Blog

This 16YO male was chopping wood one day earlier when a branch recoiled and struck his right eye. Vision was 20/30 OD and 20/20 in his normal OS. The right anterior segment showed localized conjunctival chemosis with a subluxed crystalline lens. Color photography shows temporal commotio retina extending into the temporal macula, along with scattered… Read More

This 17YO female presented with a 3-month history of vision loss in her right eye. Vision was hand motion OD and 20/20 OS. Optos color RGB imaging OD shows a large yellow-red angioma in the temporal periphery, associated with large dilated and draining vessels. There is another large angioma nasally, near the ora serrata, which… Read More

This previously healthy 24YO male presented with acute vision loss in his right eye. Vision was 20/200 OD and 20/20 in his normal OS. There were no neurologic or systemic symptoms. Color photography shows an exudative retinal detachment involving the posterior pole. OCT shows a bacillary layer detachment, subretinal fluid with thickened retina and choroid…. Read More

This 65YO male presented with a branch retinal vein occlusion (BRVO) in his right eye and 20/40 vision. He was treated elsewhere about a year ago with 3 intravitreal injections and scatter laser 7 years earlier. Pseudocolor SLO shows an old major inferotemporal ischemic BRVO, which arises from an arteriovenous crossing just inferior to the… Read More

This 82YO male presented with recent vision loss in his right eye. Vision was 20/200. Color photography shows a poor foveal reflex with superotemporal geographic atrophy. OCT scanning shows subretinal hyperreflective material (SHRM) with overlying retinal fluid. A possible bacillary layer detachment is also noted. About 6 weeks following a single intravitreal anti-VEGF injection, vision… Read More

This healthy 16YO female presented with 2 days of acute bilateral vision loss. She denied any trauma or Valsalva. Vision was 20/400 OU. Color photography shows extensive bilateral preretinal and sub-internal limiting membrane hemorrhages. Some intraretinal white-centered hemorrhages are also noted. She was found to have profound iron-deficiency anemia due to very heavy menstruation with… Read More

This healthy 70YO female recently underwent cataract surgery elsewhere for vision loss in her right eye. Vision failed to improve postoperatively. Vision was 20/40 OD and 20/20 OS. Color photography OD shows an ill-defined amelanotic macular choroidal lesion extending into the superotemporal midperiphery. There are some macular chorioretinal folds. OCT scanning shows a markedly thickened… Read More

This healthy 10YO female presented with a 3-month history of decreased vision in her left eye. Vision was 20/15 in her normal OD and 20/200 OS. Pseudocolor SLO imaging shows tangles of markedly dilated and tortuous vessels, which extend into the superotemporal midperiphery and obscure the optic disc. The retinal vessels are sheathed nasally and… Read More

This 64YO female has a lifetime history of anisometropic amblyopia with a myopic posterior staphyloma OD and presented with a mature cataract in this eye. Vision was light perception. She was clearly informed that surgery would likely not restore much vision. The goal was to remove the dense opacity and maximize any remaining visual potential…. Read More

This 75YO male presented with decreased vision in the right eye for four months. Vision was hand motion OD and 20/25 in his normal OS. Pseudocolor SLO imaging shows a complex total rhegmatogenous retinal detachment with a supertemporal tear and multiple proliferative vitreoretinopathy (PVR) star folds. Following three vitrectomy surgeries, including a relaxing retinectomy, the… Read More