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This 58YO male was referred for a retinal detachment in his left eye. He has a long history of idiopathic central serous chorioretinopathy (ICSC). He was previously treated elsewhere for neovascular AMD OD. For many years, he has been receiving intravitreal Avastin OS every 1-2 months. Vision was counting fingers OD and 20/400 OS. Optos… Read More

This 82YO male was referred for asymptomatic blood in his right eye. Vision was 20/40 OD. Optos color RGB imaging shows yellow and red subretinal blood in the inferonasal midperiphery. Triton swept-source OCT shows a relatively thickened choroid for an 82YO, and choroidal en face shows an abnormal inferior dilated choroidal vortex system which extends… Read More

This healthy 19YO male presented with 9 months of decreased vision in his left eye. He was previously diagnosed with a combined hamartoma of the RPE. Vision was 20/20 in his normal OD and 20/200 OS. Color photography shows a complex macular pucker. OCT scanning shows a diffusely hyperreflective retina with complete loss of all… Read More

This 62YO female presented with a 1-week history of decreased vision in her left eye. Vision was 20/20 in her normal OD and 20/200 OS. Color photography shows a fibrosed RAM in the superotemporal macula surrounded by intraretinal hemorrhages. Fine lipid deposits are noted temporal, inferior, and nasal to the RAM. Multiple small patches of… Read More

This 42YO male has a long history of night blindness, difficulty adapting to bright light, and poor vision. He had been advised elsewhere to have cataract surgery. Ocular family history was negative. Vision was counting fingers OU, and slit lamp examinations were normal. Fundus imaging shows extensive pigmentary degeneration with subretinal crystalline deposits involving both… Read More

This 24YO male has a known history of retinitis pigmentosa (RP) with long-standing stable vision loss. Vision was 20/50 OD and 20/200 OS. Color photography OD shows classic RP findings, including mid-peripheral intraretinal pigment migration (bone spicules), narrowed retinal vessels, and a pale disc. Extensive optic disc drusen (ODD) are present and markedly hyperautofluoresce. OCT… Read More

This 10YO male has a 1-year history of acute lymphoblastic leukemia with ongoing palliative treatment. He noticed decreased vision bilaterally for 3 months before presenting with light perception OU. Fundus photography shows a bilateral cherry-red spot, pale nerves, peripapillary and peripheral retinal hemorrhages, and a white retinal arterial vascular tree. Learning Points: Ocular leukemic manifestations… Read More

This 48YO female presented with 6 months of mild blurred vision in her right eye. She was diagnosed elsewhere with a choroidal granuloma and referred to us for further evaluation. Vision was 20/20 OD and 20/25 in her normal OS. Pseudocolor SLO imaging shows a well-demarcated, round, dome-shaped orange-red choroidal lesion centered in the infotemporal… Read More

This healthy 17YO female presented for a routine ophthalmic examination. There were no ocular complaints or ocular family history. Vision was 20/20 OU. Optos color RG imaging shows symmetrical multiple discrete yellow-white flecked lesions that spare the maculas. On OCT, the flecks appear as hyperreflective outer retinal deposits that extend into and distort the overlying… Read More

This previously healthy 34YO female presented with recent bilateral vision loss. She recalled having blood pressure issues during her last pregnancy. Vision was hand motion OD and 20/80 OS. Optos color RG imaging of her left eye shows disc swelling, scattered inner retinal hemorrhages, cotton wool spots (CWS), and a nasal macular lipid star. Similar… Read More