Best known for his world-renowned neuro-ophthalmology unit based at the University of California, San Francisco, William Hoyt, MD collected here more than 850 of his best images covering a wide range of disorders.
William F. Hoyt, MD, Professor Emeritus of Ophthalmology, Neurology and Neurosurgery, Department of Ophthalmology, University of California, San Francisco.
NOVEL: https://novel.utah.edu/
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| Title | Description | Type | ||
|---|---|---|---|---|
| 226 |
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Crowded Disc | PP7a: right eye crowded disc with blurred margin. Note anomalous vascular pattern; PP7b- left disc is cupless disc and normal. 10 year old girl with gonadal dysgenesis and growth retardation. Anatomy: Optic disc Pathology: Normal variation of the optic disc Disease/Diagnosis: Normal variation of the... | Image |
| 227 |
 |
Crowded Disc | PP5a: left eye; PP5b: left eye X 2 magnification; congenital disc blurring. Boy. Anatomy: Optic disc. Pathology: Normal variation of the optic disc. Disease/Diagnosis: Normal variation of the optic disc. Congenital blurred disc. Clinical: Blurred disc margin. Beautiful example of difficult different... | Image |
| 228 |
 |
Crowded Disc (Family) | Right eye. PP3 a & b: sister; PP4 a & b brother; Congenital disc margin blurring with crowded discs. Excellent example of pseudo papilledema. Anatomy: Optic disc. Pathology: Normal variant of the optic disc. Disease/Diagnosis: Normal variant of the optic disc. Crowded disc. Clinical: Appearance is ... | Image |
| 229 |
 |
Crowded Disc (Family) | Right eye. PP3 a & b: sister; PP4 a & b brother; Congenital disc margin blurring with crowded discs. Excellent example of pseudo papilledema that caused serious diagnostic confusion which led to a pneumoencephalogram (PEG) and arteriogram. Anatomy: Optic disc. Pathology: Normal variation of the opt... | Image |
| 230 |
 |
Crowded Disc (Family) | Left eye. PP3 a & a: sister; PP4 a & b brother; Congenital disc margin blurring with crowded discs. Excellent example of pseudo papilledema that caused serious diagnostic confusion which led to a pneumoencephalogram (PEG) and arteriogram. Anatomy: Optic disc. Pathology: Normal variation of the opti... | Image |
| 231 |
 |
Crowded Disc (Family) | Left eye. PP3 a & b: sister; PP4 a & b brother; Congenital disc margin blurring with crowded discs. Excellent example of pseudo papilledema. Anatomy: Optic disc. Pathology: Normal variation of the optic disc. Disease/Diagnosis: Normal variation of the optic disc. Crowded disc. Clinical: Appearance ... | Image |
| 232 |
 |
Crowded Disc (Family) | Anomalous vasculature with congenital disc margin blurring. Note optic cup is absent. Pair with brother in PP1a & b. Mother has drusen of the optic disc in PP11aa & b. Sister has drusen in PP11c. Anatomy: Optic disc. Pathology: Normal variant. Cause of appearance is too many fibers entering into a s... | Image |
| 233 |
 |
Cyanotic Heart Disease with Clubbing of Fingernails | Note the cyanotic nail beds and clubbing. Anatomy: Optic disc. Pathology: Papilledema. Disease/Diagnosis: Pseudotumor due to cyanotic heart disease. Clinical: Young boy with clubbing. | Image |
| 234 |
 |
Cyanotic Heart Disease with Clubbing of Toes | Bilateral Papilledema with cyanotic heart disease. Anatomy: Optic disc. Pathology: Papilledema. Disease/Diagnosis: Pseudotumor due to cyanotic heart disease. Clinical: Young boy with clubbing. | Image |
| 235 |
 |
D101 Disc Edema with Systemic Lupus | Unilateral disc swelling with narrowed arterioles. No decrease in visual acuity or field. 19 year old woman. Patient died of cerebral lupus within two months. Optociliary veins dumping into disc edge at 4:00, 9:00, and 11:00. Anatomy: Optic disc. Pathology: Axoplasmic stasis due to vasculitis (Lupu... | Image |
| 236 |
 |
D102 Disc Edema with Systemic Lupus | 28 year old woman. Vision 20/20 but blind spot enlarged. Same patient as D1_03. Right eye. Anatomy: Optic disc. Pathology: Axoplasmic stasis due to vasculitis (Lupus). Disease/ Diagnosis: Lupus papillopathy. Clinical: Normal vision with enlarged blind spot on visual field. | Image |
| 237 |
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D103 Disc Edema with Systemic Lupus | 28 year old woman with systemic Lupus erythematosus. Vision 20/20 but blind spot enlarged. Same patient as D1_02. Magnified. Anatomy: Optic disc. Pathology: Axoplasmic stasis due to vasculitis (Lupus). Disease/ Diagnosis: Lupus papillopathy. Clinical: Normal vision with enlarged blind spot on visual... | Image |
