• Varicella Zoster Virus Retinitis

    Jan 17 2019 by Netan Choudhry, MD, FRCS(C)

    Wide-field montage image of a patient with unilateral varicella-zoster virus retinitis following ingestion of animal feces in Colombia.

    Photographer: Carmelina Timboli, Vitreous Retina Macula Specialists of Toronto

    Imaging device: Optos California (Optos PLC, Edinburgh, UK)

    Condition/keywords: retinitis, varicella zoster virus (VZV)

  • Ciliary Body Melanoma (Class 2 PRAME Positive)

    Jan 17 2019 by Olivia Rainey

    Pseudocolor optos fundus image of an 61-year-old male with ciliary body melanoma affecting his right eye, which tested PRAME positive placing him in class 2. The melanoma had caused a hemorrhagic retinal detachment. Patient was referred for a retinal detachment and was experiencing cloudy vision affecting his inferior field. He had been seeing flashes inferiorly 1-2x a daily for about 6-8 months.

    Photographer: Olivia Rainey

    Imaging device: Optos

    Condition/keywords: ciliary body melanoma, class 2, Optos, PRAME positive, retinal detachment, right eye

  • Chronic Uveitis From a Sulcus-Fixated One-Piece Acrylic IOL

    Jan 16 2019 by Kamal Kishore, MD, MBBS

    A 58-year-old female presented with chronic uveitis due to inadvertent placement of temporal haptics of a one-piece acrylic lens (Restor, Alcon) in the sulcus. Extensive loss of iris pigment causing transillumination defect and visibility of the offending haptic are evident in this photograph.

    Photographer: Kamal Kishore, MD, Illinois Retina and Eye Associates, Peoria, IL

    Imaging device: Google Pixel Smartphone during slit lamp biomicroscopy

    Condition/keywords: chronic uveitis, intraocular lens (IOL)

  • OCT in Patient With IIH Showing Thickened RNFL

    Jan 16 2019 by John S. King, MD

    18-year-old African American female with increased BMI with a history of headaches, nausea, transient diplopia and vision loss that she notices when getting up from her bed (and goes away after standing upright) for the last two weeks. Went to PCP and was treated for the flu, and after no improvement and visual symptoms known, was sent to ED. MRI did not show any masses and showed empty sella turcia. Scheduled for LP (expect high opening pressure) and neuro-ophthalmology. Vision 20/30 OD and 20/20 OS; no RAPD; IOP 15OU; no anterior segment or vitreous inflammation; discs are elevated with obscuration of the disc margins and some of the smaller vessels; there are no SVPs; there are mild Patton's lines temporally. The optic disc cube shows 360 degrees of RNFL thickening.

    Imaging device: Cirrus

    Condition/keywords: benign idiopatic intracranial hypertension, optic disc edema, papilledema

  • Mild Patton's Lines in IIH

    Jan 16 2019 by John S. King, MD

    18-year-old African American female with increased BMI with a history of headaches, nausea, transient diplopia and vision loss that she notices when getting up from her bed (and goes away after standing upright) for the last two weeks. Went to PCP and was treated for the flu, and after no improvement and visual symptoms known, was sent to ED. MRI did not show any masses and showed empty sella turcia. Scheduled for LP (expect high opening pressure) and neuro-ophthalmology. Vision 20/30 OD and 20/20 OS; no RAPD; IOP 15OU; no anterior segment or vitreous inflammation; discs are elevated with obscuration of the disc margins and some of the smaller vessels; there are no SVPs; there are mild Patton's lines temporally. The optic disc cube shows 360 degrees of RNFL thickening.

    Photographer: Gretchen Harper

    Imaging device: Topcon 50

    Condition/keywords: idiopathic intracranial hypertension, optic disc edema, papilledema, Patton's Lines

  • Mild Patton's Lines in IIH

    Jan 16 2019 by John S. King, MD

    18-year-old African American female with increased BMI with a history of headaches, nausea, transient diplopia and vision loss that she notices when getting up from her bed (and goes away after standing upright) for the last two weeks. Went to PCP and was treated for the flu, and after no improvement and visual symptoms known, was sent to ED. MRI did not show any masses and showed empty sella turcia. Scheduled for LP (expect high opening pressure) and neuro-ophthalmology. Vision 20/30 OD and 20/20 OS; no RAPD; IOP 15OU; no anterior segment or vitreous inflammation; discs are elevated with obscuration of the disc margins and some of the smaller vessels; there are no SVPs; there are mild Patton's lines temporally. The optic disc cube shows 360 degrees of RNFL thickening.

    Photographer: Gretchen Harper

    Imaging device: Topcon 50

    Condition/keywords: idiopathic intracranial hypertension, optic disc edema, papilledema, Patton's Lines

  • Hyper-autofluorescence of Orange Pigment Overlying a Lesion Suspicious for a Choroidal Melanoma

    Jan 16 2019 by John S. King, MD

    76-year-old white male saw his eye doctor with a three week complaint of photopsias and a shadow in his vision. Found to have a 10.5/12.5/2.5 (medium reflectivity) pigmented, choroidal mass associated with SRF and orange pigment (hyper-autofluorescence of lipofuscin, see image), and without drusen or halo.

