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In almost eight years of service as an ophthalmic clinician, I have eye screened over 23,183 individual patient episodes and graded over 27,107 image sets, primarily for diabetic retinopathy services, but also identifying other retinal lesions for quality assurance. The following 12 figures show some of the retinal conditions we clinicians capture in digital fundus photography.

Can you identify them all?


Figure 1.


Figure 2.


Figure 3.


Figure 4.


Figure 5.


Figure 6.


Figure 7.


Figure 8.


Figure 9.


Figure 10.


Figure 11.


Figure 12.







Figure 1: RE unilateral melaoncytoma: VA 6/9.
Figure 2: LE ocular occlusion: VA PL.
Figure 3: RE macular scar from Ocular Toxoplasmosis: VA HM.
Figure 4: RE pre-retinal haemorrhage with inferior laser: VA 6/12.
Figure 5: LE unilateral asteroid hyalosis: VA 6/9.
Figure 6: LE longstanding coloboma retinal scar: VA PL.
Figure 7: LE papilledema from increased intracranial pressure: VA 6/9.
Figure 8: LE retinal arteriolar macroaneurysm: VA 6/6.
Figure 9: RE wet age-related macular degeneration: VA of HM.
Figure 10: RE fibrosis proliferation in diabetic retinopathy: VA 6/24.
Figure 11: RE large multiple macular drusen: VA 6/18.
Figure 12: RE bilateral Serpiginous Choroiditis: VA 6/36.



Each image diagnosis has been concluded from MDT meetings, clinical lead advice, patient medical history and hospital eye centre lab investigation reports


Declaration of Competing Interests: None declared.




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Rahila Bashir

National and International Grading Projects.

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