| 238 |
 |
D104 Disc Edema with Systemic Lupus | Unilateral disc swelling and enlarged blind spot. Patient had episcleritis 4 weeks before this image was taken. 14 year old girl. Anatomy: Optic disc. Pathology: Axoplasmic stasis due to vasculitis (Lupus). Disease/ Diagnosis: Lupus papillitis. Clinical: No visual loss. History of episcleritis. Big ... | Image |
| 239 |
 |
D106 Disc Edema with Systemic Lupus | Flourescein angiogram shows evidence of vascular papillopathy. (Lupus) Same patient as D1_05 an D1_07. Anatomy: Optic disc. Pathology: Axoplasmic stasis due to vasculitis (Lupus). Disease/ Diagnosis: Lupus papillopathy. | Image |
| 240 |
 |
D107 Disc Edema with Systemic Lupus | Late stage Flourescein angiogram showing flourescein leakage on the disc and around the neighboring vessels. Note this amount of edema could not be appreciated in the colored fundus image D1_05. Same patient as D1_06 an D1_05. Anatomy: Optic disc. Pathology: Axoplasmic stasis due to vasculitis (Lupu... | Image |
| 241 |
 |
D201 Disc Edema with Systemic Hypertension | Left eye. Note generalized arterial narrowing. Low grade disc edema and multiple splinter hemorrhages. The patient had severe hypertension from kidney failure. Additional yellow intraretinal exudate at the macula. 20 year old male patient. Right eye. Pair with D2_02. Anatomy: Optic disc; Retina; Ret... | Image |
| 242 |
 |
D202 Disc Edema with Systemic Hypertension | Right eye. Note generalized arteriole narrowing. Low grade disc edema and multiple splinter hemorrhages. The patient had severe hypertension from kidney failure. Additional yellow intraretinal exudate at the macula. 20 year old male patient. Pair with D2_01. Anatomy: Optic disc; Retina; Retinal art... | Image |
| 243 |
 |
Diffuse Atrophy | Primary optic atrophy following optic neuritis. 1960. Note absence of all retinal nerve fiber layer reflex in the peripapillary retina. The retinal vessels appear to lie on the retina without any tissue surrounding them. Normal looking arterioles. Anatomy: Optic disc. Pathology: Optic atrophy. Disea... | Image |
| 244 |
 |
Diffuse Atrophy | Primary optic atrophy from optic nerve compression by aneurysm. Note narrowing of retinal arterioles. Close up showing arcuate streaks of nerve fibers entering inferior optic disc. Pair with IIA1_7. Anatomy: Optic disc. Pathology: Optic atrophy. Disease/Diagnosis: Optic atrophy due to giant aneurysm... | Image |
| 245 |
 |
Diffuse Atrophy | Primary optic atrophy following head injury. 1982. Normal looking arterioles. Anatomy: Optic disc. Pathology: Optic atrophy. Disease/Diagnosis: Optic atrophy after trauma. Clinical: Blindness. | Image |
| 246 |
 |
Diffuse Atrophy | Primary optic atrophy from optic nerve compression by aneurysm. Note narrowing of retinal arterioles. Pair with IIA1_8. Anatomy: Optic disc. Pathology: Optic atrophy. Disease/Diagnosis: Optic atrophy due to giant aneurysm. Clinical: Blindness. | Image |
| 247 |
 |
Diffuse Atrophy | Bilateral primary or retrograde optic atrophy from bilateral optic nerve sheath meningiomas. Pair with IIA1_2a. Left eye. 1984. Anatomy: Optic disc. Pathology: Bilateral optic nerve sheath meningiomas. Disease/Diagnosis: Retrograde optic atrophy. Clinical: Bilateral visual loss. | Image |
| 248 |
 |
Diffuse Atrophy | Nerve fiber appearance about 6 weeks after indirect injury to optic nerve. Note near total absence of nerve fiber reflexes. Photo shows remaining streaks of inferior arcuate nerve fiber membranes dissolving into nothing. 1972. Anatomy: Optic disc. Pathology: Optic nerve injury. Disease/Diagnosis: Op... | Image |
| 249 |
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Diffuse Atrophy - Evolution of Optic Disc Palor After Optic Nerve Transection | Evolution of optic disc pallor after optic nerve transection. Normal Right eye. Photo taken December 9, 1978. Anatomy: Optic disc. Pathology: Total retrograde optic atrophy. Disease/Diagnosis: Transection of the optic nerve. Clinical: Blindness. | Image |
| 250 |
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Diffuse Atrophy - Evolution of Optic Disc Palor After Optic Nerve Transection | Injury on December 8, 1978. Evolution of optic disc pallor after optic nerve transection. Woman having rhinoplasty suffered optic nerve transection. Left eye. Photo taken January 11, 1979 - 33 days post accident. Note superior and inferior arcuate nerve fiber bundles are thinned. Optic disc shows s... | Image |