A blog dedicated to providing a resource for medical students interested in all things retina. This is solely moderated by medical students and, while we take every effort to be accurate, it does not represent a definitive reference...we just want to put the FUN in fundus!
I am having trouble identifying the cup(?) but the disc looks okay. Vasculature looks good.
In the first set of images: There is a slight area of pigmentation around the edge of the disc in the top right image. On the FA, there is the beginning of an acute process extending from this area.
In the second set of images, taken 2.5 years later, this acute are has extended towards the macula considerably. It appears to be very disorganized. There are outer dark clumps that are not lit up on FA so may be necrotic. The inner lightly colored mass is well perfused on FA. I am guessing but it looks like a slowly growing retinal tumor int he area between the disc and macula.
First time commenting, here goes. I agree with Brett about the cup not being very obvious, especially in the first photo. This may just be due to the quality of the photograph, which is overall paler than the 2nd one. The vessels look normal at the neuroretinal rim - there's no significant deflection or bayonet sign. I want to say the CDR is 0.5 for both sets of photos.
First set: normal CDR, vessels and macula look healthy, that area of pigmentation may be normal variation of the scleral ring.
2nd set: cup looks the same as the last set of photos. On angio, there is a bright, well-demarcated area temporal to the disk, about 1 cup disc in diameter, partially surrounded by dark deposits. This looks like acute hemorrhage surrounded by coagulated blood. I can't say for sure what the cause of the hemorrhage is, but my guess is diabetes.
Happy New Year.
ReplyDeleteI am having trouble identifying the cup(?) but the disc looks okay. Vasculature looks good.
In the first set of images: There is a slight area of pigmentation around the edge of the disc in the top right image. On the FA, there is the beginning of an acute process extending from this area.
In the second set of images, taken 2.5 years later, this acute are has extended towards the macula considerably. It appears to be very disorganized. There are outer dark clumps that are not lit up on FA so may be necrotic. The inner lightly colored mass is well perfused on FA. I am guessing but it looks like a slowly growing retinal tumor int he area between the disc and macula.
First time commenting, here goes. I agree with Brett about the cup not being very obvious, especially in the first photo. This may just be due to the quality of the photograph, which is overall paler than the 2nd one. The vessels look normal at the neuroretinal rim - there's no significant deflection or bayonet sign. I want to say the CDR is 0.5 for both sets of photos.
ReplyDeleteFirst set: normal CDR, vessels and macula look healthy, that area of pigmentation may be normal variation of the scleral ring.
2nd set: cup looks the same as the last set of photos. On angio, there is a bright, well-demarcated area temporal to the disk, about 1 cup disc in diameter, partially surrounded by dark deposits. This looks like acute hemorrhage surrounded by coagulated blood. I can't say for sure what the cause of the hemorrhage is, but my guess is diabetes.