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This healthy 35YO male presented with recent severe vision loss in his right eye. Vision was counting fingers OD and 20/20 in his normal OS. Optos color RG imaging shows moderate optic nerve swelling, which is confirmed by OCT. There is moderate nerve leakage on fluorescein angiography. Bloodwork, including syphilis and Bartonella, was negative, so… Read More

This 70YO female presented with stable 20/100 vision in her right eye. Her left eye was enucleated almost 60 years previously due to complications of retinopathy of prematurity (ROP). Optos color RGB imaging shows marked temporal macular dragging with peripapillary and distal temporal chorioretinal scarring. Learning Points: Patients with ROP have an increased risk for… Read More

This 42YO female presented with 1 month of bilateral blurred vision. Vision was 20/30 OU. Optos color RG imaging shows bilateral peripheral and posterior white areas without pressure. Correct?? WRONG! These posterior lesions are hyperautofluorescent. Macular OCT scanning shows variable loss of the outer retinal bands. Syphilis testing was positive, and she was immediately referred… Read More

This 58YO male presented with several years of progressive vision loss. He has a history of well-controlled type 2 diabetes. Vision was 20/30 OD and 20/60 OS. Optos color RG imaging shows fairly symmetric areas of variable, confluent, non-central macular atrophy. Fundus autofluorescence (FAF) shows hypo-FAF from the areas of atrophy, along with areas of… Read More

This 56YO female presented with 1 week of flashes and blurred vision in her right eye. Vision was 20/25 OD and 20/20 OS. Coarse, large pigmented multifocal scars with peripapillary scarring are noted OU. Multiple deep white retinal spots are scattered throughout the right posterior pole. These spots on fundus autofluorescence (FAF) hyper-autofluoresce. Confluent hyper-FAF… Read More

This 53YO female with a history of type 2 diabetes was referred for a symptomatic vitreous hemorrhage in her right eye from proliferative diabetic retinopathy. She received prior panretinal photocoagulation (PRP) in this eye elsewhere. Vision was 20/60 OD and 20/70 OS. Optos color RG imaging OD shows preretinal blood in the inferior macula, and… Read More

This 72YO female has been followed since 2017 for a branch retinal vein occlusion in her left eye. She has required ongoing anti-VEGF therapy for macular edema and failed macular laser for treatment burden several times. Although her eye was stable for years, on 6/6/24, there was new macular lipid with increased superior macular edema…. Read More

This 71YO male has been followed for several years with intermediate AMD. On 4/8/22, vision was 20/40 in his asymptomatic left eye. There is a shallow RPE detachment (PED) with faint surrounding drusen and pigment loss on both Triton color imaging and swept-source OCT. Clumping of subretinal pigment is noted along the superior edge of… Read More

This 46YO male presented with increasing difficulties with watching TV and working on the computer. He had a known history of Alport syndrome, including renal failure with prior renal transplantation and hearing loss. Vision was 20/40 OD and 20/50 OS. Slit lamp examinations showed bilateral cataracts without anterior lenticonus. Cataract surgery was performed, and vision… Read More

This healthy 48YO male was referred for an asymptomatic lesion in his right eye. Vision was 20/20 OD and 20/20 in his healthy OS. Optos color RGB imaging shows an oval choroidal coloboma in the inferior midperiphery. Variably pigmented chorioretinal atrophy surrounds the lesion. Triton swept-source OCT shows a fairly abrupt and near-complete loss of… Read More