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Retinitis Pigmentosa: Now available in its Pericentral edition
Nov 7 2025 by SHRADDHA RAJ SHRIVASTAVA
Right eye fundus photo of a 50 year old patient, diagnosed with bilateral Pericentral variant of Retinitis Pigmentosa. True to the subtype, the pigmentation is closer to fixation. There are bony spicules like pigmentary changes and RPE atrophy seen around the macula and disc (posterior pole), just adjacent to the arcades, while the peripheral fundus appears unaffected. The macula shows severe macular atrophy and scarring. Similar changes were observed in the left eye.
Photographer: Dr. Shraddha Raj Shrivastava
Imaging device: Nidek Mirante SLO/OCT (Confocal scanning/Spectral domain OCT)
Condition/keywords: pericentral retinitis pigmentosa, retinitis pigmentosa (RP) dystrophy, Rod cone dystrophy, RP variant
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Pearl in the Eye
Nov 7 2025 by Hemanth Murthy, MBBS, MD, FASRS
42 year male patient presented with sudden blurring in vision in left eye. His vision was 6/18 (OD) and 1/60 (OS). His IOP was normal with no signs of inflammation. His Fundus revealed healed posterior uveitis in both eyes. This is the image through operating microscope.
Photographer: Mr Vyas
Imaging device: Operating microscope
Condition/keywords: spontaneous lens dislocation
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Pearl in the Eye
Nov 7 2025 by Hemanth Murthy, MBBS, MD, FASRS
42 year male patient presented with sudden blurring in vision in left eye. His vision was 6/18 (OD) and 1/60 (OS). His IOP was normal with no signs of inflammation. His Fundus revealed healed posterior uveitis in both eyes. This is the image through operating microscope.
Photographer: Mr Vyas
Imaging device: Optos Daytona
Condition/keywords: spontaneous lens dislocation
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Gravity = 1, Zonules = 0 : Cionni ring-IOL-Bag complex subluxation
Nov 7 2025 by SHRADDHA RAJ SHRIVASTAVA
Right eye anterior segment slit-lamp image of a 30 year old male, who was operated for spontaneous bilateral inferior subluxation of crystalline lens. Primary surgery was performed almost 20 years ago in which lens extraction was done followed by IOL placement in bag after stabilising it with Cionni ring. The patient presented to us recently with right eye diminution of vision and was noted to have inferiorly subluxated IOL-capsular bag complex, with vitreous in AC coming from the superior aphakic area. Interestingly, we have also captured in this image - the capsular tension ring (Cionni ring) with its central fixation eyelet.
Photographer: Dr. Shraddha Raj Shrivastava
Condition/keywords: dislocated IOL, dropped capsular IOL bag complex, IOL drop, Subluxated IOL, zonular dehiscence
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Foveal Hypoplasia with Vitreomacular Adhesion
Nov 5 2025 by Kevin Card
Optical coherence tomography of a 58-year-old female with ocular albinism shows fovea plana/hypoplasia. The overlying vitreomacular adhesion may masquerade as vitreomacular traction.
Imaging device: Zeiss Cirrus 6000
Condition/keywords: fovea plana, hypoplasia, vitreomacular adhesion
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Eye Finally Got the Ring... But the Retina Was Too Detached to Care
Nov 5 2025 by SHRADDHA RAJ SHRIVASTAVA
Left Eye B-scan ultrasound of a patient with old retinal detachment shows open funnel shaped hyperechoic membranous echoes, with high amplitude spikes on A-scan and a poor after-movement on dynamic B-scan, suggestive of retinal detachment. We can see a round echogenicity in sub-retinal location, with clear contents within, suggestive of a retinal cyst. This B-scan image is indicative of a long-standing chronic retinal detachment with secondary retinal cyst.
Photographer: Dr. Shraddha Raj Shrivastava
Condition/keywords: B scan ultrasound, chronic retinal detachment, OLD RD, open funnel RD, retinal cyst
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X-Linked Juvenile Retinoschisis
Nov 5 2025 by Kristen Wagner
Fundus photograph of a 24 year old male patient who has X-Linked Retinoschisis (XLRS). Findings include Mild to moderate diffuse maculoschisis OD with vitreous veils. Discussed mutations with RS1 gene.
