Blog

This 50YO female presented with multiple bilateral patches of myelinated nerve fiber layer (NFL). The findings are beautifully imaged using both the Optos color RG and green channels. Myelinated NFL is a relatively uncommon, unilateral or bilateral, usually isolated finding present at birth. The myelinated NFL is often connected to the optic nerve, but not… Read More

This patient developed radiating chorioretinal folds from an involuted type 1 macular neovascularization (MNV, located below the RPE) following multiple intravitreal Avastin injections. These folds are imaged on the color and red-free photos, as well as on the OCT thickness map and B-scans. Remarkably, vision has been stable at 20/30 for years. Learning Points: Macular… Read More

Our patient shows classic findings for adult-onset foveomacular vitelliform dystrophy (Adult Best’s), including small, round, symmetrical subfoveal yellow spots. The vitelliform lesions enlarged over four years, which is seen on OCT as subretinal hyperreflective material between the RPE and outer retina. This material often indents the overlying retina. Learning Points: Adult Best’s is associated with… Read More

This 57YO male underwent successful vitrectomy surgery 8 years earlier for rhegmatogenous retinal detachment (RRD). Vision is now 20/40. The detachment was caused by a retinal break associated with an inferior choroidal coloboma. The margins of the coloboma are surrounded by confluent depigmented scarring from prior laser photocoagulation. Prophylactic peripheral laser was also applied intraoperatively…. Read More

This 36YO male presented with recent blurred vision of 20/32 in his left eye. Clarus imaging shows a whitish elevated lesion with surrounding chorioretinal scarring just below the inferotemporal arcade. OCT scanning shows overlying vitreous cells. He gave a history of a retained retinal plastic foreign body 20 years earlier, following a penetrating injury from… Read More

This 55YO female with a history of proliferative diabetic retinopathy presented with a symptomatic preretinal hemorrhage. Vision was 20/50. You don’t need to have an overly active imagination to see this rare finding of mermaid maculopathy.

This 76YO female was referred for recent floaters. Wide-field color photography shows some retinal hemorrhages in the superotemporal retina, along with a band of preretinal blood below the inferotemporal arcade. Wide-field SD-OCT shows inner retinal thinning within the area of occlusion temporally. The posterior hyaloid is detached over the posterior pole with a persistent adherence… Read More

This 85YO female presented with some peripheral vision loss in her right eye. Vision was 20/40. Optos color imaging shows areas of subretinal blood in the inferotemporal macula and below the inferotemporal arcade, intraretinal blood, and multiple areas of inferior preretinal blood. A rim of radiating outer plexiform blood surrounds the large subretinal blood. Fluorescein… Read More

This 66YO male presented with an asymptomatic macular arteriovenous malformation (AVM). Vision was 20/30. Triton imaging shows an AVM involving the nasal macula. Swept-source OCT shows that the abnormal vessels lie within the deep vascular complex. En face OCT beautifully displays the abnormal vasculature. Learning Points: Since about 25% of patients with AVMs can have… Read More

This 55YO female presented with an 8-month history of bilateral vision loss. She had been treated for metastatic breast cancer with Taxol (paclitaxel) for 1 year prior to this exam. Vision was 20/200 OU. Triton imaging and swept-source OCT show severe symmetrical bilateral cystoid changes in each macula. The cystoid changes are most pronounced in… Read More