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This previously healthy 41YO male presented with 4 days of blurred vision in his right eye. Vision was 20/80 OD and 20/20 in his normal OS. Optos color RG imaging shows multifocal subretinal creamy white placoid lesions in the macula, peripapillary retina, and midperiphery. OCT scanning shows variable disruption of the outer retinal bands, as… Read More

This 45YO male with a known history of sickle cell SC disease presented with new floaters and blurred vision in his right eye. Vision was 20/70 OD and 20/30 OS. Optos color RG imaging shows a fairly dense vitreous hemorrhage OD, with variably fibrosed peripheral retinal neovascularization superotemporally. The left fundus shows temporal retinal ischemia… Read More

This 26YO male presented with 3 years of bilateral decreased vision along with night vision difficulties since childhood. Family history was negative. Vision was counting fingers at 3 meters OU. Pseudocolor SLO imaging shows a symmetrical ‘beaten-bronze’ sheen to each central macula with surrounding yellowish pigmented flecks. OCT shows central loss of the photoreceptor layers… Read More

This healthy 46YO male presented with an 8-day history of a central scotoma in his left eye. Vision was 20/20 in his normal OD and 20/400 OS. Pseudocolor SLO imaging shows an acute cilioretinal artery occlusion with foveal sparing. OCT scanning shows marked inner retinal hyperreflectivity with posterior shadowing. Learning Points: The inner two-thirds of… Read More

This healthy 32YO female presented with a 10-day history of headaches, followed by vomiting and blurred vision in her right eye. She also reported a rash on her hands and legs that appeared before her visual symptoms. Vision was 20/300 OD and 20/20 in her normal OS. Pseudocolor SLO imaging shows a swollen optic nerve,… Read More

This 9YO girl was referred by her local ophthalmologist for esotropia, nystagmus, light hair, and skin, first noticed when she was 3 years old. She has a known history of Hermansky-Pudlak syndrome (HPS), diagnosed with genetic testing 3 years earlier. There is no history of parental consanguinity or of familial inherited retinal diseases. Vision was… Read More

This 85YO female presented with an elevated pigmented choroidal mass in her inferotemporal periphery, which extended into her distal macula (Optos color RG). This mass was absent 5 years earlier. Circumferential choroidal folds extend along the posterior edge of the lesion. Triton swept-source OCT shows a blister of subretinal fluid and a thickened choroid. She… Read More

  This 31YO male presented with 2 years of bilateral vision loss. He works as a welder and admits to rarely wearing his safety glasses. Vision was 20/30 OU. Pseudocolor SLO imaging shows symmetrical, tiny yellow foveal scars. OCT shows outer foveal microdefects characterized by hyporeflectivity due to loss of all bands deep to the… Read More

This 47YO male presented with decreased vision in both eyes for 5 years. Ocular family history was negative. Vision was 20/300 OD and 20/660 OS. Pseudocolor SLO imaging of his right eye shows intraretinal pigment migration (bone-spicules) extending from the macula into the midperiphery. OCT shows outer retinal thinning with disorganization of the outer retinal… Read More

This healthy 36YO male presented with two weeks of vision loss in his left eye. Vision was 20/20 in his normal OD and 20/40 OS. Fundus photography shows an elevated, pigmented, solid choroidal tumor, which spares the macula but occupies nearly the entire superotemporal quadrant. OCT scanning shows shallow subretinal fluid tracking from the tumor… Read More