Retina Gallery ~ Full Sized Retina Images

Library of Free, Non-Copyrighted Retina Images and Videos

Choose your language:



58-year-old man was seen in the office on 3/29/2011. He has had gradually declining vision in the left eye over about the last 18 months. He has Crohn’s disease and has had sections of his colon resected lately. He notices the right eye sees fine. The left eye has sort of a green tint to it. VISUAL ACUITY: Vision OD is 20/20, OS is 20/160. IOP: OD 13, OS 19. Color vision right eye 10/11 correct, the left eye is 0/0 correct. He has peripheral vision loss in the left eye to confrontation. SLIT LAMP EXAM: There is 1+ nuclear sclerosis in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.5. The macula and periphery look healthy. OS: Vertical C/D ratio is 0.7. The nerve is pale. The macula and periphery look healthy. OCT SCAN: The OCT scan of the nerve fiber layer in the right eye shows a thickness of 88 microns, the left eye 59 microns. PHOTOGRAPHS: Photos confirm clinical findings and do show the optic atrophy in the left eye. The macular scans do show a decreased macular volume in the left eye compared to the right eye. The macular volume in the right eye is 6.4 mm³, the left eye 6.11 mm³. IMPRESSION: 1. OPTIC ATROPHY WITH VISION LOSS – LEFT EYE DISCUSSION: I explained to the patient with the optic atrophy he needs to be evaluated for possible causes. It is possible there may be something nutritional going on, but the asymmetry is suspicious for some sort of a lesion in the orbit. I had ordered an MRI of head and orbit with and without contrast. Unfortunately, the MRI did show a suprasellar mass which is affecting the optic chiasm and is responsible for the vision loss.

