Search results (56 results)

Jan 27 2025 by Vishal Agrawal, MD, FRCS,FACS,FASRS

16 year-old male patient presented with DOV, nyctalopia and nystagmus. Fundus revealed pigment clumping, pale disc and preserved para-arteriolar retinal pigment epithelium (PPRPE) in both eyes. Genetic testing revealed CRB1 gene mutation.

Photographer: Dr Ayushi

Imaging device: Clarus 700

Condition/keywords: retinitis pigmentosa

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)

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

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

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

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

Sep 6 2024 by Mauricio Bayram-Suverza, MD

A 65-year-old male patient reports experiencing bilateral blind spots that have gradually intensified over time. Genetic testing was unrevealing. The fundus autofluorescence image shows a hypoautofluorescent ring in the posterior pole, especially nasal to the nerve and along arcades.

Photographer: Mauricio Bayram-Suverza, Casey Eye Institute, OHSU.

Imaging device: Optos California

Condition/keywords: fundus autofluorescence (FAF), inherited retinal disease, nyctalopia, retinal dystrophy, retinitis pigmentosa

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

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

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

Apr 26 2023 by Chloe Hanifan

Ultra wide field fundus photograph of a 41-year-old male with a dislocated lens affecting his right eye. IOL noted inferior vitreous base and vitrectomy surgery for removal of IOL was recommended. Patient has history of retinitis pigmentosa as well. Patient's vision at the time of presentation was counting fingers at 2 feet.

Photographer: Chloe Hanifan

Imaging device: Optos California

Condition/keywords: dislocated lens, fundus photography, Optos, pseudocolor, retinitis pigmentosa, ULTRA WIDE FIELD

Feb 18 2023 by Ahmed Abbas Hashmi, OD

Imprint of Iris Pigmentation on Anterior Lens Surface with wrinkled anterior capsule

Photographer: Ahmed Abbas Hashmi

Condition/keywords: lens opacity

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

Patient 52 years old, Male, progressive loss of vision since the age of 20. Retinography showed mobilization of pigments in osteoblasts, extensive area of atrophy of the pigmentary epithelium and choroid. On fluorescein angiography, typical changes following the characteristic patterns of paracentra retinal retinitis pigmentosa. Autofluorescent fundus with a sectorial autohypofluorescence pattern in the regions of atrophies.

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

Imaging device: Clarus 700 - Zeiss, composite of four 135 degree images.

Condition/keywords: pericentral retinitis pigmentosa, tapeoretinal degeneration

Apr 30 2022 by NEIFFER RABELO

Intraoperative photograph of a 68-year-old patient with congenital rubella syndrome and light perception visual acuity since childhood. The image shows a pigmentary retinopathy and the lens spontaneously displaced into the vitreous cavity. The patient sought care complaining of a total and sporadic loss of vision that was hindering her in daily tasks. Surgery was indicated to remove the lens.

Photographer: Rodrigo Dos Anjos Versiani - Retina Institute - Belo Horizonte - Brazil

Imaging device: ZEISS OPMI LUMERA 700

Condition/keywords: dropped nucleus, retina surgery, rubella retinopathy

Dec 17 2021 by Aditya S Kelkar, MS, FRCS, FASRS,FRCOphth

Right-eye Fundus Photo of a 30-year-old male.

Imaging device: Clarus 500

Condition/keywords: pigmented paravenous chorioretinal atrophy (PPCRA), retinochoroidopathy

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

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

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

Sep 2 2020 by Carlos W Arzabe, MD

Inferior temporal dialysis-retinal detachment-RPE vitreous cells clumps.

Imaging device: Clarus 700

Condition/keywords: retinal pigment epithelium

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.

Jan 21 2020 by Pierre-Henry Gabrielle, MD

Fundus photograph of a 17-year-old man with combined hamartomas of the retina and retinal pigment epithelium (CHRRPE) at the posterior pole of the left eye.

Photographer: Pierre-Henry Gabrielle, Ophthalmology department, Dijon University Hospital, France

Imaging device: Zeiss Visucam

Condition/keywords: combined hamartoma, fundus photograph

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 22 2019 by Haider Ali

35-year-old female presented with decrease in vision in her left eye for last 4 days and in right eye for last 8 days. Her right eye was previously involved in a similar episode about 5-6 months ago for which she was treated with oral steroids.

Photographer: Dr Haider Ali Chaudhry, Madinah Teaching Hospital, Faisalabad

Condition/keywords: acute posterior multifocal placoid pigment epitheliopathy (APMPPE), macula serpiginous choroidopathy, serpiginous choroiditis, white dot syndrome

Oct 8 2019 by DIEGO TOLENTINO

CHRPE plus laser barricade around retinal break

Photographer: Diego Tolentino

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