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This patient has benign congenital prepapillary vascular loops, which can be unilateral or bilateral. Learning Points: Although usually just an incidental finding, they can rarely cause a branch arterial or venous occlusion (see Retinal Cases Brief Rep 2014;8;124-126 and Ophthalmology 2020;127;124-126). They should also not be confused with disc neovascularization, which consists of much smaller… Read More

This 20YO female presented with these asymptomatic macular findings. She was born prematurely at 24 weeks of gestation. Vision was 20/25 OU. The right posterior pole was fairly normal clinically, although the left major temporal arcades were straightened and dragged temporally. The left fovea was also temporally displaced. Triton swept-source OCT showed a flattening of… Read More

This 34YO African American female presented with several days of painless vision loss in her left eye. Vision was 20/30 OD and HM OS with an afferent defect OS. Anterior segments were normal. There was mild disc edema OD (not shown) and florid disc edema OS with retinal vasculitis predominantly involving the veins. On fluorescein… Read More

This 38YO female presented with bilateral optic disc drusen (ODD). Vision was 20/80 OD and 20/40 OS. The drusen are markedly hyper-autofluorescent. The retinal nerve fiber is thinned, particularly in the right eye, due to the more extensive ODD. Humphrey visual fields show significant visual field defects inferonasally OD and mild nasal depression OS. Observation… Read More

This patient presented with an orange-yellow choroidal lesion occupying the entire left macula. OCT scanning shows diffuse choroidal thickening with small scattered specks of increased reflectivity. B-scan ultrasonography shows marked increased reflectivity with marked posterior shadowing. The lesion diffusely stains on fluorescein angiography. Learning Points: Choroidal osteomas are benign, calcified amelanotic choroidal tumors. They are… Read More

This 60YO female has a history of idiopathic central serous chorioretinopathy that was previously treated successfully with photodynamic therapy in her left eye. Bilateral macular drusen are noted. OCT shows a definite focal choroidal excavation (FCE) in her right eye, and a possible FCE in her left eye. Learning Points: Focal choroidal excavation, originally described… Read More

This healthy 4YO girl presented for a one-year exam to check on a benign congenital hypertrophy of the RPE (CHRPE) lesion that was noticed one year earlier. Amazingly, an Optos was obtained at that time when she was 3YO. Optos imaging at the current visit showed subtle yet definite concentric enlargement, as well as redistribution… Read More

This 53YO male presented on 1/7/21 with a medium-sized posterior pole uveal malignant melanoma. Lipofuscin was noted along the surface of the tumor. Optos fundus autofluorescence (FAF) showed variable hyper- and hypo-FAF. The lesion measured 8 x 11 mm and was 5.5mm thick. Despite its macular location, vision was 20/30. The patient underwent I-131 plaque… Read More

This 63YO patient complained of a recent scotoma in the mid-periphery of her right eye. Vision was 20/20 OU. She gave a history of hypertension with a recent elevated BP of 200/110. She denied a history of diabetes. Fundus photography shows a patch of deep retinal whitening in the temporal macula. There were a few… Read More

This 36YO male presented with 20/20 vision despite a chronic rhegmatogenous retinal detachment with a demarcation line of his left eye. The wide-field OCT shows the chronic retinal detachment. The patient underwent scleral buckling with drainage of subretinal fluid through a trocar. The retina is completely attached on post-operative day one. Learning Points: The normal… Read More