PAPILLEDEMA LIKELY FROM PSEUDOTUMOR CEREBRI

This is in a 20 year old female patient complaining of headaches.  The optic nerves are edematous.  She well see her neurologist and get an MRI and a lumbar puncture to assess CSF pressure and rule out any CNS lesions that could cause brain pressure to increase.  Most likely this is due to pseudotumor cerebri and she will likely be administered oral carbonic anhydrase inhibitor medication and institute a weight loss goal.  If the diagnosis changes, then this post will be updated. 

ASTEROID HYALOSIS

The yellow-white speckles floating in this person's eyes is called asteroid hyalosis.  The amazing thing is that these floaters are not noticed by patients.  

WEISS RING

RETINOSCHISIS

A retinoschisis is a separation of the retina from itself.  There are 9 layers to the retina and the outer layers remain attached to the underlying pigment epithelium and Bruch's membrane.  A retinal detachment would be a detachment of all of the retinal layers from the underlying structures.  Vision remains in a retinoschisis whereas it is mostly lost in a detachment.  

WEDGE RNFL DEFECT IN GLAUCOMA

This photo demonstrates a superior wedge retinal nerve fiber layer defect, correlating with significant optic nerve cupping with a notch in the superior optic nerve rim and a significant inferior field loss.

HORSESHOE TEAR WITH RETINAL DETACHMENT

You can see the horseshoe tear and then the retinal detachment below it.  This patient did not have any noticeable symptoms and the tear was discovered on a routine examination.  The retinal issues would likely not have been discovered without either dilating or performing the wide-field scan. 

CENTRAL RETINAL VEIN OCCLUSION

Below is a screenshot of a central retinal vein occlusion.  Note the peripheral scattered retinal hemorrhages and the dilated veins.   The patient's best corrected visual acuity was 20/20.  The bottom photo was a CRVO in a 47 year old and his best corrected vision was 20/100.