Blog

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

This 35YO female was examined for a suspect choroidal nevus on 1/13/13. Color photography shows about a 2x2mm minimally thickened choroidal nevus superotemporal to the right optic nerve (image 2). Subretinal fluid extends into the superior macular and some orange pigment overlies the nevus. She returned on 3/15/14, now with fluid extending through the fovea… Read More

This intraoperative image was obtained from a 55YO female undergoing pars plana vitrectomy for a total rhegmatogenous retinal detachment. Brilliant Blue G (BBG) dye was injected to facilitate membrane peeling, followed by the injection of perfluorocarbon liquid (PFCL) to flatten the posterior retina. The PFCL was introduced while residual BBG dye was still present within… Read More

This asymptomatic 53YO male was referred because of a positive family history of two brothers with genetically confirmed PRPH2-associated pattern dystrophy. His father was legally blind by age 65 from an unknown cause. Vision was 20/20 OU. Optos color RG imaging shows multiple drusen-like deposits in each posterior pole, as well as larger yellow subfoveal… Read More

This is a healthy 42YO male presented with 7 days of blurred vision in his left eye. Vision was 20/90 OD and 20/20 in his normal OS. Pseudocolor SLO imaging shows a white, opaque retina in the inferior retinal hemisphere, which spares the central macula. The vertical B-scan contrasts the normal superior retina with the… Read More

This previously healthy 40YO female presented with 2 days of blurred vision. She denied any systemic symptoms. Vision was 20/200 OD and 20/60 OS. Color photography shows multifocal yellow-white subretinal lesions scattered throughout each posterior pole, with the right eye greater than the left, associated with overlying multifocal exudative retinal detachments. The right nerve is… Read More

This healthy 15YO male was referred for an asymptomatic pigmented lesion in his right eye. Family history was negative. Vision was 20/40 OD and 20/30 in his normal OS. Optos color RGB imaging shows a region of increased choroidal pigmentation extending from the superonasal macula into the superior midperiphery. This lesion is best seen with… Read More

This 25YO female presented 10 days postpartum, complaining of bilateral blurred vision that began shortly following delivery, which was complicated by toxemia (preeclampsia). Blood pressure in our office was 180/90 mmHg. Vision was 20/30 bilaterally. Optos color RG imaging shows multiple depigmented, wormlike subretinal tracks throughout each posterior pole. A larger contracting triangular-shaped lesion is… Read More

This healthy 19YO female noticed immediate blurred vision in her right eye after looking at a laser during a party. Her vision in this eye was 20/60 when she presented to us the following day. Optos color RG imaging shows a foveal pseudohole. OCT scanning shows a central foveal column of full-thickness hyperreflectivity. There is… Read More

This 67YO female presented with a 3-week history of floaters in her left eye. She has a known history of metastatic melanoma of unknown origin, including numerous brain lesions. There was no family history of ocular or cutaneous melanoma. Vision was 20/20 OD and 20/40 OS. Optos color RG imaging OD shows a suspect choroidal… Read More