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

Dec 19 2019 by Lauren Schuler

Ultra-wide field pseudocolor fundus photograph of a 68-year-old female with vascular sheathing affecting her right eye. This was noted on initial exam on 1/15/16, at patient's first appointment. This remains unchanged and patient is asymptomatic at this time.

Photographer: Lauren Schuler

Imaging device: Optos California

Condition/keywords: fundus photograph, ghost vessels, pseudocolor, right eye, vascular sheathing of retina

Dec 18 2019 by Yoshihiro Yonekawa, MD

Widefield fundus image of a teenage girl's right eye with an inactive congenital toxoplasmosis macular lesion. Her vision is 20/400 in this eye.

Photographer: Netanya Lerner, COA, Wills Eye Hospital/Mid Atlantic Retina

Imaging device: Optos California

Condition/keywords: congenital toxoplasmosis, pediatric retina

Dec 11 2019 by Lauren Whaley

34-year-old female patient presented with changes in vision after recent upper respiratory infection. Referring doctor originally thought it was a blood pressure issue. She noticed a "C" shape in her vision. Infrared image was captured showing exactly what patient was describing! Doctor confirmed with this image that it was AMN.

Photographer: Lauren R. Whaley, COA

Imaging device: Heidelberg Spectralis

Condition/keywords: 30 degrees, acute macular neuroretinopathy, Heidelburg Spectralis, left eye, macula, near infrared autofluorescence (NIRAF)

Dec 9 2019 by Sophia El Hamichi, MD

A 3-year-old male with a presentation of a complex Coats' disease in the left eye with exudative retinal detachment, abnormal telangiectatic vasculature, and inferotemporal retinal macrocyst/retinoschisis.

Photographer: Abby Orcutt-Hayes, Murray Ocular Oncology and Retina

Imaging device: RetCam

Condition/keywords: Coats' disease, exudative detachment, montage, retinal detachment, retinal macrocyst

Dec 4 2019 by Alex Jun

Fundus photograph of a 47-year-old male with retinal detachment.

Photographer: Alain Bui, Retina Associates of Orange County, California

Imaging device: Topcon TRC-50DX

Condition/keywords: retinal detachment

Dec 2 2019 by Kristen Wagner

Choroidal Detachment of the left eye. Patient's vision was Hand Motion best corrected.

Photographer: Kristen Wagner, COT, OSC, Ophthalmic Photographer, Tennessee Retina

Condition/keywords: choroidal detachment

Nov 18 2019 by Sophia El Hamichi, MD

Large optic disc melanocytoma with surrounding pigment dispersion. It is a benign lesion. The main differential in this case is melanoma with vitreous seeding.

Condition/keywords: melanocytoma, melanoma, vitreous seeding

Nov 13 2019 by Tammy Mclaughlin

No prodromal URI. Symptoms present for 1 1/2 weeks. No serous detachment presently. Does have typical circular RPE changes in macula without leakage or edema. Typical course is spontaneous improvement with residual RPE changes. Recommended observation.

Photographer: Tammy Mclaughlin

Imaging device: Zeiss Visucam

Condition/keywords: focal retinitis, unilateral acute idiopathic maculopathy

Nov 7 2019 by Sham Talati

46-year-old HIV positive diabetic male with progressive bilateral decrease in vision for last 45 days. Patient had associated liver and kidney disease. Taking Tenofovir for last one year.

Photographer: Sham Talati,Retina Foundation,Ahmedabad

Imaging device: Nidek Mirante

Condition/keywords: autofluorescence imaging, drug toxicity, HIV