Penetrating Ocular Trauma with Staple Gun
Specialty: Cataracts and Intraocular Lenses
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Jacob S. Duker, MD; Nimesh A. Patel, MD
Presenter/Faculty: Duker, Patel
The large staple was able to be surgically removed and was performed with phacoemulsification of the lens.
Pediatric Leber's Hereditary Optic Neuropathy
Specialty: Neuro-Ophthalmology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Maja Kostic, MD, PhD; Byron L. Lam, MD; Nimesh A. Patel, MD
Presenter/Faculty: Kostic, Lam, Patel
A 7-year-old patient with fundus photos showing temporal optic nerve pallor OU. Vision was 20/400 and 20/800. Ganglion cell layer of the patients male first cousin reveals diffuse thinning.
Papilledema from Hypervitaminosis A
Specialty: Neuro-Ophthalmology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Byron L. Lam, MD; Benjamin Meyer, MD
Presenter/Faculty: Lam, Meyer
This patient presented with optic nerve edema. The medical history was significant for acute promyelocytic leukemia being treated with all-trans retinoic acid (ATRA). The picture however worsened in tandem with intracranial hemorrhage from possible intracranial leukemia, raising the concern for leu…
OSSN Masquerading as a Pinguecula/Severe Dry Eye
Specialty: Corneal and External Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Victor H. Banda, MD; Sander R. Dubovy, MD; Carol L. Karp, MD
Presenter/Faculty: Banda, Dubovy, Karp
Patient presents with unilateral blurred vision, foreign body sensation and redness. Picture on the right shows gelatinous pinguecula at limbal location 4 clock hour, corneal surface with significant PEE. Picture on the left is HR-OCT that shows thickened and hyperreflective epithelium with abrupt …
Orbital Cysts
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Shanlee M. Stevens, MD
Presenter/Faculty: Stevens
An elderly patient with anophthalmic socket pain underwent orbital exploration. Intra-operative photo shows a large cystic lesion superior to her orbital implant. Close up photograph of the cyst shows a 1-mm intact cystic lesion filled with gray opaque fluid.
Optic Nerve Cyst and Coloboma
Specialty: Pediatric Ophthalmology and Strabismus
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Audina M. Berrocal, MD; Nimesh A. Patel, MD
Presenter/Faculty: Berrocal, Patel
Optic nerve cyst (first image) that over time revealed an optic nerve coloboma (second image).
Optic Nerve Cupping from Primary Open Angle Glaucoma
Specialty: Glaucoma
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD
Presenter/Faculty: Patel
Increased cup to disc ratio at > 0.9 with some peripapillary atrophy.
Ophthalmia Nodosa, Right Eye, Secondary to Presumed Moth Setae in the Anterior Vitreous
Specialty: Corneal and External Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Noy Ashkenazy, MD, MS; Janet L. Davis, MD
Presenter/Faculty: Ashkenazy, Davis
A presumed moth setae was identified in the anterior vitreous cavity of a patient with uveitis following ocular trauma by a flying insect. The multifocal keratitis and vitreous opacities improved following two weeks of high-dose oral prednisone.
Ocular Surface Reconstruction
Specialty: Corneal and External Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Carolina Mercado, MD
Presenter/Faculty: Mercado
A patient with severe limbal stem cell defiency due to extensive tumor excision undergoes ocular surface reconstruction and SLET.
Ocular Cicatricial Pemphigoid
Specialty: Corneal and External Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Guillermo Amescua, MD; Stephanie P. Chen, MD
Presenter/Faculty: Amescua, Chen
Ocular cicatricial pemphigoid with symblepharon in both eyes.
Ocular Bartonella Henselae Infection
Specialty: Neuro-Ophthalmology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Thomas A. Albini, MD; Jason C. Fan, MD, PhD; Benjamin R. Lin, MD; Landon J. Rohowetz, MD
Presenter/Faculty: Albini, Fan, Lin, Rohowetz
A patient with ocular Bartonella henselae infection manifesting as neuroretinitis and branch retinal artery occlusion.
Non-Infectious Necrotizing Scleritis
Specialty: Corneal and External Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Menachem Weiss, MD
Presenter/Faculty: Weiss
Slit lamp photos of non-infectious necrotizing scleritis at presentation, week 4, 7, 9.5, and 12 of treatment with systemic corticosteroids and rituximab.
Neurotrophic Corneal Ulcer
Specialty: Corneal and External Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Paula W. Feng, MD; Rahul Singh Tonk, MD
Presenter/Faculty: Feng, Tonk
The patient presented with a neurotrophic corneal ulcer and descemetocele. A lamellar keratectomy, corneal patch graft, amniotic membrane were applied. Preop and post-op-month 1, with amniotic membrane dissolved.
Myopic Degeneration
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
Myopic degeneration patches of severe retinal and choroidal atrophy, lacquer cracks, a tilted disc and lattice degeneration.
Myelinated Retinal Nerve Fiber Layer
Specialty: Ophthalmic Pathology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Brandon Sparling
Presenter/Faculty: Sparling
Myelinated retinal nerve fiber layer
Multifocal Pattern Dystrophy
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD
Presenter/Faculty: Patel
A 50-year-old patient presenting asymptomatically with 20/30 vision was found to have yellow outer retinal lesions bright on autofluorescence. Genetic testing confirmed a mutation in the RDS gene. Often this can simulate Stargardt’s disease which has a mutation in the ABCA4 gene. There is no trea…
Multifocal Choroiditis from Bartonella Henselae
Specialty: Uveitis
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Maura Di Nicola, MD; Naomi E. Gutkind, MD
Presenter/Faculty: Di Nicola, Gutkind
A patient with multifocal choroiditis and serous retinal detachment in the setting of systemic cat scratch disease. Wide field fundus photos with multifocal small white subretinal lesions. Optical coherence tomography of the macula with serous retinal detachment, subretinal inflammatory material, a…
Metal Tip Post Phacoemulsification Surgery
Specialty: Corneal and External Diseases
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
This patient underwent uneventful cataract surgery. On post-operative day 1 there was found to be a fragment of metal on the iris likely from the phacoemulsification probe.
MacTel Type 1
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Carolina Mercado, MD; Philip J. Rosenfeld, MD, PhD
Presenter/Faculty: Mercado, Rosenfeld
Fundus photograph of the left eye demonstrating macular telangiectasia with surrounding exudates in the fovea and temporal macula.
Lupus Vasculitis
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Andrew J. Rong, MD
Presenter/Faculty: Patel, Rong
Fundus photos showing sheathing of the major and minor vasculature. Fluorescein angiography with small vessel vasculitis with diffuse temporal non-perfusion.