• Angiographic Storm: Fluorescein Leakage in Retinal Vasculitis

    Nov 17 2025 by SHRADDHA RAJ SHRIVASTAVA

    This left eye montage fundus fluorescein angiography (FFA) image of a 19 year old male with idiopathic retinal vasculitis, having skip vasculitic lesions predominantly involving retinal veins. There are areas of blocked fluorescence due to intraretinal hemorrhages, the involved veins have filling defects and occlusions, leading to formation of numerous collateral channels. The inflamed vessels also show perivascular fuzzy hyperfluorescent stain due to leakage of dye. We can also see multiple peripheral capillary non perfusion (CNP) areas, with a 'hot disc', suggestive of ongoing inflammation.

    Photographer: Dr. Shraddha Raj Shrivastava

    Imaging device: Nidek Mirante SLO/OCT (Confocal scanning/Spectral domain OCT)

    Condition/keywords: FA late phase leakage, Fundus Fluorescein Angiography, idiopathic retinal vasculitis, optic disc leakage, VASCULITIS

  • Napkin on my Retina: The Diabetic TRD

    Nov 17 2025 by SHRADDHA RAJ SHRIVASTAVA

    Left eye pseudocolor widefield fundus image of a 57 year old patient with poorly controlled diabetes mellitus, presenting with BE tractional retinal detachment (TRD) on a background of high risk proliferative diabetic retinopathy (PDR). The disc, macula and posterior pole anatomy is obscured and distorted by the extensive tractional fibrovascular component, giving the appearance of a crumpled napkin on this patient's retina.

    Photographer: Dr. Shraddha Raj Shrivastava

    Imaging device: Nidek Mirante SLO/OCT (Confocal scanning/Spectral domain OCT)

    Condition/keywords: Diabetic Tractional Detachment, Diabetic Tractional Retinal Detachment involving the Macula, PDR, proliferative diabetic retinopathy (PDR), tractional retinal detachment

  • Napkin on my Retina: The Diabetic TRD

    Nov 17 2025 by SHRADDHA RAJ SHRIVASTAVA

    Left eye pseudocolor fundus image of a 57 year old patient with poorly controlled diabetes mellitus, presenting with BE tractional retinal detachment (TRD) on a background of high risk proliferative diabetic retinopathy (PDR). The disc, macula and posterior pole anatomy is obscured and distorted by the extensive tractional fibrovascular component, giving the appearance of a crumpled napkin on this patient's retina.

    Photographer: Dr. Shraddha Raj Shrivastava

    Imaging device: Nidek Mirante SLO/OCT (Confocal scanning/Spectral domain OCT)

    Condition/keywords: Diabetic Tractional Detachment, Diabetic Tractional Retinal Detachment involving the Macula, proliferative diabetic retinopathy (PDR), tractional retinal detachment

  • Starstruck by Stargardt

    Nov 17 2025 by SHRADDHA RAJ SHRIVASTAVA

    Left eye G-FAF image of a 26 year old patient diagnosed with Stargardt Disease, showing hyperautofluorescent flecks of increased lipofuscin accumulation and dark areas of hypoautofluorescence representing retinal pigment epithelium (RPE) atrophy.

    Photographer: Dr. Shraddha Raj Shrivastava

    Imaging device: Nidek Mirante SLO/OCT (Confocal scanning/Spectral domain OCT)

    Condition/keywords: fleck dystrophy, fundus autofluorescence (FAF), hereditary macular dystrophy, heredomacular degeneration, lipofuscin, Stargardt Disease

  • Traction Detachment of Retina

    Nov 14 2025 by Virginia Gebhart

    50 year old female with proliferative diabetic retinopathy, large ridge of traction temporally, and significant band of fibrosis. Subretinal fluid throughout the macula. Due to traction, surgical repair not recommended at this time as it could worsen condition. Will observe closely. BCVA CF @ 1 ft.

    Photographer: Virginia Gebhart, Retina Consultants of Carolina

    Imaging device: Optos California

    Condition/keywords: fibrosis, proliferative diabetic retinopathy (PDR), traction detachment, Traction retinal detachment

  • Filigree Networks

    Nov 14 2025 by Malvika Singh

    Fundus photograph of a 31 year old male with type 1 diabetes mellitus showing neovascularisation along the superotemporal arcade.

