Visual atlas
See it before you are asked to name it
132 real images across 7 modality groups. Every one was opened on its Wikimedia Commons file page and checked for what it shows, its licence and whether anyone could be recognised. Tap an image to study it; the practice case behind it grades your localisation and diagnosis.
Image of the dayUltra-widefield image at a myopia reviewTry it blind 39 images
Colour fundusA routine fundus photograph at diabetic screening
A 48-year-old at annual diabetic eye screening, no visual symptoms, acuity 6/6 both eyes.
foundational · comprehensive
Colour fundusFundus photograph before a hypertension clinic review
A 55-year-old with treated hypertension, asymptomatic, sent for baseline retinal photography.
foundational · comprehensive
- Colour fundus
Ultra-widefield image at a myopia review
A 29-year-old with high myopia attends for peripheral retinal surveillance after a fellow eye retinal tear.
intermediate · comprehensive
Colour fundusScreening photograph in a patient with type 2 diabetes
A 61-year-old with twelve years of type 2 diabetes and an HbA1c of 74 mmol/mol, no visual symptoms.
foundational · retina
Colour fundusFloaters in a patient with long-standing type 1 diabetes
A 34-year-old with type 1 diabetes since childhood reports new floaters in one eye for a week.
intermediate · retina
Colour fundusLabelledGradual central blur in a patient with diabetes
A 58-year-old with type 2 diabetes reports three months of gradual blur reading in the left eye.
intermediate · retina
Colour fundusDistortion after previous retinal laser
A 63-year-old with diabetes who had retinal laser two years ago now reports central distortion in the left eye.
intermediate · retina
Colour fundusPainless blur in one eye in a hypertensive adult
A 66-year-old with hypertension noticed a blur in the upper part of vision in the left eye over two days.
foundational · retina
Colour fundusFlashes, floaters and a shadow in a myope
A 52-year-old myope with a week of flashes and floaters and now a shadow in the nasal field of one eye.
intermediate · retina
Colour fundusA curtain over the vision since yesterday
A 47-year-old noticed a dark curtain rising from below in one eye yesterday, preceded by floaters.
foundational · retina
Colour fundusAn incidental finding at a dilated examination
A 38-year-old myope has a dilated examination before refractive surgery; asymptomatic.
intermediate · retina
Colour fundusLabelledPoor colour vision in a young adult with a family history
A 24-year-old with lifelong poor colour vision and slowly declining acuity in both eyes; a parent has the same problem.
intermediate · neuro
Red-free fundusRed-free disc photograph of a glaucoma suspect
A 45-year-old with a family history of glaucoma and pressures of 22 mmHg; red-free disc photography for baseline.
intermediate · glaucoma
Colour fundusA disc found at a routine sight test, in a patient with no symptoms
A 66-year-old sent in by an optometrist after a routine sight test, with no symptoms and acuity 6/6. Pressure 31 mmHg in this eye.
foundational · glaucoma
Colour fundusThe same emergency in another eye
A 74-year-old woman with a painless curtain that fell over one eye three hours ago and did not lift. Hand movements only, with an afferent pupillary defect.
foundational · retina
Colour fundusThe fundus of a 58-year-old with a blood pressure of 175/105
A 58-year-old man with untreated hypertension found at a work medical, blood pressure 175/105, no visual symptoms. Acuity 6/6.
advanced · retina
Colour fundusLabelledAn atrophic hole within lattice, on every modality
A 23-year-old myopic woman with no symptoms, found at a routine dilated examination to have a peripheral lesion.
advanced · retina
Colour fundusLabelledCriss-cross white lines in the far periphery of a 60-year-old
A 60-year-old East Asian myope with no symptoms, found at a dilated examination to have a peripheral lesion in the superotemporal retina.
advanced · retina
Colour fundusLabelledSwollen discs in both eyes of a young man with mouth ulcers
A 28-year-old man with recurrent mouth and genital ulcers, a week of headache and blurred vision in both eyes.
advanced · uveitis
Colour fundusWhite necrosis and haemorrhage beside the disc in a transplant patient
A 52-year-old six months after a kidney transplant, on heavy immunosuppression, with a week of floaters and a blur in one eye.
intermediate · uveitis
Colour fundusLabelledCotton wool spots and haemorrhages, labelled
A teaching image from a diabetic screening set with the cotton wool spots and haemorrhages circled and named.
foundational · retina
Colour fundusBlurred reading in a diabetic, with rings of yellow around the macula
A 58-year-old with type 2 diabetes for fifteen years finds reading blurred in one eye over months. Acuity 6/18.
foundational · retina
Colour fundusLabelledDiabetic macular oedema before treatment
The same disease, photographed before treatment, from a teaching series.
foundational · retina
Colour fundusA pale halo around the disc of a very short-sighted right eye
A 45-year-old with minus twelve dioptre myopia, attending for a routine dilated examination. Acuity 6/9 with correction.
intermediate · retina