• Autofluorescence Stage 3 Vogt-Koyanagi-Harada (VKH) Disease

    Oct 20 2021 by Bryon McKay, MD, PhD, FRCSC

    27yF presented with sub-acute findings of VKH, she has an interesting pattern of perivascular changes. She was successfully treated with immunosuppressive agents and maintains 20/20 vision.

    Photographer: Dr. K. Vaezi, University of British Columbia, Canada

    Imaging device: Optos Imaging system

    Condition/keywords: Vogt-Koyanagi-Harada

  • 2min-FA-VKH

    Oct 20 2021 by Bryon McKay, MD, PhD, FRCSC

    27yF presented with sub-acute findings of VKH, she has an interesting pattern of perivascular changes. She was successfully treated with immunosuppressive agents and maintains 20/20 vision.

    Photographer: Dr. K. Vaezi, University of British Columbia, Canada

    Imaging device: Optos Imaging system

    Condition/keywords: uveitis, Vogt-Koyanagi-Harada

  • Proliferative Diabetic Retinopathy

    Oct 16 2021 by Timur Shaimov

    32 y.o. female with Type 1 Diabetes with no glucose compensation for a several years. A manual montage of several 8x8 mm OCT angiograms to obtain this Widefield OCTA image.

    Photographer: Timur Shaimov

    Imaging device: RTVue xR Avanti

    Condition/keywords: OCT Angiography, proliferative diabetic retinopathy (PDR)

  • Macular Hematoma Secondary Valsalva Maneuver

    Oct 14 2021 by Islam bechakh

    A 32-year-old man, who has presented for 02 months, a macular hematoma secondary to a Valsalva maneuver. He benefited from an attempt to open the hematoma with a Yag laser, but to no avail. We operated on and performed a 23G vitrectomy with posterior vitreous detachment, and discovered an epiretinal membrane which separated the hematoma from the posterior hyaloid. After removal of this membrane and aspiration of red blood cells and fibrin, the macula regained a normal appearance with good functional recovery.

    Photographer: Islam Bechakh

    Condition/keywords: epiretinal membrane (ERM), ERM, Macular hematoma, Valsalva maneuver

  • Epimacular Membrane

    Oct 14 2021 by Islam bechakh

    A vitrectomy is performed in our 25 G transconjunctival patient after careful decontamination of the cul-de-sacs by washing with povidone-iodine (Betadine®) 5% for 2 minutes. The panoramic system associated with the operating microscope makes it possible to control the traction on the retinal periphery and to facilitate the manipulation of the dye (Brilliant Blue G) during the surgery. The peeling of the membrane is extended to the whole macular area by trying, by a superficial grip begun in the sub-foveolar, to peel only the membrane. The internal limiting is then stained a second time and the total or partial decision is discussed on a case-by-case basis depending on the severity of the retraction and the type of diffuse or cystoid edema.

    Photographer: Islam Bechakh

    Condition/keywords: Epimacular membrane, vitrectomy

  • Dry AMD, Advanced Atrophic without Subfoveal Involvement

    Oct 12 2021 by Kelli Nyenhuis

    OCT Heidelberg photograph of a 79-year-old woman with AMD advancing that has been observed over the last 10 years.

    Photographer: Kelli Nyenhuis, OMA

    Imaging device: Heidelberg

    Condition/keywords: dry age-related macular degeneration (dry AMD)

  • Iridociliary Cyst

    Oct 12 2021 by Jesus Lozano, MD

    82 year old man with a brown mass beneath the iris, inside the pupil at 6-9 o’clock.

    Photographer: Dr. Jesús Lozano Gutiérrez. Jerusalem. Israel.

    Imaging device: iPhone 12

    Condition/keywords: ciliary body cyst, cystic lesion, iris

  • Stargardt Disease

    Oct 7 2021 by Becca Harris

    83-year-old male with Stargardt Disease.

    Photographer: Becca Harris

    Imaging device: Optos California

    Condition/keywords: left eye, Optos, Stargardt disease

  • Stargardt Disease

    Oct 7 2021 by Becca Harris

    83-year-old male with Stargardt Disease.

    Photographer: Becca Harris

    Imaging device: Optos California

    Condition/keywords: Optos, Stargardt disease

  • Stargardt Disease

    Oct 7 2021 by Becca Harris

    83-year-old male with Stargardt Disease.

    Photographer: Becca Harris

    Imaging device: Optos California

    Condition/keywords: Optos, right eye, Stargardt disease

  • Stargardt Disease

    Oct 7 2021 by Becca Harris

    83-year-old male with Stargardt Disease.

