COMBINED CRAO-CRVO
This 60YO male presented with sudden vision loss in his left eye 1 month earlier. Vision was 20/20 in his normal OD and no light perception OS. MultiColor SLO imaging shows a combined central retinal artery occlusion (CRAO) and central retinal vein occlusion (CRVO) with white arteries and veins with no blood column. Disc neovascularization… Read More
ANTERIORLY MIGRATED ILUVIEN IMPLANT
This 58YO female with panuveitis treated with bilateral fluocinolone acetonide intravitreal implants (Iluvien) and systemic adalimumab presented with an intermittent, moving floater near the visual axis in her right eye. She was pseudophakic in both eyes with posterior chamber intraocular lenses (IOLs) positioned within intact capsular bags. External slit-lamp photography and anterior segment OCT show… Read More
POLYPOIDAL CHOROIDAL VASCULOPATHY WITH EXCISION OF SUBRETINAL BLOOD
This 64YO female presented with 2 months of vision loss in her right eye. Vision was counting fingers OD and 20/30 in her normal OS. Pseudocolor SLO imaging shows a large submacular hemorrhage. OCT scanning shows a central large bacillary layer detachment vs subretinal fluid overlying the elevated subretinal blood. Preoperative intravitreal tissue plasminogen activator… Read More
NEURORETINITIS
This 21YO male presented with one month of intermittent headaches and vision loss in his left eye. Vision was 20/20 in his normal OD and 20/60 OS. Color photography of the macula shows patches of yellow-white inner retinal opacification with superior and temporal lipid. OCT shows outer nuclear layer fluid with hyperreflective dots of lipid… Read More
MOUSE MACULOPATHY AKA PROLIFERATIVE DIABETIC RETINOPATHY (PDR) WITH SUBHYALOID HEMORRHAGE
This 48YO male with a 15-year history of poorly controlled type 2 diabetes presented with one day of blurred vision in his left eye. Vision was 20/20 bilaterally. Pseudocolor SLO imaging shows a large macular hemorrhage, sparing the foveal center, which extends into the midperiphery. The hemorrhage is mostly subhyaloid with some breakthrough blood into… Read More
FILL-IN PANRETINAL PHOTOCOAGULATION
This 63YO male with type 2 diabetes presented to us with a history of recent panretinal photocoagulation (PRP) OD elsewhere. Vision was 20/20 OU. Color photography shows irregularly sized and variably confluent laser scars mostly in the right inferior, nasal, and inferior midperiphery. Fill-in laser was applied at the slit lamp to complete the PRP…. Read More
SYMPATHETIC OPHTHALMIA
This 30YO male suffered an open globe injury from an iron nail OD on 11/2/25. Three days later, the corneo-limbal laceration was repaired elsewhere. He presented to us on 11/25 with 1 week of bilateral vision loss. Vision was hand motion OD and 20/400 OS. Mild anterior chamber cells were noted OU. Multicolor SLO imaging… Read More
HYPERTENSIVE RETINOPATHY AND CHOROIDOPATHY
This 46YO male presented to his local optometrist 1 week earlier with a few days of bilateral vision loss. His doctor diagnosed malignant hypertension due to retinal findings and a blood pressure of about 280/160. He was hospitalized for a few days and presented to us for further evaluation. Vision was 20/30 OD and 20/50… Read More
RDH5-ASSOCIATED DISEASE WITH MACULAR ATROPHY
This 58YO female was initially seen by us on 8/6/18 with a prior diagnosis of geographic atrophy and subretinal drusenoid deposits. She described a long-standing history of nyctalopia and poor vision. Vision was 20/640 OU. Color photography shows innumerable subretinal yellow-white dots extending from the periphery of each macula into the midperiphery. These dots are… Read More
RECURRENT DIABETIC NEOVASCULARIZATION TREATED WITH SERIAL EYLEA
This 71YO female underwent prior full panretinal photocoagulation (PRP) bilaterally for proliferative diabetic retinopathy (PDR). She initially responded well with involution of all neovascularization. She presented for a routine follow-up with 20/25 vision OU. Optos color RG imaging OD shows fibrosed disc neovascularization extending inferiorly with areas of active red neovascularization and inferior preretinal blood…. Read More

