Blog

MYOPIC MACULAR NEOVASCULARIZATION

This 53YO highly myopic male was seen on 7/14/22 for a routine exam with 20/25 vision. Triton color imaging shows dry myopic degeneration, macular pigment loss, and clumping. Triton swept-source OCT shows variable loss of the outer retinal bands and diffuse choroidal thinning. He returned on 8/24/24 with vision loss from a counting-fingers submacular hemorrhage…. Read More


CUTICULAR DRUSEN WITH MACULAR NEOVASCULARIZATION

This 47YO female presented with one week of vision loss in her right eye. Vision was counting fingers OD and 20/25 OS. Optos color RGB imaging shows innumerable cuticular macular drusen, which appear on swept-source OCT B-scanning as arrowhead-like RPE elevations and on en face imaging as numerous hyperreflective spots. A yellow subfoveal lesion OD… Read More


CHOROIDAL COLOBOMA

This 7YO healthy boy has a history of esotropia in his amblyopic right eye. Vision was light perception OD and 20/40 OS. Color photography of his right eye shows a large macular coloboma occupying nearly the entire macula. OCT scanning shows near complete atrophy and disorganization of the overlying RPE and neurosensory retina. A much… Read More


VALSALVA RETINOPATHY

This 29YO pregnant female presented with sudden vision loss in her left eye immediately following a bout of severe vomiting. Vision was 20/20 in her normal OD and counting fingers OS. Optos color RG imaging shows a large sub-internal limiting membrane (ILM) hemorrhage extending throughout the macula. Blood immediately drained into the subhyaloid and vitreous… Read More


PACHYCHOROID SPECTRUM PREVIOUSLY MISDIAGNOSED AS AMD

This healthy 65YO founder of Retina Rocks presented for his once-per-decade ‘eye examination’ which included an undilated slit lamp examination by his partner, Triton swept-source OCT, and Optos color RGB imaging. His mother had a history of neovascular AMD, and he has a known history of drusen. Given his family history, he has been taking… Read More


PUNCTATE INNER CHOROIDOPATHY WITH MACULAR NEOVASCULARIZATION AND PITCHFORK SIGN

This 36YO female presented with 2 days of blurred vision in her right eye. There was no prior ocular history. Vision was counting fingers OD. Triton color photography shows a whitish subretinal discoloration with some associated inferior subretinal fluid. A few dots of retinal blood are noted superiorly. Swept-source OCT shows a hyperreflective type 2… Read More


LEUKEMIA WITH PSEUDO-BILATERAL CRVO

This previously healthy 38YO male presented with 1 month of bilateral blurriness. Vision was 20/60 OD and 20/80 OS. Optos color RG imaging shows severe, bilateral, mostly white-centered retinal hemorrhages extending from the maculae into the retinal peripheries. Triton swept-source OCT shows marked bilateral cystic foveal swelling with subretinal fluid. An outer macular hole is… Read More


BEST DISEASE WITH MYELINATED NERVE FIBER LAYER

This 39YO male presented with asymptomatic retinal lesions. Family history was negative. Vision was 20/20 OU. Optos color RG imaging shows bilateral partially scrambled vitelliform lesions in each posterior pole. On OCT, the superior, scrambled portion of these lesions is hyporeflective, and the inferior, yellow portion is hyperreflective. On fundus autofluorescence (FAF), the superior portions… Read More


COMBINED TRACTIONAL-RHEGMATOGENOUS RETINAL DETACHMENT WITH MACULAR HOLE

This 49YO male with type 2 diabetes noticed decreased vision in his right eye for 4 months. A single anti-VEGF injection was given elsewhere in his right eye around the time of his vision loss. Vision was 20/400 OD and 20/30 OS. Optos color RG imaging OD shows a combined tractional-rhegmatogenous retinal detachment from dense… Read More


OPTIC NERVE PIT

This healthy 20YO female presented with asymptomatic unilateral optic nerve findings in her right eye. Vision was 20/20 OD and 20/20 in her normal OS. Color photography shows two independent optic nerve pits along the temporal edge of the nerve. OCT angiography dramatically illustrates the pits due to completely absent flow signals. The pits are… Read More