Sep 22 2019 by Haider Ali

35-year-old female presented with decrease in vision in her left eye for last 4 days and in right eye for last 8 days. Her right eye was previously involved in a similar episode about 5-6 months ago for which she was treated with oral steroids.

Photographer: Dr Haider Ali Chaudhry, Madinah Teaching Hospital, Faisalabad

Condition/keywords: acute posterior multifocal placoid pigment epitheliopathy (APMPPE), macula serpiginous choroidopathy, serpiginous choroiditis, white dot syndrome

Sep 19 2019 by Anfisa Ayalon

Fundus picture of a 34-year-old patient with left eye vitreous base avulsion three months after rhegmatogenous retinal detachment repair with circular scleral buckle implantation. Note bucket handle sign and 360 degrees scleral buckle indentation with a flat retina.

Photographer: Anfisa Ayalon, MD., Meir Medical Center, Kfar Saba, Israel.

Imaging device: California, Optos 200 DTX

Condition/keywords: avulsed vitreous base, behind the vitreous base, retinal detachment, scleral buckle

Sep 18 2019 by John S. King, MD

57-year-old white male with history of PPCNVM OS and POHS OU here for a routine visit. History of avastin in 2014, and stable since then. Va OS 20/20. PP scar with macular subretinal fibrosis. No heme or exudates. CR spot supero-nasally.

Photographer: Shelly Blair

Imaging device: Topcon 50

Condition/keywords: choroidal neovascular membrane (CNVM), ocular histoplasmosis syndrome (OHS), peripapillary choroidal neovascularization (PPCNVM), presumed ocular histoplasmosis syndrome (POHS)

Sep 25 2019 by Gustavo Barreto de Melo, MD, PhD

A 65-year-old female presented with an acute decrease in VA in the left eye 48 hours after an intravitreal injection of an antiangiogenic drug. Slit-lamp examination showed AC cells (4+) and vitritis. No pain or hyperemia. Multiple silicone oil droplets were seen in the anterior vitreous.

Photographer: Celso Dias, Hospital de Olhos de Sergipe

Condition/keywords: silicone oil

Oct 2 2019 by John S. King, MD

27-year-old white female with bilateral, isolated, inferior, chorioretinal colobomas; she has a history of retinal laser anterior to the edge of the coloboma OD secondary to a limited RD. This is the right eye.

Photographer: Shelly Blair

Imaging device: Optos CA

Condition/keywords: coloboma of choroid

Sep 30 2019 by John S. King, MD

78-year-old white female using 1mg of warfarin for atrial fibrillation, who had a large PED, Type 1 lesion from AMD. Noticed acute darkening of vision one week after anti-VEGF injection. Has very large SRH, subRPE heme, and corrugated retinal appearance post RPE tear. Vision HM (from 20/100). 20/25 in the fellow eye that has dry AMD.

Photographer: Shelly Blair

Imaging device: Optos CA

Condition/keywords: subretinal hemorrhage, wet age-related macular degeneration (wet AMD)

Oct 8 2019 by DIEGO TOLENTINO

CHRPE plus laser barricade around retinal break

Photographer: Diego Tolentino

Condition/keywords: congenital hypertrophy of the retinal pigment epithelium (CHRPE)

Aug 22 2019 by Merrick Avila

Ultra-wide field pseudocolor fundus photograph of a 64-year-old female with a treated retinal detachment with proliferative vitreoretinopathy. Patient has a history of complex retinal detachments that have been treated multiple times. On exam 8-22-19, there were large macular holes with LP vision. There was a long discussion about guarded nature of her condition and goals or trial for repair including globe sparing prevention of phthisis.

Photographer: Merrick Avila

Imaging device: Optos

Condition/keywords: diabetic retinopathy, hemorrhage, Optos, proliferative vitreoretinopathy (PVR), retinal detachment, retinectomy, silicone oil

Jul 9 2019 by Chinmayi Vyas

38-year-old type 1 diabetic female with gross neovascularization of disc.

Photographer: Sangeeta

Condition/keywords: neovascularization of the disc (NVD)

Jul 16 2019 by Kim Barrett

Ultra-wide field fluorescein angiogram of a 23-year-old male with Coats' disease, presented with distorted vision affecting his left eye. He reported seeing flashes and floaters since January of 2019, but the flashes had resolved. He was treated with Intravitreal Preservative Free Triamcinolone in the office and scheduled for PRP laser in the near future.

