Dr. Meri Debbarma

Title: Prodigious yet innocuous – The Giant Vessel

Description: Congenital Retinal Macrovessel (CRM) – An aberrant retinal vessel, typically a vein, that emanates from the optic disc and crosses the horizontal raphe. Archer classifies CRM as stage 1 arteriovenous malformation of the retina. Visual loss may be unusual due to macular hemorrhage, macular edema, macular ischemia, serous macular detachment, branch retinal artery occlusion, foveal ectopia, and angioscotoma. MRI must be considered in the presence of neurologic symptoms.

Dr. Kanwaljeet Harjot Madan

Title: “Shaken Baby Syndrome”

Description: Shaken Baby Syndrome is a form of physical child abuse, a non-accidental traumatic brain injury. The ocular manifestations of child abuse are numerous. There may be signs of periorbital trauma (e.g., ecchymosis, lid edema, orbital fractures), Anterior segment trauma (e.g., hyphema, iris prolapse, corneal laceration, cataract), or posterior segment trauma (e.g., vitreous hemorrhage, retinal detachment, optic nerve avulsion).

There may be associated brain injury and intracranial bleeding.

The incidence of retinal hemorrhages is approximately 85%. Classically, children have retinal hemorrhages, which are multilayered – preretinal, intraretinal, and subretinal. They are usually too numerous to count and extend out to the retinal periphery (i.e., not just confined to the posterior pole). This image shows numerous retinal hemorrhages in the LE of a child with ‘shaken baby syndrome’. Macular retinoschisis may also be associated. The greatest diagnostic clue is a detailed history that is incompatible with the extent and severity of the injuries found on dilated fundus exam.

Dr.Vivek Chaitanya

Title: Lipaemia Retinalis

Description: A 42-year-old female, known case of Diabetes Mellitus and Dyslipidemia presented with the blurring of vision in OU. Posterior segment evaluation showed creamy-white discoloration of retinal vessels with the salmon color appearance of the fundus characteristic of Lipaemia Retinalis. Her systemic profile showed RBS 546 mg/dL, Total Cholesterol 408 mg/dL, and Triglycerides 1374 mg/dL.