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This 16YO male complained of night blindness for a few years. There was no family history of eye disease. Vision was 20/200 OU. Color photography shows bilateral findings consistent with retinitis pigmentosa (RP), including diffuse chorioretinal scarring, intraretinal pigment migration, and narrow retinal vessels. The retinal tissue beneath and immediately surrounding the arterioles is relatively… Read More

This healthy 13YO girl’s mother has a known history of familial adenomatous polyposis (FAP). She was referred to us for asymptomatic retinal findings. Fundus imaging shows multiple, bilateral, variably comet-shaped, variably pigmented jet-black subretinal lesions. Learning Points: Familial adenomatous polyposis (FAP) is an autosomal dominant syndrome associated with colonic polyps and colorectal cancer. Although typical… Read More

This 40YO female presented with 5 years of stable, mild, distorted vision bilaterally. There was no family history of eye disease. Vision was stable at 20/20 OU. Color imaging shows bilaterally symmetric bullseye lesions with surrounding subretinal yellow macular flecks. On fundus autofluorescence (FAF), these lesions are hypo-FAF with an inner hyper-FAF ring. Pericentral outer… Read More

This 36YO Ukrainian male sustained a firearm-related facial injury during military combat in 2014 while in Eastern Ukraine. At the time, he was treated in a frontline hospital, where the left eye underwent primary enucleation due to a non-reconstructible globe rupture. His right eye sustained a penetrating injury with scleral rupture, which was primarily repaired…. Read More

This 49YO male presented with 4 days of vision loss in his left eye. He denied any Valsalva maneuver. Vision was 20/25 in his normal OD and 20/20 OS. Pseudocolor SLO imaging shows a large sub-internal limiting membrane (ILM) hemorrhage, nasal and superior to the nerve, along with scattered mostly deep, white-centered retinal hemorrhages. OCT… Read More

This 39YO HIV positive male presented with 5 days of bilateral decreased vision. Vision was 20/100 OD and 20/200 OS. Optos color RG imaging shows bilateral whitish macular and peripapillary placoid lesions extending nasal to the nerves. Fundus autofluorescence (FAF) more dramatically shows these hyper-FAF placoid lesions, which resemble a butterfly in his left eye…. Read More

This 53YO female was referred for asymptomatic macular findings. Her mother has a history of pseudoxanthoma elasticum (PXE). Vision was 20/25 OD and 20/40 OS. Optos color RG imaging shows coarse subretinal pigment clumps bilaterally. Subretinal blood is noted along the superior aspect of the right nerve from a peripapillary choroidal neovascularization. A few barely… Read More

This 67YO female woke with bilateral blurred vision and severe eye pain. She was started on Lexapro (escitalopram) six months earlier. Vision was 20/400 OD and 20/100 OS. Slit lamp examinations showed bilateral shallow anterior chambers, with no angle structures visible in either eye on gonioscopy and anterior segment OCT. Intraocular pressures (IOP) were 50… Read More

This healthy 36YO male presented with 3 days of floaters and decreased vision in his right eye. Vision was 20/60 OD and 20/20 in his healthy OS. The right eye contained mild anterior chamber cells and moderate vitreous cells. Fundus photography shows a swollen nerve, a frosted branch pattern of vasculitis involving the retinal veins,… Read More

This healthy 9YO boy was referred for an asymptomatic abnormal right optic nerve. There was no ocular family history. Vision was 20/150 OD and 20/30 in his normal OS. Optos color RG imaging shows an anomalous right optic nerve, which is tilted and displaced superonasally from its apparent normal location. The fovea is markedly ectopic,… Read More