Blog

This is a beautiful Optos image of bilateral scleral buckles in a 51YO female myopic patient who underwent successful retinal reattachment surgery years ago. Learning Points: The normal neurosensory retina remains attached to the RPE due to numerous physiologic mechanisms, including the inner and outer blood-retinal barriers, the hyperosmotic choroid passively drawing fluid into the… Read More

This patient experienced some superior visual field loss following cataract surgery. A stagnant blob of triamcinolone-moxifloxacin accumulated in the vitreous and subhyaloid space in the inferior macula. The medication eventually dissolved as the patient’s symptoms resolved. Learning Points: TriMoxi is commonly used in dropless cataract surgery, so patients don’t need to use postoperative antibiotic and… Read More

This 49YO female’s retinal vasculature was initially creamy white from very high triglycerides. After 8 months of systemic treatment, her triglyceride levels normalized, her blood turned back to its normal red color, and her retinal vessels normalized in appearance. Learning Points: Lipemia retinalis is a rare retinal manifestation of severe hypertriglyceridemia, characterized by creamy white… Read More

This 9YO girl presented with bilateral optic nerve myelination. The patient had no visual complaints and had 20/20 vision in both eyes. Learning Points:  Myelinated NFL is a relatively uncommon, unilateral or bilateral, usually isolated finding present at birth. Most patients are asymptomatic, although some may have a corresponding relative scotoma. Myelination can progress in… Read More

This is a gorgeous multimodal Optos image of a classic solitary congenital hypertrophy of the RPE (CHRPE). The borders are well-demarcated with a variable coal-black coloration. With age, they usually develop multiple hypopigmented lacunae that tend to enlarge over time. These lacunae demonstrate hyperautofluorescence on fundus autofluorescence (FAF), whereas on fluorescein angiography (FA), they appear… Read More

This patient presented with 20/70 vision from an acute central retinal vein occlusion (CRVO) with mild macular edema. The mild vision reduction and the well-perfused fluorescein angiogram support the diagnosis of a non-ischemic CRVO. He is currently undergoing intravitreal injections for the macular edema. Learning Points: Patients with CRVO are at risk of vision loss… Read More

In a galaxy far, far away, this wife of Retina Rock’s founder had an unexpected visitor following her cataract surgery. Grogu, otherwise known as Baby Yoda or The Child, decided to take refuge within her retina as cystoid macular edema (CME). Thankfully, for the mental health of both the patient and her retinal specialist husband,… Read More

This 34YO male presented with 20/80 vision from a chronic macula-off rhegmatogenous retinal detachment (RRD). A demarcation line extends along the entire posterior extent of the detachment. There is a retinal macrocyst within the detachment inferotemporally. Learning Points: Chronic retinal detachments rarely develop these macrocysts, which are located within the outer plexiform layer (see Marcus… Read More

This is a 54YO male presented with a major branch retinal vein occlusion (BRVO). Vision was 20/80, and Eylea injections were started for associated macular edema. The Optos color image shows a major superotemporal BRVO with moderate retinal hemorrhages, some nerve fiber layer infarcts, and collateral vessels. The involved retinal vein is red in the… Read More

This 40YO man presented with bilateral proliferative diabetic retinopathy (PDR). Vision was 20/60 OD and 20/200 OS. Optos color and green channel imaging show prominent bilateral fibrovascular disc neovascularization, obscuring the left disc. A few smaller areas of more peripheral neovascularization are present nasally in the OS. Severe retinal hemorrhages are noted in all quadrants;… Read More