Blog

This previously healthy 21YO male developed bilateral vision loss 1 week following a viral illness. Vision was 20/100 OU. Color photography shows a bilateral frosted-branch appearance of the retinal veins, most prominent in the maculas. Fluorescein angiography shows diffuse leakage and staining of the venous vascular tree. OCT scanning shows marked bilateral outer nuclear layer… Read More

This 72YO female presented with one day of peripheral vision loss in her right eye. Vision was 20/25 OD and 20/25 in her healthy OS. Optos color RG imaging (image 2, top) shows a temporal macula-on rhegmatogenous retinal detachment (RRD). Pars plana vitrectomy (PPV) with a C3F8 bubble was performed later that day. On her… Read More

This healthy 24YO goth female presented with severe pain and a floater in her left eye immediately following a failed intraocular tattoo procedure earlier that day. Vision was 20/40. Color photography shows a posteriorly dislocated intraocular tattoo needle lying on the inferior macular surface. Adherent vitreous is noted on the optic nerve. She was immediately… Read More

This 64YO male presented on 9/6/23 with several weeks of vision loss in his right eye. Vision was 20/40 OD. Triton color imaging shows a faint round foveal serous detachment. Swept-source OCT confirms a classic idiopathic central serous chorioretinopathy (ICSC) foveal detachment. There is a small hyperreflective placoid elevation of the RPE along the inferior… Read More

This 34YO female underwent uterine ablation 2 weeks earlier for heavy menstruation and severe secondary iron deficiency anemia. Although we don’t know what her hemoglobin level was prior to the procedure, it had risen to 10.7 postoperatively. Vision was 20/30 OD and 20/50 OS. Triton color photography shows bilateral teardrop-shaped macular outer plexiform layer (OPL)… Read More

This healthy 43YO male was referred for asymptomatic retinal findings. Vision was 20/40 OD and 20/30 OS. Color imaging of the right eye shows a foveal cyst with pericentral opaque whitened retina and numerous inner retinal crystals. A right-angle venule is noted superotemporally. OCT scanning shows inner foveal cavitations with variable loss of the outer… Read More

This 37YO male presented with a 3-week history of decreased vision in his right eye. Vision was 20/70 OD and 20/20 in his normal OS. Color photography shows a subretinal lesion with a somewhat orange hue in the temporal macula. Lipid extends into the temporal fovea. Some subtle pigmentary changes extend inferiorly. OCT scanning shows… Read More

This 8-month-old girl presented with bilateral nystagmus, leukocoria, and inability to focus on objects. Family history was completely negative. Examination under anesthesia revealed bilateral lobular white retinal masses projecting into each vitreous. B-scan ultrasonography shows intralesional hyperreflectivity suggestive of calcification. She was immediately referred to ocular oncology. Learning Points: Retinoblastoma (RB) is the most common… Read More

This 77YO male was referred for asymptomatic neovascular AMD in his right eye. Vision was 20/50 bilaterally. Optos color RGB imaging shows extensive bilateral larger drusen and subretinal drusenoid deposits, which are evident on Triton swept-source OCT. Localized subretinal fluid is noted just temporal to the right nerve. Although the choroid is not particularly thickened,… Read More