Blog

This 75YO male presented with hand motion vision in his right eye from a rhegmatogenous retinal detachment (RRD). Intraoperatively, triamcinolone was injected to stain the posterior hyaloid. During FINESSE Flex Loop-assisted membrane peeling, some love came back at us from the patient’s retina. The retina remained attached postoperatively, and vision improved to 20/50. Learning Points:… Read More

This 59YO male was referred for asymptomatic retinal findings in his right eye. Vision was 20/30. Optos color RG imaging shows an inferior branch retinal vein occlusion with midperipheral preretinal blood. Collateral vessels are noted at the site of the occlusion. These collaterals show no leakage angiographically, although the adjacent retinal neovascularization does leak. Learning… Read More

This 62YO female has a known history of an asymptomatic macular pucker. Vision was 20/70. Triton color imaging shows a faint, irregular macular pseudohole. Swept-source OCT shows a variably adherent hyperreflective macular pucker. A tractional lamellar macular hole (LMH) is noted centrally, with pillars of Müller cells spanning the split outer plexiform layer (OPL). Learning… Read More

This 82YO female was referred for an asymptomatic macular finding noted on screening OCT scanning. Vision was 20/200. Triton color imaging shows a poorly defined foveal reflex. Swept-source OCT shows a partial macular posterior vitreous detachment (PVD) that is adherent to the foveal center. A thin strip of intact inner tissue is adherent to the… Read More

This previously healthy 37YO female presented to us for a second opinion regarding 4 days of decreased vision in her left eye. There was a recent history of a urinary tract infection secondary to E. coli. Vision was 20/20 in her normal OD and 20/400 OS. There was a moderate non-granulomatous uveitis with vitreous cells…. Read More

This 38YO male was referred for an asymptomatic lesion in his left eye. Vision was 20/25 in his normal OD and 20/25 OS. Optos color RG imaging shows a small foveal hyperpigmented lesion that hypo-autofluoresces. Triton swept-source OCT shows a markedly hyperreflective intraretinal lesion that protrudes above the retinal surface with marked posterior shadowing. Observation… Read More

This previously healthy 38YO male was referred for asymptomatic retinal findings. Vision was 20/25 OD and 20/20 OS. Optos color RG imaging shows symmetric, creamy-colored blood vessels bilaterally. Emergent bloodwork showed total cholesterol 1093 mg/dL, triglycerides 9644 mg/dL, and HDL 4 mg/dL. He was immediately referred to his PCP for emergent medical management. He was… Read More

This patient underwent prior successful retinal reattachment surgery with silicone oil and presented with these asymptomatic findings. Slit lamp photography shows a reverse pseudohypopyon of emulsified silicone oil droplets floating in the anterior chamber. Suspended droplets of oil are noted throughout the aqueous more inferiorly. Learning Points: Silicone oil as an adjunct for repairing complex… Read More

This 77YO female presented with recent vision loss in her left eye from new neovascular AMD. Vision was 20/400. Optos color RG imaging shows a large pigmented retinal pigment epithelial detachment (PED) occupying most of the left macula. OCT scanning, B-scan, and RPE map confirm this large PED. Intravitreal Vabysmo was injected, and one month… Read More

This healthy 43 YO male presented with an asymptomatic lesion in his left eye. Family history was negative. Vision was 20/20 in his normal OD and 20/20 OS. Color photography shows a glistening yellow-white inner retinal lesion just superior to the optic nerve composed of innumerable semi-transparent spherules which hyper-autofluoresce. Learning Points: A retinal astrocytic… Read More