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Dec 18 2025 by surabhi gupta

Right eye color fundus photograph showing myelinated nerve fibers surrounding the optic nerve appearing as a white halo of myelin crown.

Photographer: Dr Surabhi Gupta

Imaging device: EDION FA

Condition/keywords: myelinated nerve fibers

Dec 18 2025 by Talhah - Zubair, MD

72 year old woman developed suprachoroidal hemorrhage during Yamane scleral intraocular lens fixation. At clinic follow up they were found to be appositional. Suprachoroidal tissue plasminogen activator was injected in clinic and an emergent choroidal cutdown drainage was performed the following day with subsequent resolution of apposition. Appositional choroidals were managed urgently to avoid retinal adhesion/membrane formation.

Condition/keywords: appositional choroidals, kissing choroidals, suprachoroidal hemorrhage

Dec 18 2025 by Talhah - Zubair, MD

72 year old woman developed suprachoroidal hemorrhage during Yamane scleral intraocular lens fixation. At clinic follow up they were found to be appositional. Suprachoroidal tissue plasminogen activator was injected in clinic and an emergent choroidal cutdown drainage was performed the following day with subsequent resolution of apposition. Appositional choroidals were managed urgently to avoid retinal adhesion/membrane formation.

Condition/keywords: appositional choroidals, kissing choroidals, suprachoroidal hemorrhage

Dec 18 2025 by Talhah - Zubair, MD

16 year old girl with incidental mud splatter fundus in both eyes on exam, vision normal. Maternal grandmother and great-grandmother with cone-rod dystrophy. Maternal uncle with albinism and nystagmus. Mud splatter is most common in females who carry the gene for X-linked ocular albinism (OA Type 1). It is a patchy pattern of light and dark spots (hypo- and hyperpigmentation) seen in the peripheral retina, primarily in female carriers of the X-linked gene, caused by random inactivation of the X chromosome (Lyonization) during development. It appears as dark streaks against a bright background on fundus autofluorescence and indicates mosaicism, allowing carrier status to be identified even with normal vision.

Imaging device: Optos Silverstone

Condition/keywords: carrier, mud splattered, mud-splatter, mud-splattered, ocular albinism

Dec 18 2025 by Talhah - Zubair, MD

16 year old girl with incidental mud splatter fundus in both eyes on exam, vision normal. Maternal grandmother and great-grandmother with cone-rod dystrophy. Maternal uncle with albinism and nystagmus. Mud splatter is most common in females who carry the gene for X-linked ocular albinism (OA Type 1). It is a patchy pattern of light and dark spots (hypo- and hyperpigmentation) seen in the peripheral retina, primarily in female carriers of the X-linked gene, caused by random inactivation of the X chromosome (Lyonization) during development. It appears as dark streaks against a bright background on fundus autofluorescence and indicates mosaicism, allowing carrier status to be identified even with normal vision.

Imaging device: Optos Silverstone

Condition/keywords: carrier, mud splatter, mud splattered, ocular albinism

Dec 18 2025 by Talhah - Zubair, MD

16 year old girl with incidental mud splatter fundus in both eyes on exam, vision normal. Maternal grandmother and great-grandmother with cone-rod dystrophy. Maternal uncle with albinism and nystagmus. Mud splatter is most common in females who carry the gene for X-linked ocular albinism (OA Type 1). It is a patchy pattern of light and dark spots (hypo- and hyperpigmentation) seen in the peripheral retina, primarily in female carriers of the X-linked gene, caused by random inactivation of the X chromosome (Lyonization) during development. It appears as dark streaks against a bright background on fundus autofluorescence and indicates mosaicism, allowing carrier status to be identified even with normal vision.

