Birdshot Chorioretinopathy
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Janet L. Davis, MD; Nimesh A. Patel, MD
Presenter/Faculty: Davis, Patel
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 Retinal Vein Occlusion Associated with Cocaine Abuse
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Jonathan F. Russell, MD, PhD; Jesse D. Sengillo, MD
Presenter/Faculty: Patel, Russell, Sengillo
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 Retinal with Choroidal Neovascularization
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD
Presenter/Faculty: Patel
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.
Choroidal Osteoma
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Harry W. Flynn, Jr., MD; Nimesh A. Patel, MD; Swarup S. Swaminathan, MD
Presenter/Faculty: Flynn, Patel, Swaminathan
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
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
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
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.