Available Courses

Acute Retinal Necrosis Pre and Post Treatment

Type: Ophthalmic Images
Original Contributor(s): Janet L. Davis, MD; Nimesh A. Patel, MD
Presentation with peripheral retinal whitening and perivascular hemorrhages. PCR was positive for HSV. Treatment was with the intravitreal antiviral Foscarnet as well as oral Valacyclovir. On 3 months follow up there was improvement in the retinitis with peripheral atrophy that was laser demarcated…

Age Related Macular Degeneration

Type: Grand Rounds
Presenter(s): Prashanth G. Iyer, MD
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD
Age Related Macular Degeneration RPE tears occur in AMD as part of the normal disease progression. They are usually associated with vascularized pigment epithelial detachments at a rate of 10%. RPE tears are also associated with Central Serous Retinopathy, Retinal Angiomatous Proliferation, Polypoi…

Autosomal Recessive RPE65-Deficient Leber Congenital Amaurosis

Type: Grand Rounds
Presenter(s): Jose J. Echegaray, MD
Faculty Discussant(s): Janet L. Davis, MD; Ninel Z. Gregori, MD; Byron L. Lam, MD
Autosomal Recessive RPE65-Deficient Leber Congenital Amaurosis A 17-year-old male with a biallelic RPE65 mutation resulting in autosomal recessive Leber Congenital Amaurosis is referred for evaluation for subretinal gene therapy with voretigene neparvovec-rzyl. Baseline evaluation was remarkable fo…

Bartonella Neuroretinitis

Type: Ophthalmic Images
Original Contributor(s): Nimesh A. Patel, MD; Norman Schatz, MD

Fundus photo with exudates in a stellate pattern surrounding macula. OCT showing the hyperdense exudates in the outerplexiform layer.

Bilateral Retinal Artery Occlusions

Type: Ophthalmic Images
Original Contributor(s): Janet L. Davis, MD; Nimesh A. Patel, MD; Brandon Sparling

Right eye with central retinal artery occlusion and left eye with superior branch retinal artery occlusion.

Birdshot Chorioretinopathy

Type: Ophthalmic Images
Original Contributor(s): Janet L. Davis, MD; Nimesh A. Patel, MD
Fundus photos with creamy yellow sub-retinal lesions emanating radially from the nerve. FA OS with late staining and ICG with delineated hypocyanescent spots in the mid and late phases. The patient was HLA-A29 positive. ERG was used to monitor, assessing the B wave for a delayed 30hz flicker time.

Central Areolar Choroidal Dystrophy

Type: Grand Rounds
Presenter(s): David Wade Redick, MD
Faculty Discussant(s): Ninel Z. Gregori, MD
Central Areolar Choroidal Dystrophy A 56-year-old male that presents as a follow up for Dry Age-Related Macular Degeneration and complaining of nyctalopia. VA 20/20 both eyes on initial presentation. DFE revealed hypopigmented areas in the macula of both eyes. Fluoresencin angiogrpahy revealed spec…

Central Retinal Vein Occlusion Associated With Cocaine Abuse

Type: Ophthalmic Images
Original Contributor(s): Nimesh A. Patel, MD; Jonathan F. Russell, MD, PhD; Jesse D. Sengillo, MD

A 40-year-old patient with systemic hypertension and history of polysubstance abuse. CBC was within normal limits. Photo shows dilated and engorged vessels, cotton wool spots, and flame hemorrhages.

Central Serous Chorioretinopathy

Type: Grand Rounds
Presenter(s): Jacob S. Duker, MD
Faculty Discussant(s): Ninel Z. Gregori, MD
Central Serous Chorioretinopathy A 38-year-old male presented with blurry vision and was found to have a neurosensory retinal detachment concerning for central serous retinopathy. Laser photocoagulation was utilized to treat the focal leak. Clinical findings, epidemiology, diagnostic techniques and…

Central Serous Retinal with Choroidal Neovascularization

Type: Ophthalmic Images
Original Contributor(s): Nimesh A. Patel, MD

Fundus photos showing sub-retinal angiogenesis with hemorrhage. OCT with pigment epithelial detachment and outer-retinal atrophy. Autofluorescence with a guttering pattern of the atrophy typical with CSR.