    Photographer: Becca Harris

    Imaging device: Optos California

    Condition/keywords: Optos, Stargardt disease

  • Ocular Ischemic Syndrome/ Severe NPDR

    Oct 6 2021 by Becca Harris

    53 year old female with Severe NPDR and Ocular Ischemic Syndrome.

    Photographer: Becca Harris

    Imaging device: Optos California

    Condition/keywords: Diabetic Retinopathy, left eye, nonproliferative diabetic retinopathy, ocular ischemic syndrome, optos, retinal ischemia

  • Familial Retinal Artery Tortuosity

    Oct 3 2021 by Luiz A Zago, PhD

    A 47 -year-old male with no complaints. Bilateral arterial tortuosity with no complications such as retinal hemorrhages.

    Photographer: Luiz Alberto Zago PhD

    Imaging device: Topcon 50IX

    Condition/keywords: Familial retinal artery tortuosity

  • Combined Pigment Epithelial and Retinal Hamartoma

    Oct 3 2021 by Luiz A Zago, PhD

    23-year-old male with a combined pigment epithelial and retinal hamartoma and a secondary neovascularization and evolution with a glial tissue.

    Photographer: Luiz Alberto Zago Filho

    Imaging device: Topcon 50IX

    Condition/keywords: Combined pigment epithelial and retinal hamartoma

  • Choroidal Detachment

    Oct 1 2021 by Marcelo Zas, MD PhD

    Right eye from a 65-year-old patient with a choroidal detachment post trabeculectomy.

    Photographer: Zas Marcelo MD, PhD

    Imaging device: Optos California

    Condition/keywords: choroidal detachment, post-trabeculectomy

  • Post Aflibercept Sub-Retinal Hemorrhage

    Sep 29 2021 by Hilton Arcoverde Medeiros, PhD

    Fundus photograph of a 92-year-old man with sub macular hemorrhage 2 days after Aflibercept vitreo injection.

    Photographer: Hilton Medeiros, Hospital de olhos João Eugênio, Brasília Brazil

    Condition/keywords: aflibercept, dry age-related macular degeneration (dry AMD)

  • YAG Laser in Preretinal Hemorrhage

    Sep 27 2021 by Bruno André Cardoso Pereira

    Fundus photograph series of a 55-year-old man with left eye preretinal hemorrhage involving the visual axis, resolved with NdYAG laser. Photographs taken before, 1 hour after and 1 month after the laser.

    Photographer: Bruno Pereira

    Imaging device: Topcon TRC-50DX

    Condition/keywords: diabetic retinopathy, NdYAG laser, preretinal hemorrhage

  • NVE in an HIV Positive Case

    Sep 26 2021 by Nivesh Gupta

    FA Montage of a 22-year-old female with Neovascularization Elsewhere

    Photographer: DR. NIVESH GUPTA, RETINA FOUNDATION, AHMEDABAD

    Imaging device: NIDEK MIRANTE

    Condition/keywords: HIV, neovascularization elsewhere (NVE)

  • Toxoplasmosis Scar

    Sep 26 2021 by Nivesh Gupta

    Color photo of a 18-year-old male with Pigmented Parafoveal Scar

    Photographer: DR. NIVESH GUPTA, RETINA FOUNDATION, AHMEDABAD

    Imaging device: NIDEK MIRANTE

    Condition/keywords: coloboma of macula, Parafoveal scar, Pigmented Parafoveal Scar, toxoplasmosis

  • Retinal Lupus Vasculitis

    Sep 25 2021 by Denis Jusufbegovic, MD

    27-year-old woman with a history of systemic lupus erythematosus (SLE) presented with decreased vision to counting fingers at 2’ in the right eye. Funduscopic examination of the right eye (A) demonstrated retinal thickening and whitening of the macula, numerous cotton-wool spots, intra-retinal hemorrhages, sclerotic vessels, and vascular sheathing. Fluorescein angiography (B) demonstrated extensive vessel wall leakage (red asterisk) and large areas of capillary non-perfusion (white asterisk). These findings were consistent with severe vaso-occlusive retinopathy, a serious ophthalmologic manifestation of SLE. She was also diagnosed with concomitant cerebral lupus vasculitis. She was treated with intravenous methylprednisolone followed by oral prednisone taper and aspirin therapy. Mycophenolate mofetil was titrated to 1500 mg twice daily. Upon follow-up vision improved to 20/200.

    Imaging device: Zeiss Clarus 500

    Condition/keywords: cerebral lupus vasculitis, cotton wool spots, systemic lupus erythematosus (SLE) vasculitis, vaso-occlusive disease

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