• Proliferative Diabetic Retinopathy with Huge Subhyaloid Bleed

    Apr 1 2020 by Sugnesh Parmar

    47-year-old patient came with sudden loss of vision in LE.

    Photographer: Dr. Sugnesh Parmar, Radheshyam retina hospital, Bhavnagar, Gujarat, India

    Condition/keywords: proliferative diabetic retinopathy (PDR)

  • Retinoblastoma

    Mar 29 2020 by Ulises de Dios

    5-year-old boy with unilateral retinoblastoma after chemotherapy.

    Photographer: Ulises de Dios Cuadras, Instituto de Oftalmología Fundación Conde de Valenciana

    Imaging device: Topcon Triton

    Condition/keywords: intraocular tumor, pediatric retina, retinoblastoma, tumor seeding

  • BRAO with Cherry Red Spot

    Mar 28 2020 by Sugnesh Parmar

    20-year-old male presented with sudden loss of vision in his RE and on examination found to have BRAO with typical cherry red spot.

    Photographer: Dr. Sugnesh Parmar, Radheshyam retina hospital, Bhavnagar, Gujarat, India

    Condition/keywords: branch retinal artery occlusion (BRAO)

  • Uveal Effusion

    Mar 25 2020 by Stephanie Burke

    29-year-old male with uveal effusion. Patient was of short-stature with nanophthalmos.

    Photographer: Stephanie Burke, CRA, OCT-C

    Condition/keywords: chorioretinopathy, nanophthalmos, ultra-wide field imaging, uveal effusion, uveitis

  • MNF with ERM with LMH

    Mar 24 2020 by Sugnesh Parmar

    32-year-old male with unilateral high myopia with amblyopia on routine fundus examination was having large MNF with ERM with LMH

    Photographer: Dr. Sugnesh Parmar, Radheshyam retina hospital, Bhavnagar, Gujarat, India

    Condition/keywords: high myopia, lamellar macular hole

  • Management of Submacular Hemorrhage

    Mar 22 2020 by Anfisa Ayalon

    Submacular hemorrhage in age-related macular degeneration. Image A: SD-OCT before the surgery. Note widespread submacular hemorrhage with subretinal fluid and RPE detachment. Image B: SD-OCT after the surgery (PPV+ERM and ILM peeling+Submacular injection of t-PA, bevacizumab and filtered air+ Intravitreal injection of 20% SF6 ). Note remaining RPE detachment with no OCT signs of submacular hemorrhage. The visual acuity improved after the surgery from HM to 1/60.

    Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

    Condition/keywords: age-related macular degeneration (AMD), optical coherence tomography (OCT), submacular hemorrhage

  • Management of Submacular Hemorrhage

    Mar 22 2020 by Anfisa Ayalon

    Intraoperative images were taken during the management of submacular hemorrhage in age-related macular degeneration. The goal of the surgery was the physical displacement of SMH out of the fovea using expansile gas. The image from the left was done during ILM peeling. Note the massive collection of subretinal blood. The image from the right was done after submacular injection of t-PA, bevacizumab and filtered air. Intravitreal injection of 20% SF6 completed the surgery. The visual acuity improved after the surgery from HM to 1/60.

    Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

    Condition/keywords: spontaneous submacular hemorrhage, submacular hemorrhage, vitreomacular surgery, wet age-related macular degeneration (wet AMD)

  • Rhegmatogenous Retinal Detachment With Retinal Dialysis and Intraretinal Cyst

    Mar 18 2020 by Giridhar Anantharaman, MS

    Optos ultra-widefield retinal imaging of the left eye of a 30-year-old lady with rhegmatogenous retinal detachment with inferotemporal retinal dialysis and a large intraretinal cyst.

    Photographer: Rakesh PR, Giridhar Eye Institute, Kerala, India

    Imaging device: Optos UWF Daytona plus

    Condition/keywords: intraretinal cyst, retinal dialysis, rhegmatogenous retinal detachment

  • Total Retinal Detachment and Dislocated PCIOL

    Mar 18 2020 by Anfisa Ayalon

    Intraoperative image of a 61-year-old high-myopic woman with total retinal detachment and dislocated 3-piece IOL.

    Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

    Condition/keywords: dislocated posterior chamber intraocular lens (PCIOL), high myopia, retinal detachment

  • Best Vitelliform Macular Dystrophy

    Mar 17 2020 by Sophia El Hamichi, MD

    Classic "egg yolk" presentation in a 16-year-old female with best disease.

