Blog

This 15YO boy presented with a lifelong history of decreased vision. His father and paternal grandfather also had poor vision but were unavailable for examination. Vision was 20/80 OD and 20/120 OS. Pseudocolor SLO imaging shows a central, radially oriented foveal schisis with an inferior schisis hole OD. OCT scanning confirms foveal schisis, which primarily… Read More

This 78YO female presented with acute vision loss in her left eye. Penetrating keratoplasty (PKP) was performed 9 months earlier. When seen on 8/26/24, vision was counting fingers in part due to irregular astigmatism from the residual PKP sutures, which were then removed. The cornea was Seidel negative after removal. She returned one week later… Read More

This 24YO female presented with several days of bilateral vision loss. She has a history of anti-glomerular basement membrane disease (anti-GBM) and is on hemodialysis. Her renal disease was quiescent, and there were no acute systemic complaints. There was no anterior segment inflammation, although mild vitreous cells were present bilaterally. Vision was 20/200 OD and… Read More

This 73YO male has a 40-year history of birdshot chorioretinopathy which has been managed most recently with PRN intravitreal Ozurdex and Yutiq. He has also been treated with q4 month Vabysmo injections for macular neovascularization (MNV) OD. He presented with recent decreased vision OD. Vision was counting fingers OD and 20/20 OS. Color photography shows… Read More

This 47YO female presented with 4 years of flashes in her left eye that began immediately following laser photocoagulation elsewhere. Vision was 20/20 bilaterally. Optos color RG imaging shows inferotemporal degenerative retinoschisis, demarcated by heavy, confluent laser scarring along its posterior extent. A row of outer-layer holes is noted within the schisis cavity, with innumerable… Read More

This 52YO male presented with 5 days of vision loss OD. There was a history of bilateral vision loss following facial trauma from a motor vehicle accident 20 years earlier. He denied any family history of eye disease or cancer. Vision was counting fingers OD and 20/200 OS. Pseudocolor SLO imaging shows an orange-yellow mass… Read More

This healthy 24YO male presented with a lifelong history of stable bilateral vision loss. Vision was 20/80 OU. Pseudocolor SLO imaging shows symmetrical macular colobomas. OCT scanning shows near-total choroidal loss within the coloboma, with a thinned, atrophic retina draped against bare sclera. Prior serologic testing elsewhere was negative for both toxoplasmosis and cytomegalovirus. Learning… Read More

This 10YO boy presented with bilateral nyctalopia and vision loss. Vision was counting fingers OD and 20/100 OS. Identical findings were noted bilaterally, so only the images for the right eye are shown. Bitot’s spots were observed on the temporal conjunctiva. Innumerable yellow-white subretinal deposits extend from the peripheral macula into the periphery. OCT scanning… Read More

This 67YO white female presented for her six-month diabetic follow-up with a few weeks of vision loss in her left eye. Vision was 20/80 OS and 20/20 in her normal OD. Color photography shows a fibrosed retinal arterial macroaneurysm (RAM), in the superior macula. Faint subretinal blood is noted temporally, with mostly inner retinal blood… Read More

This patient presented with a macula-on rhegmatogenous retinal detachment (RRD). Optos color RG imaging shows the causative retinal tear with a bridging vessel. The RRD was successfully repaired with vitrectomy. Learning Points: The overall risk of an acute PVD causing a retinal break or detachment is about 5% (Seider et al, Ophthalmology 2022;129:67-72), and this… Read More