Blog

This 29YO female presented with this asymptomatic amelanotic lesion above the right superotemporal arcade. Optos color RG imaging shows an apparent mostly depigmented chorioretinal scar. However, Triton swept-source OCT scanning shows hyperreflective scleral thickening, which compresses the overlying choroid and elevates the retina. Learning Points: Focal scleral nodule, previously known as solitary idiopathic choroiditis (SIC)… Read More

This 39YO male underwent vitrectomy OD elsewhere for a vitreous hemorrhage one month earlier. The treating surgeon noticed a sub-internal limiting membrane (ILM) hemorrhage at a postoperative visit and referred him to us for further evaluation. Vision was 20/30 OD and 20/20 in his normal OS. Ultrawidefield pseudocolor SLO imaging shows a large partially layered… Read More

This 28YO 8-diopter myopic female presented with recent floaters in her left eye. Vision was 20/30 OD and 20/40 OS. Optos color RG imaging shows extensive bands of variably adherent vitreoschisis and epiretinal membranes. A prominent vitreous membrane vs pucker is noted in the inferonasal macula. There was bilateral variably pigmented paravenous lattice (not shown)…. Read More

This 10YO boy presented with 1 week of vision loss in his left eye. The parents gave a vague history of trauma with a tennis ball 2 years earlier. Vision was counting fingers OD and 20/20 in his normal OS. Ultrawidefield imaging shows a giant macular hole occupying nearly the entire macula. The hole’s edges… Read More

This 34YO male with a known history of HIV infection presented with 1 month of vision loss in his right eye. He was treated with a six-month course of systemic anti-tuberculous therapy for pulmonary tuberculosis two years earlier. One month earlier, he was diagnosed with HIV AIDS with a CD4 count of 43 and was… Read More

This 79YO female underwent vitrectomy for a breakthrough vitreous hemorrhage from neovascular AMD. Vision was 20/400. Postoperative Optos color RGB imaging shows an oval fibrotic macular scar with a tongue-like projection of organized devitalized yellow blood extending inferiorly. Coarse subretinal pigment extends into the inferior midperiphery. On fundus autofluorescence (FAF), the fibrotic portion of the… Read More

This 62YO female complained of stable bilateral blurred vision for seven years, having been diagnosed with central serous chorioretinopathy elsewhere. Vision was 20/30 OD and 20/40 OS. Pseudocolor SLO imaging shows symmetrical, partially scrambled vitelliform lesions. The lesions are hyperautofluorescent along their outer edges and hypoautofluorescent centrally. OCT shows shaggy hyperreflective material lining the outer… Read More

This 60YO male presented with 2 weeks of floaters in his left eye. Vision was 20/25 OD and 20/30 OS. Optos color RG imaging shows bilateral rhegmatogenous retinal detachments (RRD) with numerous breaks. The asymptomatic right detachment extended into the inferotemporal macula and split the left fovea. Scattered ocular histoplasmosis scars are present bilaterally. Learning… Read More

This 12YO boy presented with 3 weeks of vision loss in his right eye immediately following blunt trauma. Vision was hand motion OD and 20/20 in his normal OS. Color photography shows a superotemporal giant retinal tear that has folded over the optic nerve and macula inferonasally. The yellow macular xanthophyll is visible just inferotemporal… Read More

This 43YO male with type 2 diabetes initially responded beautifully in 2016 to full panretinal photocoagulation (PRP) for proliferative diabetic retinopathy (PDR). However, he presented on 3/17/20 with some new preretinal blood (Optos color RG image), and fill-in PRP was applied. Over the course of 2 years, progressive fibrotic neovascularization with extramacular traction developed. Despite… Read More