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!

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

10/23: 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

 

Unilateral anemic retinopathy with optic nerve edema

Congratulations to Anand Temkar and Manish Nagpal for submitting the Retina Rocks Case of the Month. This 35YO male presented with 1 month of vision loss in his right eye. There was no past medical history. Vision was 20/40 OD and 20/20 in his normal OS. MultiColor imaging shows a markedly swollen optic nerve with extensive multifocal deep, white-centered retinal hemorrhages. OCT shows marked mostly outer retinal edema extending from the nerve towards the macular center. Extensive laboratory evaluation was negative except for a microcytic anemia with a hemoglobin of 2.9 g/dl. This was felt to be caused by iron deficiency due to poor diet. Unfortunately, he was immediately lost to follow-up. Anemia-related retinal findings most commonly include retinal and sub-internal limiting membrane hemorrhages. Severe anemia is a rare cause for papilledema and should always be considered in patients with atypical idiopathic intracranial hypertension (Biousse et al, AJO 2003;135:437-446). The underlying pathogenesis for how anemia causes optic nerve swelling remains unknown. It is unclear why our patient had unilateral findings from a systemic disorder.

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