Mar 11 2020 by Asdrubal Moreno

Fundus color photograph of a 80-year-old woman with a unilateral congenital prepapillary vascular loop and hypertensive retinopathy, focused on the retinal plane for perception.

Photographer: Asdrubal Moreno, Fundacion AVAO, Universidad de Los Andes, Venezuela

Imaging device: Zeiss Visucam 500

Condition/keywords: congenital prepapillary vascular loop, peripapillary

Apr 28 2020 by Pauline T. Merrill, MD

Fundus photographs of an 29-year-old man with PDR, TRD, VH OS.

Photographer: Karen Parque, Illinois Retina Associates

Condition/keywords: proliferative diabetic retinopathy (PDR), tractional retinal detachment

Apr 29 2020 by Gabriel Castilho

A zoomed vein occlusion in a young patient with systemic arterial hypertension.

Photographer: Gabriel Castilho, Suel Abujamra Institute, São Paulo.

Condition/keywords: branch retinal vein occlusion (BRVO), macular branch retinal vein occlusion (BRVO), non-perfused branch retinal vein occlusion (BRVO)

Apr 30 2020 by Giselle DeOliveira

Gonio photograph of 13-year-old female with retinopathy of prematurity, s/p laser complications.

Photographer: Giselle DeOliveira

Imaging device: Retcam III

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

Apr 30 2020 by Giselle DeOliveira

Fundus photograph of an 17-month-old female infant with retinoblastoma over optic nerve.

Photographer: Giselle DeOliveira, University of Miami, Bascom Palmer Eye Institute

Imaging device: Retcam III

Condition/keywords: retinoblastoma

May 5 2020 by Geovanni Jassiel Rios, MD

Ultra-wide field fundus photograph of the right eye with reattached retina. We can observe retinal hydrogel implant intrusion at the inferior retina

Photographer: Ericka , Hospital de la Luz

Condition/keywords: hydrogel implant intrusion, ultra-wide field imaging

May 20 2020 by Theodore Leng, MD, MS

33-year-old male who sustained a surfboard to the left orbit with orbital fractures, choroidal rupture, nasally and retinal and choroidal avulsion nasally. He also had a horseshoe retinal tear superotemorally and a resultant rhegmatogenous retinal detachment.

Condition/keywords: choroidal avulsion, choroidal rupture, retinal avulsion, retinal detachment with retinal defect

May 19 2020 by Evgeniia Perevoznikova

Butterfly-shaped pattern dystrophy.

Photographer: ophthalmologist_evgeniya

Condition/keywords: butterfly dystrophy

Apr 21 2020 by Richard M Martindale, MD

42-year-old pregnant African American with TRD and peripheral ischemia secondary to Eales disease. She was assigned this diagnosis of exclusion after a thorough work up for other identifiable causes of peripheral ischemia (e.g. sickle cell, syphilis, sarcoid, clotting disorders, SLE, TB, IP, FEVR). We elected to temporize her with PRP and Ozurdex in lieu of anti-VEGF medication given her pregnant status. Note: the Ozurdex pellet is visible in the inferior aspect of this photo.

Photographer: Retina Consultants of Alabama

Imaging device: Optos

Condition/keywords: Eales disease

Apr 29 2020 by John S. King, MD

43-year-old white male who was injured while racing a side by side 4-wheel off-road vehicle (see Video: https://imagebank.asrs.org/file/53854/sxs-crash-during-a-race-causing-valsalva-retinopathy-od). He presented about three weeks after the injury. He was being seen by his local eye doctor who wanted an evaluation for the retinal heme and scotoma. His main complaint was a central/parcentral scotoma described as a greyish area in vision. Va 20/50 OD, nomotensive, no APD (by technician), anterior segment u/r; see picture for the fundus exam - of note there are superficial/preretinal heme, with layering of the heme superiorly, and small superficial heme at nasal edge of the optic disc; in the parafoveal region nasally there is some mottling of the RPE that may indicate an area of prior commotio retinae (also possible to have TON), which may account for his scotoma. Really bad accident (video), and amazingly, he had no LOC or injuries other than the right retina. Helmet and racing harness seat belt were used.

Photographer: Asli Ahmed

Imaging device: Topcon 50

Condition/keywords: valsalva retinopathy

Feb 29 2020 by Rajarami P Reddy, MD FRCS

20-year-old boy presented with recurrent retinal detachment post silicone oil removal with a macular hole. During surgery a retinal graft was created from the detached retina and positioned on the macular hole. silicone oil was injected at the end of surgery. One can see the diathermy marks on all sides of the edges of the graft.

