I T S . T I M E . T O . P L A Y
NAME THAT PATHOLOGY

HOW WOULD YOU CLASSIFY THE FIERY LOOKING REGION
(SUPERIOR TEMPORAL TO THE OPTIC DISC) IN THE RETINA ABOVE?
(a) A NEVUS
(b) A BENIGN NEOPLASM
(c) A MELANOMA
(d) A CARCINOMA

THE ANGIOGRAPHY SHOWS ONLY A TRANSMISSIONAL FLUORESCENCE OF THAT AREA OF
THE RETINA WHICH IS INDICATIVE OF A
(b) BENIGN (CHOROIDAL) NEOPLASM.

THE WEEK IN ROCK
I HAD A PRETTY DECENT WEEK, LAST WEEK, REGARDING THE ANGIOGRAPHY I AM
LEARNING AT CAROLINA EYE. HERE IS A SAMPLING OF THE WORK I DID LAST WEEK.

PIGMENT EPITHELIAL DETACHMENT WITH A PROBABLE OCCULT SUBRETINAL NEOVASCULAR MEMBRANE

PATHOLOGIC MYOPIA WITH PERIPAPILLARY ATROPHYDRY AGE RELATED MACULAR DEGENERATION WITH FINE DRUSENI MUST THANK BILL AND MELANY (THE HEART & SOUL OF CAROLINA EYE'S PHOTOGRAPHY DEPT.)

FOR ALL OF THEIR COACHING, ENCOURAGEMENT, AND PATIENCE UP TO THIS POINT.
THEIR MENTORING HAS BEEN THE KEY TO MY DEVELOPMENT AND SUCCESS.

M E L A N O M A

THIS PATIENT HAS A CHOROIDAL MELANOMA IN THE SUPERIOR TEMPORAL

REGION OF THE RETINA (IDENTIFIED BY THE ARROW BELOW).

HERE IS THE
A N G I O G R A P H Y THIS VIEW OF THE RETINA IS COMMONLY REFERRED TO AS "FIELD 4" IN OPTHALMIC PHOTOGRAPHY

RIGHT EYE__________________________________________________ LEFT EYE

FUNDUS PHOTO

THIS IS A DIABETIC PATIENT WHO IS SUFFERING A NON-ISCHEMIC CENTRAL RETINAL VIEN OCCLUSION WITH MODERATE RETINAL EDEMA IN THE RIGHT EYE AND SHOWING EARLY BACK GROUND DIABETIC CHANGES IN THE LEFT.

RIGHT EYE__________________________________________________ LEFT EYE

RED FREE
A RED FREE PHOTOGRAPH IS A BLACK AND WHITE IMAGE TAKEN WITHOUT DYE USING A GREEN FILTER. THIS HELPS TO DISTINGUISH BLOOD VESSELS FROM THE RETINA. NOTE THE FLAME SHAPED RETINAL HEMORRAGING IN THE RIGHT EYE.

RIGHT EYE__________________________________________________ LEFT EYE

FLUORESCEIN ANGIOGRAM
HERE IS A 'LATE PHASE' ANGIOGRAM OF THE SAME PAIR OF EYES.

I don't know if anyone is actually monitoring my progress here, but I TOOK THESE PICTURES!!!

M O R E F L U O R E S C E I N HERE IS A BIT OF
A N G I O G R A P H Y
I WAS ABLE TO DO
WITH A FAIRLY
"EASY" PATIENT.
THESE SHOTS
WERE TAKEN
20 SECONDS,
23 SECONDS,
1 MINUTE
7 SECONDS,
AND
6 MINUTES
10 SECONDS
AFTER NaFl INJECTION.
THIS PATIENT HAS
IDIOPATHIC SUB RETINAL
NEOVASCULARIZATION,
AND IS A COOL GUY.

MORE ON FLUORESCEIN ANGIOGRAPHY

FLUORESCEIN ANGIOGRAPHY
IS A TECHNIQUE FOR EXAMINING THE CIRCULATION OF
THE RETINA USING A DYE TRACING METHOD. AFTER AN
INJECTION OF SODIUM FLUORESCEIN INTO CIRCULATORY
SYSTEM, AN ANGIOGRAM IS OBTAINED BY PHOTOGRAPHING
THE FLUORESCENCE EMITTED BY THE RETINA WHILE
EXPOSING WITH A BLUE LIGHT (490 NANOMETERS)
Click to Enlarge

SOME MIGHT SAY THIS ANGIOGRAM INDICATES THE PATIENT HAS A SUB RETINAL NEOVASCULAR MEMBRANE WITH A DISCIFORM SCAR AND A SMALL SUB MACULAR HEMORRHAGE.....
BUT PERSONALLY, I THINK IT LOOKS LIKE A PANDA BEAR IN A COAT WALKING TOWARD A TESLA COIL.