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This 64YO female has a history of high myopia with posterior staphyloma. The axial length is 24.8 mm. Vision in the right eye has been deteriorating to 20/40. Optos color RG imaging shows a posterior staphyloma, Type I (wide macula), in the right eye, which encircles the macula and disc. Ultra-widefield OCT (DreamOCT Intalight, 26… Read More

This 13YO male was hit in his right eye with a cricket ball. When he presented later that day vision was 20/30. Color photography shows a large area of commotio retinae with scattered retinal hemorrhages involving the inferotemporal fundus. There is a poor foveal reflex with possible nasal macular subretinal fluid, which is confirmed on… Read More

This 14YO female has a history of nystagmus and vision loss from oculocutaneous albinism. There was no significant family history. Vision was 20/120 OU. Color photography shows bilateral marked choroidal hypopigmentation with foveal hypoplasia. No genetic testing or pedigree analysis was performed. Learning Points: Albinism is a group of genetic disorders characterized by abnormal melanin… Read More

This 83YO female presented with recent blurred vision in her right eye. Vision was 20/40. Optos color RGB imaging shows subretinal blood in the superotemporal macula. A small amount of inner vs preretinal blood surrounds a small yellow-white retinal arterial macroaneurysm (RAM). In addition, some radiating outer plexiform blood radiates towards the macular center. Fluorescein… Read More

This 40YO female presented with vision loss in her right eye. There was a 15-year history of type 1 diabetes. Vision was hand motion OD. Color photography shows a total combined traction-rhegmatogenous retinal detachment (RRD). There is a complex pattern of fibrovascular tissue covering the posterior pole with radiating retinal folds extending peripherally. OCT scanning… Read More

This 42YO female with a known history of HIV infection presented with 1 month of vision loss in her left eye. Her last CD4 count was 38 despite being compliant with HAART therapy. Her husband was HIV positive. Vision was 20/20 in her normal OD and 20/400 in OS. Multicolor SLO imaging shows active cytomegalovirus… Read More

This 56YO male underwent successful retinal reattachment with vitrectomy, scleral buckling, and silicone oil. One month following silicone oil removal, he presented complaining of an inferior floater. Vision was 20/40. Color SLO imaging shows an attached retina with an encircling buckle. A residual silicone oil droplet is noted superiorly along the buckle edge. Observation was… Read More

This healthy 32YO female was referred for possible asymptomatic disc neovascularization. Vision was 20/20 OU. Fundus photography shows bilateral vascular loops that do not leak angiographically. Learning Points: A retinal vascular loop is a benign congenital anomaly that presents as an elevated and twisted bundle of vessels projecting from the disc into the vitreous cavity…. Read More

This healthy 18YO female complained of night blindness for a few years. Her mother and sister have a history of retinitis pigmentosa (RP). Vision was 20/90 OU. Pseudocolor SLO imaging of her right eye shows typical RP scarring with intraretinal pigment migration extending from the macula into the retinal periphery. There is loss of the… Read More

This 32YO male presented with several weeks of decreased vision in the right eye. Vision was 20/200 OD and 20/20 in his normal OS. Examination revealed a dense vitreous hemorrhage, initially attributed to Valsalva retinopathy. He was immediately lost to follow-up and came back six years later with complaints of recent blurred vision with floaters…. Read More