Adderall Toxicity in The Retina

This is the first entry in the Grand Rounds section of Webvision.  Todays images come from a 9 year old female who presented with retinal findings that include central ischemia with pre retinal hemorrhages due to Adderall, a drug used to treat attention deficit hyperactivity disorder (ADHD).  The fluorescein angiogram images at the bottom show the extent of the central ischemic capillaries and the regions of non-perfusion in those areas of retina.

Photographs were made by James Gilman of the Moran Eye Center with a Zeiss FF-450+ using a Escalon Imaging 6MP camera.