Blog

This 35YO pregnant female presented with 3 days of flashes in her left eye. She had a family history of retinal tears in her father and rhegmatogenous retinal detachment (RRD) in her maternal uncle. Vision was 20/20 OS. Silverstone color RG imaging shows a macula-on combined retinoschisis-RRD. There was no posterior vitreous detachment. Schisis is noted… Read More

This healthy 31YO male presented with blurred vision in his right eye for 2 years. Best-corrected visual acuity was 20/20 OU. Pseudocolor SLO imaging shows a chronic rhegmatogenous retinal detachment (RRD) involving the superior, nasal, and inferior quadrants, sparing the central and temporal macula. A prominent pigmented demarcation encircles the RRD. Vertical OCT scanning shows… Read More

This 42YO male presented with a 3-month history of decreased vision in his right eye. He had received laser treatment in this eye elsewhere. Vision was 20/60 OD. Color photography shows an old ischemic inferotemporal branch retinal vein occlusion (BRVO) with heavy scatter laser throughout its distribution. Collateral vessels are noted in the inferonasal macula…. Read More

This 38YO male presented with sudden vision loss in his left eye immediately following blunt trauma from a cricket bat 2 days earlier. Vision was 20/200. Color fundus photography shows extensive commotio retinae throughout the posterior pole, along with a large retinal tear in the temporal midperiphery. Oral and topical steroids were prescribed, and the… Read More

This 44YO obese female presented with several days of decreased vision bilaterally. Vision was counting fingers OU. Fundus photography shows severe bilateral disc swelling. MRI of the brain and orbit was suggestive of partial empty sella with prominent perioptic CSF spaces and no intracranial mass lesions. All these were suggestive of idiopathic intracranial hypertension (IIH)…. Read More

This 19YO male presented with vision loss in his left eye 2 days following blunt trauma from a tennis ball. Vision was counting fingers. Slit lamp examination revealed anterior chamber inflammation, traumatic mydriasis, and nasal subluxation of the crystalline lens. Pseudocolor SLO imaging shows scattered retinal, sub-internal limiting membrane (ILM), and vitreous blood. The acute… Read More

This 31YO female presented with 1 week of decreased vision in her right eye following a febrile illness. Vision was 20/200 OD and 20/20 in her normal OS. Color photography shows opaque, white inner and deep retinal whitening centered in the superonasal macula, with surrounding subretinal fluid extending into the temporal and inferior macula. A… Read More

This previously healthy 35YO male presented with 1 week of pain, redness, and decreased vision in his right eye. He had been treated by an outside doctor for conjunctivitis. Vision 20/200 OD and 20/20 in his normal OS. Slit lamp examination showed temporal scleral injection. Intraocular pressure was 23 mm Hg. Color photography shows radiating… Read More

This 74YO female was referred on 5/31/22 for an asymptomatic rhegmatogenous retinal detachment (RRD) in her right eye. Optos color RG imaging shows a chronic appearing superotemporal macula-on RRD with a single retinal break. A faint demarcation line is noted along the detachment’s posterior edge. The detachment was subsequently demarcated with thermal laser photocoagulation posteriorly… Read More

This 85YO male lost vision in each eye following a fall around 1 week back with multiple rib fractures. Vision was hand motion OU. Color photography shows bilateral macular retinal hemorrhages with patches of white ischemic retina, most prominent in the left macula. OCT scanning shows a thickened hyperreflective inner retina bilaterally. Learning Points: Purtscher… Read More