    Photographer: Dr Malvika Singh, Retina Foundation, Ahmedabad, India

    Imaging device: Mirante SLO/OCT

    Condition/keywords: neovascularization (NV), proliferative diabetic retinopathy (PDR)

  • Twin Maps of Ischemia: A Fluorescein–OCT Angiography Mirror in Post-Transplant Vasculopathy

    Nov 13 2025 by Guilherme Sturzeneker, MD, MSc

    Fluorescein angiography (top) and optical coherence tomography angiography (bottom) from both eyes of a 29-year-old woman, obtained 49 days after haploidentical hematopoietic stem cell transplantation, demonstrating marked bilateral macular hypoperfusion with perivascular leakage. OCT-A confirms extensive capillary dropout in both eyes. These findings are consistent with atypical bilateral ischemic retinal vasculopathy unrelated to graft-versus-host disease. Management included oral corticosteroids and intravitreal anti-VEGF injections, with partial anatomical and functional response.

    Photographer: Patrick Oikawa, IPEPO - Instituto da Visão

    Imaging device: Intalight Dream OCT

    Condition/keywords: Fluorescein angiography, Hematopoietic stem cell transplantation, Ischemic retinal vasculopathy, Non-graft-versus-host disease, OCT Angiography, oncology

  • Proliferative Diabetic Retinopathy

    Nov 13 2025 by DR APOORVA JADHAV, MBBS , DNB

    Wild Field OCTA of 61 year old male showing us NVD, NVE, CNP areas , macular ischaemia.

    Photographer: Dr Apoorva Jadhav

    Imaging device: Intalight Dream OCT

    Condition/keywords: neovascularization of the disc (NVD), NVE, PDR

  • Bullous Retinal Detachment

    Nov 13 2025 by Virginia Gebhart

    42 year old female referred for vision loss x 4-5 days. Bullous retinal detachment from 8:00 to 3:00 with retinal tear at 11:00. Macula is detached. Vision is LP, IOP of 3. Pt is scheduled for GFE and possible scleral buckle.

    Photographer: Virginia Gebhart, Retina Consultants of Carolina

    Imaging device: Optos California

    Condition/keywords: bullous retinal detachment, retinal detachment, retinal detachment of the macula, retinal tear with detachment

  • The Great Disc-guise

    Nov 12 2025 by SHRADDHA RAJ SHRIVASTAVA

    Right eye pseudocolor fundus photo of a 20 year old with Both eyes Pathological Myopia (spherical refractive error of - 18.00 DS in BE), showing a tilted myopic disc with peripapillary atrophy, and extensive posterior staphyloma baring the underlying choroidal vessels and scleral tissue. We can also see a well-defined round chorioretinal atrophic (CRA) patch superonasal to the disc, giving the illusion of double disc on cursory fundus examination.

    Photographer: Dr. Shraddha Raj Shrivastava

    Imaging device: Nidek Mirante SLO/OCT (Confocal scanning/Spectral domain OCT)

    Condition/keywords: chorioretinal atrophy, High Myopia, pathologic myopia, peripapillary atrophy, posterior staphyloma

  • Retinoschisis Retinal Detachment

    Nov 11 2025 by Neeket R Patel, MD

    A 63-year-old woman presented with vision loss in the left eye and was found to have a macula-involving retinoschisis related retinal detachment. Examination reveals a large inferotemporal outer hole with multiple inner holes and a small temporal retinal hole.

    Photographer: Maurine M. Charbatji

    Condition/keywords: inferotemporal retinoschisis, Retinal Detachment, retinoschisis

  • Retinal Detachment with Macular Hole

    Nov 10 2025 by Korey Starkey

    A 58 year-old female presented with re-detached retina through macular hole. Planned for surgical intervention.

