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IOL Drop
Dec 4 2025 by surabhi gupta
A 60 year old man presented with sudden dimunition of vision in right eye. His visual acuity was finger counting at 1 meter and best corrected visual acuity with +10 D was 6/9. Patient was diagnosed with spontaneous right eye IOL bag complex drop in vitreous cavity with superior HST and inferotemporal hole secondary to posterior vitreous detachment . Right eye montage color fundus photo shows rigid IOL bag complex in vitreous cavity with barraged superior HST and inferotemporal hole. Post barrage laser patient underwent pars plana vitrectomy with IOL explantation and scleral fixated IOL.
Photographer: Dr Surabhi Gupta
Imaging device: EDION FA
Condition/keywords: IOL drop
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The Eye Siren - A Case of VHL
Dec 3 2025 by surabhi gupta
A 25 year old man presented with chief complaints of dimuntion of vision in right eye for past 2 weeks. Best corrected visual acuity in right eye was 6/12, N8 and left eye was 6/6, N6. Montage color fundus photograph shows bilateral multiple capillary hemangioma with epiretinal membrane causing traction over macula in right eye. On PET-CT multiple metabolically inactive cystic lesion were noted in the pancreas and seminal vesicle with low grade metabolically active cystic lesion with enhancing septations in kidneys which were suspicious of malignant etiology. MRI brain showed presence of a small cystic lesion anterior to celebellar vermis suggestive of CNS hemangioblastoma. A diagnosis of Von Hippel- Lindau syndrome was made the patient is under oncologist care for suspected RCC.
Photographer: Mr Brajesh Kumar
Imaging device: zeiss visucam 500
Condition/keywords: retinal capillary hemangioma
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The Eye Siren - A Case of VHL
Dec 3 2025 by surabhi gupta
A 25 year old man presented with chief complaints of dimuntion of vision in right eye for past 2 weeks. Best corrected visual acuity in right eye was 6/12, N8 and left eye was 6/6, N6. Montage color fundus photograph shows bilateral multiple capillary hemangioma with epiretinal membrane causing traction over macula in right eye. On PET-CT multiple metabolically inactive cystic lesion were noted in the pancreas and seminal vesicle with low grade metabolically active cystic lesion with enhancing septations in kidneys which were suspicious of malignant etiology. MRI brain showed presence of a small cystic lesion anterior to celebellar vermis suggestive of CNS hemangioblastoma. A diagnosis of Von Hippel- Lindau syndrome was made the patient is under oncologist care for suspected RCC.
Photographer: Mr Brajesh Kumar
Imaging device: zeiss visucam 500
Condition/keywords: retinal capillary hemangioma
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Anterior Capsular Phimosis
Dec 3 2025 by Gayathri M S
Slitlamp photograph of a 71 year female patient post relaxing incision with YAG capsulotomy for Anterior capsular Phimosis.
Photographer: Gayathri MS
Imaging device: SL9800
Condition/keywords: anterior capsule opacification, IOL in bag
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Origami Under Silicone Oil
Nov 29 2025 by Resham Khatri
Fundus photograph of a woman presenting for vision loss having operated twice for retinal detachment.
Photographer: Resham Khatri, M&J WRIO, Ahmedabad
Condition/keywords: post-vitrectomy, re-detachment post-vitrectomy, retinal detachment
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Rhegmatogenous Retinal Detachment
Nov 27 2025 by Jacob Adrián Ruíz García
Ultra–widefield fundus image demonstrates an extensive rhegmatogenous retinal detachment (RRD) with several large, irregular retinal tears are visible in the temporal retina, with associated surrounding subretinal fluid. The detachment appears bullous, with fluid extending widely across the mid-periphery and involving much of the posterior pole.
Photographer: Jacob Adrián Ruíz Garcia, Fundación Hospital Nuestra Señora de la Luz I.A.P, México City
Imaging device: Optos California
Condition/keywords: horseshoe tear, Rhegmatogenous retinal detachment, tear
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Macula-off Rhegmatogenous Retinal Detachment
Nov 27 2025 by Diana Elena Ornelas Rodríguez
Intraoperative image showing us macula-off rhegmatogenous retinal detachment, regma was spotted at M III.
