This image depicted what is known as a fundoscopic view of the retina, or the back of the right eye. Note that the retinal vessels appeared to be emanating from above, within a circular, lighter area known as the optic disc. This is the point where the retinal arterioles and optic nerve entered the rear of the eyeball. The image was rotated approximately 90° counterclockwise. This patient displayed a pathologic phenomenon that was diagnosed as retinal exudates, due to a condition known as systemic lupus erythematosus (SLE), a form of secondary systemic vasculitis. Retinal vasculitis leads to vascular leakage, followed by retinal edema, deposition of exudates, and ultimately, macular edema. Note the flocculent exudates in the center, and to the right.