OP0115_Slideshow

Iris neovascularization at the pupillary margin noted by the arrow.

Neovascularization noted near and into the inferotempral angle.

Fluorescein angiography (FA) of the iris and goniscopic FA showing significant NVI on iris plane (C) and in the angle (D).

Ciliary flush, severe iris and lenticular neovascularization.

Same patient with layered hyphema noted in the inferior angle.

Patient with retinal arterial occlusive disease; note retinal whitening superior to macula and occluded (ghosted) inferotemporal vessels.

Angiography shows remarkable non-perfusion.

Angiographic leakage of nvi is seen here.

Fundus photograph of patient with proliferative diabetic retinopathy previously well treated with panretinal photocoagulation.

Fluorescein angiography demonstrates active neovascularization of the disc and the iris

An 81-year-old white male with chronic total occlusion of internal carotid artery on the right side and moderate occlusion of the left side. At the time of examination images shown here, VA OD: CF@4’ OS: 20/50 IOP OD: 24 OS: 13 (Patient was on Travatan [travoprost, Alcon] qhs OD).

A and D show some signs of retinal arterial-occlusive disease, including the peripheral Hollenhorst plaque (E). Fluorescein angiography (FA) OD shows significant retinal ischemic disease (B) with severe NVI (C). Although left eye retinal angiogram is not very impressive, (F) the iris shows significant neovascularization at the pupillary margin (G).

A 55-year-old white female presented with recent onset eye pain OS and vision loss for approximately one month. She had light perception (LP) vision, with IOP of 40 mm Hg. Other remarkable findings were iris neovascularization, significant opacification of the lens, and retorlenticular space

She has a total retinal detachment (RD ) with a suspicious but inconclusive B-scan

Repair of the RD was attempted by pars plana lensectomy, vitrectomy, and use of silicone oil. Intra- and post operatively, the patient was noted to have a large central mass

The retina is under silicone oil; large pigmented central mass obscures the optic nerve and macula. The lesion was subsequently confirmed as a malignant melanoma and, due to poor visual outcome and high systemic risk, patient underwent an enucleation.

Angiography showing active neovascularization of the disc and iris

One week following treatment with intravitreous injection of Avastin (bevacizumab, Genentech), significant regression of neovascularization is noted (C,D).