Blog

LEUKEMIA

This previously healthy 14YO female presented with two weeks of vision loss in her right eye. Vision was hand motion OD and 20/25 OS. Optos color RGB imaging shows bilateral inner and deep retinal hemorrhages, along with an inferior macular sub-internal limiting membrane (ILM) hemorrhage OD. Triton swept-source OCT confirms the location of the macular… Read More


UVEAL MELANOMA

This 39 YO female presented with 1 month of decreased vision in her left eye. Vision was 20/20 in his normal OD and 20/60 OS. Pseudocolor SLO imaging shows a large, nasal, well-circumscribed amelanotic choroidal lesion with an inferior exudative retinal detachment. OCT shows foveal subretinal fluid with likely shed outer segments along the posterior… Read More


STELLATE NON-HEREDITARY IDIOPATHIC FOVEOMACULAR RETINOSCHISIS

This 58YO female presented with 6 months of blurred vision in her right eye. Vision was 20/40 OD and 20/25 OS. Optos color RG imaging of her right eye shows a stellate pattern of foveal schisis, which is confirmed on Triton swept-source B-scan and en face OCT. The macular appearance and OCT in her left… Read More


MACULAR COLOBOMA

This healthy 21YO male presented with a lifelong history of stable bilateral vision loss. There was no significant ocular family history, and ocular examination of family members revealed no abnormalities. Vision was 20/400 OU. There was bilateral horizontal nystagmus. Color photography shows fairly symmetrical macular colobomas. Fine inner retinal striae radiate outwards from the coloboma… Read More


MULTIPLE MYELOMA

This 81YO male presented with two days of vision loss OD. He has a history of diet-controlled type 2 diabetes and a 5-year history of multiple myeloma. He was examined by us 2 weeks earlier for a routine visit for inactive herpes simplex iridocyclitis. Vision was 20/40 on that visit with a normal OCT (not… Read More


WELDING ARC MACULOPATHY

This 38YO male presented with 6-7 months of bilateral vision loss. He works as a welder and admits to rarely wearing his safety glasses. Vision was 20/25 OD and 20/20 OS. Pseudocolor SLO imaging shows symmetrical, tiny yellow foveal scars. OCT shows outer foveal microdefects with hyporeflectivity due to loss of all bands deep to… Read More


BENIGN LOBULAR INNER NUCLEAR LAYER PROLIFERATIONS (BLIP) + BEAR TRACKS


TAKAYASU VASCULITIS WITH CRAO

This previously healthy 14YO girl presented with 10 days of vision loss in her right eye. She also gave a history of recurrent migraine-type headaches. She saw an outside eye doctor, where blood pressure was not checked, and spectacles were prescribed. At presentation, vision was 20/100 OD and 20/20 OS. Funduscopic examinations revealed mild bilateral… Read More


CHOROIDAL GRANULOMA

This healthy 64YO male presented with gradual vision loss in his right eye. Vision was 20/2000 OD and 20/20 in his normal OS. Color imaging shows a yellow-white subfoveal nodular lesion with surrounding subretinal lipid. Several retinal choroidal anastomoses are noted within the lesion inferiorly. OCT scanning shows a hyperreflective elevated deep retinal lesion with… Read More


CHOROIDAL NEVUS WITH MNV

This 85YO female presented for her annual choroidal nevus examination, noticing worsening reading vision. Vision had decreased to 20/200 from 20/40 one year earlier. When seen 2 years earlier, Triton swept-source OCT showed a few areas of drusen-like changes overlying a temporal macular nevus. At the current visit, although the margins of the nevus were… Read More