Blog

This patient is a teacher who suffered from a wet AMD submacular hemorrhage. Despite six anti-VEGF injections, vision dropped to 20/200. She was 58 years old and unable to read. After a long discussion regarding the pros vs cons of surgery, she underwent autologous choroidal transplantation in 2013. The surgical procedure included: 1) Complete pars… Read More

This healthy 14YO female presented with acute vision loss in her right eye. Vision was 20/40. Triton color photography shows a depigmented subretinal lesion in the superior macula. Swept-source OCT shows a constellation of fascinating findings. A type 2 macular neovascularization is seen overlying a choroidal excavation. The choroid is thickened. The most dramatic findings… Read More

This patient presented with light perception vision following a 1-year-old total retinal detachment with proliferative vitreoretinopathy. At vitrectomy, all membranes were peeled, and the anterior loop traction was relieved (or so we thought). The retina was mobile and completely flattened with fluid-air exchange. 1000 centistoke silicone oil was infused. At the one-day and one-week postoperative… Read More

This 29YO male subjectively noted a persistent central visual disturbance in his right eye following a welder’s flash. Vision was 20/20 OU. Triton color imaging shows subtle, tiny foveal pigmentary changes. Swept-source OCT shows an RPE and outer retinal hyperreflective mound OD, and very subtle ellipsoid zone and outer segment changes OS. 

This 62YO female presented with 20/80 vision in her left eye from an asymptomatic lamellar macular hole (LMH). Epiretinal proliferation is adherent to the underlying nerve fiber layer. A localized splitting of the outer plexiform layer (OPL) is seen temporally. There is a loss of tissue below the OPL with a central mound of remaining… Read More

This 25YO male presented with complaints of nyctalopia and peripheral vision loss. Vision was 20/25 OU. Optos color imaging shows a diffuse moth-eaten appearance to the RPE, sparing each macula. Minimal bone spicules are noted. Fundus autofluorescence (FAF) shows macular hyperautofluorescence. OCT scanning shows peripheral outer retinal thinning. Visual field testing shows classing bilateral constriction…. Read More

This 58YO female was referred for this unilateral, asymptomatic, variably pigmented lesion in her right eye. Vision was 20/25. Triton swept-source OCT shows outer retinal and RPE atrophy. Learning Points: Torpedo maculopathy was originally described by Gass as a solitary hypopigmented nevus of the RPE (Arch Ophthalmology 1992;1358-1359). These benign, unilateral lesions are teardrop-shaped and… Read More

This 42YO male presented to our clinic with a history of X-linked retinoschisis diagnosed elsewhere. Vision was 20/70 OD and 20/200 OS. Fundus photos show atrophic foveal pigmentary changes. Fundus autofluorescence (FAF) shows mottled central hypo-FAF with a ring of surrounding hyper-FAF. OCT scanning shows bilateral macular thinning with disorganization of the normal macular hyper-… Read More

This 67YO male with type 2 diabetes presented with these asymptomatic blood vessels overlying the left nerve, which did not leak on fluorescein angiography. Vision was 20/20 OU. Mild non-proliferative retinopathy was noted bilaterally, and there was a mild asymptomatic macular pucker in the left eye. We felt that these vessels represented an arteriovenous malformation… Read More

This is a follow-up from our 6/7/21 post of a choroidal granuloma, likely representing the initial manifestation of systemic sarcoidosis. The patient was sent to pulmonology to confirm the diagnosis, but he did not keep the appointment. Six months later, the choroidal granuloma had significantly enlarged. A retinochoroidal anastomosis is noted between the overlying retinal… Read More