Retina Gallery ~ Full Sized Retina Images

Library of Free, Non-Copyrighted Retina Images and Videos




69-year-old woman who I saw in the office on July 15, 2009. She had cataract surgery done in 2006, first in the left eye and subsequently in the right eye. She had vitreous separations with floaters. She also sees temporal flashing lights. In addition she has an unusual symptom of seeing lights in both eyes, sort of blotchy lights that move around throughout the visual field that are there most of the time. They are not regionalized and they seem to be in both eyes and they are not associated with any sort of visual phenomenon, such as looking at street lights or headlights and they can happen in dim lighting or regular lighting. VISUAL ACUITY: OD 20/50. Pinhole 20/30. OS 20/30. IOP: OD 16, OS 15. Amsler grid is normal in both eyes. SLIT EXAMINATION: The right eye has a posterior chamber intraocular lens is in good position with clear capsular. The left eye has a posterior chamber intraocular lens is in good position with 2+ posterior capsular opacity and an open capsule center. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.5. There is a posterior vitreous separation and trace epiretinal membrane. OS: Vertical C/D ratio is 0.5. There is posterior vitreous separation and trace epiretinal membrane. OCT SCAN: The OCT scan were normal as are the photos and fluorescein angiograms. ATYPICAL PHOTOPSIAS DISCUSSION: I explained to the patient that the photopsias she is seeing are atypical and do sound like something that we see occasionally in people who have retinal inflammatory disease, such as multiple evanescent white-dot syndrome or acute zonal occult outer retinopathy. All of those diseases though tend to have transient lights and they also tend to be regionalized. Her case is different in that she has had the lights now for several years and they seem to be diffuse. There are some drugs which will cause retinal toxicity, such as Digitalis that can cause people to see unusual light phenomenon and that tends to be a passing thing and she is not on any medications that to my knowledge cause any retinal toxicities. I suggested, just to be on the safe side she have a neurological evaluation, because occasionally visual symptoms are not from the eye, but from the visual pathways and it is possible that she has chronic irritation of her visual pathways somewhere. If you have not done so, it would be reasonable to obtain a visual field, just to make sure there is not something going on with her visual pathways that might be knocking on her visual field and I told her she does not need to return here unless you or she notes further problems. Thank you for allowing me to participate in her care.

