Blog

TOXOPLASMOSIS

This 26YO male presented with 6 days of blurred vision in his left eye. Vision was 20/20 in his normal OD and 20/40 OS. The left cornea was edematous with a moderate nongranulomatous anterior uveitis and moderate vitreous cells. The intraocular pressure (IOP) was 47 mm HG. Pseudocolor SLO imaging shows active white retinitis just… Read More


CHOROIDAL COLOBOMA

This 32YO female has a history of congenital nystagmus and poor vision since birth. Vision was 20/130 OU. Color photography shows bilateral macular colobomas with more peripheral multifocal variably pigmented colobomatous scarring in her left eye. These lesions are hypoautofluorescent. OCT scanning through the macular lesions shows thinned hyperreflective retina draped across the posteriorly bowed… Read More


LACQUER CRACKS

This 54YO highly myopic female is being followed with PRN Avastin injections in her left eye for myopic macular neovascularization. She was asymptomatic, and vision was stable at 20/50 OD and 20/60 OS. Optos color RGB imaging of her right macula shows numerous lacquer cracks. Triton swept-source OCT shows outer retinal and RPE loss with… Read More


NO OPTIC PIT RETINOSCHISIS

This 55YOF was referred for asymptomatic macular changes in her left eye. Vision was 20/30 bilaterally. The right eye was normal. Optos color RGB imaging shows a normal appearing optic nerve with a small central cup. Very subtle inner retinal telangiectasia is seen inferotemporal to the disc. Triton swept-source OCT shows nasal macular inner retinoschisis,… Read More


SYPHILITIC PAPILLITIS

This 52YO male presented with 3 weeks of vision loss in his left eye. He has a history of diabetes, hypertension, and HIV. He was diagnosed elsewhere with optic neuritis and started on intravenous methylprednisolone with no improvement. Vision was 20/30 in his normal OD and counting fingers OS. There was a mild nongranulomatous anterior… Read More


TUBERCULAR SERPIGINOUS-LIKE CHOROIDITIS

This 54YO male presented with 2 weeks of vision loss in his left eye. He was diagnosed elsewhere with papilledema, and brain MRI scanning was normal. Vision was 20/20 in his asymptomatic OD and counting fingers OS. Pseudocolor SLO imaging of the OS shows marked disc swelling with radiating hemorrhages in the nerve fiber layer…. Read More


SUBRETINAL PERFLUORON

This 33YO male presented with stable vision following prior vitrectomy for a rhegmatogenous retinal detachment (RRD) in his right eye. Vision was 20/400. Triton color imaging shows a round yellowish subfoveal lesion. Swept-source OCT shows a hyporeflective subretinal lesion compressing the overlying neurosensory retina into a thin inner retinal hyperreflective line. The underlying RPE band… Read More


TORPEDO MACULOPATHY

This 66YO male was referred for this unilateral, asymptomatic, variably pigmented lesion in his right eye. Vision was 20/30. Optos color RGB imaging shows a torpedo-shaped lesion in the temporal macula. Triton swept-source OCT shows an outer retinal cavitation with loss of retinal tissue deep to the external limiting membrane. There is also focal choroidal… Read More


DEGENERATIVE RETINOSCHISIS + SITUS INVERSUS

This 64YO female was referred for a possible asymptomatic rhegmatogenous retinal detachment (RRD) in her left eye. Vision was 20/20 in her normal OD and 20/20 OS. Optos color RG imaging shows superotemporal degenerative retinoschisis with a few outer-layer holes (OLH). OCT confirms the schisis as well as the outer layer hole. Learning Points: Clinically,… Read More


TAMOXIFEN RETINOPATHY

This 51YO female presented with 3 months of bilateral vision loss. She was diagnosed 5 years earlier with breast cancer, followed by a radical mastectomy. Since then, she has been treated with tamoxifen 20mg PO daily. Vision was 20/60 OD and 20/40 OS. Color photography shows bilateral, symmetric, central macular yellowish crystalline deposits, corresponding to… Read More