Chronic Macula on Retinal Detachment with Two Demarcation Lines
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): J. Daniel Diaz, MD; Nimesh A. Patel, MD; Justin H. Townsend, MD
Presenter/Faculty: Diaz, Patel, Townsend
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
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Harry W. Flynn, Jr., MD
Presenter/Faculty: Patel, Flynn
Temporal horseshoe tear with localized retinal detachment. It was demarcated with laser retinopexy and has remained stable.
Didanosine Toxicity
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Justin H. Townsend, MD
Presenter/Faculty: Patel, Townsend
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
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Audina M. Berrocal, MD; Nimesh A. Patel, MD
Presenter/Faculty: Berrocal, Patel
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 Viral Retinitis
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Thomas A. Albini, MD; Nimesh A. Patel, MD
Presenter/Faculty: Albini, Patel
Immunocompromised patient with HIV presenting with atypical presentation of viral retinitis.
Emulsified Silicone Oil in Anterior Chamber
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Audina M. Berrocal, MD; Nimesh A. Patel, MD
Presenter/Faculty: Berrocal, Patel
Silicone oil used in this case was for retinal detachment repair and has emulsified/ It has come to the anterior chamber. The oil is less dense than aqueous fluid and will be found in the superior angle. This is sometimes referred to as a "reverse hypopyon".
Extruded Scleral Buckle
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Jonathan F. Russell, MD, PhD; Kimberly D. Tran, MD
Presenter/Faculty: Patel, Russell, Tran
Patient with history of retinal detachment and surgical repair. External photo shows extruded scleral buckle and silicone oil emulsified in the anterior chamber.
Extruded Scleral Buckle with Scleritis
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Harry W. Flynn, Jr., MD; Nimesh A. Patel, MD
Presenter/Faculty: Flynn, Patel
First slit lamp photo with normal appearance. In the second slit lamp photo with the eyelid retracted, a tip of the scleral buckle is seen exposed with purulent material. Culture grew mycobacteria.
Familial Drusen with Choroidal Neovascularization
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Harry W. Flynn, Jr., MD; Nimesh A. Patel, MD
Presenter/Faculty: Flynn, Patel
Familial Drusen with Choroidal Neovascularization. Also known as Doyne Honeycomb Retinal Dystrophy or Malattia Leventinese.
Fungal Endogenous Endophthalmitis With Breakthrough Viritis
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Harry W. Flynn, Jr., MD; Nimesh A. Patel, MD
Presenter/Faculty: Flynn, Patel
Patient with history of intravenous drug abuse. Fundus photo with a creamy yellow superficial retinal lesion in superior macula (arrow). OCT with breakthrough under hyaloid and overlying (arrow).
Intraocular Lymphoma Associated with Non-CNS Lymphoma Treated with Intravitreal Chemotherapy
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Thomas A. Albini, MD; Kenneth C. Fan, MD, MBA; Nimesh A. Patel, MD
Presenter/Faculty: Albini, Fan, Patel
The patient presented with panuveitis and exudative retinal detachment OS. He had a recent skin biopsy of a mass on the arm that was found to be Diffuse large b cell lymphoma ABC type. Diagnostic vitrectomy showed +CD20 cells suggestive of intraocular lymphoma. The follow up photo (2 months later) …
Lupus Vasculitis
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Andrew J. Rong, MD
Presenter/Faculty: Patel, Rong
Fundus photos showing sheathing of the major and minor vasculature. Fluorescein angiography with small vessel vasculitis with diffuse temporal non-perfusion.
Myopic Degeneration
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Harry W. Flynn, Jr., MD; Nimesh A. Patel, MD
Presenter/Faculty: Flynn, Patel
Myopic degeneration patches of severe retinal and choroidal atrophy, lacquer cracks, a tilted disc and lattice degeneration.
Peripapillary Congenital Hypertrophy of the Retinal Pigment Epithelium (CHRPE)
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Micheal C. Yim, MD
Presenter/Faculty: Patel, Yim
Pigmented lesion in the peripapillary area with lacunae suggesting chronicity.
Polypoidal Choroidal Vasculopathy
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Kenneth C. Fan, MD, MBA; Nimesh A. Patel, MD
Presenter/Faculty: Fan, Patel
Fundus photo with a nasal peripapillary sub retinal vascular complex surrounded by exudation. OCT with pigment epithelial detachment and associated sub-retinal fluid. ICG angiography makes the diagnosis clear with a hypercyanescent polyp in the choroid.
Pseudoxanthoma Elasticum with Angioid Streaks
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Kenneth C. Fan, MD, MBA; Nimesh A. Patel, MD
Presenter/Faculty: Fan, Patel
External photo depicting characteristic yellow papules, or p'eau d'orange, on the neck. Fundus photos with angioid streaks (yellow arrows).
Ruptured Macroaneurysm with Sub-Macula Hemorrhage Treated with TPA and Pneumatic Displacement
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Jorge Fortun, MD; Nimesh A. Patel, MD; Andrew J. Rong, MD
Presenter/Faculty: Fortun, Patel, Rong
The patient presented with a RAM and sub-macular hemorrhage. Treatment was with pars plana vitrectomy, sub-retinal tissue plasminogen activator injection and 26% SF6 gas. The hemorrhage resolved with some photoreceptor changes, but no fibrosis and the patient regained 20/40 vision.
Susac Syndrome
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Janet L. Davis, MD; Nimesh A. Patel, MD; Andrew J. Rong, MD
Presenter/Faculty: Davis, Patel, Rong
A 40-year-old female with headaches, hearing loss and a superior scotoma in the right eye. Fundus photo with multiple inferior branch retinal artery occlusions. Angiography with non-filling of the inferior arterioles and capillary dropout in the area of the infarct. MRI showed scatter FLAIR lesions…
Tractional Retinal Detachment From Proliferative Diabetic Retinopathy
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Kenneth C. Fan, MD, MBA; Nimesh A. Patel, MD; Jonathan F. Russell, MD, PhD
Presenter/Faculty: Fan, Patel, Russell
The traction retinal detachment has taken on a napkin ring configuration.
Traumatic Choroidal Rupture
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Alison K. Bozung, OD; Nimesh A. Patel, MD
Presenter/Faculty: Bozung, Patel
The curvilinear breaks in Bruch’s membrane and found with some mild associated sub-retinal hemorrhage. Infrared image depicts the patterns of rupture.