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Dr. Abu Moazzam Parvez
Title: Canvas of concern : Roth spots across the Retinal terrain whispering a deep lying disease.
Description: A 26-year-old lady with multiple anemic episodes experienced sudden loss painless loss of vision in both her eyes. On fundus examination, it revealed multiple pre retinal haemorrhages spread all across the fundus bilaterally. Roth spots were noted in both the fundus and a diagnosis of Anemic retinopathy was established.
Bilateral Roth spots are retinal findings that appear as small, round, white or pale lesions with a surrounding red halo, typically found in the fundus of both eyes. Systemic conditions like infective endocarditis, leukemia, or other septic embolic diseases show presence of Roth spots. Roth spots are thought to be caused by immune complexes or emboli blocking small retinal vessels, leading to localized retinal hemorrhages and their presence can be an important diagnostic clue, often requiring further investigation for underlying systemic conditions. Early recognition and proper management of the associated systemic disease are crucial for improving patient outcomes.
Dr. Anand Temkar
Title: A large break at the Posterior pole with RD with PVR ( s/p old blunt trauma )
Description: Right eye widefield fundus color photo of a 10 yrs old kid who noticed diminution of vision in right eye since a month. We can see the large break at the posterior pole with rolled up margins associated with retinal detachment and PVR changes.
Dr. Chakpram Priyalaxmi
Title: Crystalline Illusion: A Case of Senile Retinoschisis
Description:A 60-year-old male with hypermetropia and senile cataract came for fundus evaluation. This widefield confocal color fundus photograph (iCare EIDON) of the right eye demonstrates bullous, retinoschisis in the inferotemporal quadrant, with a beaten metal appearance of the inner layer, darker blood vessels and shadowing of the vessels. Senile retinoschisis is a condition characterized by the abnormal splitting of the neurosensory layers, primarily the outer plexiform layer, which can resemble retinal detachment. Acquired retinoschisis occurs in 4-22% of individuals over the age of 40. The inferotemporal quadrant is most commonly involved. Most cases of acquired retinoschisis are asymptomatic and remain stationary over time, often requiring no treatment. Outer-layer breaks occur in about 6% of patients with acquired retinoschisis, while inner-layer breaks are less common. The incidence of rhegmatogenous detachment in patients with acquired retinoschisis is estimated to be around 0.05%.
