• Asteroid Hyalosis

    Sep 15 2020 by Yoshihiro Yonekawa, MD

    Fundus photograph of a 70-year-old man with glistening asteroid hyalosis.

    Photographer: Alexa Bednar, Mid Atlantic Retina

    Imaging device: Topcon

    Condition/keywords: asteroid hyalosis

  • Iris Bombe

    Sep 15 2020 by Sophia El Hamichi, MD

    A 23-year-old female with Coats' disease OS.

    Photographer: Belinda Rodriguez, Murray Ocular Oncology and Retina, Miami

    Condition/keywords: Coats' disease, iris bombe, silicone oil

  • Iris Bombe

    Sep 15 2020 by Sophia El Hamichi, MD

    A 23-year-old female with Coats' disease OS.

    Photographer: Belinda Rodriguez, Murray Ocular Oncology and Retina, Miami

    Condition/keywords: Coats' disease, iris bombe, silicone oil

  • Macular Telangiectasia with Intraretinal CNV

    Sep 12 2020 by Deepak Bhojwani, MS

    OCT-angiographic images of a 52-year-old gentlemen showing abnormal telangiectatic vessels over the macula in superficial layer which can be traced down to the deeper layer of capillaries. The outer retinal slab on OCTA delineates CNVM (a known complication of mactel). The structural image on extreme down right also shows the right-angled vessel (characteristic of mactel's and the associated structural damage secondary to CNV.

    Photographer: DEEPAK BHOJWANI

    Imaging device: ZEISS OCT-ANGIOPLEX

    Condition/keywords: macular telangiectasia type 2, optical coherence tomography (OCT)

  • 360 Degree Retinectomy

    Sep 11 2020 by Sham Talati

    A case of retinal detachment with PVR. Patient underwent pars plana vitrectomy with silicon oil injection with 360 degree retinectomy.

    Photographer: Dr. Sham Talati,Retina Foundation,Ahmedabad

    Imaging device: Nidek Mirante

    Condition/keywords: proliferative vitreoretinopathy (PVR), retinal detachment, retinectomy

  • Subretinal Cysticercosis Post Vitrectomy

    Sep 10 2020 by Anamika Dwivedi

    Fundus photograph of a 22-year-old male, case of subretinal cysticercosis, after PPV and cyst removal showing laser scar at the site of the previous cyst.

    Photographer: Dr Anamika Dwivedi

    Imaging device: topcon

    Condition/keywords: bilateral subretinal cysticercosis

  • Neurocysticercosis

    Sep 10 2020 by Anamika Dwivedi

    MRI images of a 22-year-old male with h/o headache for 1 month. MRI brain axial scan showing multiple tiny cystic lesions scattered all over the cerebral parenchyma. Post gadolinium contrast coronal scan showing multiple cystic lesion scattered in cerebral parenchyma, few of the lesion showing ring enhancement.

    Condition/keywords: neurocysticercosis

  • Subretinal Cysticercosis

    Sep 10 2020 by Anamika Dwivedi

    Fundus photograph of a 22-year-old male, who was referred from physician as a case of headache under evaluation, with a history of headache for 1 month. Fundus showing bilateral subretinal cysticercus cyst with scolex.

    Photographer: Dr Anamika Dwivedi

    Imaging device: topcon

    Condition/keywords: bilateral subretinal cysticercosis

  • OD-Macula Off Retinal Detachment

    Sep 9 2020 by Lauren Schuler

    Optos photo of a 71-year-old male with a macula (mac off) off retinal detachment of the right eye.

    Photographer: Lauren Schuler

    Imaging device: Optos

    Condition/keywords: detachment, macula, retina, right eye

  • NVD with Traction and Vitreous Hemorrhage

    Sep 9 2020 by Lauren Schuler

    Optos photo of a 31-year-old male with a vitreous hemorrhage and NVD with traction.

    Photographer: Lauren S

    Imaging device: Optos

    Condition/keywords: fundus photograph, hemorrhage, neovascularization of the disc (NVD), Optos

  • Femoral Artery Plaque

    Sep 9 2020 by John S. King, MD

    66-year-old white male, former smoker, with a history of femoral artery stent a plaque removal in 2017 (see picture), triple bypass 2019 (at that time there was no high grade carotid stenosis), diabetes significant for SNPDR OD and PDR OS (NVD). He underwent PRP OS and two months later developed a vitreous hemorrhage and had a PPV OS. Early in the post-operative period vision dropped to LP due to acute CRAO with retinal embolus present. He was found to have progressed to high grade carotid stenosis (versus imaging 6 months ago) and a left carotid endarterectomy was performed . He had a picture of this plaque, and after I asked to use it for image bank, he also showed me this older picture of his femoral plaque.

