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This healthy 59YO male was referred for asymptomatic lesions in his right eye. Optos color RGB imaging shows multiple variably round-to-oval subretinal pigmented lesions scattered throughout the nasal right fundus. These lesions are hypo-autofluorescent. Learning Points: Group-type congenital pigmented nevi of the RPE (bear tracks) is a relatively rare congenital condition characterized by well-demarcated, hyperpigmented,… Read More

This healthy 8YO female was born blind in her left eye. Vision was 20/20 in her normal OD and no light perception OS. Pseudocolor SLO imaging shows a markedly enlarged optic disc with surrounding chorioretinal scarring. Numerous retinal vessels extend outwards from the disc, and extensive fibrotic tissue obscures the disc details. This tissue is… Read More

This 63YO male presented with 1 month of bilateral decreased vision following dengue fever, with positive Dengue NS1 antigen during the acute illness. Vision was 20/200 OD and counting fingers OS. Pseudocolor SLO imaging shows extensive peripapillary cotton wool spots, retinal whitening, and significant macular edema. The fundus detail is partially obscured by overlying vitreous… Read More

This 6YO boy developed sudden and complete loss of vision in his left eye immediately following blunt trauma. He was riding a bicycle as a pillion passenger when the bike stopped suddenly, throwing his face against the handlebar. Vision was no light perception. Anterior segments were normal. Fundus photography shows preretinal blood surrounding the nerve,… Read More

This 58YO female with a history of hypertension and diabetes presented with sudden painless vision loss in her right eye. Vision was 20/25 OD and 20/20 in her normal OS. Fundus photography shows a non-ischemic central retinal vein occlusion (CRVO) with dilated tortuous veins, mild scattered retinal hemorrhages, and a superonasal macular branch retinal artery… Read More

This 17YO male presented with a known history of tuberous sclerosis, childhood seizures, and decreased vision in his left eye. Vision was 20/20 in his normal OD and 20/40 OS. Color photography shows a glistening yellow-white inner peripapillary retinal lesion surrounding the superior, temporal, and inferior edge of the optic nerve, composed of innumerable semi-transparent… Read More

This 42YO undomiciled female presented with several months of bilateral vision loss. She has a complex medical history of hypertension, type 2 diabetes (last A1c 9.9), end-stage renal disease on dialysis, chronic obstructive pulmonary disorder, and bipolar disorder.  The day prior to presenting to our clinic, she was seen at an outside emergency department for intractable vomiting… Read More

This 62YO male presented with 3 months of vision loss in his left eye. Vision was counting fingers. Pseudocolor SLO imaging shows a giant retinal tear extending from the 2 to 8 o’clock meridians with bare RPE distal to the posterior retina. There are extensive outer retinal corrugations within the posteriorly detached retina. OCT dramatically… Read More

This 44YO female presented with sudden vision loss OS with uncontrolled hypertension (180/110 mmHg). Vision was 20/20 OD and 20/200 OS. Color photography shows a pre-retinal hemorrhage extending from the temporal edge of the disc through the central macula, disc and peripapillary inner retinal hemorrhages, and blot and nerve fiber layer hemorrhages. The pre-retinal blood… Read More

This healthy 24YO female presented with asymptomatic retinal changes in her right eye, which was 20/20 one year earlier. Vision was 20/80 OD and 20/20 in her normal OS. Fundus photography shows a serous macular detachment connected to a yellow-grey optic nerve pit along the temporal edge of the disc. OCT scanning shows an elevated… Read More