Blog

This 83YO male was referred for asymptomatic changes in his left fundus. Vision was 20/30 in his healthy OD and 20/100 OS. Optos color RG imaging shows scattered deep, variably round retinal hemorrhages extending from the peripheral macula into the midperiphery. Carotid Doppler testing revealed a critical stenosis of the left internal carotid artery, and… Read More

This 53YO male presented with counting-fingers vision in his right eye due to a symptomatic macular pucker. Optos color RG imaging shows a macular pucker with a foveal cyst. Triton swept-source OCT shows an adherent pucker with central foveal herniation. Vitrectomy surgery was performed, and one month later, vision improved to 20/100. OCT scanning shows… Read More

This healthy 27YO female presented with 2 weeks of photopsias OS. Vision was 20/20 in her normal OD and 20/25 OS. Color photography shows multiple faint subretinal white dots scattered throughout the posterior pole. The nerve is slightly edematous, and the fovea has a granular appearance. OCT scanning shows scattered focal areas of ellipsoid zone… Read More

Optos color RG imaging of this highly myopic patient shows severe myopic degeneration extending from the central macula inferiorly, along with peripapillary atrophy that extends beneath the entire inferotemporal arcade. Learning Points: Perivascular chorioretinal atrophy is a newly described finding in highly myopic eyes (Benahmed et al, AJO 2025;271:498-506). The atrophy occurs along the first… Read More

This 31YO female complained of decreased vision in her left eye for 6 weeks. She was diagnosed elsewhere with cysticercosis and referred to us for further evaluation. Vision was 20/20 in her normal OD and 20/200 OS. Color photography shows a yellow oval lesion occupying nearly the entire macula. OCT scanning shows a large subfoveal… Read More

This 18YO female presented with a several-day history of vision loss in her right eye. Vision was 20/70 OD and 20/40 in her normal OS. Optos color RG imaging shows inferior disc edema with a serous macular detachment. Triton swept-source OCT confirms the serous detachment extending towards the nerve. Bartonella serology was positive, and she… Read More

This patient presented with 20/30 vision due to a mildly symptomatic clinical macular pucker with a pseudohole; observation was recommended. Multimodal imaging reveals extensive pucker-related findings. Triton color imaging shows an irregular macular pseudohole with a faint surrounding epiretinal membrane (ERM). True full-thickness macular holes are virtually always perfectly round, and these pucker-related pseudoholes are… Read More

This 42YO female was referred for asymptomatic peripheral retinal findings. Vision was 20/20 OU. Optos color RG imaging shows extensive bilateral temporal lattice lesions with atrophic holes. A larger hole with surrounding pigment is seen in the right eye, along with a nearby area of white without pressure. Learning Points: Lattice lesions have a pocket… Read More

This 10YO girl presented with asymptomatic retinal findings in her left eye. Vision was 20/25 in her normal OD and 20/30 OS. Color photography shows a retinal arteriovenous malformation (AVM) composed of dilated, tortuous vessels, mostly in the macular area. The foveal pit is crossed by a large tortuous vessel. OCT angiography highlights the profoundly… Read More

This 61YOF put a smile on our face by presenting with this asymptomatic heart-shaped Weiss ring just inferior to her left nerve. HAPPY VALENTINE’S DAY!