Blog

This 52YO male has been followed by us for many years for ocular histoplasmosis (OHS). Decades earlier, he received thermal laser from an outside practice for macular neovascularization (MNV) in his right eye. When recently seen for his yearly examination, vision was 20/20 OD, and he remained completely visually asymptomatic. Triton color imaging shows a… Read More

This 32YO female was born with severe vision loss and nystagmus. There was no family history of eye disease. Vision was counting fingers bilaterally. Pseudocolor SLO imaging shows bilateral symmetric macular colobomas with diffuse retinitis pigmentosa (RP) findings, including vascular narrowing, diffuse pigmentary changes, and intraretinal pigment migration (bone spicules). OCT shows thinned and variably… Read More

This 70YO male was referred for age-related macular degeneration (AMD). He was visually asymptomatic, and vision was 20/25 OD and 20/50 OS. Optos color RG imaging shows extensive, mostly small drusen centered outside the fovea. These lesions are well visualized on the green channel but disappear on the red channel. Triton swept-source OCT shows these… Read More

This 67YO female shows prominent bilateral peripheral reticular degeneration of the RPE (PRDRPE) with Optos ultra-widefield color RGB imaging. Learning Points: The reticular changes at first glance may appear like the ‘bone spicules’ found with retinitis pigmentosa, which are caused by disinhibited RPE cells migrating along retinal capillaries following photoreceptor degeneration. The findings in PRDRPE… Read More

A 26YO male presented with 3 weeks of right eye pain, proptosis, and vision loss. MRI several days earlier was suggestive of an orbital venolymphatic malformation (VLM). Vision was 20/30 OD and 20/20 in his normal OS. The right eye was grossly proptotic. Multicolor SLO imaging shows right disc edema with nasal macular linear inner… Read More

This 42YO male presented with two months of vision loss in his right eye. Vision was 20/200 OD and 20/20 in his normal left eye. Mirante pseudocolor SLO imaging shows a pigmented subretinal lesion occupying the entire macula. OCT shows a markedly thickened and elevated choroid with overlying cystic retinal edema and subretinal fluid. The… Read More

This 70 YO male presented with 2 months of blurred vision in his right eye. Vision was counting fingers OD and 20/20 in his normal OS. There was a history of a prior retinal detachment that was repaired with vitrectomy and silicone oil. Removal of the silicone oil, along with combined cataract surgery with a… Read More

This 67YO male presented with asymptomatic retinal findings. There was no family history of ocular disease. Vision was 20/20 OU. Color photography shows bilateral paravenous chorioretinal scarring with intraretinal pigment migration. Learning Points: Pigmented paravenous chorioretinal atrophy (PPCRA) is a rare condition characterized by paravenous pigment clumps with peripapillary and radial zones of RPE atrophy…. Read More

This 21YO female was admitted to the hospital 2 weeks earlier for malignant hypertension. She underwent prior failed renal transplantation due to tubulocystic renal disease and was currently on dialysis. Vision was counting fingers bilaterally. Optos color RG imaging shows marked bilateral papilledema with mostly inner retinal hemorrhages radiating into the midperipheries. Multifocal blisters of… Read More

This healthy 19YO male was hit in his right eye while playing soccer one day earlier. Vision was 20/20. Optos color RGB imaging shows subretinal whitening with associated retinal hemorrhages in the superotemporal periphery. Optos Silverstone swept-source OCT shows at least two outer retinal hyperreflective bands in the uninvolved retina, which merge into a single… Read More