Spot Diagnosis - Look at the pictures-What do you See - Acquired Macular Disorders.pptx

Spot Diagnosis - Look at the pictures-What do you See - Acquired Macular Disorders

1. What do you see? Angioid Streaks - " peau d’orange " temporal to macula FFA showing hyperfluorescent Angioid streaks Advanced Angioid Streaks subretinal hemorrhage caused by a traumatic choroidal rupture in Angioid streaks

2. What do you see? ARMD - Geographic atrophy - FFA ARMD - Geographic atrophy Age Related Macular Degeneration (ARMD)

3. What do you see? Central serous chorioretinopathy - Serous retinal detachment Central serous chorioretinopathy - Serous retinal detachment FFA Central serous chorioretinopathy - Serous retinal detachment OCT

4. What do you see? Choroidal Folds

5. What do you see? Cystoid Macular Edema (CME) CME - FFA showing Flower petal pattern of hyperfluorescence CME OCT

6. What do you see? Central Serous Retinopathy FFA - Ink blot appearance Central Serous Retinopathy FFA . Smokestack appearance

7. What do you see? Degenerative Myopia - OCT appearance of intrachoroidal cavitation (ICC) (arrow) Degenerative Myopia - intrachoroidal cavitation (ICC) (arrow marks edge of cavitation) Degenerative Myopia - image of staphyloma (arrowheads) mark the edge of the staphyloma

8. What do you see? Drusen

9. What do you see? FFA - Congenital hypertrophy of RPE

10. What do you see? FFA - Capillary drop-out in Diabetic Retinopathy

11. What do you see? FFA - Choroidal naevus

12. What do you see? FFA - Choroideremia

13. What do you see? FFA – hyper- autouflorescence surrounding geographic atrophy

14. What do you see? FFA - Normal

15. What do you see? FFA - Optic disc drusen

16. What do you see? FFA - upper temporal Branch Retinal Vein Occlusion

17. What do you see? Focal laser injury FFA Focal laser injury OCT

18. What do you see? Hemorrhagic detachment of Retinal Pigment Epithelium

19. What do you see? High Myopia - Tessellated fundus High Myopia - "coin" hemorrhage

20. What do you see? High Myopia - focal chorioretinal atrophy and tilted disc High Myopia - Fuchs spot

21. What do you see? High Myopia - lacquer cracks (arrow) High Myopia - Tilted disc with parapapillary atrophy

22. What do you see? RPE Detachment: Hyperfluorescence caused by pooling of dye in subretinal RPE CSR: Hyperfluorescence caused by pooling of dye in subretinal space

23. What do you see? ARMD: Hyperfluorescence caused by window defects CME: hyperfluorescence due to leakage

24. What do you see? Disc Swelling: hyperfluorescence due to leakage PDR: hyperfluorescence due to leakage

25. What do you see? Hypotony Maculopathy

26. What do you see? Idiopathic macular telangiectasia - FFA telangiectasis temporal to the fovea Idiopathic macular telangiectasia - FFA showing leakage Idiopathic macular telangiectasia - Aneurysms and telangiectasis surrounded by a ring of exudate

27. What do you see? Low Visual Aids: A. Illuminated magnifying light B. Pocket magnifier C. Portable video magnifier D. Electronic magnifier

28. What do you see? Macular epiretinal membrane Macular epiretinal membrane OCT

29. What do you see? Macular Hole full thickness Macular Hole full thickness 3D-OCT with surrounding subretinal fluid Macular hole OCT The posterior hyaloid is detached from the macular surface (arrow)

30. What do you see? macular neovascular membrane - FFA macular neovascular membrane - OCT

31. What do you see? macular neovascularization - Disciform scarring macular neovascularization - Hemorrhage (intra and sybretinal )

32. What do you see? macular neovascularization - Lipid deposition macular neovascularization - visible as a grey–green submacular area with surrounding exudation

33. What do you see? macular pseudohole

34. What do you see? Normal Retina

35. What do you see? OCT - Normal Retinal Layers 1. Ganglion cell layer 2. Inner plexiform layer 3. Inner nuclear layer 4. Outer plexiform layer 5. Outer nuclear layer 6. Nerve fiber layer 7. choriocapillaris 8. photoreceptor inner-segment/outer-segment junction 9. retinal pigment 10. photoreceptor outer segments 11. myoid zone 12. external limiting membrane

36. What do you see? OCT showing drusen (arrows)

37. What do you see? preretinal hemorrhage preretinal hemorrhage

38. What do you see? RPE detachment RPE detachment FFA RPE detachment OCT RPE detachment ICGA

39. What do you see? RPE Tear RPE Tear FFA RPE Tear OCT

40. What do you see? solar-induced foveolar defect

41. What do you see? Vitereomacular traction OCT