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This 71YO female complained of one month of decreased vision in her left eye. Vision was 20/30 OD and 20/200 OS. Moderate larger drusen with pigment clumps were noted in her right eye (not shown). Optos color RGB imaging of her left eye shows a crescent of subretinal pigment loss in the inferotemporal macula with… Read More

This 28YO male presented 5-6 hours following a perforating thorn injury to his left eye. He was standing in an open-moving loading vehicle when an Acacia tree branch suddenly hit his eye. Vision was 20/20 in his normal OD and 20/40 OS. External examination showed a thorn lodged in the inferonasal sclera. There were moderate… Read More

This 67YO male presented with 3 weeks of decreased vision in his right eye. Vision was 20/120 OD with a +10 diopter sphere and 20/30 in his normal OS. Color photography shows a cataractous lens fully dislocated into the inferior vitreous cavity. A shallow macula-off rhegmatogenous retinal detachment is noted in the posterior pole without… Read More

This 60YO female was referred for asymptomatic unilateral fundus findings in her right eye. Vision was 20/30 OD. Optos color RG imaging shows a choroidal coloboma just inferior to the disc, giving the appearance of a pseudoduplicated optic nerve. Coarse pigmentary changes with some pigment migration extend from the macula into the inferior midperiphery. An… Read More

This 17YO female presented for a routine eye examination. Vision was 20/20 in her normal OD and 20/20 OS. Color imaging shows an inferior retinal venous malformation that drains the inferior and superotemporal macula. En face and B-scan OCT angiography show these vessels to lie in the inner retina. Learning Points: Retinal vessels virtually always… Read More

This 55YO female was referred with mildly decreased vision in her right eye two days following blunt ocular trauma. Vision was 20/40 OD and 20/20 in her normal OS. Optos color RG imaging reveals numerous irregularly oval superonasal retinal holes, a retinal hemorrhage, and some clumps of vitreous blood. There was no vitreous detachment clinically…. Read More

This previously healthy 30YO female presented with sudden bilateral vision loss for 5 days. Vision was counting fingers OU. Color SLO imaging shows bilateral variably confluent serous detachments involving the posterior poles. Retinal folds are also noted in the left superior macula. OCT scanning shows a complex pattern of bacillary layer detachments (asterisks) and subretinal… Read More

This 10YO boy was referred for asymptomatic retinal lesions. He was adopted, so the family history was unknown. The patient and guardian reported a longstanding history of persistent diarrhea that at times required hospitalization. Vision was 20/20 bilaterally. Color photography shows bilateral torpedo-shaped areas of depigmentation in each superotemporal macula. The lesions were hypo-autofluorescent (not… Read More

This 39YO myopic female was referred on 11/14/24 for an asymptomatic lesion in her right macula. Vision was 20/25 OD and 20/25 in her normal OS. Triton color imaging shows a small vertically oval area of subretinal pigment loss temporal to the right fovea. Swept-source OCT shows a focal choroidal excavation (FCE) within this region…. Read More

This 48YO female was referred for asymptomatic retinal findings. Vision was 20/20 in the normal OD and 20/20 OS. Optos color RGB imaging shows red and yellow preretinal blood just inferior to the nerve due to an ischemic extramacular inferonasal branch retinal vein occlusion (BRVO). On fundus autofluorescence (FAF), the red blood is hypo-FAF, and… Read More