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.
Peripapillary Sarcoid Granuloma
Specialty: Uveitis
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Viet Chau, MD; Janet L. Davis, MD
Presenter/Faculty: Chau, Davis
Fundus photo demonstrating a peripaillary elevated lesion. OCT with subretinal fluid and retina thickening. CT scan showed pulmonary nodules.
Peripheral Iridotomy
Specialty: Glaucoma
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Lily Zhang, MD
Presenter/Faculty: Zhang
Photograph of a peripheral iridotomy.
Peripheral Ulcerative Keratitis
Specialty: Corneal and External Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Jesse D. Sengillo, MD; Patrick Staropoli, MD
Presenter/Faculty: Patel, Sengillo, Staropoli
Inferior peripheral corneal thinning due to systemic inflammatory disease. Surgery was with conjunctival recession and amniotic membrane placement.
Peripheral Ulcerative Keratitis
Specialty: Corneal and External Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Guillermo Amescua, MD; Nimesh A. Patel, MD; Humberto Salazar, III, MD
Presenter/Faculty: Amescua, Patel, Salazar
Peripheral crescentic ulceration and thinning along limbus from 0600 to 1200 with superior neovascularization associated with pain. Treatment was initially with lubrication, antibiotic, systemic steroids, vitamin C, and doxycycline. Ultimately, the patient needed conjunctival recession with AMT pla…
Persistent Fetal Vasculature
Specialty: Cataracts and Intraocular Lenses
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Audina M. Berrocal, MD; Maria Paula Fernandez, MD
Presenter/Faculty: Berrocal, Fernandez
A 6-week old patient presented with persistent fetal vasculature leading to a loss of red reflex due to a congenital cataract. UBM showed an anteriorly rotated ciliary body with a thickened retrolental membrane and a spherically shaped lens. Ultrasound showed a membrane from the optic disc with red…
Phacolytic Glaucoma
Specialty: Cataracts and Intraocular Lenses
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Sander R. Dubovy, MD; Thomas A. Lazzarini, MD; Nathan L. Scott, MD, MPP; Justin H. Townsend, MD
Presenter/Faculty: Dubovy, Lazzarini, Scott, Townsend
A patient with a history of pseudophakia OS presented with 5 years of low vision and 9 days of pain OD and was found to have light perception only vision and an IOP of 44mmHg OD. She had a granular appearing hypopyon in the anterior chamber corneal edema and a mature cataract. Immunohistological an…
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.
Post LASIK Infectious Keratitis and Pressure-Induced Stromal Keratopathy
Specialty: Corneal and External Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Sonia H. Yoo, MD; Lily Zhang, MD
Presenter/Faculty: Yoo, Zhang
Post LASIK infectious keratitis and pressure-induced stromal keratopathy.
Post-Traumatic Iridoschisis
Specialty: Ophthalmic Pathology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Spencer C. Barrett, MD; Benjamin R. Lin, MD; William E. Smiddy, MD; Jonathan D. Tijerina, MD, MA
Presenter/Faculty: Barrett, Lin, Smiddy, Tijerina
A stark example of iridoschisis with Iris sloughing in a left eye after blunt force trauma to the eye and orbit.
Premacular Hemorrhage Secondary to Valsalva Retinopathy
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Landon J. Rohowetz, MD; Nicolas A. Yannuzzi, MD
Presenter/Faculty: Rohowetz; Yannuzzi
A patient with premacular hemorrhage secondary to Valsalva retinopathy
Pseudoangiomatous Retinal Gliosis
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Luis J. Haddock, MD; Marilyn A. Marquez, MD
Presenter/Faculty: Haddock, Marquez
Figure 1: Fundus photography of patient treated with Iodine plaque, PPV and endolaser due to Pseudoangiomatous retinal glisois that caused a retinal detachment. Figure 2: Bscan of same patient as figure 1 before surgery.
Pseudoxanthoma Elasticum
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Thomas A. Lazzarini, MD; Landon J. Rohowetz, MD; Justin H. Townsend, MD
Presenter/Faculty: Lazzarini, Rohowetz, Townsend
A patient with pseudoxanthoma elasticum presented with decreased vision in both eyes. Initial fundus exam revealed angioid streaks, peripapillary atrophy, comet lesions, and a peau d'orange fundus appearance in both eyes. The patient was lost to follow-up and presented 3 years later with a choroida…
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).
Recurrent Subepithelial Infiltrates Following Epidemic Keratoconjunctivitis
Specialty: Corneal and External Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Anat Galor, MD, MSPH; Michael J. Venincasa, MD
Presenter/Faculty: Galor, Venincasa
A patient presented with complaint of red eyes and was diagnosed with viral conjunctivitis. He was treated symptomatically and returned with decreased visual acuity and diffuse subepithelial infiltrates in the previously-infected eye (see photo and OCT). After successful treatment with topical cort…
Removal of Soemmering Ring and Scleral Fixation of Disclocated IOL
Specialty: Cataracts and Intraocular Lenses
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Zubair Ansari, MD; Viet Chau, MD; Kenneth C. Fan, MD, MBA; Nimesh A. Patel
Presenter/Faculty: Ansari, Chau, Fan, Patel
A patient with history of cataract surgery at 19 years old who started noting blurry vision in the right eye found to have a Soemmering ring in the anterior chamber. The ring was removed from the posterior chamber using a scleral tunnel. Surprisingly, a dislocated 3-piece IOL was found. The IOL was…
Retinal Whitening from Cytomegalovirus Infection
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Janet L. Davis, MD; Luis J. Haddock, MD; Marilyn A. Marquez, MD
Presenter/Faculty: Davis, Haddock, Marquez
Right eye of patient who presented to clinic due to floaters, on fundus exam he had this peripheral whitish confluent granular lesion with areas of atrophy.
Retinitis Pigmentosa
Specialty: Neuro-Ophthalmology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD
Presenter/Faculty: Patel
Fundus photo with peripheral hyperpigmentation and bone spicules. Angiogram demonstrating peripheral atrophy and mild vessel leakage. OCT with cystoid macula edema.
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
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.