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.
Christmas Tree Cataract in Myotonic Dystrophy
Specialty: Cataracts and Intraocular Lenses
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Swarup S. Swaminathan, MD
Presenter/Faculty: Patel, Swaminathan
The multicolored appearance is due to needle shaped polychromatic peptide crystals in the cortex or nucleus of the lens. These are not generally visually significant.
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.
Ciliary Body Metastatic Lung Tumor
Specialty: Ocular Oncology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): J. William Harbour, MD; Nimesh A. Patel, MD
Presenter/Faculty: Harbour, Patel
Slit lamp photo with white tumor growing into the sulcus inferior temporally. The Ultrasound Biomicroscopy shows a medium density mass in the ciliary body. The patient had known stage 4 lung cancer.
Coats' Disease Stage 4
Specialty: Pediatric Ophthalmology and Strabismus
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Victor Villegas, MD
Presenter/Faculty: Patel, Villegas
RetCam photo with a bullous exudative retinal detachment. Angiography shows area of engorged vessels, telangiectasias and neovascularization. Ultrasound with moderate dense vitreous opacities and no calcifications. Surgery with external drainage was required for treatment.
Conjunctival Melanoma
Specialty: Ocular Oncology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Carol L. Karp, MD; Nimesh A. Patel, MD; Swarup S. Swaminathan, MD
Presenter/Faculty: Karp, Patel, Swaminathan
A large pigmented nasal growth with vascularization. This case was treated with surgery using a 'no touch technique' excisional biopsy with 4 mm margins and amniotic membrane tissue placement.
Cytomegalovirus Retinitis with Frosted Branch Angiitis
Specialty: Uveitis
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 and CMV retinitis. The perivascular inflammation and whitening are known as frosted branch angiitis.
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.
Dislocated White Cataract Mimicking Tumor
Specialty: Cataracts and Intraocular Lenses
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD
Presenter/Faculty: Patel
B-scan ultrasound shows a well circumscribed mass inferiorly with focal hyper-densities. This can mimic a tumor, but the patient has a history of trauma and the object in question is a dislocated crystalline lens.
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".
Epithelial Ingrowth Post LASIK
Specialty: Corneal and External Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Hasenin Al-khersan, MD; Nimesh A. Patel, MD; Daniela P. Reyes-Capo, MD
Presenter/Faculty: Al-khersan, Patel, Reyes-Capo
Slit lamp photo post LASIK surgery 2 months prior showing patches of cellular material in the the cornea, worse inferiorly. The anterior segment OCT demonstrates the level of the ingrowth is in the interface of the flap.
Euphorbia Keratitis From Milkweed Exposure
Specialty: Corneal and External Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Audina M. Berrocal, MD; William W. Culbertson, IV, MD; Nimesh A. Patel, MD
Presenter/Faculty: Berrocal, Culbertson, Patel
The patient presented with corneal edema and descemet's folds. The patient noted that she was gardening, and the offending contact was likely euphorbia cyparissias plant sap.
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).