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Ocular toxoplasmosis
35yoOcular toxoplasmosis is characterized by a pathognomonic lesion, typically presenting as a focal, necrotizing retinochoroiditis. This lesion is often accompanied by adjacent old chorioretinal scars and active inflammation. Fundus imaging reveals a white or yellowish focus of retinal necrosis with surrounding inflammation. Fluorescein angiography (FA) and Optical Coherence Tomography (OCT) can be used to assess the lesion’s activity and extent.
#OcularToxoplasmosis #PathognomonicLesion #Retinochoroiditis #RetinaImaging #FA #OCT #retina #oftalmo #ophthalmology #oftalmologia #oftalmología #ophtalmologie #офтальмологія #офтальмология #οφθαλμολογία #retinography2024 #CIRRUS6000 #CLARUS700 #ZEISSRETINAWORKFLOW
Outros Cases
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Branch Retinal Vein Occlusion
80yoIn branch retinal vein occlusion (BRVO), fluorescein angiography (FA) is used to detect areas of retinal non-perfusion, indicating ischemia. Laser photocoagulation is often employed to treat these ischemic areas, preventing neovascularization and further complications. This targeted treatment reduces the risk of vision loss and stabilizes retinal function. #BRVO #FluoresceinAngiography #NonPerfusion […]
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Retinitis pigmentosa
58yoRetinitis pigmentosa (RP) with a genetic test revealing the EYS c.5182del (p.Ser1728Valfs*21) mutation typically presents with the classical triad: bone spicule pigmentation, attenuated retinal vessels, and optic disc pallor. These characteristic findings are visible on fundus examination and are crucial for diagnosing and understanding the progression of RP. #RetinitisPigmentosa #EYSGene […]
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Central Serous Chorioretinopathy
40yoIn Central Serous Chorioretinopathy (CSC), advanced imaging techniques are crucial for diagnosis and monitoring. En-face OCT imaging of the ellipsoid zone (EZ) provides detailed views of subretinal fluid and photoreceptor integrity, highlighting areas of subretinal fluid (SRF). Fluorescein Angiography (FA) identifies leakage points and areas of choroidal hyperpermeability, essential for […]
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aneurysmal Type 1 MNV
55yoIn aneurysmal Type 1 macular neovascularization (MNV), Optical Coherence Tomography Angiography (OCTA) is essential for monitoring treatment response. Before anti-VEGF therapy, OCTA reveals abnormal vascular networks and aneurysmal changes. Post-treatment OCTA shows a reduction in neovascularization and aneurysmal structures, indicating the effectiveness of anti-VEGF therapy in controlling the disease and […]
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Retinal tear associated with lattice degeneration
43yoPeripheral retinal tears associated with lattice degeneration are best detected using the blue channel in fundus imaging. The blue channel provides superior contrast and clarity compared to color fundus, green channel, and red channel images, making it easier to identify small tears and degenerative changes. This enhanced detection is crucial […]
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CME in Retinitis pigmentosa
32yoIn retinitis pigmentosa (RP) with cystoid macular edema (CME), the use of split RGB channels in imaging can be particularly informative. The blue and green channels enhance the visibility of CME, highlighting the fluid-filled cystic spaces in the macula. These channels provide a clearer view of the extent and location […]
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Cystoid macular edema
65yoCystoid macular edema (CME) after phacoemulsification can be effectively treated with topical steroids and nonsteroidal anti-inflammatory drugs (NSAIDs). These treatments reduce inflammation and fluid accumulation in the macula, helping to restore visual acuity and prevent further complications. #CME #Phacoemulsification #TopicalSteroids #NSAIDs #RetinaImaging #retina #oftalmo #ophthalmology #oftalmologia #oftalmología #ophtalmologie #офтальмологія #офтальмология […]
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Peripheral hemorrhagic exudative chorioretinopathy
71yoPeripheral hemorrhagic exudative chorioretinopathy (PHECR) can be effectively managed through early detection and laser photocoagulation, such as in this case. Early identification of small hemorrhages and exudation using fundus imaging and OCT ensures timely intervention. Laser photocoagulation targets the affected areas, preventing progression and preserving vision. #PHECR #EarlyDetection #LaserPhotocoagulation #RetinaImaging […]
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Sickle cell retinopathy
42yoIn sickle cell retinopathy, black sunburst lesions are areas of retinal pigment epithelial (RPE) hyperplasia and migration resulting from prior retinal hemorrhages. These lesions appear as dark, pigmented spots with spiculated edges, resembling a sunburst pattern. They are typically located in the mid-periphery of the retina and indicate chronic retinal […]
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Retinitis pigmentosa
31yon retinitis pigmentosa (RP), fundus autofluorescence (FAF) imaging can be performed using green and blue light. Green FAF is superior for visualizing submacular retinal pigment epithelium (RPE) due to less absorption by macular pigment, providing detailed images of peripheral RPE atrophy. Blue FAF is sensitive to lipofuscin accumulation, useful for […]
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Retinal dystrophy – PRPH2
55yoPRPH2-related retinal dystrophy, also known as peripherin-2 related dystrophy, can manifest with various retinal degenerative changes. Fundus autofluorescence (FAF) is a valuable tool in assessing these changes. FAF imaging often shows areas of hyperautofluorescence and hypoautofluorescence, indicating regions of retinal pigment epithelium (RPE) stress and atrophy, respectively. This helps in […]
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Chorioretinal colobomatous scar
43yoChorioretinal colobomatous scars caused by presumed toxoplasmosis are characterized by sharply demarcated areas of retinal and choroidal atrophy. These lesions can be identified and monitored using fundus autofluorescence (FAF), which highlights areas of hypoautofluorescence due to RPE loss. Optical Coherence Tomography (OCT) provides detailed cross-sectional images, revealing structural disruptions and […]