Posts by Christolyn Rajakulenthiran

Benign lesions in the retinal periphery

This patient has a very interesting fundus appearance , there is a cobblestone like pattern of RPE pigmentation in the far to mid periphery. This is most prominent in her right eye and is ofcourse completely benign. In cases of similar bilateral lesions , one may need to consider retinal dystrophies as a potential differential…

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Vitreomacular traction

There has been some recent discussion around Ocriplasmin – trade name Jetrea- a recombinant protease with activity against fibronectin and laminin, components of the vitreoretinal interface. It is used for treatment of symptomatic vitreomacular adhesion, via intravitreal injection, for which it has recently been approved for use in Australia. Sometimes controversial as a single treatment…

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an atypical retinal appearance

This is a case that an optometrist recently sent me . A middle aged man , no apparent change in vision but an unusual pigmentation/ depigmenation to the retina. Focus on the pale subretinal lesions. A similar appearance in the fellow eye ( not shown). A case of birdshot chorioretinoapthy -at present inactive.

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A challenging case..

This 10year yo otherwise well boy presented with what appeared to be optic nerve swelling in both eyes. A work up for papilloedema including neuro-imaging , infective screening , lumbar puncture and opening CSF pressure was done showing no anomalies. Without active treatment vision is returning and the disc and retinal oedema appears to be…

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