Photographer: Kristen Cross, COT Tennessee Retina
Imaging device: Optos
Condition/keywords: juvenile retinoschisis, maculoschisis, retinoschisis, virreous veils
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Giant Nevus of the Macula
Nov 5 2025 by Virginia Gebhart
68 year old female with stable large pigmented lesion throughout the whole posterior pole, extending beyond the superior and inferior arcades. Pt has been aware of nevus for 45 years. Lesion has been stable since initial photos in 2013. Will continue to observe. Vision CF
Photographer: Virginia Gebhart, Retina Consultants of Carolina
Imaging device: Optos California
Condition/keywords: Choroidal nevus, pigmented lesion, pigmented nevus
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Neovascular Medusa: A Bad Hair Day at the Optic Disc
Nov 4 2025 by SHRADDHA RAJ SHRIVASTAVA
Left eye pseudocolor fundus photo of 67 year old male, diagnosed with both eyes proliferative diabetic retinopathy, showing hair-like fronds of active neovascularisation at the disc (NVD) extending into the vitreous, giving the medusa-head appearance. There is a band of fibrovascular proliferation nasal to the disc, with presence of hard exudates and dot hemorrhages at the macula.
Photographer: Dr. Shraddha Raj Shrivastava
Imaging device: Nidek Mirante SLO/OCT (Confocal scanning/Spectral domain OCT
Condition/keywords: Diabetic Retinopathy, fibrovascular proliferation, Neovascularisation at the Disc (NVD), proliferative diabetic retinopathy (PDR)
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Fibrovascular Fortress: Disc in Captivity
Nov 4 2025 by SHRADDHA RAJ SHRIVASTAVA
Right eye pseudocolor fundus photo of 67 year old male, diagnosed with both eyes proliferative diabetic retinopathy, showing extensive neovascularisation at the disc (NVD), with table-top configuration of the diabetic tractional retinal detachment (TRD) obscuring the view of the disc and threatening the macula. We can also see a mound of pre-retinal bleed and active neovascular frond nasal to the disc.
Photographer: Dr. Shraddha Raj Shrivastava
Imaging device: Nidek Mirante SLO/OCT (Confocal scanning/Spectral domain OCT
Condition/keywords: Active PDR Tractional retinal Detachment, Diabetic Tractional Detachment, Neovascularisation at the Disc (NVD), proliferative diabetic retinopathy (PDR), TABLE TOP TRD, tractional retinal detachment
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All That Glows Yellow Isn’t Mellow: Coats' Disease Unveiled
Nov 4 2025 by SHRADDHA RAJ SHRIVASTAVA
Montage fundus image of an 11 year old boy diagnosed with left eye Coats' disease (stage 3A1), reveals a hyperemic disc and surrounding intra-retinal exudates superior to the disc. There is a single fibroglial nodule at the macula causing submacular fibrosis with exudation. We can see areas of pigmentary changes and RPE atrophy in posterior pole and mid-peripheral retina supero-temporally. There is massive yellowish subretinal exudation in all the quadrants, which are associated with telangiectatic aneurysmal capillary dilation, more prominently seen in the nasal periphery. Supero-nasally we can also see an orange-red elevated vaso-proliferative mass with overlying dilated capillaries, which has likely developed secondary to untreated long standing disease. We can also see associated extrafoveal subtotal exudative retinal detachment in the inferior and nasal quadrants.
Photographer: Dr. Shraddha Raj Shrivastava
Imaging device: Nidek Mirante SLO/OCT (Confocal scanning/Spectral domain OCT)
Condition/keywords: COATS DISEASE, exudative detachment, leukocoria, subretinal exudates, Xanthocoria, yellow exudate
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Optic Disc Drusen in Rod Cone Dystrophy
Nov 3 2025 by Malvika Singh
Fundus autofluorescence of a 22 year old male with rod cone dystrophy with hyperautofluorescent disc drusen.
Photographer: Dr Malvika Singh, Retina Foundation, Ahmedabad, India
Imaging device: Mirante SLO/OCT
Condition/keywords: optic disc drusen, Rod cone dystrophy
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Multilayer Trauma
Nov 3 2025 by Malvika Singh
Fundus photograph of a 34 year old following trauma showing a choroidal rupture, a sub RPE and sub retinal bleed.