Imaging device: Optos

Condition/keywords: mud splatter, mud splattered, ocular albinism

Dec 18 2025 by Talhah - Zubair, MD

16 year old girl with incidental mud splatter fundus in both eyes on exam, vision normal. Maternal grandmother and great-grandmother with cone-rod dystrophy. Maternal uncle with albinism and nystagmus. Mud splatter is most common in females who carry the gene for X-linked ocular albinism (OA Type 1). It is a patchy pattern of light and dark spots (hypo- and hyperpigmentation) seen in the peripheral retina, primarily in female carriers of the X-linked gene, caused by random inactivation of the X chromosome (Lyonization) during development. It appears as dark streaks against a bright background on fundus autofluorescence and indicates mosaicism, allowing carrier status to be identified even with normal vision.

Imaging device: Optos Silverstone

Condition/keywords: mud splattered, ocular albinism

Dec 18 2025 by Deepak Bhojwani, MS

Color fundus image and oct of a healthy 23 year old male complaining of blurry vision following watching an eclipse with naked eyes during his childhood days. Fundus image shows focal pigmentary changes on fovea and oct shows IS-OS defects with disruption of RPE (focal changes in outer retinal layers) suggestive of solar retinopathy.

Photographer: DR DEEPAK BHOJWANI

Imaging device: FUNDUS CAMERA

Condition/keywords: outer retina defects, solar retinopathy

Dec 18 2025 by Deepak Bhojwani, MS

Color fundus image and oct of a healthy 23 year old male complaining of blurry vision following watching an eclipse with naked eyes during his childhood days. Fundus image shows focal pigmentary changes on fovea and oct shows IS-OS defects with disruption of RPE (focal changes in outer retinal layers) suggestive of solar retinopathy.

Photographer: DR DEEPAK BHOJWANI

Imaging device: FUNDUS CAMERA

Condition/keywords: outer retina defects, solar retinopathy

Dec 18 2025 by Deepak Bhojwani, MS

Color fundus image and oct of a healthy 23 year old male complaining of blurry vision following watching an eclipse with naked eyes during his childhood days. Fundus image shows focal pigmentary changes on fovea and OCT shows is-os defects with disruption of RPE (focal changes in outer retinal layers) suggestive of solar retinopathy.

Photographer: DR DEEPAK BHOJWANI

Imaging device: FUNDUS CAMERA

Condition/keywords: outer retina defects, solar retinopathy

Dec 17 2025 by SHRADDHA RAJ SHRIVASTAVA

Right eye pseudocolor fundus photo of a 50 year old patient, known case of bilateral familial dominant drusens with right eye CNVM, having undergone multiple intravitreal anti-VEGF injections. Image shows a CDR of 0.3:1, with numerous drusens at macula with residual lipid exudation from CNVM, along the infero-temporal arcade. Temporal to the fovea, we can see a vertical hyperpigmented line corresponding to retracted and redundant torn Retinal pigment epithelium, leaving behind a well circumscribed area of depigmented fundus with bare Bruch's membrane underlying the retina, findings suggestive of an RPE tear post multiple intravitreal injections.

Photographer: Dr. Shraddha Raj Shrivastava

Imaging device: Nidek Mirante SLO/OCT (Confocal scanning/Spectral domain OCT)

Condition/keywords: choroidal neovascular membrane (CNVM), Doyne's Honeycomb, FAMILIAL DOMINANT DRUSEN, lipid exudation, retinal pigment epithelium, RPE Rip

Dec 17 2025 by SHRADDHA RAJ SHRIVASTAVA

Multimodal imaging of Right eye of a 50 year old patient, known case of bilateral familial dominant drusens with right eye CNVM, having undergone multiple intravitreal anti-VEGF injections. The various imaging modalities highlight the presence of an extrafoveal RPE tear - post multiple intravitreal injections.

Photographer: Dr. Shraddha Raj Shrivastava

Imaging device: Nidek Mirante SLO/OCT (Confocal scanning/Spectral domain OCT)

Condition/keywords: FAMILIAL DOMINANT DRUSEN, multimodal imaging, retinal pigment epithelium, RPE-Rip

Dec 17 2025 by SHRADDHA RAJ SHRIVASTAVA

Right eye RETRO mode fundus image of a 50 year old patient, known case of bilateral familial dominant drusens with right eye CNVM, having undergone multiple intravitreal anti-VEGF injections. Among other findings, this novel imaging technique highlights the presence of an extrafoveal RPE tear - post multiple intravitreal injections.

