TRACTIONAL RETINAL DETACHMENT WITH PSEUDO-GIANT MACULAR HOLE
This 65YO diabetic female presented with counting fingers bilaterally from proliferative diabetic retinopathy with macular tractional retinal detachments. Preoperative pseudocolor SLO imaging of her left eye shows a complex fibrovascular membrane covering the posterior pole. Pseudo giant-macular holes are noted overlying the disc and macula. OCT scanning confirms the lack of a true macular hole…. Read More
SITUS INVERSUS
This healthy 38YO highly myopic female presented with 6 months of decreased vision in her right eye. Her current refraction was -15.00 D OD and -11.00 -2.25 × 10° OS. Vision was 20/200 OD and 20/25 OS. Color photography shows the retinal vessels emerge from slightly tilted discs to initially course nasally and superiorly before… Read More
CHOROIDAL RUPTURE
This 38YO male was hit by a stone in his left eye two days earlier. Vision was 20/20 in his normal OD and counting fingers OS. Pseudocolor SLO imaging shows central macular greenish-brown subretinal blood surrounded by a rim of thinner red blood. OCT shows the hyperreflective blood with posterior shadowing. An in-office intravitreal C3F8… Read More
PRE-ANTERIOR HYALOID GAS FOLLOWING FAILED PNEUMATIC RETINOPEXY
This 71YO male presented with decreased vision in his right eye one month following cataract surgery. Vision was hand motion. Slit lamp examination revealed a well-centered posterior chamber IOL. Optos color RG imaging shows a superotemporal macula-off rhegmatogenous retinal detachment (RRD) caused by a single break. A pneumatic retinopexy using 0.35cc of pure perfluoropropane gas… Read More
TERSON SYNDROME
This 32YO male presented with 20 days of vision loss in his left eye. He underwent cardiovascular surgery 3 weeks earlier to remove a clot, followed 1 week later by a subarachnoid hemorrhage. Vision was 20/20 in his normal OD and 20/400 in his OS. Fundus photography shows a subinternal limiting membrane (ILM) hemorrhage extending… Read More
OPTIC NERVE PIT WITH VITREOUS PLUG
This healthy 6YO boy presented for a routine examination. Vision was 20/20 in his normal right eye and 20/20 in his left eye. OCT scanning shows a vitreous plug extending into the depth of the pit. Optos color RG imaging shows a temporal optic nerve pit without associated macular abnormalities. Learning Points: An optic nerve… Read More
INTERMEDIATE AMD WITH DRUSENOID PEDS
This 72YO female presented for her 6-month AMD examination. She was visually asymptomatic, and vision was 20/40 OU. Triton color imaging shows bilateral chronic foveal RPE detachments (PEDs) with surrounding soft drusen. A radiating pigment figure overlies each PED. Swept-source OCT shows hyperreflective material beneath each PED, with some overlying hyperreflective foci and hyperreflective material… Read More
MYELINATED NERVE FIBER LAYER
This healthy 17YO male presented with a history of decreased vision in the left eye since birth. Family and developmental history were unremarkable. Vision was 20/20 in his normal right eye and counting fingers at 10 feet in his left eye. Color photography shows the myelinated nerve fiber layer (NFL) covering nearly the entire posterior… Read More
ANGIOID STREAKS WITH MNV AND PATTERN DYSTROPHY PHENOTYPE
This healthy 42YO male presented with 10 months of vision loss in his right eye and 1 month of mild blurred vision in his left eye. Vision was counting fingers OD and 20/20 OS. Pseudocolor SLO imaging shows angioid streaks extending around and radiating outwards from each optic nerve. There are drusen-like changes around each… Read More
MACULAR PUCKER WITH RNFL SCHISIS
This 58YO female was referred for an asymptomatic macular pucker in her left eye. Vision was 20/25. Optos color RGB imaging shows a moderate macular pucker centered in the inferior macula. Fine inner retinal striae are noted superiorly. Triton swept-source OCT shows a shredded appearance of multi-layered hyperreflective tissue overlying the retinal surface (the ‘spaghetti… Read More

