Fundus Photos:

From the Usual to the Unusual

A journey of the pathology seen in our clinic
.

Thank you for joining us this evening!

Advanced Dry Age-Related Macular Degeneration
Retinal Dystrophies involving Bruch’s Membrane
Myopic Degeneration
Myelinated nerve fiber layer
Congenital Hypertrophy of the Retinal Pigment Epithelium (CHRPE)
A.K.A. Bear Tracks
Disciform Scar Presentation of Intraocular Lymphoma
End-stage Wet Macular Degeneration showing RPE Atrophy
& Visible Choroidal Vessels
14 y.o.Hispanic female with Unilateral Optic Neuritis,
Early presentation of Multiple Sclerosis

Right Left
 The transit stages of a Fluorescein Angiogram
The Transit Stages of a Fluorescein Angiogram

The arterial stage Early arterio-venous stage showing laminar flow

Late arterio-venous; no laminar flow Venous stage

 Central Serous Chorioretinopathy (CSR)
with expansile dot effect seen on time lapse photos

1 minute 5 minutes 10 minutes

Dry Age-Related Macular Degeneration
Showing crystalline drusen

Example of crystalline drusen

 Dry Age-Related Macular Degeneration
Fundus Angiogram of same patient
Showing window defects (circled) & staining of drusen (arrow)
No evidence of leakage or CNV

10 Seconds 45 Seconds 5 Minutes

Wet Age-Related Macular Degeneration
 Wet Age-Related Macular Degeneration
Showing CNV membrane (circled) and leakage (arrows)

1 minute 5 minute 10 minutes

Idiopathic Pigmentary Retinal Dystrophy
 Central Retinal Vein Occlusion (CRVO)

Pre-steroid injection 2 Months Post-injection

Va: 20/50 Va: 20/20
 Full Thickness Macular Hole

Pre-surgery Post-surgery
 Proliferative Diabetic Retinopathy treated with PRP
FA shows no active leakage

Of note, Patient also had a coloboma in the

right eye inferonasally to the optic nerve.

FA showing atrophic areas of PRP spots

Diabetic retinopathy with past PRP laser treatment

Macular Pucker A.K.A. Epiretinal Membrane
The type of retina we like to see in the end: clean and healthy