Wall of Fame

Is your case great enough to be selected for our Wall of Fame? If so, we’ll post your name and case here for the world to see!

12/24: Sharat Hegde
Diffuse unilateral subacute neuroretinitis (DUSN)

11/24: Anand Temkar and Manish Nagpal
Unilateral anemic retinopathy with optic nerve edema

10/24: Evgenii Chernov
Best disease

9/24: Anjana Mirajkar and Manish Nagpal
Intraocular foreign body

8/24: Anjana Mirajkar and Manish Nagpal
Pseudopapilledema from leukemic optic nerve infiltration

7/24: Justin Grassmeyer, Ambar Faridi, and Brittany Heckerman
Lattice degeneration

6/24: Ogugua Okonkwo, Adekunle Olubola Hassan, Ayodele Harriman, Ogochukwu Sibeudu, and Idris Akintayo Oyekunle
Tuberculous serpiginous-like choroiditis

5/24: Seif Anwar
Inherited retinal disease

Sengül Özdek and Ece Özdemir Zeydanlı
Case of the Year winner!
Retinal Arteriovenous malformation

4/24: Kanwaljeet Harjot Madan
Shaken baby syndrome

3/24: Ayushi Gupta and Vishal Agrawal
Benign familial fleck retina

2/24: Will Gibson
Retinal venous malformation

12/23: Anjana Mirajkar and Manish Nagpal
Central retinal artery occlusion with cilioretinal sparing

11/23: Anjana Mirajkar and Manish Nagpal
Harada’s disease

10/23: Will Gibson
Posterior scleritis with chorioretinal folds

9/23: Shivraj Tagare and Nishant Maindargi
Valsalva retinopathy drained with YAG laser

8/23: Mohammad Abbas
Laser-induced retinal break and vitreous hemorrhage

7/23: Joe Yuenpang Cheung
Group-type congenital pigmented nevi of the RPE (bear tracks)

6/23: Gil Calvão-Santos and Keissy Sousa
Waardenburg Syndrome

5/23: Natasa Draca and Ratko Lazic
Tattoo-induced Uveitis

4/23: Veronika Matello and Barbara Parolini
Case of the Year winner!
The EmPuzzled Eye

3/23: Emma Oreskovic and Natasha Draca
Optic nerve pit

2/23: Anjana Mirajkar
Giant RPE tear

11/22: Veronika Matello and Barbara Parolini
Choroidal hemangioma widefield OCT

8/22: Nivesh Gupta
Ischemic central retinal vein occlusion

7/22: Omar Mulki:
Choroidal osteoma

3/22: Erdem Dinç
Is temporary ILM flap sufficient for MH closure?

1/22: Veronika Matello and Barbara Parolini
Case of the Year winner!
Choroidal transplant for subfoveal AMD MNV

12/21: Otis Hertsenberg
Optic nerve coloboma with pit

11/21: David Kilpatrick
Frosted branch angiitis from sarcoidosis

10/21: Kumar Chugani
Coats disease

Diffuse Unilateral Subacute Neuroretinitis (DUSN)

Congratulations to Sharat Hegde for submitting the Retina Rocks Case of the Month. This 41YO male presented with 4 days of severe vision loss in his right eye. Vision was hand motion OD and 20/20 in his normal left eye. Color photography shows multiple focal yellow-white deep retinal lesions with a submacular worm and overlying neurosensory detachment (image 1). The motile worm is seen in various configurations as it moves beneath the macula (image 2). OCT scanning (image 3) shows a bacillary layer detachment (red arrow) with various cuts through the hyperreflective worm (yellow arrows). Directly photocoagulating the worm was impossible due to its submacular location and its continued movement. The worm subsequently died and was absorbed following a 2-week course of oral albendazole 400mg BID and steroids. Three weeks later vision improved to 20/30 (image 4). Chorioretinal scarring is noted in the region of the prior worm and the inflammatory lesions are mostly resolved. Originally described by Gass (Ophthalmology 1978;85:521-545), diffuse unilateral subacute neuroretinitis (DUSN) is a syndrome of healthy young adults consisting of unilateral decreased vision, vitritis, and papillitis with recurrent crops of transient, gray-white outer retinal/RPE lesions. Optic atrophy, diffuse RPE changes, decreased visual field and electroretinogram are long-term sequelae in untreated cases. DUSN is caused by at least 2 different-sized subretinal nematodes that can remain viable in the eye for up to 3 years. If identified, the extramacular worm can be directly treated with thermal photocoagulation, can be surgically removed, or treated with systemic anthelmintic therapy.

Case of The Month

Diffuse Unilateral Subacute Neuroretinitis (DUSN)