Course name | Date

Sequential Ultrawide Field Fundus Photo, Left Eye

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Thomas A. Albini, MD; Araniko Pandey, MD, MBBS
Presenter/Faculty: Albini, Pandey
A patient with atypical presentation of toxoplasma chorioretinitis. Ultra wide field color fundus photograph showing a peripheral retinal whitening with patchy areas of active inflammation underlying a grade 2 vitreous haze in the left eye at presentation. The patient was initially suspected of acu…

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.

Retinal Whitening from Cytomegalovirus Infection

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.

Removal of Soemmering Ring and Scleral Fixation of Disclocated IOL

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…

Recurrent Subepithelial Infiltrates Following Epidemic Keratoconjunctivitis

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…

Pseudoxanthoma Elasticum with Angioid Streaks

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).

Pseudoxanthoma Elasticum

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…

Pseudophakic Bullous Keratopathy

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Ellen Koo, MD; Benny Wong, MD
Presenter/Faculty: Koo, Wong

Pseudophakic bullous keratopathy.

Pseudomonas Necrotizing Scleritis

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Guillermo Amescua, MD; Joseph Pecha, MD, MPH
Presenter/Faculty: Amescua, Pecha
A patient with no past medical history and a past ocular history of five prior pterygium removal surgeries presented to the Bascom Palmer Emergency Room for pain and irritation in his right eye for 1 week. He endorsed working construction just prior to symptom onset, but denied any trauma to the ey…

Pseudoangiomatous Retinal Gliosis

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.

Premacular Hemorrhage Secondary to Valsalva Retinopathy

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

Post-Traumatic Iridoschisis

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.

Post LASIK Infectious Keratitis and Pressure-Induced Stromal Keratopathy

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.

Polypoidal Choroidal Vasculopathy

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.

Phacolytic Glaucoma

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…

Persistent Fetal Vasculature

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…

Peripheral Ulcerative Keratitis

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

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…