Nov 30 2022 by Manish Nagpal, MD, FRCS (UK) ,FASRS

Vitrectomy is carried out to clear retained lens matter and nucleus fragments status post cataract surgery. After clearing the surrounding vitreous a fragmatome is introduced to aspirate the nucleus fragment from the vitreous. The residual lens matter is cleared using the cutter. Overall screening of peripheral retina is done before closing the case.

Photographer: Manish Nagpal

Condition/keywords: fragmatome, lens matter in vitreous, nucleus drop, nucleus in vitreous, vitrectomy

Nov 30 2022 by SHRADDHA ASHOK CHANDORKAR, DNB DO

A 45-year-old man presented with diminution of vision in both eyes with metamorphopsia, which was painless and gradually progressive in nature. BCVA at presentation were 6/40 and 6/36 for the right and left eye respectively. Anterior segment examination of both eyes was unremarkable. IOP were within normal limits. Fundus examination showed bilateral numerous yellowish white round closely spaced lesions extending radially from the vascular arcades till the periphery associated with an elevated grayish macular choroidal neovascular membrane (CNV) with multiple drusen in the macular area and posterior pole. Impression was Familial Dominant Drusen (Doyne Honeycomb Drusen) associated with CNVM, both eyes. Color fundus photograph and autofluorescence showed Familial Dominant Drusen with CNVM. Subsequently , the patient underwent periodic intravitreal injections of Ranibizumab in both eyes under guarded visual prognosis, for which he tolerated well.

Photographer: NATIONAL INSTITUTE OF OPHTHALMOLOGY, PUNE

Imaging device: ZEISS CLARUS

Condition/keywords: choroidal neovascular membrane (CNVM), Doyne's Honeycomb, FAMILIAL DOMINANT DRUSEN, IMIM (Online Mendelian Inheritance in Man), intravitreal injection, Malattia Leventinese

Nov 29 2022 by Niloofar Piri, MD

Fundus autofluorescence of the left eye in a 58 yo male with rod cone dystrophy. He presented with night blindness and peripheral vision loss since youth and recent decrease in central vision for the past 10 years. Notice multiple coin shaped hypoautofluorescent pacthes within central 20 degrees which are coalescing centrally. (fundus photo uploaded separately) He has one pathogenic variants of both CEP290 and PRPH2 genes.

Photographer: Sean Kelso, Saint Louis University

Condition/keywords: hereditary retinal degeneration, hereditary retinal dystrophy, rod cone dystrophy

Nov 29 2022 by Niloofar Piri, MD

Fundus photograph of the left eye in a 58 yo male with rod cone dystrophy. He presented with night blindness and peripheral vision loss since youth and recent decrease in central vision for the past 10 years. Notice waxy pallor of the nerve, severe arterial narrowing and chorioretinal atrophy mainly around the arcades as well as posterior pole along with RPE hyperplastic changes and atrophy. RPE atrophy in midperiphery has coin shaped appearance. FAF has characteristic appearance (uploaded separately) He has one pathogenic variants of both CEP290 and PRPH2 genes.

Photographer: Sean Kelso, Saint Louis University

Condition/keywords: hereditary retinal deg, hereditary retinal dystrophy, Rod cone dystrophy

Nov 29 2022 by Manish Nagpal, MD, FRCS (UK) ,FASRS

Subhyaloid blood over macula in diabetic retinopathy| This is a case of non resolving subhyaloid haemorrhage over macula in a case of diabetic retinopathy.. Vitrectomy is carried out and then using the cutter a opening is made in the hyaloid to give a oulet to the blood. Typically the blood in the subhyaloid plane does not clot and easily aspirates out|. After this endolaser PRP is carried out to achieve good regression of the retinopathy. Air fluid exchange is carried out.

Photographer: Manish Nagpal

Condition/keywords: diabetic macular oedema, diabetic retinopathy, endolaser, PRP, SHH, subhyaloid blood, subhyaloid haemorrhage, vitrectomy

Nov 28 2022 by Nimesh A. Patel, MD

Using a chandelier endoillumination, a 2-handed approach with forceps and a vitrector can be used to remove preretinal membranes in a TRD from PDR. The subretinal fluid had a high viscosity. It was removed mechanically by rotating the vitrector.

Condition/keywords: retinal detachment, subretinal fluid

Nov 28 2022 by Manish Nagpal, MD, FRCS (UK) ,FASRS

Subhyaloid blood over macula. This is a case of non resolving subhyaloid haemorrhage over macula. Vitrectomy is carried out and then using the cutter a opening is made in the hyaloid to give a oulet to the blood. Typically the blood in the subhyaloid plane does not clot and easily aspirate out.

