Blog

This patient presented with bilateral idiopathic sclerochoroidal calcification. OCT scanning showed an irregularly thickened sclera compressing the overlying choroid. Sclerochoroidal calcification is a relatively uncommon and benign finding in the elderly population. These yellowish lesions are slightly lumpy and elevated, and usually appear in the mid superior/inferior temporal/nasal quadrants. The lesions are highly reflective on… Read More

This patient was noted to have an asymptomatic vitreous cyst in the left eye. Learning Points: Vitreous cysts are extremely rare, idiopathic, and usually diagnosed as an incidental finding, as in this patient. If symptomatic, the cyst can literally be popped with a YAG laser. These cysts likely originate from a ciliary body cyst (see… Read More

This 40YO female presented with vision of 20/400 in her right eye and counting fingers (CF) in her left eye due to classic findings from Stargardt’s disease, including perifoveal yellow subretinal flecks and variable outer retinal/RPE atrophy. The OCT of her left eye best visualizes the bull’s-eye pattern of outer retinal and RPE atrophy. Loss… Read More

This 51YO male presented with a completely asymptomatic superior rhegmatogenous retinal detachment. There was a history of blunt trauma 1 year earlier. We discussed the various surgical options, and he decided to proceed with laser demarcation due to the lack of symptoms and remote history of the causative injury. The immediate post-laser Optos image shows… Read More

This 68YO female presented with acute vision loss in her left eye. Vision was hand motion from submacular blood. A retinal arterial macroaneurysm (RAM) is noted overlying the blood, with an additional RAM with lipid more temporally. Triton swept-source OCT scanning shows subretinal blood beneath the RAM. Fluorescein angiography shows blockage from the subretinal and… Read More

This patient presented with these asymptomatic, unilateral, peripheral, large, outer retinal hemorrhages. The patient was later diagnosed with a 100% internal carotid artery occlusion. Carotid surgery was not recommended, but we are monitoring the patient due to the risk for anterior or posterior segment neovascularization. Learning Points: The retinal hemorrhages in ocular ischemic syndrome (OIS)… Read More

This 20YO male presented with classic Coats disease findings. Confluent subretinal lipid extends into the inferior macula, sparing the foveal center, allowing for 20/30 vision. The source for this lipid is noted in the inferotemporal midperiphery with dilated, irregular vessels, aneurysmal dilations, and underlying subretinal fluid and lipid. Learning Points: Laser photocoagulation can be used… Read More

This 80YO female was 20/400 in her right eye and counting fingers in her left eye due to probable adult-onset foveomacular vitelliform dystrophy (Adult Best’s). Funduscopically, there are bilateral round atrophic foveal lesions with peripheral drusen. OCT of the right eye shows hyperreflective outer retinal material overlying a pocket of subretinal fluid. The underlying RPE… Read More

This diabetic patient developed a symptomatic hemorrhage in his right eye despite partial panretinal photocoagulation (PRP) treatment. The blood in our patient highlights the various layers of vitreous separation. The reason why the far inferior and nasal retina and PRP scarring are visible is that the hyaloid is completely attached here. The hyaloid is shallowly… Read More

We have been following this 54YO female with pseudoxanthoma elasticum (PXE) for many years. Vision is 20/20 bilaterally, and fortunately, she remains asymptomatic. She has bilateral macular peripapillary pigmentary changes. Angioid streaks, always tough to find unless the clinician actively looks for them, are not prominent, although a few are visible in her left eye…. Read More