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This 61YO male presented with end-stage glaucoma OS, 20/30 vision, and an IOP of 8 mmHg following successful trabeculectomy ten years earlier. He had prior cataract surgery in this eye 15 years ago with no documented history of pseudophakic cystoid macular edema. There was a moderate macular pucker noted clinically and on OCT, along with… Read More

This 36YO male presented with an asymptomatic anomalous right optic nerve coloboma with a large temporal pit. The superior portion of the nerve is fairly normal. The colobomatous portion of the nerve is enlarged and excavated nasally, inferiorly, and temporally. Vision was 20/20 OD and 20/400 OS. He had a history of surgery for a… Read More

This 38YO female has always been our favorite patient, especially after she showed up for her recent examination with this one-day old Retina Rocks tattoo! Send us your Retina Rocks tattoo, and as long as it is on a visible part of your body, we will send you a $5 Starbucks gift card!!

This patient presented with bilateral serpiginous chorioretinopathy scarring (only the left eye pictured). A pigmented macular neovascularization (MNV) with associated subretinal pigment and blood was noted in the superior left fovea. Subretinal fluid is noted on OCT scanning. The MNV was treated with a combination of photodynamic therapy and intravitreal Avaston. Vision improved from a… Read More

This 28YO female presented with 20/400 vision in both eyes, with classic findings of fundus flavimaculatus, including bilateral subretinal flecks extending from the macula to the midperiphery, variable outer retinal and RPE atrophy, and fundus autofluorescence changes. OCT scanning showed marked outer retinal atrophy, especially centrally. Her brother has similar findings. Learning Points: Fundus flavimaculatus… Read More

This 3YO female has a history of bilateral retinoblastoma and prior enucleation of the right eye. Optos color RG imaging of her left eye shows a still active retinoblastoma, despite prior treatment, which included intra-arterial chemotherapy and cryotherapy. Learning Points: Small tumors can be treated with focal therapies such as laser therapy, cryotherapy, or radioactive… Read More

This patient developed sudden vision loss in their left eye while on the toilet. A large sub-internal limiting membrane (ILM) hemorrhage occupies the macula, while a large subhyaloid hemorrhage extends from the nerve nasally. Scattered retinal hemorrhages are also seen. Blood pressure was 191/141, and they were sent to the emergency room for hypertensive control…. Read More

This 39YO female presented with an asymptomatic vasoproliferative tumor (VPT). The VPT initially appeared as a vascularized, reddish, elevated, peripheral mass. Fluorescein angiography revealed the vascular nature of the lesion. The lesion was treated with cryotherapy and already showed signs of regression at the 1-month postoperative exam. Learning Points: Vasoproliferative tumors are benign globular, dome-shaped… Read More

This 43YO female with a known history of SC disease presented with these asymptomatic fundus changes captured with Optos ultra-widefield imaging. Fibrosed areas of peripheral neovascularization are noted in each temporal periphery. Fluorescein angiography shows a broad, well-demarcated zone of temporal peripheral retinal neovascularization at the junction of perfused and nonperfused retina. Prophylactic scatter laser… Read More

This 63YO female underwent incredibly intense, confluent, and posterior panretinal photocoagulation (PRP) and macular laser elsewhere before transferring her care to our office. Vision was hand motion OD and 20/400 OS. The laser performed on this patient is wrong on so many levels, including spots extending to the macula, touching the nerve, and confluent elsewhere…. Read More