• Eye Finally Got the Ring... But the Retina Was Too Detached to Care

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    Nov 5 2025 by SHRADDHA RAJ SHRIVASTAVA

    Left Eye B-scan ultrasound of a patient with old retinal detachment shows open funnel shaped hyperechoic membranous echoes, with high amplitude spikes on A-scan and a poor after-movement on dynamic B-scan, suggestive of retinal detachment. We can see a round echogenicity in sub-retinal location, with clear contents within, suggestive of a retinal cyst. This B-scan image is indicative of a long-standing chronic retinal detachment with secondary retinal cyst.

    Photographer: Dr. Shraddha Raj Shrivastava

    Condition/keywords: B scan ultrasound, chronic retinal detachment, OLD RD, open funnel RD, retinal cyst

  • X-Linked Juvenile Retinoschisis

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    Nov 5 2025 by Kristen Wagner

    Fundus photograph of a 24 year old male patient who has X-Linked Retinoschisis (XLRS). Findings include Mild to moderate diffuse maculoschisis OD with vitreous veils. Discussed mutations with RS1 gene.

    Photographer: Kristen Cross, COT Tennessee Retina

    Imaging device: Optos

    Condition/keywords: juvenile retinoschisis, maculoschisis, retinoschisis, virreous veils

  • Giant Nevus of the Macula

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    Nov 5 2025 by Virginia Gebhart

    68 year old female with stable large pigmented lesion throughout the whole posterior pole, extending beyond the superior and inferior arcades. Pt has been aware of nevus for 45 years. Lesion has been stable since initial photos in 2013. Will continue to observe. Vision CF

    Photographer: Virginia Gebhart, Retina Consultants of Carolina

    Imaging device: Optos California

    Condition/keywords: Choroidal nevus, pigmented lesion, pigmented nevus

  • Neovascular Medusa: A Bad Hair Day at the Optic Disc

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    Nov 4 2025 by SHRADDHA RAJ SHRIVASTAVA

    Left eye pseudocolor fundus photo of 67 year old male, diagnosed with both eyes proliferative diabetic retinopathy, showing hair-like fronds of active neovascularisation at the disc (NVD) extending into the vitreous, giving the medusa-head appearance. There is a band of fibrovascular proliferation nasal to the disc, with presence of hard exudates and dot hemorrhages at the macula.

    Photographer: Dr. Shraddha Raj Shrivastava

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

    Condition/keywords: Diabetic Retinopathy, fibrovascular proliferation, Neovascularisation at the Disc (NVD), proliferative diabetic retinopathy (PDR)

  • Fibrovascular Fortress: Disc in Captivity

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    Nov 4 2025 by SHRADDHA RAJ SHRIVASTAVA

    Right eye pseudocolor fundus photo of 67 year old male, diagnosed with both eyes proliferative diabetic retinopathy, showing extensive neovascularisation at the disc (NVD), with table-top configuration of the diabetic tractional retinal detachment (TRD) obscuring the view of the disc and threatening the macula. We can also see a mound of pre-retinal bleed and active neovascular frond nasal to the disc.

    Photographer: Dr. Shraddha Raj Shrivastava

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

    Condition/keywords: Active PDR Tractional retinal Detachment, Diabetic Tractional Detachment, Neovascularisation at the Disc (NVD), proliferative diabetic retinopathy (PDR), TABLE TOP TRD, tractional retinal detachment

  • All That Glows Yellow Isn’t Mellow: Coats' Disease Unveiled

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    Nov 4 2025 by SHRADDHA RAJ SHRIVASTAVA

    Montage fundus image of an 11 year old boy diagnosed with left eye Coats' disease (stage 3A1), reveals a hyperemic disc and surrounding intra-retinal exudates superior to the disc. There is a single fibroglial nodule at the macula causing submacular fibrosis with exudation. We can see areas of pigmentary changes and RPE atrophy in posterior pole and mid-peripheral retina supero-temporally. There is massive yellowish subretinal exudation in all the quadrants, which are associated with telangiectatic aneurysmal capillary dilation, more prominently seen in the nasal periphery. Supero-nasally we can also see an orange-red elevated vaso-proliferative mass with overlying dilated capillaries, which has likely developed secondary to untreated long standing disease. We can also see associated extrafoveal subtotal exudative retinal detachment in the inferior and nasal quadrants.

