Blog

This rare condition was discovered after a diabetic TRD repair. Thankfully, no birds or retinas were harmed in this process.

This 24YO male has bilateral 20-80 vision and foveal schisis. B-scan OCTs show schisis mostly in the inner nuclear layer and en face OCTs show a cool perspective for this mid-retinal schisis. There is also an unusual funnel-shaped vitreous veil floating over the right fovea. Learning Points: Sex-linked retinoschisis is caused by a mutation of… Read More

This patient had a rhegmatogenous retinal detachment that was repaired with pars plana vitrectomy and C3F8 gas. The patient’s bubble has broken into 2 large bubbles, each with its own beautiful retinal reflection. Learning Points: Long-acting intraocular gas is routinely used in vitrectomy for rhegmatogenous retinal detachment repairs. C3F8 and sulfur hexafluoride (SF6) are used… Read More

This is a 49 yo M who presented with acute 20/400 monocular vision loss and retinal whitening. The OCT shows marked inner retinal hyperreflectivity from the acute ischemia, with pseudo-edema of the outer retina due to decreased transmission of light through the inner opaque retina. The outer retina is still receiving oxygen from the choroid,… Read More

This 18YO patient presented with sudden painless 20/400 vision loss in his left eye. He admitted to staring 3 days earlier directly into his recently purchased green laser pointer. There are multifocal small subretinal pigment clumps in the left central macula and fluorescein angiogram reveals variable areas of hypo and hyperfluorescence. OCT shows EZ attenuation… Read More

This patient underwent vitrectomy in 2013 for a severe table-top diabetic traction retinal detachment (TRD). We were able to free up all significant traction except superiorly and superotemporally, shown in the Optos image. Despite this, the patient has been quite stable anatomically, maintaining 20/30 vision. Learning Points: Tractional retinal detachment is one of the main… Read More

This 28-year-old patient has multifocal small bilateral macular scars with peripapillary scarring in her left eye. The Optos photos show scattered small well-defined punctate lesions in the nasal macula with corresponding hypoautofluoresence. Fluoroscein angiogram demonstrates early hypofluorescence of the punctate lesions with late leakage. OCT shows hump-shaped hyperreflective material with disruption of the ellipsoid zone… Read More

This young woman presented with severe vision loss of the left eye and an unusual constellation of ischemic fundus findings, including both acute and chronic arterial and venous occlusions. She was subsequently diagnosed with the antiphospholipid antibody syndrome. Most obvious is an acute superior macular branch retinal arterial occlusion. Scattered retinal hemorrhages in all quadrants… Read More

This healthy 9YO girl presented with an asymptomatic retinal dialysis. The dialysis was demarcated with laser to prevent her from developing a retinal detachment. Learning Points: A retinal dialysis is a retinal break at the ora serrata, is usually inferotemporal and can either develop spontaneously (usually in young men) or following trauma. Dialyses are virtually… Read More

This patient has a heart-shaped macular hole just in time for Valentine’s Day!