Blog

This 74YO man presented with counting fingers vision from previously untreated wet age-related macular degeneration (AMD). Triton color imaging and swept-source OCT beautifully highlight this complex macular neovascularization (MNV). There are scattered inner and deep retinal hemorrhages, opaque fluid, and temporal lipid. OCT shows an irregular shallow elevation of the RPE more nasally, possibly indicating… Read More

This 62YO male presented with a few months of non-specific blurred vision in his left eye. Vision was 20/30 in his normal right eye and 20/40 in his left eye. Scattered deep retinal hemorrhages were noted temporally OS. Optos fluorescein angiography showed temporal ischemia with diffuse vascular staining, along with cystoid macular edema. On further… Read More

This 30YO male presented with 20/25 vision in his right eye from an ocular histoplasmosis-related macular neovascularization (MNV). Some fluid and blood were associated with a macular histoplasmosis scar in the inferotemporal fovea. A type 2 MNV, located above the RPE, was noted on OCT. The MNV was best imaged on OCT angiography, with macular… Read More

This 51YO female presented with 2 years of progressive night vision loss. There was a history of a prior traumatic brain injury, along with a renal transplant in 2011. VA was 20/60 OD and 20/50 OS. Optos color and fundus autofluorescence (FAF) imaging show extremely symmetrical findings. A gutter of pigment loss extends along the… Read More

This 44YO male presented with 20/25 vision and a presumed inactive toxoplasmosis scar in the distal left macula. Although we do not have an OCT through this scar, it likely represents a colobomatous lesion. This lesion somewhat resembles torpedo maculopathy, but the additional scar in the superior macula more suggests a prior inflammatory event. Learning… Read More

We have been following this 71YO male since 2014 with a choroidal hemangioma. Vision without correction was counting fingers, but improved with a +8.00 correction to 20/70. He tried a trial with a contact lens, but preferred to remain uncorrected due to visually disabling metamorphopsia. The lesion has remained relatively stable over the years, and… Read More

This 53YO female with type 2 diabetes presented with acute vision loss from previously undiagnosed proliferative diabetic retinopathy. Optos color imaging shows patches of mostly subhyaloid blood in the macula and peripapillary retina. Fluorescein angiography beautifully exhibits various angiographic characteristics for hypo- and hyperfluorescence. We can see both blocking and filling defects, in addition to… Read More

This 27YO female presented with eye pain, 3 days following falling down the stairs and hitting her right eye. Prior CT imaging revealed an associated right nasal fracture. Optos imaging shows a broad area of commotio retinae superiorly. The commotio completely resolved 1 week later. Learning Points: Commotio retinae is caused by direct, blunt eye… Read More

This 57YO female presented with 20/200 vision OD and counting fingers vision OS from bilateral multifocal choroiditis (MFC). There is a newly symptomatic active macular neovascularization (MNV) in her right eye and an inactive disciform scar in her left eye. OCT scanning shows intraretinal fluid overlying a hyperreflective MNV in the right macula with variable… Read More

This 62YO male presented with 20/200 vision in his left eye. An epiretinal membrane (ERM) was noted in the temporal macula, associated with more nasal horizontal retinal striae. Optos fluorescein angiography shows distortion of the temporal macular vessels with late leakage. Vitrectomy with membrane peeling was performed the following day, and one week later, on… Read More