Search results (13 results)

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

Feb 6 2024 by SHILPI H NARNAWARE, ICO ( Retina) , FAICO ( Vitreo-Retina)

A case of 16 year-old female with combined RD in RE. Fundus examination & FFA revealed 360 degrees non-perfusion in periphery in non-symptomatic eye.

Photographer: Shilpi Narnaware, Sarakshi Netralaya , Nagpur, Maharashtra , India

Imaging device: Mirante ( by Nidek)

Condition/keywords: CNP areas, takayasu arteritis

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

Apr 30 2022 by Niloofar Piri, MD

61 yo male with PMH of longstanding schizophrenia since 20s with secondary intellectual disability presented with decreased vision following a recent stroke. He was found to have bilateral chorio-retinal atrophy involving posterior pole with scalloped edges and coin shaped atrophic area at margins extending into mid-periphery, diagnosis most concerning for intermediate stage thioridazine toxicity given the history. Mother could find handwritten prescriptions from 1990s when he was on Thioridazine 800 mg daily for unknown period of time. Patient had better vision in the left eye which was affected by recent stroke and prompted him to seek medical care. Fundus photograph of the right eye is demonstrated here.

Photographer: Jacob Grodsky, MD

Condition/keywords: drug toxicity, thioridazine toxicity, toxic retinopathy

Dec 22 2020 by Kushal S Delhiwala, MBBS, MS, FMRF,FICO, FAICO

Ultra-widefield fundus image of right eye showing Coats' disease with exudative retinal detachment (stage 3) in a 4 year old male complaining of squinting right eye. Telangiectatic vessels prominent superotemporal periphery.

Photographer: Kushal Delhiwala, Netralaya superspeciality eye hospital, Ahmedabad, Gujarat,India

Imaging device: Optos Daytona

Condition/keywords: bullous retinal detachment, Coats' disease, exudative detachment, ultra-wide field imaging

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

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

Nov 7 2018 by Vedang Shah

Flecks over the entire retinal mid-periphery and periphery of a 12-year-old male with no visual complaints.

Photographer: Dr. Vedang Shah

Imaging device: OPTOS IMAGING SYSTEM

Condition/keywords: fleck retinopathy

Apr 29 2018 by Sarina M Amin, MD

Wide-field fluorescein angiography of a 32-year-old woman with Wyburn-Mason syndrome showing temporal periphery capillary nonperfusion.

Photographer: Sarah Ellano, Retinal Consultants of Arizona, Phoenix, Arizona

Imaging device: Optos

Condition/keywords: Wyburn-Mason

Jun 15 2017 by Philip J. Polkinghorne, MD

Inverted retinal detachments were first described by Scheffels in 1890 and then again by Baquis in 1896. This example is typical in that it is associated with an extensive tear (GRT) in the retinal periphery.

Photographer: Alex Fraser

Condition/keywords: giant retinal tear

Apr 22 2017 by Gabriel Costa Andrade, PhD

Panoramic retinography (Optos® California) of the right eye of a 48-year-old female patient with a history of low-vision in the right eye 2 months ago. At the exam presented visual acuity of 20/200 in the right eye and 20/20 in the left eye. Angiography shows diffuse perivascular leakage associated with areas of hypoperfusion in macula and periphery.

Photographer: Gabriel Andrade

Imaging device: Optos® California

Condition/keywords: central retinal vein occlusion (CRVO)

Mar 13 2015 by Niloofar Piri, MD

Fundus photograph of the left eye of a 40-year-old Caucasian female with history of positive HIV test for 23 years. She has been off HAART therapy for the past 2 years and presented with decreased vision OS and upper visual field defect. On examination, she had trace cells in anterior vitreous , hemorrhagic retinitis which starts around the optic nerve and extending to inferotemporal arcade with secondary inferotemporal BRVO; in temporal periphery , she had granular pattern of CMV retinitis which is a manifestation of outer retina involvement.

Photographer: Angela Anderson

Condition/keywords: CMV retinitis, HIV

Mar 18 2014 by Arwa Azmeh, MD, PhD

Color fundus photograph of an 48-year-old male who complained of decreased visual acuity in his right eye over the last few months. Systemically the patient was healthy. His VA was OD Cf 3m, OS 20/20. Anterior segments were WNL in OU. IOP was WNL in OU. Fundus exam OD revealed unpigmented mass over the optic disc with retinal venous tortuosity at its edges with a ring of thick HYE surrounding it and shallow RD in this area extending to the foveal area. Several few small retinal hemorrhages were seen in the far retinal periphery which were explained to be caused by venous stasis due the optic disc tumor.

Condition/keywords: color photo, optic disc, retinal hemangioblastoma