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This 38YO male presented with 10 days of bilateral vision loss after being hit in the right eye with a fist. He denied any past medical history, and family history was negative for eye disease. Vision was 20/200 OD and 20/80 OS. Color fundus photography shows irregular orange-gray lines radiating outwards from each nerve. Variable… Read More

This 44YO male presented with sudden, painless, and progressive central and inferior peripheral vision loss. Color photography shows a superior and temporal macula-off rhegmatogenous retinal detachment (RRD). There is a superior patch of lattice degeneration with retinal tears at either edge of the lattice at 10:30 and 12:30. Learning Points: RRD occurs when liquid vitreous… Read More

This 6YO girl has a history of night blindness, and her twin brother has a history of milestones delay and seizures. Family history was suggestive of consanguinity. The girl’s vision was 20/120 OD and 20/80 OS, and 20/120 OU in the boy. The girl’s fundus photography shows variably coalescent, scalloped areas of bilateral chorioretinal atrophy… Read More

This 56YO female presented with 2 weeks of decreased vision in her left eye. She was treated for herpes zoster one month earlier, and there were a few crusted lesions on the right side of the forehead. Vision was 20/20 in her normal OD and 20/200 OS. There were moderate anterior chamber and vitreous cells…. Read More

This 49YO female presented with 3 days of decreased vision in her OD. Vision was 20/70 OD and 20/15 OS. There was no family history of eye disease. Pseudocolor SLO imaging shows extensive mixed and confluent drusen extending through each macula into the midperipheries. Inferior submacular blood extends into the right foveal center. OCT scanning… Read More

This 38YO male presented with 6 months of bilateral vision loss. Vision was 20/80 OU. Color imaging shows multiple symmetrical yellowish subretinal variably round lesions centered in each superior macula and extending superiorly. Confluent subretinal vitelliform material is settled in the inferior maculas. This material is markedly hyper-autofluorescent. On OCT, the outer retina is diffusely… Read More

This 4YO girl’s parents noticed that her right eye was deviating outwards for several months, along with decreased vision bilaterally. Her mother gave a history of prematurity at 28 weeks of gestational age with a low birth weight of 1175 g and oxygen exposure. Vision was counting fingers OD and 20/80 OS. There was a… Read More

This 69YO female was receiving ongoing bilateral anti-VEGF therapy for neovascular age-related macular degeneration when she presented with new asymptomatic fundus changes in her left eye. There was no significant past medical history. Optos color RGB imaging shows a leopard spot pattern of superior midperipheral pigmentary changes. Silverstone swept-source OCT shows a markedly thickened choroid… Read More

This 47YO female with a known history of metastatic breast carcinoma presented with several weeks of decreased vision in her left eye. She was on active chemotherapy and hormonal therapy. Vision was no light perception OD following trauma 30 years earlier, and hand motion OS. Ultrawidefield color photography shows a large, amelanotic yellow choroidal lesion… Read More

This 30YO male was hit in his right eye 2 days earlier with a cricket ball. He was visually asymptomatic, and vision was 20/20. Color photography shows extensive commotio retinae in the inferior retina, with scattered intraretinal hemorrhages. There were no retinal breaks or detachment. Close observation was recommended. Learning Points: Commotio retinae is caused… Read More