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This healthy 50YO male presented with 10 months of bilateral vision loss. Family history was negative. Vision was 20/80 OU. Color photography of his right eye shows submacular pigment and orange-yellow flecks radiating outwards from the fovea towards the peripheral macula and around the nerve. These lesions on fundus autofluorescence (FAF) are variably hyper- and… Read More

This 60YO male presented with gradual blurred vision in his right eye. Vision was 20/30. Color SLO imaging shows a variably dense and glistening macular pucker with radiating retinal striae extending outwards from multiple areas of tangential traction. OCT shows the hyperreflective epiretinal membrane causing diffuse retinal thickening. The retinal bands are fairly well-preserved. En… Read More

A patient with disc neovascularization (NVD) due to proliferative diabetic retinopathy (PDR) following full panretinal photocoagulation is compared with a patient with an asymptomatic retinal arteriovenous malformation (AVM). Color photography of the PDR patient shows diffuse flat NVD with variable tight capillary networks of new vessels, admixed with larger vessels and fibrosis. OCT angiography (OCTA)… Read More

This healthy 42YO female presented with one and a half years of progressive vision in her right eye. Vision was counting fingers OD and 20/20 in her normal OS. Pseudocolor SLO imaging shows a large, elevated pigmented choroidal lesion occupying the entire macula and extending into the midperiphery. OCT shows marked cystic outer retinal edema… Read More

This 75YO male underwent successful vitrectomy for a macula-off rhegmatogenous retinal detachment (RRD). Vision improved from a preoperative hand motion vision to counting vision 7 months following surgery. However, he returned 4 months later with new distortion and blurriness. Vision was 20/400. Triton color imaging shows an active choroidal neovascularization (CNV) with associated subretinal blood… Read More

This healthy 43YO male presented with gradual bilateral blurring. Vision was 20/20 in his normal OD and 20/30 OS. Color photography shows an elevated, glistening, inner retinal yellow-white mulberry-like lesion in the inferior midperiphery. Surrounding subretinal pigmentary changes are noted. OCT through this lesion shows a markedly thickened, disorganized, hyperreflective retina. Retinoschisis is noted nasally…. Read More

This healthy 63YO male presented with an ill-defined history of blurriness in his right eye upon first waking in the morning. Vision was 20/100 OD and 20/20 in his normal OS. There was diffuse rubeosis OD on slit lamp examination, and intraocular pressure was 28 mmHg. Optos color RG imaging shows scattered nerve fiber layer… Read More

This 55YO hypertensive male presented for a routine eye examination. He gave a history of a resolved superotemporal branch retinal vein occlusion (BRVO) with macular edema in his right eye that was successfully treated with a single anti-VEGF injection in 2022. Vision was 20/15 OD and 20/15 in his normal OS. Pseudocolor SLO imaging shows… Read More

This 64YO female presented for her one-day post-dropless cataract surgery with some minor irritation and floaters. Vision without correction was 20/25+. Unbeknownst to our happy patient, a sinister ghoul was lurking behind her perfectly centered intraocular implant. Our practice, along with many others, offers ‘no drop’ cataract surgery as a convenience to our patients. Instead… Read More