Blog

This 51yo presented with 20/1250 vision in her right eye from a primary full-thickness macular hole without traction measuring 407 microns. There was also a moderately severe nuclear sclerotic cataract. Combined cataract surgery with 23-gauge pars plana vitrectomy, temporal half-moon inverted ILM flap, and fluid-air-SF6 exchange was performed, followed by prone positioning. On the 5th… Read More

This 85 YO female with a retinal arterial macroaneurysm (RAM) continues to improve with 20/30 vision following a single Eylea injection four months earlier. The macroaneurysm still appears patent. The old subretinal devitalized blood is devitalized and yellow. There are also multiple patches of resolving inferior subhyaloid blood. Learning Points: A RAM is thought to… Read More

This 72YO female presented with a nasal choroidal nevus seen on Optos color and Optos red channel. The lesion is flat, has overlying drusen, and measures 4.5 by 5.1 mm. Is the nevus at risk for progressing to a uveal malignant melanoma (MM)? Learning Points: Clinical characteristics of choroidal nevi at risk for progressing to… Read More

This 57YO female presented with sudden painless vision loss in her left eye. There was no significant past ocular or medical history. Vision was 20/20 in her normal right eye and 20/130 in her left eye. Fundus photography shows several small hemorrhages along the temporal disc margin and faint patches of scattered whitish retinal opacification,… Read More

This 56YO highly myopic male has 20/20 vision in his right eye with an asymptomatic temporal foveal focal choroidal excavation (FCE). No treatment was recommended. Learning Points: Focal choroidal excavation, originally described by Jampol et al. in 2006, is likely part of the pachychoroid spectrum, as it is usually associated with a thickened choroid and… Read More

This 36YO male presented with extensive asymptomatic lattice degeneration seen on Optos color photography and Optos green channel. The circumferential glistening lattice lesions are also called snail tracks. Treatment was not recommended. Learning Points: White, fibrosed vessels often crisscross the lesions, which gives rise to the term “lattice.” There is vitreous liquefaction overlying the thinned… Read More

This 35YO female presented with a 2-week history of severe bilateral vision loss, photophobia, and red eyes. There was no significant past medical history. Vision was counting fingers OU. There was moderate bilateral conjunctival injection, severe cells with moderate flare, moderate fibrin, and 360-degree posterior synechiae. Topical cycloplegia and steroids were prescribed. One week later,… Read More

This 22YO male presented with subacute vision loss of 20/200 OD and 20/50 OS. Triton color imaging shows diffuse bilateral cotton wool spots with intraretinal hemorrhages, along with an early macular star temporal to the right fovea. Swept-source OCT shows bilateral intraretinal thickening (mostly in the outer nuclear layer) and hyperreflective inner retinal layers, along… Read More

This 11YO female presented with 20/50 vision OU. She was healthy with normal skin and hair pigmentation and was the product of a consanguineous marriage. Motility was normal without nystagmus. Bilateral iris transillumination defects were noted. Fundus photography shows marked decreased choroidal pigmentation and absent foveal reflex. OCT scanning shows bilateral absence of the normal… Read More

This 71YO female presented with a treatment-naive, age-related type 1 macular neovascularization (MNV). The already contracting MNV is elevated above the underlying choroid (prechoroidal cleft), and the overlying RPE is irregularly contracted and adherent to the MNV. The retinal pigment epithelium (RPE) map shows a 3-dimensional view of the RPE elevation. An anti-VEGF injection was… Read More