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This 24YO male presented with asymptomatic but somewhat confusing clinical findings beautifully captured by this Optos image. Three large atrophic retinal holes within an area of lattice are found in the inferotemporal periphery, along with a few areas of lattice and scarring superotemporally. There is also associated white without pressure, giving the appearance of a… Read More

This 63YO female was referred for these asymptomatic unilateral fundoscopic changes. Optos imaging shows a midperipheral atrophic chorioretinal scar. Associated with this scar is a whitish fold of retina that extends anteriorly as a broader area of traction and scarring in the vitreous base. A positive ELISA test can help to establish the diagnosis. Since… Read More

This 30YO male was referred for an asymptomatic lesion in his right eye. Vision was 20/20 OU, and the left fundus was healthy. There is a nodular, creamy white, deep retinal/subretinal lesion just nasal to the right optic nerve. A retinochoroidal anastomosis was noted between the overlying retinal vein and the lesion. Triton swept-source OCT… Read More

This patient has bilateral fundus findings consistent with resolved acute posterior multifocal placoid pigment epitheliopathy (APMPPE). Triton fundus photos show placoid areas of atrophic pigmentary changes, which are variably hypo-autofluorescent. Triton swept-source OCT in the right eye shows outer retinal atrophy with outer retinal tubulation (ORT) and nasal outer retinal atrophy in the left eye…. Read More

This patient has progressed to the more atrophic ‘scrambled egg’ appearance of Best’s disease. OCT scanning shows the common hyporeflective subretinal space left behind after the yellow subretinal material absorbs, which often flattens over time. Shaggy hyperreflective material, likely representing shed photoreceptors and residual vitelliform material, is noted along the posterior retinal surface and on… Read More

This 35YO female has classic findings for retinitis pigmentosa. Optos imaging shows somewhat pale nerves, narrowed retinal vessels, and peripheral intraretinal pigment migration (bone spicules). There are also confluent cobblestone-like changes in the inferotemporal peripheries. Fundus autofluorescence (FAF) shows a hyper-FAF ring around the central macula, indicating preserved photoreceptors that may be at-risk for future… Read More

This patient’s Optos image shows beautiful cortical cataract spoke artifacts along with congenital hypertrophy of the RPE (CHRPE) inferiorly, which is mostly obstructed by the patient’s hair and eyelashes. Learning Points: Cataracts or other anterior segment findings can create artifacts in fundus photography or optical coherence tomography. Superior eyelashes often obscure the inferior retinal periphery… Read More

This is a beautiful Optos image of a 67YO female with counting finger vision 1-week following pars plana vitrectomy for a breakthrough vitreous hemorrhage. There is a rim of dark yellow vitreous skirt, resolving devitalized subretinal blood, and elevated subretinal fibrotic scarring. Learning Points: Ectopic choroidal neovascularization (CNV), also known as peripheral exudative hemorrhagic chorioretinopathy,… Read More

This 21YO female presented with a two-week history of bilateral paracentral relative scotomas. This was preceded by myalgias, sinus pressure, sore throat, and a cough. There was a 4-year history of oral contraceptive use. Vision was 20/25 OU. There are faint reddish-brown wedge-shaped lesions radiating out of each fovea, seen more easily on multicolor imaging…. Read More

This 72YO male presented with an acute macula-off retinal detachment (RD) in his left eye. Optos imaging shows that this is not a typical rhegmatogenous RD since an outer layer hole (OLH) is noted superotemporally. A retinal vessel can be traced over the OLH, indicating that this is not a full-thickness defect. The patient also… Read More