Blog

This 19YO female presented with these asymptomatic fundoscopic changes. Vision was 20/25 OU. Optos imaging shows angioid streaks radiating from each optic nerve. Our patient denied any past medical or family history of pseudoxanthoma elasticum. Genetic testing for the ABCC6 mutation is pending. Learning Points: Angioid streaks are often quite easy to miss since their… Read More

This 22YO male presented with bilateral dark without pressure, lattice lesions, and atrophic holes. He is asymptomatic, and prophylactic treatment was not recommended. Learning Points: White without pressure (WWP) and dark without pressure (DWP) are relatively common benign peripheral findings most commonly found in darkly pigmented individuals. Typically, there are bilateral peripheral geographic areas of… Read More

This 67YO male presented with hand motion vision from a macula-off rhegmatogenous retinal detachment (RRD). The outer retinal folds are dramatically imaged in both the Optos color and green channel images. An incidental, old asymptomatic branch retinal vein occlusion is also noted inferonasally. Learning Points: Hydration outer retinal folds are one of the key findings… Read More

This 17YO female presented with asymptomatic, unilateral disseminated patches of choroidal melanocytosis on Optos color and red-channel imaging. There were no anterior segment or skin abnormalities. Learning Points: Choroidal melanocytosis is part of the oculodermal spectrum, which occasionally includes pigmentation of the globe or periocular skin (Nevus of Ota, melanosis oculi). There are increased dendritic… Read More

This 51YO female presented with a 6-month history of vision loss in her right eye. She remembered falling 7 months earlier, then woke a few weeks later with severe unilateral vision loss. Vision was counting fingers from a total dislocation of her crystalline lens into the inferior vitreous. Vitrectomy surgery to remove the dislocated cataract,… Read More

This 55YO female presented with a unilateral optic nerve coloboma in her right eye. Vision was a remarkable 20/50 in her right eye and 20/30 in her normal left eye. Learning Points:  Optic nerve colobomas can be a unilateral or bilateral condition, and, similar to other cavitary optic disc abnormalities, are caused by incomplete closure… Read More

This 31YO male was hit in his right eye by a paintball when he was 12 years old. His vision was 20/200 due to a large, chronic 1100-micron full-thickness macular hole. Optos imaging shows chorioretinal scarring with intraretinal pigment migration extending from the distal macula into the temporal periphery, underlying the likely impact site. Learning… Read More

This 53YO female with type 2 diabetes presented with acute vision loss from previously undiagnosed proliferative diabetic retinopathy (PDR). Color imaging shows multiple layers of preretinal blood. The blood is located above the neurosensory retina but is separated into several pockets due to posterior hyaloid splitting (vitreoschisis), rather than cleanly separating into a single plane…. Read More

This patient presented with a pigmented, well-defined, and irregularly lumpy superior subretinal mass due to a suprachoroidal hemorrhage. This simulated a uveal melanoma. Unfortunately, we don’t have any further information or images for this patient. However, we suspect that the blood spontaneously resolved with normalization of the fundus appearance. Learning Points: Patients presenting with suprachoroidal… Read More

This high myope has extensive dry myopic atrophic pigmentary changes noted on Triton color imaging. Triton swept-source OCT shows typical myopic concave posterior bowing of the eye wall, except more centrally, where there is a convex elevation beneath the fovea. The choroid is also markedly thinned throughout the posterior pole. Learning Points: Originally described in… Read More