Blog

This 69YO male with type 2 diabetes presented with severe acute vision loss in his left eye from a large posterior pole subhyaloid hemorrhage. The hemorrhage blocks on fluorescein angiography, with a few areas of leaking neovascularization and severe peripheral ischemia. He was initially treated with intravitreal Avastin, and over the coming months, panretinal photocoagulation… Read More

This 23YO high myopic female presented on 8/13/21 with some symptomatic central and paracentral scotomas. Vision was 20/80. There were a few round subretinal hemorrhages near the central macula, along with an asymptomatic nasal macular hemorrhage. A few small lacquer cracks were noted. She was then monitored monthly with an unusual rapid succession of new… Read More

This 77YO female has been followed for years with vision of 20/200 OD and counting fingers OS from inactive age-related disciform scars. She then came in with sudden symptomatic vision loss and floaters in her left eye. Vision was hand motion OS from a breakthrough vitreous hemorrhage from an inferotemporal ectopic choroidal neovascularization (CNV) that… Read More

This 57YO male presented with 20/400 vision from a macula-off retinal detachment. The causative giant retinal tear extended from 9 to 12 o’clock. He underwent successful pars plana vitrectomy surgery using intraoperative perfluorooctane (PFO) liquid to flatten the retina, followed by gas exchange with long-acting C3F8 (perfluoropropane) gas tamponade. Learning Points: By definition, giant retinal… Read More

This 24YO man with Alagille syndrome presented with vision of 20/200 OD and 20/50 OS. There was a long history of bilateral poor vision. He was adopted and is a ward of the state. Optos color imaging shows fairly normal maculas with midperipheral encircling pigment loss with some pigment migration. Fundus autofluorescence (FAF) shows extensive… Read More

In October 2021, this 73YO emaciated woman presented for a routine cataract evaluation. Vision was 20/600 with moderate cell and flare bilaterally. Posterior segments were grossly normal, but the views were limited due to vitreous opacification. There was a history of colon cancer treated with chemotherapy in 2018. In 2019, she suffered a cerebral hemorrhage… Read More

This 80YO female presented with subacute, painless vision loss in her left eye. Previously, she had been treated for macular neovascularization from ocular histoplasmosis but had been lost to follow-up. Optos imaging shows a 3-piece intraocular lens with an intact capsule settled in the inferior midperiphery. She denied any trauma, and previous exams showed no… Read More

This 39YO male presented with 1 day of blurred vision in his left eye. Vision was 20/30 OU. Optos color imaging shows a wedge-shaped lesion radiating into the nasal fovea. Optos fundus autofluorescence (FAF) shows hyper-FAF in this area, and fluorescein angiography shows subtle areas of increased nasal macular hyperfluorescence. Swept-source OCT shows attenuation of… Read More

This patient was first seen in 2009 when he was 16 years old. Confluent subretinal lipid can be seen extending to the periphery. Several sessions of thermal laser were applied, and 1 year later, photos showed inactive Coats lesions with decreased subretinal lipid. He was then lost to follow-up for 11 years when his vision… Read More

This 73YO female presented in 12/20 with bilateral central vitelliform lesions and more peripheral yellowish macular lesions, consistent with a probable macular dystrophy. OCT shows bilateral subretinal hyperreflective lesions with underlying hyporeflectivity. She was asymptomatic with 20/25 vision OU. There was no family history of macular dystrophy. Genetic testing was negative, including for BEST1. Six… Read More