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This 28YO Indian female presented with several months of seeing occasional black spots. She has systemic lupus erythematosus, which has been treated with hydroxychloroquine (HCQ) for the past 5 years. Her calculated cumulative dose of HCQ was 365 grams. She denied having prior baseline or screening examinations for HCQ toxicity. Vision was 20/30 OU. Color… Read More

This 58YO male was referred for a retinal detachment in his left eye. He has a long history of idiopathic central serous chorioretinopathy (ICSC). He was previously treated elsewhere for neovascular AMD OD. For many years, he has been receiving intravitreal Avastin OS every 1-2 months. Vision was counting fingers OD and 20/400 OS. Optos… Read More

This 58 YO female presented to us with 2 to 3 years of bilateral vision loss. There was no family history of eye disease. Vision was 20/20 OU. Pseudocolor SLO imaging shows extensive mixed and confluent drusen extending throughout the right posterior pole. OCT scanning shows drusen indenting the overlying retina, extending into the outer… Read More

This previously healthy 40YO female presented with 2 months of painless bilateral vision loss. She had occasional headaches, which she self-medicated with painkillers. Vision was counting fingers OD and 20/120 OS. Color photography in her right eye shows a mildly swollen nerve, extensive hemorrhages in the nerve fiber layer, nerve fiber layer infarcts (cotton-wool spots),… Read More

This healthy 36YO female presented with a long history of bilateral vision loss with night blindness. Family history was negative. Vision was 20/80 bilaterally. Anterior segments were normal. Fundus imaging shows extensive pigmentary degeneration with subretinal crystalline deposits involving both posterior poles. OCT scanning shows hyperreflective dots overlying the RPE-Bruch’s membrane complex with variable outer… Read More

This 60YO female presented with a symptomatic retinal tear in her left eye. Optos color RG imaging shows the break with localized surrounding subretinal fluid and a bridging vessel. The break was immediately surrounded by laser. When examined 1 month later, the tear and fluid were well demarcated, and no new breaks were found. Learning… Read More

This 69YO female presented on 4/17/24 with a superior macula-off rhegmatogenous retinal detachment (RRD) and counting fingers vision. Following successful pneumatic retinopexy, the retina reattached, and vision returned to 20/25 one month later. When examined on 9/26/24, she was subjectively doing well with 20/50 vision. Although the macula looked clinically normal, Triton swept-source OCT B-scan… Read More

This healthy 25YO female presented with an asymptomatic retinal lesion in her right eye. She recalled being diagnosed with a retinal finding in the past and reported negative prior neurologic imaging. Vision was 20/20 bilaterally. Optos RG color imaging shows extensive confluent variably sized grape-like clusters of aneurysms filled with dark venous blood. Some scattered… Read More

This healthy 19YO female noted sudden vision loss in her right eye immediately after looking directly at the light while attending a DJ laser party. When she presented to us 2 days later, her vision was hand motion OD and 20/20 in her normal OS. Fundus photography and OCT show a partially layered central macular… Read More

This 71YO female has been followed for several years with a choroidal nevus and chronic overlying choroidal neovascularization (CNV). On March 31, 2022, Triton color photography shows a nasal peripapillary choroidal nevus that touches the optic nerve. Lipid is noted mostly along its superior and temporal edges. Swept-source OCT shows a hyperreflective type 2 (above… Read More