Blog

This 75YO male developed a large choroidal detachment 2 months following a complex vitrectomy for an intraocular lens exchange. There was no wound leak, and the intraocular pressure was 5. He returned one month later with a spontaneously improving choroidal detachment. Learning Points: Choroidal detachment is relatively common after surgery with hypotony. Two mechanisms are… Read More

This 29YO male presented with a 1-week history of acute blurred vision in his right eye. Vision was 20/40 OD. Fundus photography and fluorescein angiography reveal pigment mottling and late-stage leakage. OCT scanning shows an irregularly elevated ellipsoid zone with underlying outer segment disruption vs subretinal fluid and a thickened RPE. We felt the patient… Read More

This 82YO male with a history of retinal detachment treated with a segmental buckle and cryotherapy presented on 4/15/20 with some pain and new floaters in his right eye. Vision was 20/40. Optos imaging shows an exudative retinal detachment secondary to a large, elevated, irregular, and amelanotic choroidal mass in the superior hemisphere. B-scan ultrasonography… Read More

This 52YO male presented with 20/70 vision OD, 20/100 vision OS, and many classic findings for macular telangiectasia type 2 (MacTel2). The perifoveal retina is somewhat opaque with inner retinal crystals and deep retinal angiographic leakage. OCT scanning of the right eye shows some temporal outer retinal atrophy with an atypical small serous detachment. OCT… Read More

This 74YO female came in to see us for a second opinion for age-related macular degeneration. She was visually asymptomatic and denied prior Elmiron (pentosan polysulfate sodium, PPS) use. Vision was 20/30 OU. Bilateral drusenoid/fleck-like yellow-orange subretinal lesions are scattered throughout the macula and peripapillary regions. These are variably hyper- or hypofluorescent. OCT scanning shows… Read More

This 14YO presented with mild bilateral optic nerve edema and enlarged blind spots. Evaluation of the right nerve was difficult due to the myelinated nerve fiber layer. There are prominent circumferential retinal lines (Paton’s folds) surrounding the left nerve. MRI and MRV scanning were normal, and lumbar puncture opening pressure was elevated at 26mm H2O…. Read More

This 80YOF was initially seen with asymptomatic retinoschisis in her left eye. When examined approximately a year and a half later, she remained asymptomatic, but the schisis cavity had enlarged in all dimensions. Observation was recommended. This patient is at virtually no risk of a combined schisis-rhegmatogenous detachment due to the absence of breaks in… Read More

This healthy 28YO male was referred for an asymptomatic lesion in his left eye. Vision was 20/25 OU. Ocular examination was normal bilaterally except for a round nodular amelanotic elevated lesion abutting (and possibly involving) the left inferior optic nerve. The lesion shows some central hyperautofluorescence. OCT shows marked reflectivity involving the inner retina with… Read More

This 23YO female underwent successful retinal reattachment surgery with drainage of subretinal fluid and an encircling buckle. The drainage was uncomplicated, but at the completion of surgery, indirect ophthalmoscopy revealed a localized subretinal hemorrhage posterior to the drainage site. One week later, Optos imaging shows resolving subretinal blood. Cryotherapy scarring of the causative lattice and… Read More

This 30YO male presented with dramatic bilateral optic nerve drusen. Vision was 20/20 OD and 20/200 in his amblyopic OS. A spontaneously involuted macular neovascularization (MNV) is noted in the nasal macula. The drusen are markedly hyper-autofluorescent. Observation was recommended. Learning Points: Optic disc drusen (ODD) are refractile calcific concretions that form anterior to the… Read More