Blog

This 25YO male has a history of nystagmus and vision loss from oculocutaneous albinism. Her grandfather also had albinism. Vision was 20/70 bilaterally. Color photography shows bilateral marked choroidal hypopigmentation with foveal hypoplasia. OCT scanning shows the absence of the normal foveal depression. Learning Points: Albinism is a group of genetic disorders characterized by abnormal… Read More

This 15-month-old girl was brought to a multi-specialty hospital by her parents with complaints of fever, seizures, and progressive weakness in her limbs for two days. She was admitted to the pediatric intensive care unit, and symptomatic treatment was started. She was the firstborn of a third-degree consanguineous marriage. Fundus imaging is blurred due to… Read More

This healthy 46YO male presented with 5 days of an inferior paracentral scotoma in his left eye. Vision was 20/15 in his normal OD and 20/20 OS. Triton color imaging shows a round, deep retinal amelanotic lesion just superior to the macular center. Swept-source OCT shows loss of the outer retinal band detail with ill-defined… Read More

This healthy 17YO male was in a motor vehicle accident 2 weeks earlier. He was not wearing a seat belt and suffered a right upper lid laceration and closed head injury. He noticed immediate vision loss in his right eye. Vision was 20/200 OD and 20/20 in his normal OS. Color photography shows a large… Read More

This healthy 42YO male presented with blurred and distorted vision in his right eye. Vision was 20/80 OD and 20/20 in his normal OS. MultiColor SLO imaging shows an oval orange-red choroidal lesion in the central and temporal macula. OCT scanning shows an elevated choroidal lesion with overlying foveal and distal temporal subretinal fluid. The… Read More

This 58YO female presented with 6 months of vision loss in her left eye. Vision was 20/60 OS. Color SLO imaging shows a taut epiretinal membrane (ERM) with multiple paravascular lamellar defects, which are better visualized on red-free imaging. OCT scanning shows a stage 3 macular pucker with ectopic inner foveal layer (EIFL) and temporal… Read More

This 43YO male was referred for asymptomatic retinal findings. He has a known history of sickle cell disease. Vision was 20/20 OU. Optos color RG imaging shows bilateral peripheral temporal and featureless retinas with white vessels. There is a small temporal pigmented chorioretinal scar OD, indicating a possible black sunburst lesion. The retinal vascular bed… Read More

This 56YO male presented with several days of decreased vision in his left eye. He received prior treatment 1.5 years ago elsewhere for a retinal detachment. Vision was 20/30. Optos color RG imaging shows a large lattice tear superotemporally with a surrounding rhegmatogenous retinal detachment (RRD). Several rows of appropriate and nearly confluent laser photocoagulation… Read More

This 32YO male presented with a peripheral shadow of vision in his left eye for several weeks. Vision was 20/20 OU. Color photography shows a large, elevated, well- defined, pigmented choroidal mass with a few overlying hemorrhages. Despite the lesion nearly draping over the central macula, foveal OCT scanning is remarkably normal. He was immediately… Read More

This previously healthy 49YO Indian female was visiting the United States and presented with new floaters in her left eye. Vision was 20/25 OD and 20/40 OS. There was no anterior uveitis, and the vitreous was clear bilaterally. Color photography shows multifocal bilateral amelanotic choroidal lesions, some isolated and others confluent in the inferior periphery…. Read More