Blog

This 66YO female with a history of ocular histoplasmosis has extensive bilateral macular, peripapillary, and peripheral scarring. The right eye shows a large hyperpigmented temporal streak lesion. Vision is stable at counting vision OD and 20/40 OS. Learning Points: The incidence of streak lesions in OHS, also known as Schlaegel lines, is estimated at 5%… Read More

This 54YO female presented with a 9-month history of blurred vision in her left eye. She was on Elmiron (pentosan polysulfate sodium, PPS) for about 20 years due to interstitial cystitis, but stopped the medication before seeing us due to the widespread publicity about its potential retinal toxicity. Optos color imaging shows variable yellow-orange atrophic… Read More

This 63YO female presented with 20/25 vision and a superotemporal retinal detachment. The posterior edge of the detachment was just outside the macular center. There was diffuse fine microcystic retinal edema within the area of detachment, except for outer retinal hydration folds more posteriorly. The retina was completely attached 5 days later following successful cryotherapy… Read More

This 32YO female with schizophrenia reported regular sun gazing every morning for many years. Vision was 20/40 OU. Triton color imaging shows tiny foveal pigment loss. Swept-source OCT shows bilateral ellipsoid zone and outer segment defects. Learning Points: The outer retinal damage in solar retinopathy is thought to be caused by photochemical outer retinal and… Read More

This 77YO female presented with vision of 20/20 OD and 20/30 OS and extensive bilateral subretinal drusenoid deposits. Swept-source OCT shows numerous hyperreflective deposits in the outer retina located just above the RPE. En face OCT dramatically shows the extent of the dot-like drusenoid material. Learning Points: Subretinal drusenoid deposits (SDD) are polymorphous light-gray interconnected… Read More

This 62YO female presented with 20/20 vision OU and no visual symptoms. Optos imaging shows bilateral radiating subretinal yellowish macular lesions with temporal atrophy. Fundus autofluorescence (FAF) shows variable hyper-FAF from these lesions, along with hypo-FAF within the areas of atrophy. Learning Points: Pattern macular dystrophies are associated with numerous mutations, including ABCA4, PRPH2, BEST1,… Read More

This 82YO female presented with counting fingers vision in her previously healthy right eye. Vision in her left eye had been counting fingers for many years due to a large chronic macular hole measuring 2,870 microns. An acute central retinal artery occlusion (CRAO) was noted in her right eye. The foveal retina is still perfused… Read More

This 32YO male with Stickler syndrome is blind in his right eye following failed retinal detachment surgery elsewhere. Vision is 20/25 in his asymptomatic left eye. There are prominent areas of pigmented paravenous lattice superiorly, with scattered veils of vitreous strands and condensations. Learning Points: Stickler syndrome is a usually autosomal-dominant genetic disorder characterized by… Read More

This healthy 46YO male presented on 12/27/21 with 1 day of decreasing vision in his left eye. Vision was 20/25 in his normal right eye and 20/60 in his left eye. The left nerve was swollen with a faint macular lipid star. There were bilateral multifocal scars and an inferotemporal streak lesion in his left… Read More

This 55YO male presented on 1/24/22 with a small symptomatic pigment epithelial detachment (PED) in the superior right fovea. Vision was 20/30. One week later, he was subjectively worse, although vision remained at 20/30. There was a new small blister of foveal subretinal fluid, best captured on swept-source OCT. Optos fluorescein angiography shows a typical… Read More