    Photographer: Dr. Shraddha Raj Shrivastava

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

    Condition/keywords: COATS DISEASE, exudative detachment, leukocoria, subretinal exudates, Xanthocoria, yellow exudate

  • Optic Disc Drusen in Rod Cone Dystrophy

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    Nov 3 2025 by Malvika Singh

    Fundus autofluorescence of a 22 year old male with rod cone dystrophy with hyperautofluorescent disc drusen.

    Photographer: Dr Malvika Singh, Retina Foundation, Ahmedabad, India

    Imaging device: Mirante SLO/OCT

    Condition/keywords: optic disc drusen, Rod cone dystrophy

  • Multilayer Trauma

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    Nov 3 2025 by Malvika Singh

    Fundus photograph of a 34 year old following trauma showing a choroidal rupture, a sub RPE and sub retinal bleed.

    Photographer: Dr Malvika Singh, Retina Foundation, Ahmedabad, India

    Imaging device: Mirante SLO/OCT

    Condition/keywords: Choroidal Rupture, subretinal hemorrhage

  • Acute Syphilitic Posterior Placoid Chorioretinitis

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    Nov 1 2025 by Julián Villarreal, MD

    A 48 year old male presented with Acute syphilitic posterior placoid chorioretinitis (ASPPC) a large, roundish, yellowish, placoid lesion occurring at level of the retinal pigment epithelium (RPE) at the macular/paramacular area. Further testing showed a reactive VDRL and a positive FTA-ABS.

    Photographer: Julián Villarreal MD

    Imaging device: Mirante

    Condition/keywords: Preretinal precipitates

  • Chorioretinitis

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    Oct 30 2025 by Kimberly Wakester

    Optomap RGB of an 37-year-old-woman with stable Chorioretinitis in the right eye. Patient is to return in 6 months for dilated exam and repeat diagnostic testing.

    Photographer: Kimberly Wakester, COA, OCT-C

    Imaging device: Optos California

    Condition/keywords: chorioretinitis

  • Pigmentary Retinal Dystrophy

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    Oct 30 2025 by Kimberly Wakester

    Optomap RGB of an 77-year-old-woman with Pigmentary Retinal Dystrophy in the left eye. Patient is to continue follow up care yearly with dilated exam and diagnostic testing.

    Photographer: Kimberly Wakester, COA, OCT-C

    Imaging device: Optos California

    Condition/keywords: bone spicules, Pigmentary Retinal Dystrophy

  • Elmiron Toxicity

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    Oct 30 2025 by Kimberly Wakester

    Optomap RGB and Optomap AF of an 52-year-old woman with Elmiron toxicity from the use of Elmiron for 19 years. Patient is to continue follow up care every 3-4 months with repeat exam and testing to continue monitoring the progression of the degeneration.

    Photographer: Kimberly Wakester, COA, OCT-C

    Imaging device: Optos California

    Condition/keywords: Elmiron Toxicity

  • CRAO

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    Oct 29 2025 by Jeffrey Barker

    94 year old female with a CRAO with macular edema.

    Photographer: Jeffrey P. Barker, B.S.

    Condition/keywords: color fundus photograph, CRAO

  • The Great Vascular Traffic Jam: Combined Retinal Vein and Artery Occlusion

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    Oct 29 2025 by SHRADDHA RAJ SHRIVASTAVA

    57 year old female, recently diagnosed with accelerated hypertension, developed Right eye Combined Retinal Vein and Artery Occlusion. Posterior pole image showed severe disc edema with peri-papillary haemorrhages. There is significant retinal whitening suggestive of edema leading to the classic cherry red spot at the macula. We can also see segmented flow of blood in retinal arterioles, which is the characteristic cattle-trucking seen in central retinal artery occlusion (CRAO). Widefield image revealed multiple intra-retinal blot hemorrhages in all quadrants with tortuous dilated vessels suggestive of central retinal vein occlusion (CRVO).