Condition/keywords: autograft, macular hole, retinal detachment

Feb 20 2020 by Kevin J. Blinder, MD

This is a 53-year-old gentleman that was referred to us for a second opinion with an inoperable RD with PVR after 3 failed attempts. We performed a PPV, membranectomy, scleral buckling procedure, with silicone oil injection. This case did not require PFO. You can imagine our surprise when we discovered submacular PFO postoperatively. It is very difficult to see the PFO on the Optos. The infrared shows it clearly, with confirmation of the submacular space on the SD-OCT.

Photographer: Jarrod Wehmeier, The Retina Institute; St. Louis, MO

Imaging device: optos

Condition/keywords: submacular perfluorocarbon liquid (PFO)

Feb 13 2020 by Michael Seider, MD

Large, dome-shaped peripheral choroidal melanoma of the left eye with inferior exudative retinal detachment. Note the lack of obvious orange pigment over the tumor and apparent drusen anteriorly. A lack of ophthalmoscopically obvious lipofuscin is not uncommon among larger choroidal melanomas. B-Scan ultrasonography (transverse, 10 o’clock) confirms a low-moderate internally reflective dome-shaped choroidal lesion with a small adjacent retinal detachment. Ultrasound biomicroscopy (radial, 10 o’clock) confirms no ciliary body involvement of the tumor.

Condition/keywords: choroidal melanoma

Jan 21 2020 by Pierre-Henry Gabrielle, MD

Fundus photograph of a 17-year-old man with combined hamartomas of the retina and retinal pigment epithelium (CHRRPE) at the posterior pole of the left eye.

Photographer: Pierre-Henry Gabrielle, Ophthalmology department, Dijon University Hospital, France

Imaging device: Zeiss Visucam

Condition/keywords: combined hamartoma, fundus photograph

Jan 27 2020 by Nimesh A Patel, MD

Patient with history of HIV treated with didanosine. Developed gyrate like peripheral retinal atrophy with central sparing. Vision is 20/25

Imaging device: Clarus

Condition/keywords: AIDS, didanosine, HIV

Jan 10 2020 by Somnath Chakraborty, MD

Fundus Montage image of the left eye of a 48-year-old type 2 diabetic with post PRP macular extensive tractional retinal detachment involving macula.

Photographer: Pulak Roy

Condition/keywords: diabetic retinopathy, proliferative diabetic retinopathy (PDR), tractional retinal detachment, vitrectomy, vitreomacular surgery

Apr 9 2020 by Daraius N Shroff, MS FMRF FRCS

A 54-year-old man with DM for 15 years. The left eye had a visual acuity of 20/40. Wide field swept source OCTA revealed branching out central neovascular trunk vessels from the disc with terminal loops, along with exuberant proliferation of irregular small-calibre fine new vessels. The patient underwent OCTA guided pan retinal photocoagulation.

Photographer: Anuj Choudhary, Shroff Eye Centre, New Delhi

Imaging device: Zeiss Plex Elite 9000

Condition/keywords: proliferative diabetic retinopathy (PDR)

Jan 6 2020 by Olivia Rainey

Ultra-wide field pseudocolor image of a 23-month-old male with morning glory syndrome affecting his left eye. Patient presented with esotropia affecting his left eye and strabismic amblyopia affecting both eyes. He could fix and follow on exam and his medical history was unremarkable.

Photographer: Olivia Rainey

Imaging device: Optos California

Condition/keywords: esotropia, left eye, macular, Morning Glory Syndrome, Optos, strabismic amblyopia, ultra-wide field imaging

Jan 6 2020 by MATTEO M FORLINI, MD

A 61-year-old-male patient presented with sudden diminution of vision in the right eye due to retinal detachment with giant retinal tear and macular hole. Best corrected visual acuity (BCVA) at presentation was 20/200. A 23 G vitrectomy was performed. The edges of the tear were unrolled and complete retinal re-attachment under PFCL was achieved. A 360 degree intraoperative endolaser was performed on the peripheral retina as well as around the edges of the tears. PFCL was exchanged with silicone oil 5000cs as final tamponade. At six-months follow-up retina was attached and macular hole was repaired. Best-corrected visual acuity is 20/125 at present.

Photographer: Matteo Forlini MD, San Marino Hospital, Republic of San Marino

Condition/keywords: full thickness macular hole, giant retinal tear, retinal detachment, silicone oil

Dec 29 2019 by Vishal Agrawal, MD, FRCS

Fundus montage of a 3-year-old boy with mass lesion involving macula and abutting the disc of the right eye.The superior half of the tumor shows preretinal extension.

Photographer: Vishal Agrawal MD

Imaging device: Zeiss

Condition/keywords: retinoblastoma