Course name | Date

X-linked Retinoschisis

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Audina M. Berrocal, MD; Nimesh A. Patel, MD; Camila V. Ventura, MD, PhD
Presenter/Faculty: Berrocal, Patel, Ventura
This is congenital retinal dystrophy is caused by a mutation in the retinoschisin (RS1) gene, which encodes for a protein that functions in cellular adhesion. The fundus photo shows a macular stellate pattern caused by schisis or splitting of the retinal layers at the level of the outer plexiform l…

Wyburn-Mason Syndrome

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Audina M. Berrocal, MD; Brenda Fallas; Kenneth C. Fan, MD, MBA; Nimesh A. Patel, MD
Presenter/Faculty: Berrocal, Fallas, Fan, Patel

Fundus photo with retinal arteriovenous malformation emanating from the nerve. FA shows filling of the vessels without leakage. MRI is needed to assess for intracranial AVMs.

Widefield Optical Coherence Tomography of Neovascularization in Diabetic Retinopathy

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Harry W. Flynn, Jr., MD; Nimesh A. Patel, MD
Presenter/Faculty: Flynn, Patel

OCTA demonstrating neovascularization (yellow arrow) growing into the vitreous with widefield imaging.

Wegner's Syndrome with Tractional Retinal Detachment

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.

Usher Syndrome

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Brandon Sparling
Presenter/Faculty: Patel, Sparling

Fundus photo with central and peripheral retinal atrophy as well and bone spicule RPE changes. This patient also had characteristic hearing loss.

Traumatic Choroidal Rupture

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.

Tractional Retinal Detachment From Proliferative Diabetic Retinopathy

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.

Toxocara with Tractional Retinal Detachment

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Audina M. Berrocal, MD; Nimesh A. Patel, MD
Presenter/Faculty: Berrocal, Patel

The temporal toxocara lesion led to sub retinal exudation, macular fold and tractional retinal detachment. Surgery was performed with pars plana vitrectomy.

Total Hyphema

Specialty: Glaucoma
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Samuel M. Dresner, MD; Arindel S. Maharaj, MD, PhD
Presenter/Faculty: Dresner, Maharaj

Total hyphema with dehemoglobinized heme inferiorly post operative day 1 s/p ce/iol/kahook dual blade right eye

Terrien Marginal Degeneration (TMD)

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Guillermo Amescua, MD; Viet Chau, MD
Presenter/Faculty: Amescua, Chau
A patient presented with blurred vision in the left eye. Examination showed corneal neovascularization and lipid deposition inferiorly. Anterior segment OCT revealed significant corneal stromal thinning with descemetocele. Treatment was with a with an optical penetrating keratoplasty with corrected…

Susac Syndrome

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…

Sub-Retinal Gas Post Pneumatic Retinopexy Managed with Observation

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Jason C. Fan, MD, PhD; Kenneth C. Fan, MD, MBA; Nimesh A. Patel, MD
Presenter/Faculty: Fan, Fan, Patel

(A) Fundus photo montage showing superonasal sub-retinal gas in the left eye on POD 1 after pneumatic retinopexy. (B) Single frame fundus photo showing the same. (C) Fundus photo montage on POD 7 showing resolution of the sub-retinal gas bubble with observation alone.

Sub-Conjunctival Lens Migration

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Ashley M. Crane, MD; Nimesh A. Patel, MD
Presenter/Faculty: Crane, Patel

Patient with history of multiple retinal detachments with a phthisis eye. The crystalline lens is noted to have migrated external to the sclera and subconjunctivally.

Sub Internal Limiting Membrane Hemorrhage in a Patient With Leukemia

Specialty: Ocular Oncology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Brandon Sparling
Presenter/Faculty: Patel, Sparling

Large sub-ILM hemorrhage leading to sub-retinal exudative changes in a patient with leukemia.

Slipped Medial Rectus Muscle

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Omar Abu Su’ud, MD; Craig A. McKeown, MD
Presenter/Faculty: Abu Su'ud, McKeown

A patient with slipped right medial rectus 5 days after recession of medial rectus muscle in both eyes, intraoperative images showing slipped muscle.

Silicone Oil Droplets on a Silicone Intraocular Lens

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Harry W. Flynn, Jr., MD; Diana M. Laura, MD; Nimesh A. Patel, MD
Presenter/Faculty: Flynn, Laura, Patel

Silicone oil droplets on a silicone intraocular lens

Silicone Gluteal Injections Leading to Retinal Arterial Embolization

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Landon J. Rohowetz, MD; Jayanth Sridhar, MD
Presenter/Faculty: Rohowetz, Sridhar

Fundus photos and FA with retinal non perfusion, peripheral hemorrhages, and crystalline like retinopathy and both eyes. The OCT retina shows multiple small areas of hyperreflectivity.

Ruptured Macroaneurysm with Sub-Macula Hemorrhage Treated with TPA and Pneumatic Displacement

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.

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

Retinitis Pigmentosa

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.