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Jul 7 2025 by César Adrián Gómez Valdivia, MD

Scimitar Sign & Sunset Glow Fundus found in a 38YO female patient diagnosed with Vogt-Koyanagi-Harada disease. Findings were bilateral.

Photographer: @eyemissu2

Imaging device: TOPCON TRC-50DX

Condition/keywords: Scimitar Sign

Jul 7 2025 by César Adrián Gómez Valdivia, MD

Neuroretinitis found in a 38 YO male patient with IV drugs abuse history. Findings were bilateral. The lipid-rich component of the exudate is able to penetrate into the outer plexiform layer, creating what is clinically seen as a macular star pattern.

Photographer: @eyemissu2

Imaging device: TOPCON TRC-50DX

Condition/keywords: neuroretinitis

Jul 7 2025 by César Adrián Gómez Valdivia, MD

Fluorescein Angiography showing a Schlaegel Line in a patient with suspected PHOS

Photographer: @eyemissu2

Imaging device: California ICG OPTOS

Condition/keywords: Schlaegel Line

Jul 5 2025 by Gustavo Uriel Fonseca Aguirre

This B-mode transverse ultrasound scan reveals a mushroom-shaped choroidal tumor in the inferior nasal quadrant adjacent to the optic nerve head. The lesion appears solid with homogeneous internal reflectivity and is associated with minimal surrounding subretinal fluid and scleral excavation. It measures 6.54 mm in height × 7.52 mm in base diameter (transverse view) and extends 9.52 mm longitudinally. The vitreous contains abundant punctate opacities consistent with pigment dispersion. The retina and choroid remain attached elsewhere.

Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

Condition/keywords: choroidal melanoma

Jul 5 2025 by Gustavo Uriel Fonseca Aguirre

This wide-field fundus autofluorescence image demonstrates a mushroom-shaped choroidal melanoma adjacent to the optic nerve head, exhibiting hypo-autofluorescence (melanin). Vitreous pigment dispersion (tobacco dust sign) is evident, indicating tumor activity.

Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

Condition/keywords: choroidal melanoma

Jul 5 2025 by Gustavo Uriel Fonseca Aguirre

This B-mode longitudinal ultrasound scan reveals a giant retinal tear, demonstrating a circumferential retinal flap with rolled edges extending over M-X to M-I. The vitreous shows diffuse hemorrhage and anterior-posterior traction strands inserting at the tear margins. The remaining retina appears attached without subretinal fluid.

Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

Condition/keywords: giant retinal tear

Jul 5 2025 by Gustavo Uriel Fonseca Aguirre

This 50° central fundus photograph reveals a mushroom-shaped choroidal melanoma adjacent to the optic nerve head. The lesion demonstrates characteristic pigmentation with overlying vitreous pigment dispersion (tobacco dust sign).

Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

Condition/keywords: choroidal melanoma

Jul 5 2025 by Gustavo Uriel Fonseca Aguirre

This B-mode longitudinal ultrasound scan demonstrates a retinal dialysis, appearing as a linear discontinuity at the ora serrata with associated vitreous base avulsion. The scan reveals mild subretinal fluid extending from the dialysis site with macular involvement.

Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

Condition/keywords: retinal dialysis

Jul 5 2025 by César Adrián Gómez Valdivia, MD

Giant Persistent Macular Hole found in a 48YO male patient 1 year after vitrectomy.

Photographer: @eyemissu2

Imaging device: TOPCON TRC-50DX

Condition/keywords: macular hole

Jul 5 2025 by César Adrián Gómez Valdivia, MD

Fundus photograph of an 66 YO female patient diagnosed with advanced proliferative diabetic retinopathy.

Photographer: @eyemissu2

Imaging device: TOPCON TRC-50DX

Condition/keywords: tractional retinal detachment

Jul 5 2025 by T. P . VIGNESH, MBBS,MS

Fundus photograph of a 52-year-old man with a macular branch retinal vein occlusion and macular edema.

Photographer: Sivanath

Imaging device: EIDON

Condition/keywords: branch retinal vein occlusion (BRVO)

Jul 4 2025 by Julian Navarro Saucedo

Fundus photograph of a 52-year-old woman with sudden vision loss showing a hemorrhagic retinal arterial macroaneurysm.

Photographer: Julian Navarro, Tecnologico de Monterrey, Escuela de Medician y Ciencias de la Salud.

Imaging device: VISUCAM 524 ZEISS

Condition/keywords: macroaneurysm

Jul 4 2025 by KANWALJEET HARJOT MADAN, M.S. (Ophthalmology); FAICO (Vitreous - Retina)

This is the fundus picture of right eye of a young 32 years female depicting pre papillary vascular loop. A prepapillary vascular loop is a congenital anomaly of the optic disc that presents as an elevated and twisted bundle of vessels projecting into the vitreous cavity. It is a benign condition, usually unilateral but can be bilateral. It is asymptomatic and discovered during routine eye examination. This anomaly can sometimes cause complications like branch retinal artery occlusion, vitreous hemorrhage, or sub retinal hemorrhage.

