Blog

This 80YO female presented with counting-fingers vision in her left eye from treatment-naive neovascular AMD (nAMD). Triton color photography shows a few retinal hemorrhages and more peripheral large drusen. Swept-source OCT shows a shallow irregular RPE detachment with underlying type 1 macular neovascularization (MNV). A hyporeflective prechoroidal cleft is noted below the MNV and subretinal… Read More

This 52YO female presented on 1/19/23 with a history of metastatic breast cancer and an asymptomatic uveal metastasis in her right eye. The lesion completely regressed following external beam radiation. When examined on 12/19/24, she remained visually asymptomatic with 20/60 vision. Color photography shows a new, mildly swollen nerve, which is confirmed on OCT. Scattered… Read More

This 44YO male presented with 2 months of decreased vision in his left eye. A retinal detachment repair was done 9 months earlier with vitrectomy and silicone oil, followed by oil removal 3 months later. Vision was 20/20 in his normal OD and 20/90 OS. The intraocular pressure (IOP) was 10 mmHg OD and 3… Read More

This 21YO female presented with bilateral vision loss. She was admitted to the hospital 2 weeks earlier for malignant hypertension (HTN), likely from methamphetamine abuse. Blood pressure at that time was 292/208. Vision was hand motion OD and 20/80 OS. Triton color photography of her left eye shows a somewhat pale and swollen nerve, mostly… Read More

This 26YO male was referred for a pigmented lesion in his right eye. He has a lifelong history of poor vision in this eye and denied any new visual symptoms. Vision was 20/200 OD and 20/20 in his normal left eye. Triton color imaging shows an inner retinal nodular hyperpigmented lesion just inferior to the… Read More

This 62YO female presented with 1 week of bilateral vision loss. She had a known history of metastatic urothelial bladder carcinoma. Vision was counting fingers OD and 20/100 OS. Optos color RG imaging shows bilateral elevated submacular choroidal lesions. These lesions were clinically creamy in coloration, although they appeared variably amelanotic and pigmented on Optos… Read More

This 66YO female underwent plaque radiotherapy for a uveal malignant melanoma (MM) seventeen years earlier in 2007. The tumor responded well to this single treatment, and she has been followed twice yearly since. On 12/16/24, she had no new symptoms, and vision was stable at counting-fingers. When examined about 8 months earlier, on 3/13/24, the… Read More

This 51YO male was referred for a minimally symptomatic, unusual-appearing macular pucker. Vision was 20/20. Triton color imaging and swept-source OCT show a semicircular area of epiretinal proliferation and traction in the distal inferotemporal macula. Radiating inner retinal striae are drawn towards this area of traction, which are best seen on en face OCT of… Read More

This 70YO male presented with 1 week of vision loss in his left eye. He has a long history of polypoidal choroidal vasculopathy (PCV). He received prior anti-VEGF injections OD, but his vision subsequently decreased to counting fingers from a fibrotic disciform scar due to poor compliance with office visits. Several years earlier, he developed… Read More

This 24YO male woke with distorted vision in his right eye the day he presented to our clinic. Over the next 2 hours, a central spot appeared in his vision. He recalled an active tennis game the previous day but denied any direct ocular trauma. Vision was 20/200 OD and 20/25 in his normal OS…. Read More