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Dr. k. Vasantha M.S., F.R.C.S.,
Director RIO Chennai (Rtd)
 Idiopathic polypoidal choroidal vasculopathy
 Pigment epithelial detachment
 Optic disc pit
 Peripheral choroidal tumour
 Retinal detachment in the periphery should
always be looked for
 Age related macular degeneration
 Choroidal inflammation
 Batten’s disease
 Benign concentric anular macular dystrophy
 Bardet Biedl syndrome
 Macular cone rod dystrophy
 Drug toxicity - chloroquin
 Retinal vein occlusion
 Ocular ischemic syndrome
 Hypertensive retinopathy
 Radiation retinopathy
 Leukemia, anemia
 HIV microangiopathy
 Eales’ disease
 Central retinal vein thrombosis with new
vessels
 Sickle cell retinopathy
 Ocular ischemic syndrome
 Sarcoidosis
 Eales’ disease
 Embolization from IV drug use
 Hypertensive retinopathy
 Retinal vein occlusion – ischemia with
increased triglycerides can cause hard
exudates
 Papilledema
 Inflammation – of choroid, sclera
 Toxoplasmosis, syphilis
 Posterior scleritis
 Vasculitis
 Idiopathic
 Any chronic inflammation
 Diabetic retinopathy
 Vein occlusion
 Hyper viscocity syndromes, anemia,
leukemia
 Hypertension
 Ocular ischemia due to carotid occlusion,
Eales’, sickle cell anemia
 Macro aneurysm
 Inflammations – Behcet’s disease
 Trauma
 Infections – HIV
 Shaken baby syndrome
 Sub retinal – valsalva retinopathy,
lacquer cracks associated in myopia,
choroidal neovascularisation
 Diabetic retinopathy
 CRVO
 Sickle cell anemia
 Carotid occlusion
 Retinopathy of prematurity
 Eales’, Norrie’s,
 Radiation retinopathy
 Inflammations like uveitis, parsplanitis
 Talc emboli
 Chronic retinal detachment
 Rarely CRAO and BRVO
 Polycythemia, Leukemia
 Dysproteinemias
 Sickle cell disease
 Hyper viscocity syndromes
 Racemose angioma
 CRVO – veins will be affected
 Congenital
 Age related macular degeneration
 Post inflammation
 Myopia
 Choroidal rupture
 Angioid streaks
 Laser applications
 AION- no peripheral bleedings, altitudinal
defect
 Papilledema- no decrease in vision
 Diabetes, hyper viscosity syndromes-
bilateral
 Ocular ischemia- dot and blot hemorrhages,
no edema of disc, decrease in the central
retinal artery perfusion pressure
 Age related macular degeneration – no
collaterals
 If collaterals are present- meningioma- no
macular scar
 Micro aneurysms – diabetic retinopathy
 Macro aneurysm- in CRVO this from capillary
 Collateral may be mistaken for new vessel-
close to the disc, large caliber and do not
leak
Uniocular
 Atypical RP
 Intra ocular iron foreign body
 Syphilis
 Ocular ischemia
 Enhanced S cone syndrome- nummular
pigment deposits with night blindness
 Goldmann- Favre syndrome
 Choroideremia
 Gyrate atrophy of retina and choroid
 Juvenile X linked retinoschisis
 Hereditary abetalipoproteinemia
 Refsum’s
 Friedreich like ataxia
 Usher’s
 Laurence Moon Bardet Biedl syndrome
 Congenital amaurosis of Leber
 Retinitis punctata albescens
 Progressive cone rod degeneration
 Kearne Sayre syndrome
 Cerebro retinal degeneration
 Olivo pontine cerebellar atrophy
 Alstrom’s disease
 Cockayne’s syndrome
 Fundus albipunctatus
 Congenital stationary night blindness
 Cutaneous malignant melanoma
 Oguchi’s
 Macular hemorrhage
 Epiretinal membrane with pseudo hole
 Central serous retinopathy
 Cystoid macular edema
 Fuchs’ spot
 Solar retinopathy
 Central drusen with sub retinal fluid

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Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
 