Central Serous Retinopathy

Type: Grand Rounds
Presenter(s): Alexandra E. Levitt, MD, MPH
Faculty Discussant(s): Jayanth Sridhar, MD
Central Serous Retinopathy A 48-year-old female presents with a history of chronically decreased vision in her right eye. Multimodal imaging reveals serous macular detachment, thickened choroid, and focal areas of late leakage on fluorescein angiography. The left eye has pigmentary changes in the p…

Choroidal Change Post Internal Carotid Stenting

Type: Grand Rounds
Presenter(s): Omer Trivizki, MD, MBA
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD
Choroidal Change Post Internal Carotid Stenting The purpose is to report the changes in choroidal thickness (CT) and the choroidal vascularity index (CVI) measurements using widefield SS-OCT imaging in a patient undergoing treatments that should alter choroidal blood flow. Patient underwent 12x12mm…

Choroidal Osteoma

Type: Ophthalmic Images
Original Contributor(s): Harry W. Flynn, Jr., MD; Nimesh A. Patel, MD; Swarup S. Swaminathan, MD

Fundus photo with hypopigmented patch with choroidal thickening temporally. B-scan demonstrates the fundus thickening with mild hyperdensity.

Chronic Macula Changes with Juvenile X-linked Retinoschisis

Type: Ophthalmic Images
Original Contributor(s): Harry W. Flynn, Jr., MD; Nimesh A. Patel, MD

This patient is known to have XLRS and is 80 years old. Over time the macula schisis has led to central atrophy and pigmentary changes. The OCT shows schisis cavities and thinning of the retina.

Chronic Macula on Retinal Detachment With Two Demarcation Lines

Type: Ophthalmic Images
Original Contributor(s): J. Daniel Diaz, MD; Nimesh A. Patel, MD; Justin H. Townsend, MD

Patient with a history of pathological myopia and retinal detachment in the fellow eye. Has been stable with a large chronic retinal detachment. There are two demarcation lines noted in the macula. The vision is preserved.

Chronic Retinal Detachment with Laser Demarcation

Type: Ophthalmic Images
Original Contributor(s): Nimesh A. Patel, MD; Harry W. Flynn, Jr., MD

Temporal horseshoe tear with localized retinal detachment. It was demarcated with laser retinopexy and has remained stable.

Didanosine Toxicity

Type: Ophthalmic Images
Original Contributor(s): Nimesh A. Patel, MD; Justin H. Townsend, MD

Patient with HIV on treatment with Didanosine. Fundus photos with peripheral, well circumscribed, patchy choroidal atrophy in both eyes.

Diffuse Unilateral Subacute Neuroretinitis (DUSN) Treated With Laser

Type: Ophthalmic Images
Original Contributor(s): Audina M. Berrocal, MD ; Nimesh A. Patel, MD

Fundus photo with multifocal unilateral white dots and central atrophy. On closer inspection a sub retinal nematode is found. Post laser treatment with laser photocoagulation and with many years of follow up there was no progression of the uveitis.

Diffuse Unilateral Subretinal Neuroretinitis

Type: Grand Rounds
Presenter(s): Anne L. Kunkler, MD
Faculty Discussant(s): Thomas A. Albini, MD
Discussant(s): Nimesh A. Patel, MD
Diffuse Unilateral Subretinal Neuroretinitis A 54-year-old woman from Honduras with a history of T2DM, HTN, OSA presented with 4 months of progressive visual loss in the right eye. She had been seen by many eye care providers and carried the diagnoses of macular degeneration and multifocal choroidi…

Diffuse Viral Retinitis

Type: Ophthalmic Images
Original Contributor(s): Thomas A. Albini, MD; Nimesh A. Patel, MD

Immunocompromised patient with HIV presenting with atypical presentation of viral retinitis.