    Condition/keywords: atherosclerosis

  • Carotid Artery Plaque

    Sep 9 2020 by John S. King, MD

    66-year-old white male, former smoker, with a history of femoral artery stent a plaque removal in 2017, triple bypass 2019 (at that time there was no high grade carotid stenosis), diabetes significant for SNPDR OD and PDR OS (NVD). He underwent PRP OS and two months later developed a vitreous hemorrhage and had a PPV OS. Early in the post-operative period vision dropped to LP due to acute CRAO with retinal embolus present. He was found to have progressed to high grade carotid stenosis (versus imaging 6 months ago) and a left carotid endarterectomy was performed (see picture of the large plaque) .

    Condition/keywords: carotid artery occlusion

  • Vascular Primary Vitreous

    Sep 8 2020 by J. Sebag, MD, FACS, FRCOphth, FARVO

    The hyaloid artery (“3”, left) feeds the vasa hyaloidea propria (“2”, left) which anastomosis with the tunica vasculosa lentis (“1”, left). The histologic section to the right is stained with H & E (bar = 100 uM) [Left: from Yee at al.: Vitreous cytokines and regression of the fetal hyaloid vasculature. In: Vitreous – in Health & Disease. Springer, New York, 2014; pg. 42 (image © Springer Nature, reprinted with permission) Right: from Sebag J: Vitreous and vitreo-retinal interface. In: Ryan’s Retina 6th edition (A. Schachat, ed.) Elsevier, 2018; pg. 546.

    Condition/keywords: hyaloid artery, vitreous

  • Multifocal Choroiditis and Panuveitis Scars

    Sep 4 2020 by Harvey S Uy, MD

    56-year-old female with 10 year history of recurrent mild uveitis and increasing choroidal scars.

    Condition/keywords: multifocal chorioretinitis (MCP)

  • Capsular Phimosis with Dislocated IOL

    Sep 3 2020 by Mamoun Hani Zebbache

    Anterior capsule contraction syndrome with partially subluxed intraocular lens in 74-year-old female who was operated in another center.

    Condition/keywords: capsule, dislocated intraocular lens (IOL), fibrosis, phimosis

  • Neurosyphilis

    Sep 3 2020 by Ankur Gupta

    40-year-old male who presented with blurry vision and hand lesions. Hyperreflective nodularity of the retinal pigment epithelium overlying loss of the normal photoreceptor architecture. Disruption of the external limiting membrane. Loss of the photoreceptor inner segment/outer segment band. Punctate hyperfluorescence in the choroid. Transient subretinal fluid.

    Photographer: Kenneth Lam; Geisinger Eye Institute

    Condition/keywords: neurosyphilis, uveitis

  • Optic Pit Maculopathy

    Sep 3 2020 by Ankur Gupta

    36-year-old female with optic disc pit maculopathy (ODP-M) as evidenced by macular swelling on fundus photos. OCT reveals buildup of subretinal fluid spanning the entirety of the macula and FAF shows loss of RPE.

    Photographer: Demi Miller, Geisinger Eye Institute

    Condition/keywords: optic pit

  • Vitreoschisis

    Sep 3 2020 by J. Sebag, MD, FACS, FRCOphth, FARVO

    OCT of the left eye in a patient with macular pucker (see SLO image below to right) demonstrates splitting of the posterior vitreous cortex in two separate places. Tangential traction caused thickening of the underlying macula. [For histopathology see: Gupta P, Yee KMP, Garcia P, Rosen RB, Parikh J, Hageman GS, Sadun AA, Sebag J: Vitreoschisis in macular diseases. Brit J Ophthalmol 2011;95(3):376-80]

    Condition/keywords: vitreoschisis

  • Lamellar Structure of the Primate Posterior Vitreous Complex

    Sep 3 2020 by J. Sebag, MD, FACS, FRCOphth, FARVO

    Immunohistochemistry of a monkey eye imaged with fluorescein conjugated ABA lectin staining demonstrates the lamellar structure pf the posterior vitreous cortex. During anomalous PVD, there can be splitting between these lamellae, a phenomenon known as vitreoschisis. (original magnification = 400x)

    Condition/keywords: vitreous

  • Inferior Temporal Dialysis-Retinal Detachment-RPE Vitreous Cells Clumps

    Sep 2 2020 by Carlos W Arzabe, MD

    Inferior temporal dialysis-retinal detachment-RPE vitreous cells clumps.

    Imaging device: Clarus 700

    Condition/keywords: retinal detachment, retinal pigment epithelium

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