Differential diagnosis retina

  • 1. Dr. k. Vasantha M.S., F.R.C.S., Director RIO Chennai (Rtd)
  • 2.  Idiopathic polypoidal choroidal vasculopathy  Pigment epithelial detachment  Optic disc pit  Peripheral choroidal tumour  Retinal detachment in the periphery should always be looked for  Age related macular degeneration  Choroidal inflammation
  • 3.  Batten’s disease  Benign concentric anular macular dystrophy  Bardet Biedl syndrome  Macular cone rod dystrophy  Drug toxicity - chloroquin
  • 4.  Retinal vein occlusion  Ocular ischemic syndrome  Hypertensive retinopathy  Radiation retinopathy  Leukemia, anemia  HIV microangiopathy  Eales’ disease
  • 5.  Central retinal vein thrombosis with new vessels  Sickle cell retinopathy  Ocular ischemic syndrome  Sarcoidosis  Eales’ disease  Embolization from IV drug use
  • 6.  Hypertensive retinopathy  Retinal vein occlusion – ischemia with increased triglycerides can cause hard exudates  Papilledema  Inflammation – of choroid, sclera  Toxoplasmosis, syphilis
  • 7.  Posterior scleritis  Vasculitis  Idiopathic  Any chronic inflammation
  • 8.  Diabetic retinopathy  Vein occlusion  Hyper viscocity syndromes, anemia, leukemia  Hypertension  Ocular ischemia due to carotid occlusion, Eales’, sickle cell anemia  Macro aneurysm
  • 9.  Inflammations – Behcet’s disease  Trauma  Infections – HIV  Shaken baby syndrome  Sub retinal – valsalva retinopathy, lacquer cracks associated in myopia, choroidal neovascularisation
  • 10.  Diabetic retinopathy  CRVO  Sickle cell anemia  Carotid occlusion  Retinopathy of prematurity  Eales’, Norrie’s,
  • 11.  Radiation retinopathy  Inflammations like uveitis, parsplanitis  Talc emboli  Chronic retinal detachment  Rarely CRAO and BRVO
  • 12.  Polycythemia, Leukemia  Dysproteinemias  Sickle cell disease  Hyper viscocity syndromes  Racemose angioma  CRVO – veins will be affected  Congenital
  • 13.  Age related macular degeneration  Post inflammation  Myopia  Choroidal rupture  Angioid streaks  Laser applications
  • 14.  AION- no peripheral bleedings, altitudinal defect  Papilledema- no decrease in vision  Diabetes, hyper viscosity syndromes- bilateral  Ocular ischemia- dot and blot hemorrhages, no edema of disc, decrease in the central retinal artery perfusion pressure
  • 15.  Age related macular degeneration – no collaterals  If collaterals are present- meningioma- no macular scar  Micro aneurysms – diabetic retinopathy  Macro aneurysm- in CRVO this from capillary  Collateral may be mistaken for new vessel- close to the disc, large caliber and do not leak
  • 16. Uniocular  Atypical RP  Intra ocular iron foreign body  Syphilis  Ocular ischemia
  • 17.  Enhanced S cone syndrome- nummular pigment deposits with night blindness  Goldmann- Favre syndrome  Choroideremia  Gyrate atrophy of retina and choroid  Juvenile X linked retinoschisis
  • 18.  Hereditary abetalipoproteinemia  Refsum’s  Friedreich like ataxia  Usher’s  Laurence Moon Bardet Biedl syndrome  Congenital amaurosis of Leber
  • 19.  Retinitis punctata albescens  Progressive cone rod degeneration  Kearne Sayre syndrome  Cerebro retinal degeneration  Olivo pontine cerebellar atrophy  Alstrom’s disease  Cockayne’s syndrome
  • 20.  Fundus albipunctatus  Congenital stationary night blindness  Cutaneous malignant melanoma  Oguchi’s
  • 21.  Macular hemorrhage  Epiretinal membrane with pseudo hole  Central serous retinopathy  Cystoid macular edema  Fuchs’ spot  Solar retinopathy  Central drusen with sub retinal fluid