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!

2/24: Ayushi Gupta and Vishal Agrawal
Benign familial fleck retina

1/24: 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

 

Benign familial fleck retina

Congratulations to Ayushi Gupta and Vishal Agrawal for submitting the Retina Rocks Case of the Month. This 10YO boy complained of needing frequent changes of his glasses. Vision was 20/20 OD and 20/30 OS. He was a -8D myope OD and -6D myope OS. Corneal topography was consistent with keratoconus. Color imaging shows symmetrical multiple discrete yellow-white flecked lesions involving the entire fundus except for the maculas (images 1, 2 top). A patch of inferior lattice is also noted OD. On fundus autofluorescence, these flecks show marked hyper-FAF (image 2, bottom). On OCT, the flecks appear as hyperreflective outer retinal deposits that extend into and distort the overlying ellipsoid zone (image 3, box). Initially reported by Aish and Dajani (BJO 1980;64;652-659), benign familial fleck retina (BFFR) is an extremely rare autosomal recessive disorder that belongs to a heterogeneous group of flecked retina syndromes. The BFFR gene encodes for a group V phospholipase A2 (PLA2G5). Despite the dramatic fundus appearance, affected individuals have normal acuity, visual fields, and retinal function including electrophysiology. Other flecked retinal disorders include fundus albipunctatus, fundus flavimaculatus, familial drusen, retinitis punctata albescens, and fleck retina of Kandori. These disorders can be associated with night blindness, central visual problems, abnormal ERG, and abnormal perimetry. The ERG helps to distinguish BFFR from other flecked retina syndromes such as retinitis punctata albescens and fundus albipunctatus as scotopic ERG responses would be decreased in the later conditions but normal in BFFR.

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