Photographer: Dr. Kanwaljeet Harjot Madan, Thind Eye Hospital, Jalandhar City (Punjab) INDIA.

Imaging device: Zeiss Fundus Camera

Condition/keywords: branch retinal artery occlusion (BRAO), optic disc, Prepapillary Vascular Loop, SUB RETINAL HEMORRHAGE, Vitreous hemorrhage

Jul 3 2025 by Heitor Nogueira

Fundus photograph of an 63-year-old woman who reported unilateral visual acuity loss for 10 days associated with ocular pain. He presented conjunctival hyperemia with temporal and nasal nodular scleritis, anterior chamber reaction 2+/4+, Koeppe nodules, granulomatous PKs, vitreitis 2+/4+, multiple areas of vasculitis in the arcades and periphery, associated with hemorrhages and necrotizing retinitis in the temporal, inferior and nasal periphery. Positive serology for Herpes Virus

Photographer: Heitor Nogueira, Penido Burnier Institute, Campinas, São Paulo, Brazil

Imaging device: Optos Daytona

Condition/keywords: ARN complications, Herpes, progressive outer retinal necrosis (PORN), Uveitis

Jul 3 2025 by Virginia Gebhart

78 year old male s/p vitreous biopsy for T-Cell lymphoma. Pt presented with peripheral blot hemorrhages and numerous white subretinal infiltrates. Retinal pallor and thickening temporally. History of cutaneous T-cell lymphoma. PPV/vitreous biopsy performed to find differential diagnosis. Silicone oil was placed for 6 weeks, then removed and exchanged with a gas bubble. Hematology pathologist and Emory reviewed path report and agrees it is consistent with T-cell lymphoma. Pt received intravitreal Methotrexate and will be scheduled for weekly treatments. BCVA CF

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: biopsy, gas bubble, lymphoma

Jul 3 2025 by Heitor Nogueira

Fundus photograph of an 53-year-old woman with patient who reported unilateral visual acuity loss for 10 days associated with ocular pain. She presented conjunctival hyperemia with temporal and nasal nodular scleritis, anterior chamber reaction 2+/4+, Koeppe nodules, granulomatous PKs, vitritis 2+/4+, multiple areas of vasculitis in arcades and periphery, associated with hemorrhages and necrotizing retinitis in temporal, inferior and nasal periphery. patient who reported unilateral visual acuity loss for 10 days associated with ocular pain. He presented conjunctival hyperemia with temporal and nasal nodular scleritis, anterior chamber reaction 2+/4+, Koeppe nodules, granulomatous PKs, vitreitis 2+/4+, multiple areas of vasculitis in the arcades and periphery, associated with hemorrhages and necrotizing retinitis in the temporal, inferior and nasal periphery. Positive serology for Herpes Virus.

Photographer: Heitor Nogueira, Penido Burnier Institute and CHOV, Campinas, São Paulo, Brazil

Imaging device: Optos Daytona

Condition/keywords: ARN complications, Herpes, progressive outer retinal necrosis (PORN)

Jul 3 2025 by Gustavo Uriel Fonseca Aguirre

This B-mode transverse ultrasound scan shows asteroid hyalosis with partial posterior vitreous detachment. A dome-shaped choroidal melanoma is observed in the inferior quadrant (preequatorial to equatorial region), appearing as a solid, regularly bordered lesion with heterogeneous internal structure and mild acoustic attenuation. Standardized A-mode reveals medium-to-low internal reflectivity. The tumor measures 11.62 mm in base diameter and 6.60 mm in height. The retina and choroid remain attached, with minimal suprachoroidal fluid in the inferior quadrant.

Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

Condition/keywords: choroidal melanoma

Jul 3 2025 by Gustavo Uriel Fonseca Aguirre

This B-mode longitudinal ultrasound scan demonstrates diabetic macular edema with mild subretinal fluid accumulation, appearing as a subtle hypoechoic space beneath the neurosensory retina. The macular region shows retinal thickening and heterogeneous medium reflectivity, consistent with active exudative changes (arrow). No vitreomacular traction is observed.

Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

Condition/keywords: diabetic macular edema

Jul 3 2025 by Gustavo Uriel Fonseca Aguirre

This B-mode longitudinal ultrasound scan reveals macular retinoschisis, demonstrating a characteristic splitting of retinal layers with a smooth, dome-shaped elevation. The lesion shows maintained structural integrity of both inner and outer retinal walls without associated subretinal fluid or vitreous traction.

Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

Condition/keywords: macular retinoschisis

Jul 3 2025 by Gustavo Uriel Fonseca Aguirre

This B-mode para-axial ultrasound scan shows a posteriorly dislocated lens with cortical liquefaction, a dense nucleus, and an intact capsular bag. Vitreous bands are visible extending from the anterior to posterior segments. These findings were bilateral and not associated with trauma or prior surgery.

Photographer: Gustavo U. Fonseca Aguirre, Hospital Conde de Valenciana, Ciudad de México

Condition/keywords: ectopia lentis, morgagnian cataract