Blog

Our patient’s macular retinal vessels are dragged temporally. His brother has similar retinal findings. The major inferotemporal vein branches into smaller superior and inferior venules. The inferior venule makes an abrupt turn more distally, arching superiorly before extending into the temporal periphery. Arteries cross veins, veins cross arteries, but arteries never cross arteries, and veins… Read More

This 87YO female shows prominent bilateral peripheral reticular degeneration of the RPE (PRDRPE) with Optos ultra-widefield imaging and fluoroscein angiography. The reticular changes at first glance may appear similar to the ‘bone spicules’ found with retinitis pigmentosa, which are caused by disinhibited RPE cells migrating along retinal capillaries following photoreceptor degeneration. Learning Points: The findings… Read More

This patient has normal vision and no history of albinism or prematurity. Fundus photos and OCT images demonstrate the incidental absence of the foveal pit. Learning Points: Fovea plana is characterized by the absence of the foveal pit, which is formed embryologically by the inner retinal tissues and vasculature being displaced centrifugally. It is most… Read More

This 66YO diabetic male presented with an asymptomatic unilateral swollen nerve, peripapillary hemorrhages, and nerve fiber layer ischemia. Vision was 20/25, and there was no afferent pupillary defect (APD). OCT scanning shows some mild cystic fluid in the peripapillary inner and outer nuclear layer. Fluorescein angiography shows diffuse optic nerve leakage. Blood pressure was normal…. Read More

This patient presented with bilateral posterior pole chorioretinal folds, confirmed on OCT as inner retinal folds, outer retinal/RPE folds, and thickened choroid, and on fluorescein angiography. Our patient most likely had the diffuse type of posterior scleritis. Unfortunately, we don’t have any further images or clinical information. Learning Points: Posterior scleritis can present either as… Read More

This healthy, asymptomatic 40YO female presented with 20/25 vision bilaterally. Optos ultra-widefield (UWF) imaging showed far temporal peripheral probable lattice lesions and subtle telangiectasia. The vascular changes, including capillary dropout and telangiectasia, were more evident on fluorescein angiography (FA). Learning Points: In 2016, Shah et al described common peripheral retinal vascular findings on Optos UWF… Read More

This healthy 11YO boy was referred for these asymptomatic posterior segment findings. Optos imaging shows bilateral inferior clumps of vitreous debris (“puff balls”) and vasculitis in the left eye. Not imaged was the bilateral vitreous base inflammation with white pars plana exudate. Since our patient was completely asymptomatic, we are observing him several times a… Read More

This 53YO male presented with a major superotemporal branch retinal vein occlusion (BRVO) and 20/40 vision. Despite the deceptively good vision, Optos ultra-widefield imaging shows marked ischemia throughout the distribution of the occlusion, which fortunately spares the central macula. There is a broad zone of mostly fibrosed retinal neovascularization at the border of the occlusion… Read More

This 69YO female presented with 20/50 vision OU and bilateral mixed macular and peripheral drusen, along with extensive peripheral cobblestone degeneration. Triton swept-source OCT shows a mixture of drusen and subretinal drusenoid deposits. Learning Points: Macular drusen and subretinal drusenoid deposits are some of the hallmark features of non-exudative age-related macular degeneration.

This 77YO male presented with 20/400 vision from a chronic macula-off rhegmatogenous retinal detachment (RRD). Demarcation lines are common in these cases (not present here). The billowing, corrugated convex appearance of the inferior retina is typical of RRD. The retina is mobile without proliferative vitreoretinopathy. Learning Points: The normal neurosensory retina remains attached to the… Read More