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Dr. Konduru Rishitha
Title: Chrismmotio Retitree
Description: Fundus photograph reveals a “Christmas tree” pattern of commotio retina resulting from blunt ocular trauma. This image also shows vitreous hemorrhage. Trauma may induce a mechanical distortion of the retinal elements via deformation of vitreous resulting in transient deep retinal opacification. These findings collectively highlight significant retinal injury due to blunt trauma.
Dr. Rohan Suresh Ninan
Title: Crimson Tide – Catch the Infiltrator
Description: 55 year old male known case of Acute lymphocytic leukaemia in remission on Imatinib came with complaints of severe headache with sudden loss of vision in Left eye(LE) since 10 days. On examination his left eye BVCA was No Perception of Light, Anterior segment examination LE proptosis with painful restriction of extra ocular movements. Fundus examination revealed infiltrative optic disc edema, multi layer haemorrhages, dilatation and mild tortousity of venules & attenuation and occlusion of arterioles with multiple emboli suggestive of combined occlusion. MRI showed features suggestive of cerebral and cerebellar involvement with left optic nerve showing diffuse long segment thickening with signal changes and perioptic stranding involving the retro-orbital fat/extraocular muscles in left orbit.
Dr. Sherina Thomas
Title: Syphilitic placoid-masquerade no more
Description: Acute syphilitic posterior placoid chorioretinitis (ASPPC) is a distinct clinical presentation of ocular syphilis, characterized by large, yellowish-white geographic lesions involving the macula at the level of the outer retina/retinal pigment epithelium (RPE). Treponema pallidum enters the choroid via blood stream and, consequently invades the outer retina causing an inflammatory reaction resulting in the clinical appearance of white placoid lesion and photoreceptor dysfunction. Typical Optical Coherence Tomography (OCT) features include thickening and hyperreflective nodularity of the choroid-retinal pigment epithelium (RPE) complex, with focal disruption of the overlying photoreceptor inner segment-outer segment junction. These features are largely reversible with appropriate antibiotic therapy. OCT imaging in ASPPC may provide a better understanding of the pathophysiology and aid in early diagnosis.
