Retina Gallery ~ Full Sized Retina Images

Library of Free, Non-Copyrighted Retina Images and Videos

Choose your language:



This pleasant 87-year-old was seen in the office on 1/31/08. She has age-related macular degeneration in both eyes. Her left eye, which is her better eye, has had vision loss over the last month. She still sees fairly well out of the eye, but she tests poorly and had a several line drop in vision. The patient has a slight headache when she is using her eyes. She has no jaw claudication or malaise. She also has glaucoma and there is concern about whether the glaucoma or the macular degeneration might be worsening. VISUAL ACUITY: Vision OD is 6/200, OS is 20/200. IOP: OD 12, OS 16. SLIT LAMP EXAM: The posterior chamber intraocular lens is in good position in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.9. There is a scar. Also, superior to the optic nerve there is a flame hemorrhage. There are irregularities of the pigment epithelium centrally, mostly with a scar with a little bit of fluid nasal. OS: Vertical C/D ratio is 0.9. The nerve is pale. There is a posterior vitreous separation. There is patchy geographic atrophy centrally. There is no frank subretinal fluid. OCT SCAN: The right eye shows thickening of the pigment epithelium with a little bit of intraretinal fluid nasally. The left eye has increased atrophy evident on the OCT scan. There is one single intraretinal cyst centrally, but it is in an area of atrophy and there is no retinal thickening associated with the cyst. FLUORESCEIN ANGIOGRAPHY: FA of the left eye shows good filling of the retinal vessels at appropriate timing. The fovea has areas of hyperfluorescence, which in the later frames have slightly increasing hyperfluorescence, however, there is no spread of the fluorescein, suggesting there are areas of atrophy. The red spots adjacent to the optic nerve in each eye do correspond to blocking on the fluorescein, confirming these are hemorrhages and not retinal vessels. IMPRESSION: 1. AGE-RELATED MACULAR DEGENERATION BOTH EYES 2. PROGRESSING GEOGRAPHIC ATROPHY IN THE LEFT EYE 3. MACULAR SCAR IN THE RIGHT EYE 4. GLAUCOMA IN BOTH EYES 5. FLAME HEMORRHAGES ON THE OPTIC NERVE IN BOTH EYES 6. VISION LOSS IN THE LEFT EYE DISCUSSION: I explained to the patient the macular degeneration has advanced some. She has more geographic atrophy in the left eye, which I think does explain some of her vision loss. There is no evidence of wet age-related macular degeneration. I am concerned, as you are, that the flame hemorrhages on the optic nerve may indicate progressing glaucoma and she may be suffering from low-tension glaucoma. Given her advanced age, I think it is reasonable to check her for the possibility of giant cell arteritis, and to that end, I have ordered a sedimentation rate and CBC. She has no symptoms though of giant cell arteritis, and in the absence of positive blood tests or positive biopsy, I do not think treatment should be pursued. I did ask her to return for check in six weeks, sooner should she notice any problems.

