Retina Gallery ~ Full Sized Retina Images

Library of Free, Non-Copyrighted Retina Images and Videos

Choose your language:



14-year-old was seen in the office on September 13, 2012. He was referred by his optometrist, who saw optic nerve swelling. His vision is fine. He doesn’t have any headaches. He is in excellent health. He has had a little bit of sinus difficulty lately and he has been feeling a little cruddy. VISUAL ACUITY: OD 20/20, OS 20/32. IOP: OD 15, OS 12. SLIT EXAMINATION: The lenses are clear. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.0. The nerve does look swollen and elevated. OS: Vertical C/D ratio is 0.0. The nerve is swollen and elevated. FUNDUS PHOTOGRAPHY - AUTO FLUORESCENCE: The image shows no calcified drusen in the optic nerve head. The color images and the infra red images show blurring of the optic nerve border. SPECTRALIS-SD-OCT SCAN: The nerve fiber layer scan shows swelling of the nerve fiber layer in both eyes. The average thickness in the right eye is 187 microns, and specifically the nasal portion is only slightly swollen. The average nerve fiber layer thickness in the left eye is 141 microns and that nasal thickness is nearly normal. The line scan over the surface of the optic nerve using the spectral domain OCT scan in the right eye shows a loss of the integrity of the deep retinal layers. The entire retinal thickness looks to be swollen. It does not look like the retina is going up and over drusen and there is no evidence of any buried drusen inside the optic nerve head. The line scan over the nerve in the left eye similarly shows swelling of all layers of the retina as it goes into the optic nerve head with no evidence of any buried drusen. IMPRESSION: 1. PROBABLE PAPILLEDEMA – BOTH EYES DISCUSSION: I explained to the patient and the family from the testing I have, it looks most consistent with papilledema. I even looked at both parent’s eyes, because optic nerve drusen and pseudo papilledema does tend to run in families and their optic nerves both looked fine. He will be seeing you today or tomorrow for a comprehensive evaluation. He probably should have neuroimaging and lumbar puncture. I told him to return here for a check in about four to six weeks or sooner should he notice a problem. Addendum: MRI showed dilated ventricles, opening pressure LP = 37

