Retinopathy of Prematurity

Fundus photograph (right eye)

The retinal photo of the right posterior pole shows dragging of the macula and vasculature and an atypical crowded optic disc appearance with no visible cup.

Fundus photograph montage (left eye)

This photo montage of the left posterior pole demonstrates the dragging of the macula and vasculature and atypical optic disc appearance.

Red-free images (right and left eye)

The red-ree images highlight the atypically large distance between the optic disc and macula.

Optomap and green separation images (right eye)

The ultra-widefield images show involutional scarring and chorioretinal atrophy in the temporal periphery of the right eye.

Optomap and green separation images (left eye)

The ultra-widefield images show more marked involutional fibrotic scarring, in a ridge formation, and chorioretinal atrophy in the temporal periphery of the right eye.

Spectralis OCT line scans (left eye)

Fundus photographs (right and left eye)

The posterior pole photos show tilted optic discs and a myopic fundus appearance. There may be some mild dragging of the retinal vessels in the right eye with no obvious displacement of the maculae.

Red free images (right and left eye)

The red-free posterior pole photos show tilted optic discs, more marked in the right eye, and no macular abnormalities.

Optomap widefield and green separation image (right eye)

Ultrawidefield imaging demonstrates a whitened retinal appearance in the temporal periphery associated with a number of atrophic holes, shallow serous retinal detachment formation, pigmentary changes and retinoschisis. These changes are likely related to both ROP and high myopia.

Optomap widefield and green separation image (left eye)

Ultrawidefield imaging demonstrates extensive alterations in the temporal retinal periphery including atrophic holes, serous retinal detachment formation, pigmentary changes and vitreoretinal tufts. These changes are likely related to both ROP and high myopia.

Retinal photograph and red free image (right eye)

Posterior pole photos show signs of vessel dragging and sheathing of the veins both at the disc and peripherally. There is RPE atrophy superior to the disc associated with a large posterior staphyloma and RPE hyperplasia both inferior to the disc and superior to the staphyloma.

Retinal photograph and red free image (left eye)

Posterior pole photos of the left eye reveal venous tortuosity and dilation with some sheathing inferior to the disc. There are subtle striations evident at the macula, better visualised on OCT imaging.

Optomap and fundus auotofluorescence image (right eye)

Optomap imaging show hypopigmentary changes in the temporal periphery and vascular sheathing both at the disc and peripherally. RPE hyperplasia is present at both the posterior pole and temporal periphery. There is a posterior staphyloma that encompasses the optic disc. FAF shows large areas of hypo-autofluorescence, corresponding to areas of RPE hyperplasia and chorioretinal atrophy.

Optomap and fundus auotofluorescence image (left eye)

Optomap imaging shows an absence of retinal vasculature and ghost vessels in the temporal retina. An area of hypopigmentary changes borders the vascularised and non-vascularised retina. In the far infero-temporal periphery is an area of RPE hypertrophy in a speckled pattern.

Green separation image (left eye)

The green separation image highlights the pigmentary changes and absence retinal vasculature in the temporal periphery. The ghost vessels and striated appearance of the macula are also easier to appreciate with this image.

Spectralis OCT line scans (left temporal retina)

OCT shows a retinoschisis in the temporal retinal periphery with underlying cystoid degeneration.

Spectralis OCT macular line scan (left eye)

Subtle undulations of the inner limiting membrane may be noted, resulting from retinal traction. These undulations are seen as striations visible in the posterior pole photos.