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This 77YO female presented with diffuse, large, confluent soft drusen in both eyes (only left eye pictured). Vision was 20/50. Two and a half years later, her macular examinations appeared quite different with marked drusen resolution. OCT shows near-complete flattening of all drusen, with irregularity of the outer retinal bands and RPE. Vision actually improved… Read More

This 9YO female was referred for an asymptomatic lesion in her left eye. She was found to have a large pars plana cyst in the temporal periphery. Learning Points: Pars plana cysts are localized to the pars plana region, commonly along a single ora bay. They form when the epithelial cell layers separate between the… Read More

This 78YO female originally presented on 2/2/21 with decreased vision in her right eye from a treatment-naive macular neovascularization (MNV) with subretinal fluid on OCT. The lesion became completely inactive after several monthly anti-VEGF injections (5/25/21). She was then lost to follow-up due to other health issues and returned on 11/23/21 with an active lesion… Read More

This 55YO female presented with 20/30 vision in her right eye and an asymptomatic colobomatous scar in her distal temporal macula. The left eye was normal. We felt this lesion most likely represented an inactive toxoplasmosis scar. Learning Points: For a great discussion on how to differentiate these infectious macular colobomatous lesions (congenital toxoplasmosis, Zika,… Read More

This 44YO otherwise healthy male presented with 1 week of floaters, blurred vision and pain in his left eye. Vision was 20/20 in his normal right eye and 20/100 in his left eye. There was panuveitis in his left eye, including a moderate granulomatous anterior uveitis, vitritis, and peripheral multifocal mostly outer white retinitis. We… Read More

This 6YO boy was found to have this asymptomatic chronic total rhegmatogenous retinal detachment (RRD) in his left eye during a routine eye examination. There is a large, giant tear nasally from about 6 to 11 o’clock, with an additional giant tear temporally (not shown). There were numerous areas of lattice degeneration with atrophic holes… Read More

This 81YO male presented with a 9.5mm-thick uveal malignant melanoma with fan-like opacities emanating from the apex of the tumor in his left eye. We suspected early vitreous hemorrhage, pigment shedding, or vitreous seeding. Early phase angiogram beautifully reveals its internal vascularity, with late leakage from the entire tumor. Vision was 20/70. The patient underwent… Read More

This 22YO male presented with bilateral asteroid hyalosis. Vision was 20/20 OU with mildly symptomatic floaters. Retinal examinations were extremely difficult due to the dense asteroid, although the fundi appeared normal. Learning Points: Asteroid hyalosis is caused by calcium-lipid complexes suspended throughout the vitreous. The condition gets its name from the white opacities resembling stars… Read More

This 50YO female presented with counting finger vision in her right eye due to an acute central retinal vein occlusion (CRVO) with a nasal macular retinal artery occlusion (RAO). Optos fundus photography shows retinal vascular tortuosity, mild retinal hemorrhages, a mildly swollen nerve, and white ischemic nasal macular retina. The ischemic retinal changes are most… Read More

This patient presented with an acute layered sub-internal limiting membrane (ILM) hemorrhage due to a Valsalva maneuver. There is also a rim of blood along the circumference of the ILM detachment, which is most likely located in Henle’s layer, given its radiating deep retinal pattern. Learning Points: Sub-ILM hemorrhages most commonly follow a Valsalva maneuver… Read More