Blog

This 67YO female presented for a second opinion regarding possible age-related macular degeneration (AMD). She was without acute visual complaints. Vision was 20/25 in her normal OD and 20/30 OS. Optos color RGB imaging shows macula lipid in the superonasal macula. Several red subretinal nodules are present inferior to the lipid. Triton swept-source OCT through… Read More

This 62YO male became hospitalized following a motor vehicle accident on 3/10/25. He underwent craniotomy on 4/16/25 and on 4/22/25. He woke from this last surgery blind in his right eye. Optos color RGB imaging shows a fresh central retinal artery occlusion (CRAO) with a macular cherry red spot and patches of peripheral inner retinal… Read More

This healthy 17YO female presented with asymptomatic funduscopic findings. Family history was negative for eye disease. Vision was 20/40 OD and 20/50 OS. Color imaging shows a rim of RPE pigment loss in the peripheral right temporal macula, along with bilateral yellow drusen-like changes. Fundus autofluorescence (FAF) shows much more pronounced findings with peripheral macular/midperipheral… Read More

This 71YO male presented with a vague history of decreased vision in his right eye. He gave a history of diet-controlled type 2 diabetes. Vision was 20/200 OD and 20/20 in his normal OS. Optos color RGB imaging shows an oval ring of subretinal lipid surrounding the central macula. Scattered telangiectatic vessels are noted. A… Read More

This 89YO male was referred for an asymptomatic retinal tear with possible retinal detachment in his left eye. Vision was 20/60. Optos color RG imaging shows a red horseshoe-shaped lesion in the temporal midperiphery. Would you recommend immediate thermal laser demarcation of this retinal tear? We hope not! This patient has asymptomatic and chronic ectopic… Read More

This healthy 36YO female presented with high myopia of -11.50 -1.75 x 50 OD and -11.00 -1.00 x 170 OS. Vision was 20/80 OD and 20/60 OS. Color photography shows a bilaterally symmetric myelinated nerve fiber layer (NFL) covering each nerve and the nasal macula. The discs may also be hypoplastic, although the margins are… Read More

This 32YO male presented on 10/6/25 with a 6-day history of decreased vision in his right eye. About 2 years earlier, he was diagnosed elsewhere with tubercular serpiginous-like choroiditis in his left eye. Extensive workup at the time, including a chest X-ray, was negative except for a positive QuantiFERON TB Gold result. He was lost… Read More

This 67YO male presented with progressive decreased vision in his right eye. He had a known history of metastatic lung cancer. Vision was hand motion OD. Optos color RG imaging shows multifocal, variably confluent, creamy-yellow subretinal lesions scattered within the macula and extending into the midperiphery. A leopard spot pattern of pigmentary changes is noted… Read More

This 73-year-old female was referred for a symptomatic posterior vitreous detachment (PVD) with a retinal break in her left eye. Vision was 20/20. Optos Silverstone RGB imaging shows supero- and inferotemporal lattice degeneration with some atrophic retinal holes. Swept-source OCT through the lattice shows a thinned, disorganized retina with areas of vitreoretinal adhesion along its… Read More

This 60YO female with a history of type 2 diabetes underwent full panretinal photocoagulation (PRP) in her left eye. Following laser, MultiColor SLO imaging shows small residual areas of variably fibrosed retinal neovascularization. Vision was 20/30. Ten months later, she presented complaining of 2 months of decreased vision in this eye. Vision was 20/60. MultiColor… Read More