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Congenital Cataract
Dec 8 2025 by Rinat Sutiushev
M. 29 years, the variant of the lamellar cataract affects only the outer layer of the embryonic nucleus. The clinical case demonstrates photographic data, anterior segment OCT, and IOL-master 700 data. Visual acuity Vis OD 20/80 Vis OS 20/80. Surgical treatment of congenital cataracts is recommended. p.s. At first glance, I thought of space.
Photographer: Rinat Sutiushev, Ophthalmological center “Vision”, Saint Petersburg
Condition/keywords: congenital cataract
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Congenital Cataract
Dec 8 2025 by Rinat Sutiushev
M. 29 years, the variant of the lamellar cataract affects only the outer layer of the embryonic nucleus. The clinical case demonstrates photographic data, anterior segment OCT, and IOL-master 700 data. Visual acuity Vis OD 20/80 Vis OS 20/80. Surgical treatment of congenital cataracts is recommended. p.s. At first glance, I thought of space.
Photographer: Rinat Sutiushev, Ophthalmological center “Vision”, Saint Petersburg
Condition/keywords: congenital cataract
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Dislocated Lens
Dec 8 2025 by Parnian Arjmand, MD, MSc, FRCSC, DABO
A high myope patient presented 12 years after PPV a Cataract extraction for a retinal detachment repair with a new onset of vision loss. A dislocated IOL was noted on clinical examination.
Condition/keywords: Aphakia, dropped IOL, myopia, zonular dehiscence
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Yamane Rotisserie Complication
Dec 8 2025 by Talhah - Zubair, MD
49 year old with man with Usher syndrome type 1 s/p CEIOL at age 21 developed IOL dislocation treated with refixation of IOL then complicated by optic tilt shown here.
Photographer: Catherine Olsen
Condition/keywords: CT lucia, optic tilt, rotisserie
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The Bonus Vessel's Betrayal
Dec 8 2025 by Malvika Singh
Fundus photograph of a healthy 46 year old male with cilioretinal artery occlusion, macular ischemia and cherry red spot with normal surrounding retina.
Photographer: Malvika Singh
Imaging device: Mirante SLO Imaging Device
Condition/keywords: cilioretinal artery occlusion
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Myelinated Nerve Fiber
Dec 5 2025 by Vishal Agrawal, MD, FRCS,FACS,FASRS
Fundus picture of left eye shows dense area of myelinated retinal nerve fibers involving the peripapillary region and extending along the superior and inferior temporal arcades.
Photographer: Dr Ayushi Gupta, Agrawal Hospital, Jaipur
Imaging device: Clarus 700
Condition/keywords: amblyopia, myelinated nerve fiber layer
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Superior Segmental Optic Nerve Hypoplasia (SSONH)
Dec 4 2025 by Abraham Vargas
Fundus Photograph of an 50 year old woman with a Superior Segmental Optic Nerve Hypoplasia (SSONH) observed over time.
Photographer: Abraham Eliazib Vargas, APEC México
Imaging device: Visucam 224 Zeiss
Condition/keywords: SSONH
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Retinal Astrocytic Hamartoma
Dec 4 2025 by Abraham Vargas
Fundus photograph of an 45 year old man with a Retinal Astrocytic Hamartoma.
Photographer: Abraham Eliazib Vargas, APEC México
Imaging device: Zeiss Clarus 500
Condition/keywords: RAH Retinal Astrocytic Hamartoma
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Combined Hamartoma of Retina and Retinal Pigment Epithelium
Dec 4 2025 by Abraham Vargas
Fundus photograph of an 48 year old woman with a Combined Hamartoma of Retina and Retinal Pigment Epithelium.
Photographer: Abraham Eliazib Vargas, APEC México.
Imaging device: Visucam Zeiss 224
Condition/keywords: CHRRPE
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Choroidal Rupture
Dec 4 2025 by Vishal Agrawal, MD, FRCS,FACS,FASRS
Color fundus pic of Left Eye showing curvilinear, crescent-shaped choroidal rupture, extending across the macular region, post blunt trauma. The rupture appears bright, yellow-white streak with well-delineated margins, consistent with exposed underlying sclera due to disruption of the choriocapillaris and Bruch's membrane.
Photographer: Dr Ayushi Gupta, Agrawal Hospital, Jaipur
Imaging device: Clarus 700
Condition/keywords: blunt trauma, choroidal rupture
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IOL Drop
Dec 4 2025 by surabhi gupta
A 60 year old man presented with sudden dimunition of vision in right eye. His visual acuity was finger counting at 1 meter and best corrected visual acuity with +10 D was 6/9. Patient was diagnosed with spontaneous right eye IOL bag complex drop in vitreous cavity with superior HST and inferotemporal hole secondary to posterior vitreous detachment . Right eye montage color fundus photo shows rigid IOL bag complex in vitreous cavity with barraged superior HST and inferotemporal hole. Post barrage laser patient underwent pars plana vitrectomy with IOL explantation and scleral fixated IOL.
Photographer: Dr Surabhi Gupta
Imaging device: EDION FA
Condition/keywords: IOL drop
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The Eye Siren - A Case of VHL
Dec 3 2025 by surabhi gupta
A 25 year old man presented with chief complaints of dimuntion of vision in right eye for past 2 weeks. Best corrected visual acuity in right eye was 6/12, N8 and left eye was 6/6, N6. Montage color fundus photograph shows bilateral multiple capillary hemangioma with epiretinal membrane causing traction over macula in right eye. On PET-CT multiple metabolically inactive cystic lesion were noted in the pancreas and seminal vesicle with low grade metabolically active cystic lesion with enhancing septations in kidneys which were suspicious of malignant etiology. MRI brain showed presence of a small cystic lesion anterior to celebellar vermis suggestive of CNS hemangioblastoma. A diagnosis of Von Hippel- Lindau syndrome was made the patient is under oncologist care for suspected RCC.
