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)

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

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)

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

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

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

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

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

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

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

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

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

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

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

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

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

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)

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)

Jan 10 2019 by Rahul Komati, MD

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

Condition/keywords: 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