    Photographer: Korey Starkey

    Imaging device: Optos

    Condition/keywords: gas bubble, intermediate uveitis, macular hole, pars plana vitrectomy (PPV), retinal detachment, scleral buckle, traction detachment

  • Unilateral Pigmentary Retinopathy

    Nov 9 2025 by Hrishikesh Naik, MS

    Montage fundus photographs of a 47 year old female presenting with unilateral vision loss in the left eye. Fundoscopy revealed extensive intraretinal pigment clumps, waxy disc pallor, and marked vessel attenuation in the left eye with a normal fundus in the right. Electroretinography showed unilateral reduction in rod and cone function. Unilateral pigmentary retinopathy, an uncommon variant of retinitis pigmentosa (reported incidence ˜ 5%) presents with RP-like changes in one eye, the fellow eye being completely normal. Proposed causes include lyonization and somatic mosaicism. Conditions which mimic RP should be excluded, and any diagnoses should be supported with electrodiagnostic tests and autofluorescence imaging. Management parallels RP, focusing on cataract and macular complications and long-term follow-up to monitor possible bilateral progression.

    Imaging device: Zeiss Visucam 224

    Condition/keywords: montage, retinitis pigmentosa, unilateral

  • RD with GRT with Dislocated Cataractous Lens

    Nov 9 2025 by SHILPI H NARNAWARE, ICO ( Retina) , FAICO ( Vitreo-Retina)

    Young high myope male presented with DOV since 6 months. Examination revealed , Subluxated cataractous lens with RD with PVR with > 270 degrees GRT

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

    Imaging device: Mirante ( by Nidek)

    Condition/keywords: PVR, retinal detachment

  • Bleeding Laser

    Nov 8 2025 by Andrea Arriola-Lopez, MD MSc

    26 year-old male, reports seeing a red dot with his left eye after staring at a projector light. BCVA 0.7 logMar.

    Photographer: Dr. Waldemar Godoy, Clínica Godoy. Jalapa, Guatemala.

    Imaging device: OPTOPOL SD-OCT

    Condition/keywords: subhyaloid blood, subhyaloid hemorrhage

  • Ironing Out the Diagnosis: Choroidal Folds

    Nov 8 2025 by SHRADDHA RAJ SHRIVASTAVA

    Pseudocolor SLO Right Eye fundus image of a 73 year old lady, showing choroidal folds at the macula, just temporal to the fovea. Intraocular pressure was normal, media was clear, and rest of the retina was unremarkable on examination. Left fundus was normal on examination. Patient was systemically fit. Patient was advised to undergo MRI Brain+Orbit to rule out any posterior orbital pathology compressing on the right globe. Results of the scan are awaited.

    Photographer: Dr. Shraddha Raj Shrivastava

    Imaging device: Nidek Mirante SLO/OCT (Confocal scanning/Spectral domain OCT)

    Condition/keywords: Choroidal Folds

  • Ironing Out the Diagnosis: Choroidal Folds

    Nov 8 2025 by SHRADDHA RAJ SHRIVASTAVA

    Right eye B-FAF image of a 73 year old lady, showing choroidal folds at the macula, just temporal to the fovea. We can see alternating hypoautofluorescent (dark) lines corresponding to the crests of the folds where retinal pigment epithelium (RPE) cells are stretched and thinner and hyperautofluorescent (bright) lines at the troughs where RPE cells are compacted, containing more lipofuscin.

    Photographer: Dr. Shraddha Raj Shrivastava

    Imaging device: Nidek Mirante SLO/OCT (Confocal scanning/Spectral domain OCT)

    Condition/keywords: choroidal folds

  • Retinitis Pigmentosa: Now available in its Pericentral edition

    Nov 7 2025 by SHRADDHA RAJ SHRIVASTAVA

    Left eye Green-FAF image, of a 50 year old patient, diagnosed with bilateral Pericentral variant of Retinitis Pigmentosa. The disease is characterized by pigmentary changes closer to the macula, and an earlier involvement of central visual acuity as compared to typical RP. We can see prominent, scalloped hypoautofluorescent lesions in the pericentral region, which corresponds to areas of severe RPE atrophy and photoreceptor cell loss. Macula shows preserved background autofluorescence, with darker areas corresponding to no detectable fluorescence due to macular atrophy (loss of melanin/lipofuscin).

    Photographer: Dr. Shraddha Raj Shrivastava

    Imaging device: Nidek Mirante SLO/OCT (Confocal scanning/Spectral domain OCT)

    Condition/keywords: ATYPICAL RETINITIS PIGMENTOSA, fundus autofluorescence (FAF), pericentral retinitis pigmentosa, RP variant

  • 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

  • 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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