Photographer: Mr Brajesh Kumar
Imaging device: zeiss visucam 500
Condition/keywords: retinal capillary hemangioma
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The Eye Siren - A Case of VHL
Dec 3 2025 by surabhi gupta
A 25 year old man presented with chief complaints of dimuntion of vision in right eye for past 2 weeks. Best corrected visual acuity in right eye was 6/12, N8 and left eye was 6/6, N6. Montage color fundus photograph shows bilateral multiple capillary hemangioma with epiretinal membrane causing traction over macula in right eye. On PET-CT multiple metabolically inactive cystic lesion were noted in the pancreas and seminal vesicle with low grade metabolically active cystic lesion with enhancing septations in kidneys which were suspicious of malignant etiology. MRI brain showed presence of a small cystic lesion anterior to celebellar vermis suggestive of CNS hemangioblastoma. A diagnosis of Von Hippel- Lindau syndrome was made the patient is under oncologist care for suspected RCC.
Photographer: Mr Brajesh Kumar
Imaging device: zeiss visucam 500
Condition/keywords: retinal capillary hemangioma
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Anterior Capsular Phimosis
Dec 3 2025 by Gayathri M S
Slitlamp photograph of a 71 year female patient post relaxing incision with YAG capsulotomy for Anterior capsular Phimosis.
Photographer: Gayathri MS
Imaging device: SL9800
Condition/keywords: anterior capsule opacification, IOL in bag
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Origami Under Silicone Oil
Nov 29 2025 by Resham Khatri
Fundus photograph of a woman presenting for vision loss having operated twice for retinal detachment.
Photographer: Resham Khatri, M&J WRIO, Ahmedabad
Condition/keywords: post-vitrectomy, re-detachment post-vitrectomy, retinal detachment
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Rhegmatogenous Retinal Detachment
Nov 27 2025 by Jacob Adrián Ruíz García
Ultra–widefield fundus image demonstrates an extensive rhegmatogenous retinal detachment (RRD) with several large, irregular retinal tears are visible in the temporal retina, with associated surrounding subretinal fluid. The detachment appears bullous, with fluid extending widely across the mid-periphery and involving much of the posterior pole.
Photographer: Jacob Adrián Ruíz Garcia, Fundación Hospital Nuestra Señora de la Luz I.A.P, México City
Imaging device: Optos California
Condition/keywords: horseshoe tear, Rhegmatogenous retinal detachment, tear
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Macula-off Rhegmatogenous Retinal Detachment
Nov 27 2025 by Diana Elena Ornelas Rodríguez
Intraoperative image showing us macula-off rhegmatogenous retinal detachment, regma was spotted at M III.
Photographer: Diana Elena Ornelas Rodríguez, México
Condition/keywords: abnormal retina, macula, macula-off, Rhegmatogenous retinal detachment
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Cracking the Angioid Streaks Mystery
Nov 26 2025 by SHRADDHA RAJ SHRIVASTAVA
Left eye pseudocolor fundus photo showing hyperpigmented irregular lines emanating from the disc in a radiating fashion. Surrounding the angioid streaks and at the posterior pole, we can see numerous dot-like hypopigmented deposits along with a grayish-green membrane with exudates at the macula. The image is suggestive of Angioid Streaks with CNVM.
Photographer: Dr. Shraddha Raj Shrivastava
Imaging device: Nidek Mirante SLO/OCT (Confocal scanning/Spectral domain OCT)
Condition/keywords: Angiod streaks in Pseudoxanthoma elasticum, Angioid Streaks, Bruch's membrane, choroidal neovascular membrane (CNVM), color fundus photograph, pseudoxanthoma elasticum (PXE)
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Cracking the Angioid Streaks Mystery
Nov 26 2025 by SHRADDHA RAJ SHRIVASTAVA
G-FAF image of left eye better reveals more extensive hypoautofluorescent streaks than might be apparent on standard fundus photo. Characteristic “Para-streak phenomenon” of focal hyperautofluorescent spots are seen along the margins of the dark angioid streaks, corresponding to the areas of pigment clumping seen clinically.
Photographer: Dr. Shraddha Raj Shrivastava
Imaging device: Nidek Mirante SLO/OCT (Confocal scanning/Spectral domain OCT)
Condition/keywords: Angiod streaks in Pseudoxanthoma elasticum, Angioid Streaks, choroidal neovascular membrane (CNVM), fundus autofluorescence (FAF), pseudoxanthoma elasticum (PXE)
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Cracking the Angioid Streaks Mystery: Multimodal Mayhem
Nov 26 2025 by SHRADDHA RAJ SHRIVASTAVA
Multimodal imaging of right eye fundus showing Angioid Streaks with scarred CNVM. Color fundus photo shows hyperpigmented irregular lines emanating from the disc in a radiating fashion. Surrounding the angioid streaks and at the posterior pole, we can see numerous dot-like hypopigmented deposits and a disciform scar at macula. G-FAF images better reveal more extensive hypoautofluorescent streaks than are apparent on standard fundus photo. Characteristic “Para-streak phenomenon” of focal hyperautofluorescent spots are seen along the margins of the dark angioid streaks, corresponding to the areas of pigment clumping seen clinically. The para-streak pigment clumps are better delineated on the novel Retro-imaging method, appearing as raised bumps surrounding the angioid streaks.
Photographer: Dr. Shraddha Raj Shrivastava
Imaging device: Nidek Mirante SLO/OCT (Confocal scanning/Spectral domain OCT)
Condition/keywords: Angioid Streaks, Bruch's membrane, disciform scar, fundus autofluorescence (FAF), multimodal imaging, retro mode

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