Dr. Toshit Varshney

Title: Weeping eye of Oguchi: A rare case of Oguchi’s disease with Central Serous Chorioretinopathy.

Description: A 32-year-old male presented with blurring of vision in the right eye (RE) for 6-months. His best corrected visual acuity(BCVA) was 6/9 (-3DS) in RE and 6/6 (-2.5DS) in left eye. He was a chronic smoker and had a history of difficulty in reading in dim light. On examination, his anterior segment was unremarkable. Fundus examination in both eyes (BE) showed peripheral tapetal sheen presence of pigmentary degeneration along with gravitational tracts (Tear Drop Sign) in the RE. Mizuo-Nakamura phenomenon was also noted in BE. RE fundus autofluorescence showed hypo-autofluorescent areas surrounded by hyper-autofluorescent margins in the inferior areas corresponding to that of gravitational tracts.

The corresponding RE B-scans on Optical Coherence Tomography showed the presence of RPE and outer retinal atrophy. ERG of BE showed defective scotopic response which improved on prolonged dark adaptation. Hence, a diagnosis of BE Oguchi’s disease with RE Central serous retinopathy was made.

Dr. Mohit Garg

Title: Leber’s miliary Aneurysms : A rare form of Retinal Telangiectasia

Description: A 16 years old boy presented with gradual painless progressive diminution of vision in the right eye. The fundus evaluation revealed a dull foveal reflex with slightly elevated whitish-yellow intra-retinal exudates over the macular region (Image A). The vessels themselves were noted to be slightly dilated. Fundus fluorescien angiography was done which revealed both early and late diffuse leakage of the dye (Image B). Saccular and aneurysmal changes (Image C), grouped into small clusters, were observed in the retinal vessels in mid-peripheral area temporal to the fovea (yellow arrow). Capillary non-perfusion areas were observed, prominently noted around the course of the larger vessels in the affected areas (pink arrow).

A diagnosis of Leber’s miliary aneurysms was made after ruling out other causes of retinal telangiectasia. Macular edema was treated by intravitreal Anti-VEGF injections and leaking aneurysms were ablated using laser photocoagulation.

Dr. Krishnendu

Title: Vitreous Luminoma: Tumour invasion in vitreous cavity in a patient of Acute Lymphocytic Leukaemia

Description: A 25-year-old male patient was complaining of floaters in left eye for the last 1 month. Patient also gave a history of chemotherapy for ALL for the last 5 years. BCVA in both eyes was 6/9, N6 in the Snellen chart. On examination, in the left eye, it was seen that tumour invasion was seen as whitish luminous mass with vascularisation in the background of Disc. Right eye was unremarkable. Colour Fundus photo shows metastatic tumour cells invaded seen in optic disc and vitreous cavity.