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.
Wegner's Syndrome with Tractional Retinal Detachment
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
This patient was diagnosed with genetic testing to have the hereditary vitreoretinopathy, Wegner's Syndrome. The abnormal vitreoretinal interface leads to a focal tractional retinal detachment of the macula. Post-operative photo and OCT show resolution of the detachment after vitrectomy.
Exudative Age-Related Macular Degeneration, Type 3 Macular Neovascular Membrane
Specialty: Retina and Vitreous Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Amina L. Chaudhry, MBBS
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD
Presenter/Faculty: Chaudhry, Rosenfeld
Exudative Age-Related Macular Degeneration, Type 3 Macular Neovascular Membrane A 68-year-old female with nonexudative AMD in both eyes, presents with new visual distortion in her left eye. Clinical exam shows markedly declined visual acuity, fundus examination shows small punctate extrafoveal hemo…
Drug Associated Occlusive Retinal Vasculitis and Intraocular Inflammation
Specialty: Retina and Vitreous Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Prashanth G. Iyer, MD
Faculty Discussant(s): Thomas A. Albini, MD; Philip J. Rosenfeld, MD, PhD; Caroline R. Baumal, MD
Presenter/Faculty: Albini, Baumal, Iyer, Rosenfeld
Drug Associated Occlusive Retinal Vasculitis and Intraocular Inflammation A 78-year-old male with a known history of exudative age-related macular degeneration in both eyes had been treated with intravitreal aflibercept injections for many years unable to extend past 5 weeks. He was recently treate…
Ocular Trauma and Proliferative Vitreoretinopathy
Specialty: Retina and Vitreous Diseases
Type: Other Lectures
Include in Catalogue?: Yes
Presenter(s): Dean Eliott, MD
Presenter/Faculty: Eliott
Retina Vasculitis, Leprosy
Specialty: Retina and Vitreous Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Sulaiman Alhumaid, MD
Faculty Discussant(s): Thomas A. Albini, MD
Presenter/Faculty: Albini, Alhumaid
Retina Vasculitis, Leprosy A 56-year-old man referred to the BPEI for intermediate uveitis and retinal vasculitis. Examination revealed 20/25 vision in both eyes and trace vitreous cells in both eyes. Ocular coherence tomography showed no macular edema. Fluorescein angiogram showed retinal vasculit…
Central Areolar Choroidal Dystrophy
Specialty: Retina and Vitreous Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): David Wade Redick, MD
Faculty Discussant(s): Ninel Z. Gregori, MD
Presenter/Faculty: Gregori, Redick
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…
MEWDS
Specialty: Retina and Vitreous Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Humberto Salazar, III, MD
Faculty Discussant(s): Raquel Goldhardt, MD, FACS
Presenter/Faculty: Goldhardt, Salazar
MEWDS A healthy, myopic 18-year-old female presented with 2 days of blurry vision in her left eye after having a viral upper respiratory infection for 1 week. Dilated fundus exam revealed posterior pole gray-white spots sparing the fovea and a granulated foveal appearance, as well as mild posterior…
Retinal Detachment Caused by Proliferative Sickle Cell Retinopathy
Specialty: Retina and Vitreous Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Thomas A. Lazzarini, MD
Discussant(s): Jayanth Sridhar, MD
Presenter/Faculty: Lazzarini, Sridhar
Retinal Detachment Caused by Proliferative Sickle Cell Retinopathy A 44-year-old man and 19-year-old man, neither with initially disclosed medical history, present with severe vision loss one eye. Both patients have findings consistent with retinal detachment associated with proliferative retinopat…
Age Related Macular Degeneration
Specialty: Retina and Vitreous Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Prashanth G. Iyer, MD
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD
Presenter/Faculty: Iyer, Rosenfeld
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…
Thioridazine Macular Toxicity
Specialty: Retina and Vitreous Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): David J. Grasic, MD
Faculty Discussant(s): Jorge Fortun, MD; Luis J. Haddock, MD
Presenter/Faculty: Fortun, Grasic, Haddock
Thioridazine Macular Toxicity A 69-year-old male with decreased vision OU referred to BPEI for a 2nd opinion. Originally diagnosed with dry age-related macular degeneration. Fundal examination revealed extensive chorioretinal atrophy in the macula and the medioretina. After thorough work up, it was…
Diffuse Unilateral Subretinal Neuroretinitis
Specialty: Retina and Vitreous Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Anne L. Kunkler, MD
Faculty Discussant(s): Thomas A. Albini, MD
Discussant(s): Nimesh A. Patel, MD
Presenter/Faculty: Albini, Kunkler, Patel
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…