Blog

This healthy 43YO male fighter pilot developed a complex corneal laceration in his left eye. Despite multiple surgical procedures, he was left with an opaque cornea and an inability to fly due to the lack of normal binocular vision. Full-thickness eyewall transplantation from his normal left posterior segment into his right temporal posterior segment was… Read More

This healthy 45YO male presented with a 3-week history of decreased vision in his right eye. He reported a similar episode in the left eye 10 years earlier, with poor vision since. Vision was 20/120 OD and 20/200 OS. Pseudocolor SLO imaging OD shows active white retinitis adjacent to inactive nasal scarring. The vessels appear… Read More

This 29YO male presented with a 1-month history of decreased vision in his left eye. Vision was 20/20 OD and counting fingers OS. Pseudocolor SLO imaging shows extensive mixed and confluent drusen extending throughout the posterior pole in both eyes. A radiating linear pattern of fine drusen is present in each distal temporal macula. OCT… Read More

This 15YO male presented with sudden vision loss in his right eye. Vision was hand motion. Pseudocolor SLO imaging shows a giant retinal tear extending from 7:30 to 12 o’clock, with the macular retina folded onto itself nasal to the nerve. Emergent pars plana vitrectomy with silicone oil, followed by removal of the oil 7… Read More

This 78YO female, previously diagnosed with macular atrophy from age-related macular degeneration, has stable vision of 20/400 OD and counting fingers OS. Optos color RGB imaging of her left eye shows extensive subretinal drusenoid deposits scattered throughout the posterior pole. These are best seen in the green channel. Triton swept-source OCT shows variable incomplete outer… Read More

This 76YO female presented with several days of painless vision loss in her right eye. Vision was 20/30. Optos color RG imaging shows a bullous superotemporal rhegmatogenous retinal detachment (RRD). The macular center was shallowly detached. Scleral depression revealed a single tiny retinal tear anterior to the 11:30 equator. Cryotherapy for this tear, followed by… Read More

This 73YO female presented with several days of new floaters in her left eye. Vision was 20/15 bilaterally. Optos color RGB imaging shows extremely prominent mobile string-like posterior hyaloid condensations floating over the disc and macula. There were no retinal breaks or detachment. Learning Points: The clinical diagnosis for a complete posterior vitreous detachment (PVD)… Read More

This healthy 6YO boy from Guinea-Bissau with long-standing low vision was referred due to a family history of familial exudative vitreoretinopathy (FEVR) in an older brother and maternal uncle. Vision was 20/400 OD and no light perception OS. Fundus examination OD showed a falciform retinal fold, straightening of the temporal retinal vascular arcades, and temporal… Read More

This 30YO male presented two hours following a paddleball injury to his right eye. Vision had decreased from a baseline of 20/20 to 20/80 at presentation. Color photography shows a large area of temporal and inferotemporal outer retinal whitening, along with a smaller area of temporal macula commotio. Learning Points: Commotio retinae is caused by… Read More

This 81YO female presented with counting fingers vision in her right eye 3 weeks following XEN Gel stent glaucoma surgery. Intraocular pressure was 11 mmHg. Optos color RG imaging shows nasal and temporal choroidal detachments extending toward, but not into, the macula. Observation was recommended, and we expect the choroidals to resolve as she extends… Read More