Photographer: Diana Elena Ornelas Rodríguez, México
Condition/keywords: abnormal retina, macula, macula-off, Rhegmatogenous retinal detachment
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Cracking the Angioid Streaks Mystery
Nov 26 2025 by SHRADDHA RAJ SHRIVASTAVA
Left eye pseudocolor fundus photo showing hyperpigmented irregular lines emanating from the disc in a radiating fashion. Surrounding the angioid streaks and at the posterior pole, we can see numerous dot-like hypopigmented deposits along with a grayish-green membrane with exudates at the macula. The image is suggestive of Angioid Streaks with CNVM.
Photographer: Dr. Shraddha Raj Shrivastava
Imaging device: Nidek Mirante SLO/OCT (Confocal scanning/Spectral domain OCT)
Condition/keywords: Angiod streaks in Pseudoxanthoma elasticum, Angioid Streaks, Bruch's membrane, choroidal neovascular membrane (CNVM), color fundus photograph, pseudoxanthoma elasticum (PXE)
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Cracking the Angioid Streaks Mystery
Nov 26 2025 by SHRADDHA RAJ SHRIVASTAVA
G-FAF image of left eye better reveals more extensive hypoautofluorescent streaks than might be apparent on standard fundus photo. Characteristic “Para-streak phenomenon” of focal hyperautofluorescent spots are seen along the margins of the dark angioid streaks, corresponding to the areas of pigment clumping seen clinically.
Photographer: Dr. Shraddha Raj Shrivastava
Imaging device: Nidek Mirante SLO/OCT (Confocal scanning/Spectral domain OCT)
Condition/keywords: Angiod streaks in Pseudoxanthoma elasticum, Angioid Streaks, choroidal neovascular membrane (CNVM), fundus autofluorescence (FAF), pseudoxanthoma elasticum (PXE)
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Cracking the Angioid Streaks Mystery: Multimodal Mayhem
Nov 26 2025 by SHRADDHA RAJ SHRIVASTAVA
Multimodal imaging of right eye fundus showing Angioid Streaks with scarred CNVM. Color fundus photo shows hyperpigmented irregular lines emanating from the disc in a radiating fashion. Surrounding the angioid streaks and at the posterior pole, we can see numerous dot-like hypopigmented deposits and a disciform scar at macula. G-FAF images better reveal more extensive hypoautofluorescent streaks than are apparent on standard fundus photo. Characteristic “Para-streak phenomenon” of focal hyperautofluorescent spots are seen along the margins of the dark angioid streaks, corresponding to the areas of pigment clumping seen clinically. The para-streak pigment clumps are better delineated on the novel Retro-imaging method, appearing as raised bumps surrounding the angioid streaks.
Photographer: Dr. Shraddha Raj Shrivastava
Imaging device: Nidek Mirante SLO/OCT (Confocal scanning/Spectral domain OCT)
Condition/keywords: Angioid Streaks, Bruch's membrane, disciform scar, fundus autofluorescence (FAF), multimodal imaging, retro mode
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Retinal Break With Cuff of Subretinal Fluid (Subclinical Retinal Detachment), Immediately Post Laser Barrage
Nov 26 2025 by NIDHI PANWAR, MD FRCS Glasgow FNB FICO
Immediately post laser barrage, case of asymptomatic retinal break with subretinal fluid more than 2 DD in supero temporal quadrant.
Photographer: NIDHI PANWAR
Imaging device: optos
Condition/keywords: asymptomatic retinal break, asymptomatic retinal detachment, BARRAGE LASER, subretinal fluid
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Retinal Break With Cuff of Subretinal Fluid (Subclinical Retinal Detachment)
Nov 26 2025 by NIDHI PANWAR, MD FRCS Glasgow FNB FICO
Asymptomatic retinal break with subretinal fluid more than 2 DD in supero temporal quadrant
Photographer: NIDHI PANWAR
Imaging device: OPTOS
Condition/keywords: asymptomatic retinal break, asymptomatic retinal detachment, subretinal fluid
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Rhegmatogenous Retinal Detachment Associated with Retinal Dialysis
Nov 25 2025 by Carlos Remigio
Fundus wideview of a rhegmatogenous retinal detachment associated with retinal dialysis in a young patient.