    Photographer: Dr. Shraddha Raj Shrivastava

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

    Condition/keywords: central retinal vascular obstruction, central retinal vein occlusion (CRVO), CRVO with macular edema

  • The Great Vascular Traffic Jam: Combined Retinal Vein and Artery Occlusion

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    Oct 29 2025 by SHRADDHA RAJ SHRIVASTAVA

    57 year old female, recently diagnosed with accelerated hypertension, developed Right eye Combined Retinal Vein and Artery Occlusion. Posterior pole image showed severe disc edema with peri-papillary hemorrhages. There is significant retinal whitening suggestive of edema leading to the classic cherry red spot at the macula. We can also see segmented flow of blood in retinal arterioles, which is the characteristic cattle-trucking seen in central retinal artery occlusion (CRAO). Widefield image revealed multiple intra-retinal blot hemorrhages in all quadrants with tortuous dilated vessels suggestive of central retinal vein occlusion (CRVO).

    Photographer: Dr. Shraddha Raj Shrivastava

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

    Condition/keywords: central retinal artery occlusion (CRAO), central retinal vascular obstruction, central retinal vein occlusion (CRVO), CRVO with macular edema

  • ERMageddon - Wrinkle in the Space-time Fabric of Macula

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    Oct 29 2025 by SHRADDHA RAJ SHRIVASTAVA

    38 year old female with Epiretinal Membrane (ERM) over macula, post laser barrage for multiple symptomatic Horse-shoe Tears (HSTs) and Lattice Degenerations (seen on wide-field image). Posterior pole revealed tilted disc with peripapillary atrophy. There is thick opaque epiretinal membrane obscuring the underlying superior arcade vessels and causing foveal ectopia with distortion of perimacular vasculature. Patient was planned for Right Eye pars plana vitrectomy for ERM peeling.

    Photographer: Dr. Shraddha Raj Shrivastava

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

    Condition/keywords: BARRAGE LASER, ectopic fovea, epiretinal membrane (ERM), horseshoe tear, lattice degeneration, vitreomacular traction (VMT)

  • ERMageddon - Wrinkle in the Space-time Fabric of Macula

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    Oct 29 2025 by SHRADDHA RAJ SHRIVASTAVA

    38 year old female with Epiretinal Membrane (ERM) over macula, post laser barrage for multiple symptomatic Horse-shoe Tears (HSTs) and Lattice Degenerations. Posterior pole revealed tilted disc with peripapillary atrophy. There is thick opaque epiretinal membrane obscuring the underlying superior arcade vessels and causing foveal ectopia with distortion of perimacular vasculature. Patient was planned for Right Eye pars plana vitrectomy for ERM peeling.

    Photographer: Dr. Shraddha Raj Shrivastava

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

    Condition/keywords: ectopic fovea, epiretinal membrane (ERM), ERM, horseshoe tear, vitreomacular traction (VMT)

  • Proliferative Ring of Fire

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    Oct 29 2025 by SHRADDHA RAJ SHRIVASTAVA

    Right eye color fundus photo of 57 year old male, diagnosed with both eyes high risk proliferative diabetic retinopathy (PDR). Posterior pole reveals Neovascularization of disc (NVD) with extensive fibrovascular proliferations (FVPs) overlying the disc and along the arcades. We can also see a florid network of neovascularization (NVEs), with veins showing looping and beading changes. Hard exudates and dot-blot hemorrhages were seen at the macula.

    Photographer: Dr. Shraddha Raj Shrivastava

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

    Condition/keywords: fibrovascular proliferation, Neovascularisation elsewhere (NVE), NVE, proliferative diabetic retinopathy (PDR), venous beading

  • Vasoproliferative Tumor

    1 rating

    Oct 27 2025 by Virginia Gebhart

    34 year old male with retinal vasoproliferative tumor with traction detachment temporally and striae in the macula. Recommend vitrectomy prior to cryotherapy to release vitreous from retina. BCVA 20/30

    Photographer: Virginia Gebhart, Retina Consultants of Carolina

    Imaging device: Optos California

    Condition/keywords: traction retinoschisis, tractional retinal detachment, Vasoproliferative Tumor

  • Peripapillary Neovessels

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    Oct 27 2025 by Oftalmontt Clínica Láser

    OCT-A of a 54-year-old male patient with Proliferative Diabetic Retinopathy, observed the large number of neovessels in the optic disc along with fibrovascular proliferation.

    Photographer: Ophthalmic Medical Technologist

    Imaging device: Avanti XR AngioVue OptoVue

    Condition/keywords: diabetic retinopathy