Photographer: Manish Nagpal

Condition/keywords: SHH, subhyaloid blood, subhyaloid haemorrhage, vitrectomy

Nov 27 2022 by Nassim Alejandro Abreu Arbaje, MD

Fundus video frame of a 58 year old male who had a PPV on his left eye because a retinal macroaneurysm that broke a bled on all 3 retinal planes.

Photographer: Nassim Abreu, Hospital Dr. Elías Santana

Imaging device: NGenuity 3D system

Condition/keywords: broken macroanerysm, intraretinal hemorrhage, macroaneurysm, subretinal hemorrhage, vitreous hemorrhage

Nov 25 2022 by Alexandre Grandinetti, MD, PhD

This picture shows the case of a 8-year-old girl born with 26 weeks of gestation, who was treated with laser photocoagulation due to type-1 ROP

Photographer: Corina Szrek, Hospital de Olhos do Paraná

Imaging device: California

Condition/keywords: retinopathy of prematurity (ROP), rop laser

Nov 25 2022 by Aditya S Kelkar, MS, FRCS, FASRS,FRCOphth

Colour fundus photograph of the right eye of a 56-year-old lady showing lasered FEVR with epiretinal membrane and vitreous band.

Photographer: Dr. Pranali Surawase. National Institute of Ophthalmology, Pune, Maharashtra, India

Imaging device: Zeiss Clarus 500

Condition/keywords: ERM, familial exudative vitreoretinopathy (FEVR), laser photocoagulation

Nov 25 2022 by Filip Kecer

Multicolor composite of an 15 year old boy with cyclitis posterior, first diagnosed with uveitis intermedia retinoschisis o.dx., since then he underwent several procedures, such as PPV, ILM peeling, capsulectomy, retinotomy, transscleral cryo

Photographer: Filip Kecer, National Institute of Childrens Diseases

Imaging device: Spectralis, Heidelberg Engineering

Condition/keywords: cyclitis, epiretinal membrane (ERM), uveitis

Nov 24 2022 by Eder Díaz Dorado

Fundus photograph of an 35-year-old woman with myelinated nerve fiber layer

Photographer: Eder Díaz Dorado, Hospital Central Militar CDMX

Imaging device: Smartphone

Condition/keywords: myelinated nerve fibers

Nov 23 2022 by Alexandre Grandinetti, MD, PhD

This is a intraoperatory picture taken during a vitrectomy due to dense vitreous hemorrhage

Photographer: Alexandre Grandinetti

Imaging device: Ngenuity 3D

Condition/keywords: hemorrhage, vitreous

Nov 23 2022 by Vaidehi Sathaye

Fundus photograph of RE of 21 year male with Intermediate uveitis with snowballs in vitreous inferiorly

Photographer: Dr. Vaidehi Sathaye

Imaging device: Mirante

Condition/keywords: intermediate uveitis, snowballs

Nov 23 2022 by Vaidehi Sathaye

Fundus photograph of LE of 21 year male with Intermediate uveitis with snowballs in vitreous inferiorly

Photographer: Dr. Vaidehi Sathaye

Imaging device: Mirante

Condition/keywords: intermediate uveitis, snowballs

Nov 22 2022 by Vaidehi Sathaye

Widefield FA of LE of a 9 yr male patient with Cavernous Hemangioma appearing as a cluster of grapes

Photographer: Dr. Vaidehi Sathaye

Imaging device: Mirante

Condition/keywords: cavernous hemangioma of the retina, FA

Nov 22 2022 by Vaidehi Sathaye

Widefield Color photo montage of LE of 53 yr old Diabetic female with Vitreous hemorrhage with subhyaloid hemorhage with branch retinal vein occlusion in a case of HRC-PDR

Photographer: Dr. Vaidehi Sathaye

Imaging device: Mirante

Condition/keywords: branch retinal vein occlusion (BRVO), HRC-PDR, subhyaloid hemorrhage, vitreous hemorrhage

Nov 22 2022 by Vaidehi Sathaye

Widefield FA montage of LE of a 23 year old male patient with FEVR

Photographer: Dr. Vaidehi Sathaye

Imaging device: Mirante

Condition/keywords: FA, familial exudative vitreoretinopathy (FEVR)

Nov 22 2022 by Ricardo Leitão Guerra

True color BLFI of a 60-year-old male presenting chorioretinal scars from a tuberculosis-related serpiginous-like choroiditis.

Photographer: Ricardo Leitão Guerra

Imaging device: Zeiss Clarus 700

Condition/keywords: serpiginous choroiditis, tuberculosis

Nov 21 2022 by T. P . VIGNESH, MBBS,MS

SD-OCT of a 60 year old woman revealing a large PED , multilobular PED and subretinal hemorrhage .

Photographer: Priyanka

Imaging device: Heidelberg Spectralis

Condition/keywords: polypoidal choroidal vasculopathy (PCV)