Photographer: Carlos Remigio, Hospital das Clinicas de Ribeirao Preto, University of Sao Paulo
Imaging device: Optos Daytona
Condition/keywords: retinal dialysis, Rhegmatogenous retinal detachment
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PCO with Significant Capsular Distention
Nov 24 2025 by Virginia Gebhart
62 year old male presented with blurry vision x 3 weeks. UBM showed sulcus IOL with capsular distention, and possible aqueous misdirection into the capsule. Lens is being pushed into the iris. Pt referred back to cataract surgeon for consideration of YAG, may require PPV.
Photographer: Virginia Gebhart, Retina Consultants of Carolina
Imaging device: Ellex Eyecubed
Condition/keywords: aqueous misdirection, posterior capsule opacification
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Ozurdex
Nov 22 2025 by Gabriel Costa Andrade, PhD
Anterior segment photograph of a Ozurdex implant in a 53-year-old man with macular edema due to intermediate uveitis.
Photographer: Gabriel Andrade
Condition/keywords: Ozurdex implant
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Gyrate Atrophy
Nov 22 2025 by Gaurav Kamble
A 12-year-old female presented with progressive blurring of vision for distance and had a known history of convulsions. Ocular examination revealed bilateral proptosis and megalocornea. Fundus evaluation showed well-defined scalloped areas of peripheral chorioretinal degeneration characteristic of gyrate atrophy, along with cystoid macular edema involving the macular region. The overall clinical picture was consistent with gyrate atrophy.
Photographer: Ms. Vishaka Shah , Isha Eye Care Pvt Ltd ,Khadakpada, Kalyan
Imaging device: Optos Imaging Daytona
Condition/keywords: gyrate atrophy
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Falciform Retinal Detachment
Nov 22 2025 by rohan jain
Granular fundus with sclerosed retinal vessels with falciform retinal detachment.
Photographer: Dr. ROHAN JAIN
Imaging device: mirante
Condition/keywords: familial exudative vitreoretinopathy (FEVR), persistent fetal vasculature (PFV), persistent hyperplastic primary vitreous (PHPV), Persistent Hyperplastic Primary Vitreous Fibrovascular membrane, ROP
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Proliferative Diabetic Retinopathy
Nov 20 2025 by Oftalmontt Clínica Láser
Multimodal examination of a 39-year-old patient presenting with decreased visual acuity in both eyes due to clear proliferative diabetic retinopathy. Presence of neovascularization at the papillary level, microaneurysms in all four quadrants, a vascular loop in the inferior temporal arcade, and an altered ZAF due to low blood perfusion is observed.
Photographer: Ophthalmic Medical Technologist
Imaging device: Canon cx-1 and Avanti XR Optovue
Condition/keywords: proliferative diabetic retinopathy (PDR)
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Lower Nasal Venous Branch Obstruction
Nov 20 2025 by Vicente Nicanor Mancilla Guerrero
Early fluorescein angiography of the left eye of a 57-year-old patient who presents with a long-standing inferior nasal venous branch occlusion. Dilation and tortuosity can be seen in the lower arch, along with the classic areas of retinal ischemia.
Photographer: Vicente Mancilla Guerrero, Ophthalmic Medical Technologist
Imaging device: Canon cx-1
Condition/keywords: branch retinal vein occlusion (BRVO)
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Intraocular Foreign Body Scleral Lac
Nov 19 2025 by Nikhil Das, M.D.
A 34-year-old man presented with a right intraocular foreign body after hammering a carbon-steel chisel 12 hours after injury. CT orbits showed a 3-mm hyperattenuating foreign body within the right globe, centered in the vitreous cavity. BCVA was 20/40. Anterior segment examination revealed a 2.8-mm scleral laceration. DFE demonstrated a metallic IOFB, a superior air bubble, superior commotio retinae, and Berlin’s edema involving the macula.
Photographer: Nikhil Das, Saint Louis University School of Medicine
Imaging device: iPhone
Condition/keywords: intraocular foreign body, iofb, metallic foreign body, scleral laceration

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