Blog

This 52YO pseudophakic female with an idiopathic macular pucker and 20/60 vision underwent pars plana vitrectomy (PPV) with internal limiting membrane (ILM) peeling. Vision improved to 20/30 after surgery, followed 6 months later by a gradual decrease to 20/50. SOLIX OCT B-scan imaging shows multiple inner surface irregularities and thickening, with middle-layer cavitations. En face… Read More

This 32YO female with type 1 diabetes presented with an 18-month history of vision loss in her left eye. Vision was counting fingers. Optos imaging beautifully captures the traction retinal detachment from mostly fibrosed retinal neovascularization extending circularly from the nerve along the arcades. Triton swept-source OCT surprisingly shows relatively mild macular distortion despite the… Read More

This 37YO male presented with a 4-day history of right eye pain and blurred vision. There was no prior ocular history, surgery, recent trauma, or intravenous drug use. Vision was counting fingers OD and 20/25 in his normal OS. Moderate cell and flare were noted OD, along with a tiny hypopyon. Optos imaging shows multiple… Read More

This 43YO male has a long history of panuveitis from sarcoidosis, and was previously seen 4 years earlier before being lost to follow-up. He presented recently with a few weeks of symptomatic panuveitis. Vision was 20/100 OD and 20/200 OS with active granulomatous anterior uveitis. Optos imaging shows a hazy view of each fundus, with… Read More

Retinal cavernous hemangiomas are usually unilateral, inner retinal grape-like clusters of aneurysms filled with dark venous blood. A gray fibrotic membrane often covers its superficial surface. Fluorescein angiogram shows plasma-erythrocyte layering within these saccular lesions, attributable to sluggish blood flow. Vision is usually normal, and no treatment is required. Rarely, vision loss can occur from… Read More

This 35YO male presented with 1 week of bilateral vision loss. Vision was 20/30 OD and 20/60 OS. Optos color imaging shows multiple deep retinal white dots scattered throughout the posterior pole (left eye only). Fundus autofluorescence (FAF) more dramatically shows these hyper-FAF lesions. Three weeks later, vision improved to 20/30 OD and 20/25 OS… Read More

This patient presented with classic findings of macular telangiectasia type 2 (MacTel2), including an opaque perifoveal retina, inner retinal crystal, and black clumps of intraretinal pigment migration. Deep retinal angiographic leakage is noted in the right eye with more diffuse staining in the left eye. OCT scanning shows an outer retinal cavitation OD and type… Read More

This 54YO female presented with a giant retinal tear with macula-on rhegmatogenous retinal detachment. At vitrectomy several hours later, the tear was found to extend for 190 degrees. Learning Points: By definition, giant retinal tears extend at least 3 clock hours. Surgical repair can be greatly facilitated by using Perfluoron (PFO), a heavier-than-water liquid that… Read More

This 25YO male patient presented to our practice with no light perception vision in his left eye. He had lost vision following an injury from a cat three years prior. Optos imaging shows large kissing choroidal detachments with scattered intraretinal hemorrhages. He has severe neovascular glaucoma with significant pain, and is considering cyclophotocoagulation vs enucleation.

This 85YO male underwent cryotherapy 7 years earlier for a symptomatic hemorrhagic ectopic choroidal neovascularization in his left eye. Optos imaging shows the current appearance of the inactive cryotherapy scarring. Although the macula has a normal fundoscopic appearance, Triton swept-source OCT scanning is far from normal. B-scans are shown through the top, central, and inferior… Read More