isde_09131201.png
Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child329 views14-year-old was with optic nerve swelling asymptomatic - picked up during routine eye exam. OD 20/20, OS 20/32
SD-OCT is used to differentiate optic disc edema from optic nerve head drusen (which are not yet calcified in children).
00000
(0 votes)
Add to Favorites
isde_09131202.png
Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child231 views14-year-old was with optic nerve swelling asymptomatic - picked up during routine eye exam. OD 20/20, OS 20/32
SD-OCT is used to differentiate optic disc edema from optic nerve head drusen (which are not yet calcified in children).
00000
(0 votes)
Add to Favorites
isde_09131203.png
Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child200 views14-year-old was with optic nerve swelling asymptomatic - picked up during routine eye exam. OD 20/20, OS 20/32
SD-OCT is used to differentiate optic disc edema from optic nerve head drusen (which are not yet calcified in children).
00000
(0 votes)
Add to Favorites
isde_09131204.png
Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child240 views14-year-old was with optic nerve swelling asymptomatic - picked up during routine eye exam. OD 20/20, OS 20/32
SD-OCT is used to differentiate optic disc edema from optic nerve head drusen (which are not yet calcified in children).
00000
(0 votes)
Add to Favorites
isde_09131205.jpg
Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child - FAF227 views14-year-old was with optic nerve swelling asymptomatic - picked up during routine eye exam. OD 20/20, OS 20/32
SD-OCT is used to differentiate optic disc edema from optic nerve head drusen (which are not yet calcified in children).
00000
(0 votes)
Add to Favorites
isde_09131206.jpg
Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child - FAF236 views14-year-old was with optic nerve swelling asymptomatic - picked up during routine eye exam. OD 20/20, OS 20/32
SD-OCT is used to differentiate optic disc edema from optic nerve head drusen (which are not yet calcified in children).
00000
(0 votes)
Add to Favorites
isde_09131207.jpg
Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child - IR Photo256 views14-year-old was with optic nerve swelling asymptomatic - picked up during routine eye exam. OD 20/20, OS 20/32
SD-OCT is used to differentiate optic disc edema from optic nerve head drusen (which are not yet calcified in children).
00000
(0 votes)
Add to Favorites
isde_09131208.jpg
Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child229 views14-year-old was with optic nerve swelling asymptomatic - picked up during routine eye exam. OD 20/20, OS 20/32
SD-OCT is used to differentiate optic disc edema from optic nerve head drusen (which are not yet calcified in children).
00000
(0 votes)
Add to Favorites
isde_09131209.jpg
Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child - Line Scan over Nerve Shows Retinal Edema580 views14-year-old was with optic nerve swelling asymptomatic - picked up during routine eye exam. OD 20/20, OS 20/32
SD-OCT is used to differentiate optic disc edema from optic nerve head drusen (which are not yet calcified in children).
00000
(0 votes)
Add to Favorites
isde_09131210.jpg
Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child - Line Scan over Nerve Shows Retinal Edema554 views14-year-old was with optic nerve swelling asymptomatic - picked up during routine eye exam. OD 20/20, OS 20/32
SD-OCT is used to differentiate optic disc edema from optic nerve head drusen (which are not yet calcified in children).
00000
(0 votes)
Add to Favorites
isde_09131211.jpg
Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child - Nerve Fiber Layer Scan shows swelling602 views14-year-old was with optic nerve swelling asymptomatic - picked up during routine eye exam. OD 20/20, OS 20/32
SD-OCT is used to differentiate optic disc edema from optic nerve head drusen (which are not yet calcified in children).
00000
(0 votes)
Add to Favorites
isde_09131212.jpg
Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child - Nerve Fiber Layer Scan shows swelling383 views14-year-old was with optic nerve swelling asymptomatic - picked up during routine eye exam. OD 20/20, OS 20/32
SD-OCT is used to differentiate optic disc edema from optic nerve head drusen (which are not yet calcified in children).
00000
(0 votes)
Add to Favorites
isde_09131213.jpg
Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child - Nerve Fiber Layer Scan shows swelling333 views14-year-old was with optic nerve swelling asymptomatic - picked up during routine eye exam. OD 20/20, OS 20/32
SD-OCT is used to differentiate optic disc edema from optic nerve head drusen (which are not yet calcified in children).
00000
(0 votes)
Add to Favorites
isde_09131214.jpg
Papilledema - Spectral Domain OCT used for Diagnosis - 14 year old Child - Nerve Fiber Layer Scan shows swelling404 views14-year-old was with optic nerve swelling asymptomatic - picked up during routine eye exam. OD 20/20, OS 20/32
SD-OCT is used to differentiate optic disc edema from optic nerve head drusen (which are not yet calcified in children).
00000
(0 votes)
Add to Favorites
   
14 files on 1 page(s)
Favorites Actions
           

14-year-old was seen in the office on September 13, 2012. He was referred by his optometrist, who saw optic nerve swelling. His vision is fine. He doesn’t have any headaches. He is in excellent health. He has had a little bit of sinus difficulty lately and he has been feeling a little cruddy. VISUAL ACUITY: OD 20/20, OS 20/32. IOP: OD 15, OS 12. SLIT EXAMINATION: The lenses are clear. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.0. The nerve does look swollen and elevated. OS: Vertical C/D ratio is 0.0. The nerve is swollen and elevated. FUNDUS PHOTOGRAPHY - AUTO FLUORESCENCE: The image shows no calcified drusen in the optic nerve head. The color images and the infra red images show blurring of the optic nerve border. SPECTRALIS-SD-OCT SCAN: The nerve fiber layer scan shows swelling of the nerve fiber layer in both eyes. The average thickness in the right eye is 187 microns, and specifically the nasal portion is only slightly swollen. The average nerve fiber layer thickness in the left eye is 141 microns and that nasal thickness is nearly normal. The line scan over the surface of the optic nerve using the spectral domain OCT scan in the right eye shows a loss of the integrity of the deep retinal layers. The entire retinal thickness looks to be swollen. It does not look like the retina is going up and over drusen and there is no evidence of any buried drusen inside the optic nerve head. The line scan over the nerve in the left eye similarly shows swelling of all layers of the retina as it goes into the optic nerve head with no evidence of any buried drusen. IMPRESSION: 1. PROBABLE PAPILLEDEMA – BOTH EYES DISCUSSION: I explained to the patient and the family from the testing I have, it looks most consistent with papilledema. I even looked at both parent’s eyes, because optic nerve drusen and pseudo papilledema does tend to run in families and their optic nerves both looked fine. He will be seeing you today or tomorrow for a comprehensive evaluation. He probably should have neuroimaging and lumbar puncture. I told him to return here for a check in about four to six weeks or sooner should he notice a problem. Addendum: MRI showed dilated ventricles, opening pressure LP = 37