Dec 20 2024 by Daniel Davis, OCT-C

67 year old male presenting with large pigmented choroidal mass with serous retinal detachment.

Photographer: Daniel Davis, OCT-C, The Retina Institute

Imaging device: Optos California

Condition/keywords: choroidal melanoma, Retina detachment

Feb 25 2025 by Gaurav K. Shah, MD

This image shows the classic string of pearls with fluff infiltrates in the retina SP intraocular surgery.

Condition/keywords: fluff infiltrates, fungal endophthalmitis, string of pearls

Jan 25 2025 by Muna Bhende, MD

Superficial capillary plexus slab montage image of a young female diabetic with florid proliferation . There is no flow in the capillaries anterior to the tangle of new vessels indicating severe retinal ischemia.

Photographer: Mohanapriya L , Medical Research Foundation, Sankara Nethralaya, Chennai, India

Imaging device: PLEX elite 9000

Condition/keywords: florid type PDR, OCTA

Nov 29 2024 by Anand Temkar

A 45 year old male came with chief complaint of blurring vision in right eyes since past 4 days. His vision is 6/12 in right eye and 6/9 in left eye. His vision was 14 mmHg in right eye and 16 mmHg in left eye. He was diagnosed with Angioid Streaks in both eyes about a year ago, then he developed choroidal neovascularization in his left eye 8 months ago, for which he received AntiVEGF injections x 3. Left eye is a stable eye now. Patient presented with right eye choroidal neovascularization in a case of Angioid Streaks on recent follow up. We have advised him right eye AntiVEGF injections x 3. In this image, the right eye color photo shows bleed from CNVM in case of angioid streaks.

Photographer: Dr.Anand Temkar- Retina Foundation, Ahmedabad

Imaging device: Mirante

Condition/keywords: Angioid Streaks, choroidal neovascular membrane (CNVM)

Oct 11 2024 by Ahmad B. Tarabishy, MD

27 year old woman presenting with floaters and a shadow in her temporal visual field OS. Approximately one week earlier, she was injured in her left eye by a shuttlecock while playing badminton. Fundus exam reveals mild vitreous hemorrhage and a large retinal tear with a small cuff of surrounding SRF.

Photographer: Angela Rico, M.D.

Imaging device: Optos

Condition/keywords: blunt trauma, ocular trauma, retinal tear

Nov 30 2024 by John S. King, MD

Both right and left eyes have symmetrical ring of mottled hypo/hyper AF around the fovea and disc. The HyperAF areas correspond to RPE deposits on OCT as well as areas of blockage on FA, and drusenoid deposits seen on fundus photos. Disc drusen in right eye present as HyperAF spot 57 yo WF referred for AMD vs Pattern Dystrophy that was diagnosed 10 years ago. Reported some slow progressive vision loss in both eyes for distance and near. Denies nyctalopia or hemeralopia. Background medical history includes HTN, CVD, and DM. No family history of eye problems. Denied pentosan use. Anterior segment showed moderate cataracts (OD>OS). Posterior segment exam showed macular changes and mild NPDR. The macular appearance showed a symmetrical, paramacular ring of fleck-like drusenoid material with some faint focal areas of RPE hyperplasia. Fundus Photos, AF, OCT were performed as well as a gene test. Further questioning showed revealed that her mother and maternal grandmother had both diabetes mellitus and sensorineural hearing loss. The patient developed diabetes in her teens, and some high frequency hearing loss in her early twenties. She had not had a previous genetic test or diagnosis of MIDD. Gene testing is pending for the mitochondrial component. Invitae's retinal panel, which does not include mitochondrial disorders, only showed a variant of uncertain significance, HMCN1. I discussed this case with Dr. Freund, and it is similar to a the case report : Inoue M, Kiss S, Freund KB. MACULAR PIGMENT RINGS AS THE PRESENTING FINDING OF MITOCHONDRIAL MYOPATHY, ENCEPHALOPATHY, LACTIC ACIDOSIS, AND STROKELIKE EPISODES. Retin Cases Brief Rep. 2015 Fall;9(4):260-4. doi: 10.1097/ICB.0000000000000182. PMID: 26200388.

Photographer: Grace Melton and Carley Gunn

Imaging device: Clarus

Condition/keywords: Macular Dystrophy, Maternally Inherited Diabetes and Deafness, MIDD, Mitochondrial Disorder

Oct 27 2024 by César Adrián Gómez Valdivia, MD

Fundus photograph of a traumatic choroidal fracture & extra-macular sub-retinal hemorrhage.

Photographer: @eyemissu2

Imaging device: TOPCON TRC-50DX

Condition/keywords: Choroidal Fracture

Oct 11 2024 by Anjana Mirajkar, MS Ophthalmology

Fundus photograph montage of LE showing a giant retinal extending from 12 to 4 o clock.