AMD_GA_chpi.jpg
Rapid vision loss with AMD and progressing foveal splitting geographic atrophy - 87 year old woman185 views87-year-old was seen in the office on 1/31/08. She has age-related macular degeneration in both eyes. Her left eye, which is her better eye, has had vision loss over the last month. She still sees fairly well out of the eye, but she tests poorly and had a several line drop in vision.
OD is 6/200, OS is 20/200
00000
(0 votes)
Add to Favorites
AMD_GA_chpi_28129.jpg
Rapid vision loss with AMD and progressing foveal splitting geographic atrophy - 87 year old woman85 views87-year-old was seen in the office on 1/31/08. She has age-related macular degeneration in both eyes. Her left eye, which is her better eye, has had vision loss over the last month. She still sees fairly well out of the eye, but she tests poorly and had a several line drop in vision.
OD is 6/200, OS is 20/200
00000
(0 votes)
Add to Favorites
AMD_GA_chpi_28229.jpg
Rapid vision loss with AMD and progressing foveal splitting geographic atrophy - 87 year old woman74 views87-year-old was seen in the office on 1/31/08. She has age-related macular degeneration in both eyes. Her left eye, which is her better eye, has had vision loss over the last month. She still sees fairly well out of the eye, but she tests poorly and had a several line drop in vision.
OD is 6/200, OS is 20/200
00000
(0 votes)
Add to Favorites
AMD_GA_chpi_28329.jpg
Rapid vision loss with AMD and progressing foveal splitting geographic atrophy - 87 year old woman64 views87-year-old was seen in the office on 1/31/08. She has age-related macular degeneration in both eyes. Her left eye, which is her better eye, has had vision loss over the last month. She still sees fairly well out of the eye, but she tests poorly and had a several line drop in vision.
OD is 6/200, OS is 20/200
00000
(0 votes)
Add to Favorites
AMD_GA_chpi_28429.jpg
Rapid vision loss with AMD and progressing foveal splitting geographic atrophy - 87 year old woman71 views87-year-old was seen in the office on 1/31/08. She has age-related macular degeneration in both eyes. Her left eye, which is her better eye, has had vision loss over the last month. She still sees fairly well out of the eye, but she tests poorly and had a several line drop in vision.
OD is 6/200, OS is 20/200
00000
(0 votes)
Add to Favorites
AMD_GA_chpi_28529.jpg
Rapid vision loss with AMD and progressing foveal splitting geographic atrophy - 87 year old woman64 views87-year-old was seen in the office on 1/31/08. She has age-related macular degeneration in both eyes. Her left eye, which is her better eye, has had vision loss over the last month. She still sees fairly well out of the eye, but she tests poorly and had a several line drop in vision.
OD is 6/200, OS is 20/200
00000
(0 votes)
Add to Favorites
AMD_GA_chpi_28629.jpg
Rapid vision loss with AMD and progressing foveal splitting geographic atrophy - 87 year old woman72 views87-year-old was seen in the office on 1/31/08. She has age-related macular degeneration in both eyes. Her left eye, which is her better eye, has had vision loss over the last month. She still sees fairly well out of the eye, but she tests poorly and had a several line drop in vision.
OD is 6/200, OS is 20/200
00000
(0 votes)
Add to Favorites
 
7 files on 1 page(s)
Favorites Actions
           

This pleasant 87-year-old was seen in the office on 1/31/08. She has age-related macular degeneration in both eyes. Her left eye, which is her better eye, has had vision loss over the last month. She still sees fairly well out of the eye, but she tests poorly and had a several line drop in vision. The patient has a slight headache when she is using her eyes. She has no jaw claudication or malaise. She also has glaucoma and there is concern about whether the glaucoma or the macular degeneration might be worsening. VISUAL ACUITY: Vision OD is 6/200, OS is 20/200. IOP: OD 12, OS 16. SLIT LAMP EXAM: The posterior chamber intraocular lens is in good position in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.9. There is a scar. Also, superior to the optic nerve there is a flame hemorrhage. There are irregularities of the pigment epithelium centrally, mostly with a scar with a little bit of fluid nasal. OS: Vertical C/D ratio is 0.9. The nerve is pale. There is a posterior vitreous separation. There is patchy geographic atrophy centrally. There is no frank subretinal fluid. OCT SCAN: The right eye shows thickening of the pigment epithelium with a little bit of intraretinal fluid nasally. The left eye has increased atrophy evident on the OCT scan. There is one single intraretinal cyst centrally, but it is in an area of atrophy and there is no retinal thickening associated with the cyst. FLUORESCEIN ANGIOGRAPHY: FA of the left eye shows good filling of the retinal vessels at appropriate timing. The fovea has areas of hyperfluorescence, which in the later frames have slightly increasing hyperfluorescence, however, there is no spread of the fluorescein, suggesting there are areas of atrophy. The red spots adjacent to the optic nerve in each eye do correspond to blocking on the fluorescein, confirming these are hemorrhages and not retinal vessels. IMPRESSION: 1. AGE-RELATED MACULAR DEGENERATION BOTH EYES 2. PROGRESSING GEOGRAPHIC ATROPHY IN THE LEFT EYE 3. MACULAR SCAR IN THE RIGHT EYE 4. GLAUCOMA IN BOTH EYES 5. FLAME HEMORRHAGES ON THE OPTIC NERVE IN BOTH EYES 6. VISION LOSS IN THE LEFT EYE DISCUSSION: I explained to the patient the macular degeneration has advanced some. She has more geographic atrophy in the left eye, which I think does explain some of her vision loss. There is no evidence of wet age-related macular degeneration. I am concerned, as you are, that the flame hemorrhages on the optic nerve may indicate progressing glaucoma and she may be suffering from low-tension glaucoma. Given her advanced age, I think it is reasonable to check her for the possibility of giant cell arteritis, and to that end, I have ordered a sedimentation rate and CBC. She has no symptoms though of giant cell arteritis, and in the absence of positive blood tests or positive biopsy, I do not think treatment should be pursued. I did ask her to return for check in six weeks, sooner should she notice any problems.