Chronic Retinal Detachment With Pseudocyst
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Hasenin Al-khersan, MD; Nimesh A. Patel, MD
Presenter/Faculty: Al-khersan, Patel
The pseudocyst (yellow arrow) can be a signal that the retinal detachment is chronic. The ultrasound helps to clearly define the fluid filled cavity. It is thought that these are formed by schisis cavities in the outer plexiform layer. If closure of the primary break is not possible, or if the pseu…
CMV Retinitis with Frosted Branch Angiitis
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Swarup S. Swaminathan, MD
Presenter/Faculty: Patel, Swaminathan
In this condition, vasculitis of both arteries and veins, with translucent exudation, gives a similar appearance to the frosted branches of a tree. (Yellow arrow). Superior nasally, there is also the classic retinal whitening with retinal hemorrhages, also known as a “pizza pie fundus”.
Iris, Lens and Zonule Coloboma
Specialty: Glaucoma
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Audina M. Berrocal, MD; Brenda Fallas; Nimesh A. Patel, MD
Presenter/Faculty: Berrocal, Fallas, Patel
These are caused by failure of the embryonic fissure to close during the second month of development in utero. The iris defect is also known as a "keyhole" pupil. Here, there is not only an iris defect, but also missing tissue in the lens (yellow arrow) and zonules. This can cause difficulties duri…
Retinoblastoma
Specialty: Ocular Oncology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Zelia M. Correa, MD, PhD; J. William Harbour, MD
Presenter/Faculty: Correa, Harbour
Group E retinoblastoma
Acanthamoeba Keratitis with Radial Perineuritis
Specialty: Corneal and External Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Ann V. Quan, MD; Nimesh A. Patel, MD
Presenter/Faculty: Quan, Patel
White linear radial stromal haze caused by infiltration and inflammation of the corneal nerves by the amoeba.
Acute Retinal Necrosis Pre and Post Treatment
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
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…
Amalric Triangular Choroidal Infarction in Giant Cell Arteritis
Specialty: Neuro-Ophthalmology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD
Presenter/Faculty: Patel
The patient presented with ocular ischemic syndrome and corneal edema in the fellow eye. In the right eye on angiography there is temporal non-perfusion as well as choroidal hyperfluorescent infarcts in the late phases. ESR and CRP were elevated. Diagnosis of GCA was made. The patient retained 20/3…
Anterior Chamber Intra-Ocular Lens
Specialty: Cataracts and Intraocular Lenses
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Harry W. Flynn, Jr., MD; Nimesh A. Patel, MD
Presenter/Faculty: Flynn, Patel
A well-positioned ACIOL with superior nasal iridotomy.
Bartonella Neuroretinitis
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Norman Schatz, MD
Presenter/Faculty: Patel, Schatz
Fundus photo with exudates in a stellate pattern surrounding macula. OCT showing the hyperdense exudates in the outerplexiform layer.
Bee Stinger in the Cornea
Specialty: Corneal and External Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Sonia H. Yoo, MD
Presenter/Faculty: Patel, Yoo
The bee stinger seen in the cornea has remained stable for many years and not affected the vision or required removal.
Bilateral Retinal Artery Occlusions
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Janet L. Davis, MD; Nimesh A. Patel, MD; Brandon Sparling
Presenter/Faculty: Davis, Patel, Sparling
Right eye with central retinal artery occlusion and left eye with superior branch retinal artery occlusion.
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.
Carotid Cavernous Fistula with Ocular Ischemic Syndrome
Specialty: Neuro-Ophthalmology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Andrew J. Rong, MD
Presenter/Faculty: Patel, Rong
Slit lamp photo with dilated epi-scleral veins. Fundus photo with retinal hemorrhages. FA with severe non perfusion, leakage from the disc, and laser scars. MRI/MRA demonstrates left distal precavernous/proximal cavernous ICA fistula into the cavernous sinus with arterialized flow. There is resulta…
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.
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.