Winner of May 2021


Image Description-

Tapeworm in the eye

Case of a 75 years old female with bilateral massive PED with RIP. SW FAF and Multicolor image of the left eye showing an extensive serpentine RPE RIP in the posterior pole extending till inferior midperiphery. Vision in the left eye is maintained at 6/6.



Image legend:

Color fundus photograph of 39-year-old male showing optic disc pallor, attenuated arteries, and bone spicules in the right eye with best-corrected visual acuity of 20/600, N36(A). The left eye fundus is unremarkable with best-corrected visual acuity of 20/20, N6(B). Full-field electroretinography (ERG) of the right eye showing extinguished scotopic as well as photopic responses(C), 24- 2 Humphrey visual field analysis showing peripheral visual loss(D). Full-field ERG(E) and HVF(F) analysis of the left eye are unremarkable.

Take home message:  Image highlights the accurate diagnosis of unilateral retinitis pigmentosa (RP)

One eye having characteristic features of retinitis pigmentosa. Another eye having a normal fundus, HVF, and full-field ERG. A follow-up (>5years) is required to rule out the delayed onset of RP in the unaffected eye. Exclusion of infectious, inflammatory, and vascular causes for RP-like fundus is crucial.



Dr.Saveen Gupta