Photographer: Dr. Shraddha Raj Shrivastava

Imaging device: Nidek Mirante SLO/OCT (Confocal scanning/Spectral domain OCT)

Condition/keywords: choroidal neovascular membrane (CNVM), Doyne's Honeycomb, FAMILIAL DOMINANT DRUSEN, lipid exudation, retinal pigment epithelium, RPE Rip

Dec 17 2025 by SHRADDHA RAJ SHRIVASTAVA

Right eye G-FAF photo of a 50 year old patient, known case of bilateral familial dominant drusens with right eye CNVM, having undergone multiple intravitreal anti-VEGF injections. Fundus autofluorescence better highlights the area of RPE tear in right eye (temporal to fovea), which shows hypoautofluorescence due to lack of RPE and its pigments which accounts for autofluorescence signal. Whereas the linear hyperautofluorescence, represents the torn bunched up retinal pigment epithelium.

Photographer: Dr. Shraddha Raj Shrivastava

Imaging device: Nidek Mirante SLO/OCT (Confocal scanning/Spectral domain OCT)

Condition/keywords: choroidal neovascular membrane (CNVM), Doyne's Honeycomb, FAMILIAL DOMINANT DRUSEN, lipid exudation, retinal pigment epithelium, RPE Rip

Dec 17 2025 by Virginia Gebhart

77 year old female with amelanotic choroidal lesion with subretinal hemorrhage at the base and exudate inferiorly. Lesion has decreased on exam, photos and ultrasound after 4 months. Ultrasound showed irregular lesion that is regressing, variable internal reflectivity, and no venous pulsations. Findings most consistent with PEHCR. Will continue to observe.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: asteroid hyalosis, peripheral exudative hemorrhagic chorioretinopathy (PEHCR)

Dec 17 2025 by Dr Nuzhat Belim

33 yrs young male pt c/o dov since 2 months vision with correction in right eye 6/9

Photographer: Dr Resham

Condition/keywords: central retinal artery occlusion

Dec 17 2025 by Dr Nuzhat Belim

33 yrs young male pt c/o dov in right eye since 1 months vision with correction in right eye 6/9 on fundus examination total disc pallor with sclrerosed vessels found .Im left eye unaided vn is 6/6 and fundus wnl Both eye ant segment wnl. No systemic illness Adv urgent carotid Doppler and blood investigation

Photographer: Dr Resham

Condition/keywords: central retinal artery occlusion

Dec 17 2025 by James B. Soque, CRA, OCT-C, COA, FOPS

Purtscher’s Retinopathy Right Eye. 40 y/o WM, involved in MVA. No LOC. Hx: Orbit floor fx Left Side. Initial Encounter for Closed Fracture. Subhyaloid Hemorrhage x3 OD. Contusion of Eye OS, VA sc OD 20/400, OS 20/50. Optos California FC and RF and FA performed 36 hours post. Orbit Fx L Side expected shortly.

Photographer: James B Soque, CRA, OCT-C, COA, FOPS

Imaging device: Optos California

Condition/keywords: Blunt Trauma, Optos California, Purtscher like, Purtscher's retinopathy, retinal hemorrhage

Dec 16 2025 by Diana Elena Ornelas Rodríguez

Intraoperative photo of a dropped nucleus due to blunt trauma prior to fragging it.

Photographer: Diana Elena Ornelas Rodríguez, México.

Condition/keywords: dislocated crystalline lens, dislocated lens, Lens Luxation, Posterior Dislocated Nucleus

Dec 16 2025 by Diana Elena Ornelas Rodríguez

Re-circulation phase of fluorescein angiogram showing leakage secondary to neovascularization , small hyperfluorescent dots (microaneurysms), as well as blockage from an inferior hemorrhage.

Photographer: Diana Elena Ornelas Rodríguez, México.

Condition/keywords: FAG, FLUORESCEIN ANGIOGRAPHY, microaneurysms, neovascularization, NV