    Photographer: Stacey Coleman

    Imaging device: Topcon 50

    Condition/keywords: choroidal melanoma, lipofuscin, orange pigment

  • Orange Pigment Overlying a Lesion Suspicious for a Choroidal Melanoma

    Jan 16 2019 by John S. King, MD

    76-year-old white male saw his eye doctor with a three week complaint of photopsias and a shadow in his vision. Found to have a 10.5/12.5/2.5 (medium reflectivity) pigmented, choroidal mass associated with SRF and orange pigment (hyper-autofluorescence of lipofuscin), and without drusen or halo. See photo

    Photographer: Stacey Coleman

    Imaging device: Topcon 50

    Condition/keywords: choroidal melanoma, lipofuscin, orange pigment

  • Mild Nonproliferative Diabetic Retinopathy

    Jan 16 2019 by Carolyn Daley

    Fluorescence angiogram 50 degree imaging of a 38-year-old woman with mild nonproliferative diabetic retinopathy in the left eye. Patient also presented with a paracentral scotoma which etiologies could include vascular occlusion vs JFRT.

    Photographer: Carolyn Daley, Retina Specialists of Michigan

    Imaging device: Heidelberg Spectralis

    Condition/keywords: diabetes, Heidelburg Spectralis, juxtafoveal telangiectasis, nonproliferative diabetic retinopathy, retinopathy, vascular occlusions

  • Subretinal Hemorrhage in Wyburn Mason Syndrome

    Jan 15 2019 by Aniruddha Maiti, MBBS DO DNB FRVS FICO

    Digital fundus angiography showing dilated tortuous vessels and blocked fluorescence due to sub retinal hemorrhage in right eye.

    Photographer: Sangeeta Mohanta

    Imaging device: Heidelberg spectralis

    Condition/keywords: subretinal hemorrhage, Wyburn-Mason

  • Color Montage picture

    Jan 15 2019 by Aniruddha Maiti, MBBS DO DNB FRVS FICO

    Dilated tortuous vessels with intraretinal and subretinal hemorrhage at fovea.

    Photographer: Sangeeta Mohanta

    Imaging device: Heidelberg spectralis

    Condition/keywords: color photo, dilated tortuous vessels, subretinal hemorrhage

  • Color Montage picture

    Jan 15 2019 by Aniruddha Maiti, MBBS DO DNB FRVS FICO

    Dilated tortuous vessels with intraretinal and subretinal hemorrhage at fovea.

    Photographer: Sangeeta Mohanta

    Imaging device: Zeiss FF450 plus IR

    Condition/keywords: dilated tortuous vessels, subretinal hemorrhage, Wyburn-Mason

  • Epiretinal Membrane With Traction

    Jan 15 2019 by Olivia Rainey

    Red-free image of a 72-year-old female with an epiretinal membrane with inferior traction affecting her left eye. Patient had seen distortion for one month prior to her appointment and stated that the change happened suddenly. Patient deferred surgery.

    Photographer: Olivia Rainey

    Imaging device: Heidelberg Spectralis

    Condition/keywords: 30 degrees, epiretinal membrane (ERM), Heidelburg Spectralis, left eye, macular traction, red-free

  • Weiss Ring

    Jan 15 2019 by Olivia Rainey

    Fluorescein angiogram of a 55-year-old female with a Weiss ring affecting her right eye. Patient was diagnosed with sarcoidosis. She has cystoid macular edema secondary to panuveitis.

    Photographer: Olivia Rainey

    Imaging device: Heidelberg Spectralis

    Condition/keywords: 30 degrees, cystoid macular edema (CME), fluorescein angiogram (FA), fluorescein leakage, Heidelburg Spectralis, optic nerve, sarcoidosis, uveitis, Weiss ring

  • Cystoid Macular Edema Secondary to Panuveitis

    Jan 15 2019 by Olivia Rainey

    Fluorescein angiogram of a 55-year-old female with cystoid macular edema secondary to uveitis affecting her right eye. Patient was diagnosed with sarcoidosis.

    Photographer: Olivia Rainey

    Imaging device: Heidelberg Spectralis

    Condition/keywords: 30 degrees, cystoid macular edema (CME), fluorescein angiogram (FA), fluorescein leakage, Heidelburg Spectralis, sarcoidosis, uveitis

  • Branch Retinal Vein Occlusion With Peripheral Pigmentary Change

    Jan 15 2019 by Olivia Rainey

    Ultra-wide field fluorescein angiogram of an 85-year-old female with a branch retinal vein occlusion with peripheral pigmentary changes. Patient developed a BRVO after a PPV for an epiretinal membrane.

    Photographer: Olivia Rainey

    Imaging device: Optos

    Condition/keywords: branch retinal vein occlusion (BRVO), epiretinal membrane (ERM), fluorescein angiogram (FA), left eye, Optos, pigmentary retinal dystrophy

  • X-Linked Retinoschisis Macular OCT

    Jan 13 2019 by Michelle V. Carle, MD. MMEd

    Macular OCT of a 8-year-old boy with XLR. His brother also demonstrates the disease.

    Photographer: Ron Calip, COT, Kaiser Permanente Washington, Seattle

    Condition/keywords: x-linked retinoschisis (XLRS)

  • X-Linked Retinoschisis Color Fundus Photo

    Jan 13 2019 by Michelle V. Carle, MD. MMEd

    Color Fundus photo of a 6-year-old boy with XLR.

    Photographer: Erika Botch, COT, Kaiser Permanente Washington, Seattle

    Condition/keywords: x-linked retinoschisis (XLRS)

  • Group E Retinoblastoma Specimen

    Jan 10 2019 by Rahul Komati, MD

    Enucleation specimen of a 3-year-old boy with Group E unilateral sporadic retinoblastoma.

    Condition/keywords: retinoblastoma

  • Retinoblastoma

    Jan 10 2019 by Rahul Komati, MD

    Fundus photograph of retinoblastoma tumor and vitreous seeding in a 3-year-old boy.

    Photographer: Michael Blair, MD

    Imaging device: Retcam

    Condition/keywords: retinoblastoma

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