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This 59YO male with type 2 diabetes was examined for his yearly screening. He has a known history of congenital rubella with deafness. Vision was 20/30 OD and 20/25 OS. Optos color RGB imaging shows a diffuse salt-and-pepper appearance in each fundus, with peripapillary atrophy. On fundus autofluorescence (FAF), the peripapillary atrophy is hypo-FAF with… Read More

This healthy 65YO male presented with 2 days of sudden painless decreased vision in his right eye. Vision was 20/80 OD and 20/20 in his healthy OS. Color photography shows an acute superior hemi-central retinal artery occlusion (CRAO) with opaque white retina. On fluorescein angiography, there is a marked absence of perfusion in the superior… Read More

This healthy 12YO boy was referred for asymptomatic retinal findings. Vision was 20/20 in his normal OD and 20/20 OS. Color photography shows a dilated multi-corkscrewed arteriole extending into the nasal midperiphery. The major superotemporal vein is also somewhat dilated and tortuous. On OCT, these anomalous vessels are hyperreflective and extend through the full thickness… Read More

This 40YO male presented with 10 days of vision loss in his right eye. There was a history of prior laser treatment to this eye elsewhere. Vision was 20/40 OD and 20/20 in his normal OS. Fundus photography shows superotemporal retinal hemorrhages consistent with a branch retinal vein occlusion (BRVO), with a possible additional BRVO… Read More

This previously healthy 35YO male presented with 1 week of floaters in his left eye. Vision was 20/20 in his normal OD and 20/20 OS. Anterior segments were normal. Optos color RG imaging shows variably confluent outer retinal opacification with retinal hemorrhages extending from the periphery into the posterior pole. The retinal vessels are variably… Read More

This healthy 11YO girl was diagnosed elsewhere 2 months earlier with papilledema and precocious puberty, which was being treated with oral acetazolamide. Workup included a normal brain MRI and lumbar puncture with normal opening pressure and CSF analysis. Vision in our office was 20/20 OU. Fundus photography shows pseudopapilledema with extensive optic disc drusen (ODD)…. Read More

This 20YO male presented with 1 year of decreased vision in his right eye following blunt trauma from a small pebble that flew off a firecracker blast. Vision was 20/100 OD and 20/20 in his normal left eye. Color photography shows an inferonasal macular choroidal rupture that extends through the fovea. A faint choroidal rupture… Read More

This healthy 20YO female presented with chronic floaters in her left eye. Vision was 20/20 in her healthy OD and 20/20 OS. Funduscopy shows a large pigmented vitreous cyst floating over the superior macula. Observation was recommended.­­ Learning Points: Vitreous cysts are extremely rare, idiopathic, and usually diagnosed incidentally. Likely originating from a ciliary body… Read More

This 55YO female has complained of some blurred vision in her left eye for about 6 years. Family history is completely negative for eye disease. Vision was 20/25 in her normal OD and 20/50 OS. Optos color RG imaging and fundus autofluorescence (FAF) are completely normal for her right eye. The left eye shows severe… Read More

This 89YO female is receiving ongoing intravitreal Eylea in her 20/40 left eye for neovascular AMD. She has a stable 20/400 atrophic disciform scar in her right eye. Triton color imaging shows a variably pigmented flat disciform scar. Swept-source OCT shows variable outer retinal atrophy overlying a hyperreflective inactive macular neovascularization (MNV). A complex pattern… Read More