    Condition/keywords: autofluorescence imaging, Best disease, optical coherence tomography (OCT), vitelliform macular dystrophy

  • FLORID Type PDR OS

    Mar 17 2020 by Deepak Bhojwani, MS

    Left eye montage fundus image of a diabetic patient with FLORID fibrovascular proliferation around optic disc .

    Photographer: DEEPAK BHOJWANI

    Condition/keywords: fibrovascular proliferation, florid type PDR, proliferative diabetic retinopathy (PDR)

  • Neovascularization of the Disc OD

    Mar 17 2020 by Deepak Bhojwani, MS

    Fundus image of an asymptomatic diabetic patient with new vessels of disc (NVD) suggesting PDR can be visually silent disease.

    Photographer: Deepak Bhojwani

    Condition/keywords: neovascularization of the disc (NVD), proliferative diabetic retinopathy (PDR)

  • Laser Pointer Maculopathy

    Mar 13 2020 by Joshua O Mali, MD

    Fundus photograph of a 12 year-old male presenting with a laser pointer injury to the retina of the right eye.

    Photographer: Joshua Mali, MD

    Condition/keywords: laser pointer maculopathy

  • White Without Pressure

    Mar 13 2020 by Anfisa Ayalon

    Fundus photograph of a 26-year-old woman with high myopia. Note inferotemporally margins of sharply demarcated WWP area.

    Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

    Imaging device: California, Optos 200 DTX

    Condition/keywords: myopia, white without pressure

  • Post Endophthalmitis

    Mar 12 2020 by Ashley Glace

    70-year-old male FA Ultra Wide Field FA at 3:38 of a 70-year-old male with endophthalmitis post vitrectomy to clear the debris.

    Photographer: Ashley Glace, Geisinger Ophthalmology, Williamsport Pennsylvania Clinic

    Imaging device: Clarus 700

    Condition/keywords: endophthalmitis

  • Prepapillary Vascular Loop

    Mar 11 2020 by Asdrubal Moreno

    Fundus color photograph of a 80-year-old woman with a unilateral congenital prepapillary vascular loop and hypertensive retinopathy, focused on the retinal plane for perception.

    Photographer: Asdrubal Moreno, Fundacion AVAO, Universidad de Los Andes, Venezuela

    Imaging device: Zeiss Visucam 500

    Condition/keywords: congenital prepapillary vascular loop, peripapillary

  • Prepapillary Vascular Loop

    Mar 11 2020 by Asdrubal Moreno

    Fundus color photograph of a 80-year-old woman with a unilateral congenital prepapillary vascular loop and hypertensive retinopathy, focus on the vascular loop end for perception.

    Photographer: Asdrubal Moreno, Fundacion AVAO, Universidad de Los Andes, Venezuela

    Imaging device: Zeiss Visucam 500

    Condition/keywords: congenital prepapillary vascular loop, peripapillary

  • Retinal Angiomatous Proliferation RAP

    Mar 11 2020 by Rafael Reis

    Retinal angiomatous proliferation (RAP) is a unique variant of neovascular age-related macular degeneration. Published studies have estimated that up to 15% of patients with neovascular age-related macular degeneration have RAP. Clinical features frequently associated with RAP include bilateral disease, presence of pigment epithelial detachments, and reticular pseudodrusen. RAP is more frequently associated with the development of retinal pigment epithelial tears and geographic atrophy that can lead to severe vision loss. We present a stereo fluorescein angiography and ICG (upper right and left image respectively) and OCT of left and right eye (middle and inferior image) of a RAP choroidal neovascularization in an 89-year-old patient.

    Photographer: Rafael Reis Pereira

    Imaging device: HRA Heildelberg Spectralis

    Condition/keywords: retinal angiomatous proliferation (RAP)

  • Choroidal Osteoma

    Mar 10 2020 by David L Kilpatrick, MD

    Fundus photograph demonstrating a choroidal osteoma in the posterior pole. This patient had a drop in vision from 20/30 to 20/60 secondary to a new CNV that was treated with intravitreal bevacizumab.

    Photographer: Retina Consultants of Alabama, P. C.

    Condition/keywords: choroidal osteoma

  • Class 1A Choroidal Melanoma

    Mar 10 2020 by David L Kilpatrick, MD

    Fundus photograph of a 28-year-old female with a choroidal melanoma in the posterior pole. The presenting vision was 20/25. Transvitreal biopsy revealed a class 1A / PRAME negative tumor (Castle Biosciences). Based on the genetic expression profile, she will undergo TTT as the initial treatment modality.

    Photographer: Retina Consultants of Alabama, P. C.

    Condition/keywords: choroidal melanoma, class 1A

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