Photographer: Dr Malvika Singh, Retina Foundation, Ahmedabad, India
Imaging device: Mirante SLO/OCT
Condition/keywords: Choroidal Rupture, subretinal hemorrhage
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Acute Syphilitic Posterior Placoid Chorioretinitis
Nov 1 2025 by Julián Villarreal, MD
A 48 year old male presented with Acute syphilitic posterior placoid chorioretinitis (ASPPC) a large, roundish, yellowish, placoid lesion occurring at level of the retinal pigment epithelium (RPE) at the macular/paramacular area. Further testing showed a reactive VDRL and a positive FTA-ABS.
Photographer: Julián Villarreal MD
Imaging device: Mirante
Condition/keywords: Preretinal precipitates
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Chorioretinitis
Oct 30 2025 by Kimberly Wakester
Optomap RGB of an 37-year-old-woman with stable Chorioretinitis in the right eye. Patient is to return in 6 months for dilated exam and repeat diagnostic testing.
Photographer: Kimberly Wakester, COA, OCT-C
Imaging device: Optos California
Condition/keywords: chorioretinitis
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Pigmentary Retinal Dystrophy
Oct 30 2025 by Kimberly Wakester
Optomap RGB of an 77-year-old-woman with Pigmentary Retinal Dystrophy in the left eye. Patient is to continue follow up care yearly with dilated exam and diagnostic testing.
Photographer: Kimberly Wakester, COA, OCT-C
Imaging device: Optos California
Condition/keywords: bone spicules, Pigmentary Retinal Dystrophy
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Elmiron Toxicity
Oct 30 2025 by Kimberly Wakester
Optomap RGB and Optomap AF of an 52-year-old woman with Elmiron toxicity from the use of Elmiron for 19 years. Patient is to continue follow up care every 3-4 months with repeat exam and testing to continue monitoring the progression of the degeneration.
Photographer: Kimberly Wakester, COA, OCT-C
Imaging device: Optos California
Condition/keywords: Elmiron Toxicity
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CRAO
Oct 29 2025 by Jeffrey Barker
94 year old female with a CRAO with macular edema.
Photographer: Jeffrey P. Barker, B.S.
Condition/keywords: color fundus photograph, CRAO
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The Great Vascular Traffic Jam: Combined Retinal Vein and Artery Occlusion
Oct 29 2025 by SHRADDHA RAJ SHRIVASTAVA
57 year old female, recently diagnosed with accelerated hypertension, developed Right eye Combined Retinal Vein and Artery Occlusion. Posterior pole image showed severe disc edema with peri-papillary haemorrhages. There is significant retinal whitening suggestive of edema leading to the classic cherry red spot at the macula. We can also see segmented flow of blood in retinal arterioles, which is the characteristic cattle-trucking seen in central retinal artery occlusion (CRAO). Widefield image revealed multiple intra-retinal blot hemorrhages in all quadrants with tortuous dilated vessels suggestive of central retinal vein occlusion (CRVO).
Photographer: Dr. Shraddha Raj Shrivastava
Imaging device: Nidek Mirante SLO/OCT (Confocal scanning/Spectral domain OCT)
Condition/keywords: central retinal vascular obstruction, central retinal vein occlusion (CRVO), CRVO with macular edema
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The Great Vascular Traffic Jam: Combined Retinal Vein and Artery Occlusion
Oct 29 2025 by SHRADDHA RAJ SHRIVASTAVA
57 year old female, recently diagnosed with accelerated hypertension, developed Right eye Combined Retinal Vein and Artery Occlusion. Posterior pole image showed severe disc edema with peri-papillary hemorrhages. There is significant retinal whitening suggestive of edema leading to the classic cherry red spot at the macula. We can also see segmented flow of blood in retinal arterioles, which is the characteristic cattle-trucking seen in central retinal artery occlusion (CRAO). Widefield image revealed multiple intra-retinal blot hemorrhages in all quadrants with tortuous dilated vessels suggestive of central retinal vein occlusion (CRVO).
Photographer: Dr. Shraddha Raj Shrivastava
Imaging device: Nidek Mirante SLO/OCT (Confocal scanning/Spectral domain OCT)
Condition/keywords: central retinal artery occlusion (CRAO), central retinal vascular obstruction, central retinal vein occlusion (CRVO), CRVO with macular edema

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