Blog

This 50YO female presented with one month of bilateral vision loss. Vision was 20/90 OD and 20/70 OS. Fundus photography shows severe bilateral optic nerve swelling with surrounding nerve fiber layer hemorrhages. Small inferior subhyaloid hemorrhages are present bilaterally, along with a small outer plexiform layer hemorrhage in the left nasal macula. MRI scanning showed… Read More

This previously healthy 32YO male presented with a 3-month history of bilateral vision loss following a viral illness. He was treated elsewhere for post-fever retinitis with intravitreal triamcinolone and oral steroids with antivirals. He also had a right lobe pneumonia. Testing was positive for CMV IgG and IgM and negative for TB. When examined in… Read More

This 56YO female was referred for asymptomatic retinal findings. Vision was 20/20. Multimodal imaging shows numerous pucker-related findings. Triton color photography shows a diffuse macular pucker with a central teardrop-shaped pseudohole. Triton swept-source OCT B-scanning shows an adherent hyperreflective epiretinal membrane, a vertical foveal contour, and trace adjacent outer plexiform splitting. The nasal outer plexiform… Read More

This 45YO male presented with blurred vision in his left eye. The right eye was phthisical due to absolute glaucoma. He was taking topical dorzolamide and travoprost OU. Vision was 20/400 OS. Intraocular pressure was 12 mm Hg. Optos color RG imaging shows a nearly completely cupped glaucomatous nerve. There is an irregular oval discoloration… Read More

This 47YO female presented with 1 month of decreased vision in her right eye. Vision was 20/400 OD and 20/20 in her normal OS. Pseudocolor SLO imaging shows a large, well-circumscribed pigmented choroidal lesion that obscures the entire posterior pole. The tumor vessels are markedly dilated and tortuous. OCT shows foveal and nasal subretinal fluid… Read More

This 12YO boy came in for a routine eye examination. Although vision was 20/20 bilaterally, the right fundus showed a striking premacular sheen. Ultra-widefield imaging reveals a round internal limiting membrane (ILM) elevation surrounding the posterior pole. On further questioning, he gave a history of blunt trauma to the right eye 2 years earlier that… Read More

This 37 YO male presented with acute vision loss in his left eye 3 days earlier. Vision was 20/20 in his normal OD and 20/200 in his OS. Pseudocolor SLO imaging shows a fresh central retinal artery occlusion (CRAO) with sparing of a small area of temporal peripapillary retina supplied from a patent cilioretinal artery…. Read More

This 50YO male presented for a routine eye examination. Vision was 20/20 OD and 20/20 in his normal OS. Color imaging shows an inferior retinal venous malformation that drains nearly the entire macula. Learning Points: Retinal vessels virtually always respect the horizontal meridian. Retinal venous malformations are congenital anomalous vessels that, by definition, cross the… Read More

This 56 YO male presented with 4 days of vision loss in his left eye. He gave a history of multiple prior retinal reattachment surgeries in his right eye. Vision was 20/400 in his OD and 20/20 in OS. Pseudocolor SLO imaging shows a superotemporal rhegmatogenous retinal detachment (RRD) from a giant retinal tear (extends… Read More

This healthy 6YO girl’s parents noted that her right eye had been deviating outward for the past several weeks. Vision was light perception OD and 20/20 OS. Color photography shows fairly dense subfoveal lipid with more diffuse specks of subretinal lipid radiating outwards from the disc. Telangiectatic vessels are noted temporally OD and also in… Read More