Photographer: Dr. Anjana Mirajkar -Retina Foundation, Ahmedabad

Imaging device: Mirante-Nidek

Condition/keywords: GIANT RETINAL TEAR

Oct 16 2024 by Virginia Gebhart

56 year old male with a large pigmented tumor with an exudative detachment inferior and shallow fluid through the macula. Pt states they have been having symptoms for over a year. Scheduled for brachytherapy.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: Choroidal melanoma, exudative detachment, melanoma

Oct 20 2024 by César Adrián Gómez Valdivia, MD

Fundus autofluorescence image of an acute syphilitic posterior placoid chorioretinitis found in a HIV positive 28 YO male patient with suspected neurosyphilis. A beautiful butterfly autofluorescence pattern can be appreciated.

Photographer: @eyemissu2

Imaging device: California ICG OPTOS

Condition/keywords: acute syphilitic posterior placoid chorioretinitis

Dec 3 2024 by Dibya Prabha

Colour Fundus photograph of 62 Year old female patient with Suprachoroidal hemorrhage post trauma

Photographer: Dibya Prabha, LV Prasad eye Institute, Hyderabad

Condition/keywords: suprachoroidal hemorrhage

Aug 29 2024 by César Adrián Gómez Valdivia, MD

Fundus photograph of a 64-year-old female patient with foveal hypoplasia, ocular albinism and pendular nystagmus. Findings were bilateral. Retinal and choroidal vasculature are exquisitely beautiful.

Photographer: @eyemissu2

Imaging device: California ICG OPTOS

Condition/keywords: foveal hypoplasia, ocular albinism

Sep 28 2024 by Anjana Mirajkar, MS Ophthalmology

An intra operative image of right eye showing dislocated IOL sitting on the posterior pole.

Photographer: Dr. Anjana Mirajkar -Retina Foundation, Ahmedabad

Condition/keywords: dislocated IOL

Aug 26 2024 by Nassim Alejandro Abreu Arbaje, MD

Ultra-wide field OCT angiography of a 39 year-old healthy male. The photo attempts to explore retinal vasculature up to the ora serrata.

Photographer: Johel Arrieta, TowardPi

Imaging device: TowardPi BMizar 400khz

Condition/keywords: OCT Angiography, OCTA, ultra-wide field imaging

Aug 22 2024 by Neeket R. Patel, MD

Ultrasonography of a 55-year-old woman with chronic, symmetric retinal cysts.

Condition/keywords: Retinal Cysts

Aug 22 2024 by Jordyn Beckman

61 year old male with Idiopathic Uveal Effusion Syndrome with starry night appearance on fluorescein. 3 weeks s/p single external drainage retinotomy and 9 weeks of oral pred with recurrent choroidal effusions. Has since returned to surgery for secondary drainage retinotomy; subretinal fluid remain persistent.

Photographer: Jordyn Beckman

Imaging device: Optos California

Condition/keywords: chorioretinitis, Choroidal, exudative detachment, window defect

Aug 8 2024 by Guilherme Sturzeneker, MD, MSc

Ultra-widefield fundus photograph and autofluorescence of a 62-year-old woman with endometrial cancer, denoting choroidal metastasis with unusual orange pigment. This presentation is a reminder that the development of orange pigment is not pathognomonic for choroidal melanoma, as it may be seen in other lesions such as carcinoma metastasis.

Photographer: Andrea Almeida

Imaging device: Optos Silverstone

Condition/keywords: choroidal metastasis, metastatic cancer, orange pigment

Aug 8 2024 by Virginia Gebhart

88 year old male with new bilobed choroidal melanoma. Pt scheduled for brachytherapy

Photographer: Virginia Gebhart

Imaging device: Optos California

Condition/keywords: choroidal melanoma, melanoma

Sep 6 2024 by Mauricio Bayram-Suverza, MD

A 65-year-old male patient reports experiencing bilateral blind spots that have gradually intensified over time. Genetic testing was unrevealing. The fundus autofluorescence image shows a hypoautofluorescent ring in the posterior pole, especially nasal to the nerve and along arcades.

Photographer: Mauricio Bayram-Suverza, Casey Eye Institute, OHSU.

Imaging device: Optos California

Condition/keywords: fundus autofluorescence (FAF), inherited retinal disease, nyctalopia, retinal dystrophy, retinitis pigmentosa

Jul 4 2024 by Tejaswita Verma

Blue fundus autofluorescence showing hypoautofluorescence picture of a 28 year old male with 6/60 vision in BE in a case of Stargardt's disease.

Photographer: DR. TEJASWITA VERMA

Imaging device: MIRANTE

Condition/keywords: fundus autofluorescence (FAF), hereditary macular dystrophy, Stargardt disease