opticatrophypittumor_cost01.jpg
Optic Atrophy Left Eye and Benign Pituitary Tumor - VA 20/20 Right Eye 20/160 Left Eye250 views58-year-old man has had gradually declining vision in the left eye over about the last 18 months. Vision OD is 20/20, OS is 20/160
OCT SCAN: The OCT scan of the nerve fiber layer in the right eye shows a thickness of 88 microns, the left eye 59 microns.
MRI did show a suprasellar mass which is affecting the optic chiasm and is responsible for the vision loss. The tumor was resected and was a benign pituitary tumor.
00000
(0 votes)
Add to Favorites
opticatrophypittumor_cost02.jpg
Optic Atrophy Left Eye and Benign Pituitary Tumor - VA 20/20 Right Eye 20/160 Left Eye147 views58-year-old man has had gradually declining vision in the left eye over about the last 18 months. Vision OD is 20/20, OS is 20/160
OCT SCAN: The OCT scan of the nerve fiber layer in the right eye shows a thickness of 88 microns, the left eye 59 microns.
MRI did show a suprasellar mass which is affecting the optic chiasm and is responsible for the vision loss. The tumor was resected and was a benign pituitary tumor.
00000
(0 votes)
Add to Favorites
opticatrophypittumor_cost03.jpg
Optic Atrophy Left Eye and Benign Pituitary Tumor - VA 20/20 Right Eye 20/160 Left Eye126 views58-year-old man has had gradually declining vision in the left eye over about the last 18 months. Vision OD is 20/20, OS is 20/160
OCT SCAN: The OCT scan of the nerve fiber layer in the right eye shows a thickness of 88 microns, the left eye 59 microns.
MRI did show a suprasellar mass which is affecting the optic chiasm and is responsible for the vision loss. The tumor was resected and was a benign pituitary tumor.
00000
(0 votes)
Add to Favorites
opticatrophypittumor_cost04.jpg
Optic Atrophy Left Eye and Benign Pituitary Tumor - VA 20/20 Right Eye 20/160 Left Eye120 views58-year-old man has had gradually declining vision in the left eye over about the last 18 months. Vision OD is 20/20, OS is 20/160
OCT SCAN: The OCT scan of the nerve fiber layer in the right eye shows a thickness of 88 microns, the left eye 59 microns.
MRI did show a suprasellar mass which is affecting the optic chiasm and is responsible for the vision loss. The tumor was resected and was a benign pituitary tumor.
00000
(0 votes)
Add to Favorites
opticatrophypittumor_cost05.jpg
Optic Atrophy Left Eye and Benign Pituitary Tumor - VA 20/20 Right Eye 20/160 Left Eye164 views58-year-old man has had gradually declining vision in the left eye over about the last 18 months. Vision OD is 20/20, OS is 20/160
OCT SCAN: The OCT scan of the nerve fiber layer in the right eye shows a thickness of 88 microns, the left eye 59 microns.
MRI did show a suprasellar mass which is affecting the optic chiasm and is responsible for the vision loss. The tumor was resected and was a benign pituitary tumor.
00000
(0 votes)
Add to Favorites
opticatrophypittumor_cost06.png
Optic Atrophy Left Eye and Benign Pituitary Tumor - VA 20/20 Right Eye 20/160 Left Eye144 views58-year-old man has had gradually declining vision in the left eye over about the last 18 months. Vision OD is 20/20, OS is 20/160
OCT SCAN: The OCT scan of the nerve fiber layer in the right eye shows a thickness of 88 microns, the left eye 59 microns.
MRI did show a suprasellar mass which is affecting the optic chiasm and is responsible for the vision loss. The tumor was resected and was a benign pituitary tumor.
00000
(0 votes)
Add to Favorites
opticatrophypittumor_cost07.png
Optic Atrophy Left Eye and Benign Pituitary Tumor - VA 20/20 Right Eye 20/160 Left Eye182 views58-year-old man has had gradually declining vision in the left eye over about the last 18 months. Vision OD is 20/20, OS is 20/160
OCT SCAN: The OCT scan of the nerve fiber layer in the right eye shows a thickness of 88 microns, the left eye 59 microns.
MRI did show a suprasellar mass which is affecting the optic chiasm and is responsible for the vision loss. The tumor was resected and was a benign pituitary tumor.
00000
(0 votes)
Add to Favorites
opticatrophypittumor_cost08.png
Optic Atrophy Left Eye and Benign Pituitary Tumor - VA 20/20 Right Eye 20/160 Left Eye181 views58-year-old man has had gradually declining vision in the left eye over about the last 18 months. Vision OD is 20/20, OS is 20/160
OCT SCAN: The OCT scan of the nerve fiber layer in the right eye shows a thickness of 88 microns, the left eye 59 microns.
MRI did show a suprasellar mass which is affecting the optic chiasm and is responsible for the vision loss. The tumor was resected and was a benign pituitary tumor.
00000
(0 votes)
Add to Favorites
8 files on 1 page(s)
Favorites Actions
           

58-year-old man was seen in the office on 3/29/2011. He has had gradually declining vision in the left eye over about the last 18 months. He has Crohn’s disease and has had sections of his colon resected lately. He notices the right eye sees fine. The left eye has sort of a green tint to it. VISUAL ACUITY: Vision OD is 20/20, OS is 20/160. IOP: OD 13, OS 19. Color vision right eye 10/11 correct, the left eye is 0/0 correct. He has peripheral vision loss in the left eye to confrontation. SLIT LAMP EXAM: There is 1+ nuclear sclerosis in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.5. The macula and periphery look healthy. OS: Vertical C/D ratio is 0.7. The nerve is pale. The macula and periphery look healthy. OCT SCAN: The OCT scan of the nerve fiber layer in the right eye shows a thickness of 88 microns, the left eye 59 microns. PHOTOGRAPHS: Photos confirm clinical findings and do show the optic atrophy in the left eye. The macular scans do show a decreased macular volume in the left eye compared to the right eye. The macular volume in the right eye is 6.4 mm³, the left eye 6.11 mm³. IMPRESSION: 1. OPTIC ATROPHY WITH VISION LOSS – LEFT EYE DISCUSSION: I explained to the patient with the optic atrophy he needs to be evaluated for possible causes. It is possible there may be something nutritional going on, but the asymmetry is suspicious for some sort of a lesion in the orbit. I had ordered an MRI of head and orbit with and without contrast. Unfortunately, the MRI did show a suprasellar mass which is affecting the optic chiasm and is responsible for the vision loss.