopathy with fluorescent blood clot in vitreous cavity.

    Photographer: Mr Dhikshith

    Imaging device: Optos daytona

    Condition/keywords: blood, proliferative diabetic retinopathy (PDR)

  • Retinoschisis

    Feb 26 2025 by Kimberly Wakester, COA, OCT-C

    Optomap RGB of a 56-year-old woman with bullous retinoschisis in the right eye. The patient remains stable with very mild progression. Patient is to continue follow up care at 6 month intervals to monitor for worsening progression.

    Photographer: Kimberly Wakester, COA

    Imaging device: Optos California

    Condition/keywords: bullous retinoschisis

  • Retinitis Pigmentosa Bullseye Appearing Autofluorescence

    Feb 4 2025 by Isaac Agranoff

    Fundus Autofluorescence of a 14-year-old boy with suspected RP. ERG performed afterwards was almost flat. VA measured at 20/30 but with extensive constriction of confrontational visual fields. Currently awaiting genetic testing.

    Photographer: Isaac Agranoff

    Imaging device: Optos California

    Condition/keywords: fundus autofluorescence (FAF), retinitis pigmentosa, RP

  • Repaired Retinal Detachment with Scleral Buckle

    Mar 25 2025 by Kimberly Wakester, COA, OCT-C

    Optomap RGB montage of an 64-year-old woman with a repaired retinal detachment with scleral buckle in the right eye. There is nasal and inferior pre-retinal membranes with traction. PPV was recommended but patient defers to proceed with sx at this time. Will continue to follow patient closely for worsening traction. Patient was educated on how to monitor their peripheral vision and was advised to report any changes immediately.

    Photographer: Kimberly Wakester, COA, OCT-C

    Imaging device: Optos California

    Condition/keywords: pre-retinal membrane with traction, repaired RD, scleral buckle

  • Hemorrhagic Choroidals

    Jan 22 2025 by Danish Shabbir, Ophthalmic Technologist

    78 year old female complains of suddenly vision decrease 2 days ago.

    Photographer: Danish Shabbir,Retina-EyeCare Centre

    Imaging device: Optos California

    Condition/keywords: choroidal detachment, Retinal Detachment, retinal detachment with choroidal

  • CHRPE and Bear Tracks

    Jan 7 2025 by Drew Mitchell

    Fundus Autofluorescence of a CHRPE and Bear Tracks.

    Photographer: Drew Mitchel, OCT-C

    Imaging device: Optos Silverstone

    Condition/keywords: bear tracks, CHRPE, congenital hypertrophy of the retinal pigment epithelium (CHRPE)

  • Von Hippel-Lindau Syndrome

    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

  • Choroidal Melanoma with Serous Retinal Detachment

    Dec 20 2024 by Daniel Davis, OCT-C

    67 year old male presenting with large pigmented choroidal mass with serous retinal detachment.

    Photographer: Daniel Davis, OCT-C, The Retina Institute

    Imaging device: Optos California

    Condition/keywords: Retina detachment

  • Large Retinal Tear from a Shuttlecock Injury

    Oct 11 2024 by Ahmad B. Tarabishy, MD

    27 year old woman presenting with floaters and a shadow in her temporal visual field OS. Approximately one week earlier, she was injured in her left eye by a shuttlecock while playing badminton. Fundus exam reveals mild vitreous hemorrhage and a large retinal tear with a small cuff of surrounding SRF.

    Photographer: Angela Rico, M.D.

    Imaging device: Optos

    Condition/keywords: blunt trauma, ocular trauma, retinal tear

  • 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

  • Acute Syphilitic Posterior Placoid Chorioretinitis

    Oct 20 2024 by César Adrián Gómez Valdivia, MD

    Fundus autofluorescence image of an acute syphilitic posterior placoid chorioretinitis found in a HIV positive 28 YO male patient with suspected neurosyphilis. A beautiful butterfly autofluorescence pattern can be appreciated.

    Photographer: @eyemissu2

    Imaging device: California ICG OPTOS

    Condition/keywords: acute syphilitic posterior placoid chorioretinitis

  • Foveal Hypoplasia / Ocular Albinism

    Aug 29 2024 by César Adrián Gómez Valdivia, MD

    Fundus photograph of a 64-year-old female patient with foveal hypoplasia, ocular albinism and pendular nystagmus. Findings were bilateral. Retinal and choroidal vasculature are exquisitely beautiful.

    Photographer: @eyemissu2

    Imaging device: California ICG OPTOS

    Condition/keywords: foveal hypoplasia, ocular albinism

  • Idiopathic Uveal Effusion Syndrome

    Aug 22 2024 by Jordyn Beckman

    61 year old male with Idiopathic Uveal Effusion Syndrome with starry night appearance on fluorescein. 3 weeks s/p single external drainage retinotomy and 9 weeks of oral pred with recurrent choroidal effusions. Has since returned to surgery for secondary drainage retinotomy; subretinal fluid remain persistent.

    Photographer: Jordyn Beckman

    Imaging device: Optos California

    Condition/keywords: chorioretinitis, Choroidal, exudative detachment, window defect

  • Choroidal Metastasis With Orange Pigment in a Patient With Endometrial Carcinoma

    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