normalod_jati01.png
405 views00000
(0 votes)
Add to Favorites
normalod_jati02.png
183 views00000
(0 votes)
Add to Favorites
normalod_jati03.png
183 views00000
(0 votes)
Add to Favorites
normalod_jati04.png
123 views00000
(0 votes)
Add to Favorites
normalod_jati05.png
92 views00000
(0 votes)
Add to Favorites
normalod_jati06.jpg
133 views00000
(0 votes)
Add to Favorites
normalod_jati07.jpg
120 views00000
(0 votes)
Add to Favorites
normalod_jati08.jpg
87 views00000
(0 votes)
Add to Favorites
normalod_jati09.png
69 Year Old Woman Normal Fluorescein Angiogram109 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
00000
(0 votes)
Add to Favorites
normalod_jati10.png
69 Year Old Woman Normal Fluorescein Angiogram105 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
00000
(0 votes)
Add to Favorites
normalod_jati11.png
69 Year Old Woman Normal Fluorescein Angiogram89 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
00000
(0 votes)
Add to Favorites
normalod_jati12.png
69 Year Old Woman Normal Fluorescein Angiogram60 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
00000
(0 votes)
Add to Favorites
normalod_jati13.png
69 Year Old Woman Normal Fluorescein Angiogram47 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
00000
(0 votes)
Add to Favorites
normalod_jati14.png
69 Year Old Woman Normal Fluorescein Angiogram66 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
00000
(0 votes)
Add to Favorites
normalod_jati15.png
69 Year Old Woman Normal Fluorescein Angiogram43 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
00000
(0 votes)
Add to Favorites
normalod_jati16.png
69 Year Old Woman Normal Fluorescein Angiogram38 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
00000
(0 votes)
Add to Favorites
normalod_jati17.png
69 Year Old Woman Normal Fluorescein Angiogram39 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
00000
(0 votes)
Add to Favorites
normalod_jati18.png
69 Year Old Woman Normal Fluorescein Angiogram40 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
00000
(0 votes)
Add to Favorites
normalos_jati01.png
69 Year Old Woman Normal Fundus Photograph91 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
00000
(0 votes)
Add to Favorites
normalos_jati03.png
69 Year Old Woman Normal Fundus Photograph62 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
00000
(0 votes)
Add to Favorites
normalos_jati04.png
69 Year Old Woman Normal Red Free47 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
00000
(0 votes)
Add to Favorites
normalos_jati05.png
69 Year Old Woman Normal FA38 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
00000
(0 votes)
Add to Favorites
normalos_jati06.png
69 Year Old Woman Normal fA40 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
00000
(0 votes)
Add to Favorites
normalos_jati07.png
69 Year Old Woman Normal FA41 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
00000
(0 votes)
Add to Favorites
normalos_jati08.png
69 Year Old Woman Normal FA35 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
00000
(0 votes)
Add to Favorites
normalos_jati09.png
69 Year Old Woman Normal FA42 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
00000
(0 votes)
Add to Favorites
normalos_jati10.png
69 Year Old Woman Normal FA31 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
00000
(0 votes)
Add to Favorites
normalos_jati11.png
69 Year Old Woman Normal FA27 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
00000
(0 votes)
Add to Favorites
normalos_jati12.png
69 Year Old Woman Normal FA26 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
00000
(0 votes)
Add to Favorites
normalos_jati13.png
69 Year Old Woman Normal FA51 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
00000
(0 votes)
Add to Favorites
normalos_jati14.jpg
69 Year Old Woman Normal OCT144 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
00000
(0 votes)
Add to Favorites
normalos_jati15.jpg
69 Year Old Woman Normal OCT133 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
00000
(0 votes)
Add to Favorites
normalos_jati02~0.png
69 Year Old Woman Normal Fundus Photograph168 views69-year-old woman OD 20/50 - OS 20/30 ATYPICAL PHOTOPSIAS
00000
(0 votes)
Add to Favorites
     
33 files on 1 page(s)
Favorites Actions
           

69-year-old woman who I saw in the office on July 15, 2009. She had cataract surgery done in 2006, first in the left eye and subsequently in the right eye. She had vitreous separations with floaters. She also sees temporal flashing lights. In addition she has an unusual symptom of seeing lights in both eyes, sort of blotchy lights that move around throughout the visual field that are there most of the time. They are not regionalized and they seem to be in both eyes and they are not associated with any sort of visual phenomenon, such as looking at street lights or headlights and they can happen in dim lighting or regular lighting. VISUAL ACUITY: OD 20/50. Pinhole 20/30. OS 20/30. IOP: OD 16, OS 15. Amsler grid is normal in both eyes. SLIT EXAMINATION: The right eye has a posterior chamber intraocular lens is in good position with clear capsular. The left eye has a posterior chamber intraocular lens is in good position with 2+ posterior capsular opacity and an open capsule center. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.5. There is a posterior vitreous separation and trace epiretinal membrane. OS: Vertical C/D ratio is 0.5. There is posterior vitreous separation and trace epiretinal membrane. OCT SCAN: The OCT scan were normal as are the photos and fluorescein angiograms. ATYPICAL PHOTOPSIAS DISCUSSION: I explained to the patient that the photopsias she is seeing are atypical and do sound like something that we see occasionally in people who have retinal inflammatory disease, such as multiple evanescent white-dot syndrome or acute zonal occult outer retinopathy. All of those diseases though tend to have transient lights and they also tend to be regionalized. Her case is different in that she has had the lights now for several years and they seem to be diffuse. There are some drugs which will cause retinal toxicity, such as Digitalis that can cause people to see unusual light phenomenon and that tends to be a passing thing and she is not on any medications that to my knowledge cause any retinal toxicities. I suggested, just to be on the safe side she have a neurological evaluation, because occasionally visual symptoms are not from the eye, but from the visual pathways and it is possible that she has chronic irritation of her visual pathways somewhere. If you have not done so, it would be reasonable to obtain a visual field, just to make sure there is not something going on with her visual pathways that might be knocking on her visual field and I told her she does not need to return here unless you or she notes further problems. Thank you for allowing me to participate in her care.