Photographer: Kim Barrett

Imaging device: Optos

Condition/keywords: Coats' disease, fluorescein angiogram (FA), fluorescein leakage, inferior retina, ischemia, left eye, Optos, ultra-wide field imaging

Jul 25 2019 by Manish Nagpal, MD, FRCS (UK)

Fundus photo of old toxo lesion on macula.

Photographer: Gayathri Mohan, Retina Foundation

Imaging device: Nidek Mirante SLO

Condition/keywords: toxoplasmosis, toxoplasmosis chorioretinitis

Jul 19 2019 by JEFFERSON R SOUSA

A 23-year-old male patient attended the clinic with low vision of the right eye. In the evaluation it presented important fundoscopical alterations like retinal exudations in the posterior pole and nasal retina, aspects of macular star. It was proven that it was a posterior uveitis.

Photographer: JEFFERSON R SOUSA - Study Center and Ophthalmological Research Dr. Andre M V Gomes, Institute Dr. Suel Abujamra São Paulo-Brazil

Imaging device: Topcon TRC-50 DX, Imaginet 4.0, angle de 50 graus. Flash 50w-s

Condition/keywords: uveitis

Jul 25 2019 by Manish Nagpal, MD, FRCS (UK)

Wide field view of a buckled eye along with silicon oil reflex.

Photographer: Gayathri Mohan, Retina Foundation

Imaging device: Nidek Mirante SLO

Condition/keywords: retinal detachment, scleral buckle, silicone oil

Jul 11 2019 by Robert A Lalane, MD

55-year-old male currently undergoing chemotherapy for leukemia. Found to have extensive retinal hemorrhaging throughout various retinal layers bilaterally.

Photographer: Brandy Maxwell, Retina Group of Florida

Condition/keywords: leukemia, retinal hemorrhage

Jun 19 2019 by Olivia Rainey

Ultra-wide field pseudocolor image of an 10-year-old girl with Morning Glory Syndrome affecting her left eye. Patient is able to count fingers at 4 feet.

Photographer: Olivia Rainey

Imaging device: Optos

Condition/keywords: left eye, Morning Glory Syndrome, Optos, pseudocolor, ultra-wide field imaging

Jun 27 2019 by Somnath Chakraborty, MD

Left eye fundus photo montage of a 43-year-old male with central retinal artery occlusion with bright yellow multiple retinal (cholesterol) emboli both at the disc and also along multiple retinal arteries.

Photographer: Pulak Roy

Condition/keywords: arterial embolus, central retinal artery occlusion (CRAO), cholesterol embolus

May 22 2019 by Nichole Lewis

FA of a 91-year-old woman with a ruptured macroaneurysm, intraretinal hemorrhage and subretinal hemorrhage. VA 20/400.

Photographer: Nichole Lewis

Condition/keywords: intraretinal hemorrhage, ruptured macroaneurysm, subretinal hemorrhage

May 27 2019 by John S. King, MD

60-year-old white male non-smoker presented to Dr. Zocchi with acute transient decreased vision in the right eye. Background history includes metastatic NSCLC (adenocarcinoma). Acuity OD 20/60, and posterior segment had two small, yellow, choroidal lesions, above the nerve and IT arcade (these had a fairly smooth and dome shaped appearance on the OCT, and top lesion had mild SRF) (see photo)

Photographer: Shelly Blair

Imaging device: Optos CA

Condition/keywords: choroidal metastasis, lung cancer metastasis

May 18 2019 by Tony Tsai, MD

Widefield fundus image of 11-year-old male with peripheral lipid exudative retinopathy secondary to Coats' Syndrome.

Photographer: Chue Vang, Retinal Consultants, Sacramento, CA

Imaging device: Optos

Condition/keywords: Coats' disease

May 21 2019 by Richard F. Spaide, MD

This is a newly described entity in which patients develop solitary aneurysms that are much larger than typical microaneurysms and they are supplied by capillaries. The aneurysm is shown in red. The associated macular edema produced cystoid spaces in Henle’s fiber layer, rendered as teal and in the inner nuclear layer as blue.

Photographer: Richard F. Spaide, MD

Condition/keywords: aneurysm, optical coherence tomography (OCT), volume rendering